Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 65 and up

Identifying biomarkers for Hypo-Attenuated Leaflet Thickening in heart patients

Official title: Circulating Biomarkers of Hypo-Attenuated Leaflet Thickening After Transcatheter Aortic Valve Replacement

Run by Massachusetts General Hospital · NCT04552275 · Data updated 2026-11-12

This study is trying to find specific proteins in the blood that can help tell if older heart patients have a condition called Hypo-Attenuated Leaflet Thickening and see how these proteins change after treatment.

More Aortic Stenosis trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages65 Years and up
SexAll
Enrollment300 (estimated)
SponsorMassachusetts General Hospital
Academic / other
Locations3 sites (Boston, Massachusetts and 2 other locations)
StatusRecruiting
StartedJune 22, 2020
Main results expectedJune 22, 2030
Study endsJune 22, 2035
Registry record updatedNovember 10, 2021
Trial IDNCT04552275 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 65 years with severe aortic stenosis or bioprosthetic valve degeneration undergoing TAVR.

Probably not a fit

Patients with chronic anticoagulation therapy or significant comorbidities that limit life expectancy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The HALT Biomarker Study aims to identify a panel of circulating proteins that can distinguish between patients with and without Hypo-Attenuated Leaflet Thickening (HALT). It will also assess changes in these proteins after treatment with systemic anticoagulation and identify proteins that may predict HALT occurrence. The study will enroll adult patients over 65 years old who are undergoing transfemoral transcatheter aortic valve replacement (TAVR) for severe aortic stenosis or bioprosthetic valve degeneration. Blood samples and clinical data will be collected at various time points to achieve these objectives.

Why it matters

Potential benefit: If successful, this study could enhance the diagnostic accuracy for HALT and improve patient management strategies.

How similar studies have gone: Other studies have explored biomarker identification in similar contexts, suggesting potential for success, though this specific approach may be novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age \> 65 years
2. Subject with severe native AS or severe bioprosthetic valve degeneration
3. Subject undergoing transfemoral TAVR using a Medtronic Evolut R, Evolut Pro or Evolut Pro+ transcatheter heart valve

Exclusion Criteria:

1. Chronic anticoagulation therapy
2. Contraindication to systemic oral anticoagulation therapy
3. Chronic kidney disease with EGFR\<30 ml/min
4. Bleeding diathesis or known coagulopathy
5. Hypercoagulable state
6. Life-expectancy \<12 months due to other medical conditions (e.g., malignancy, severe Alzheimer's disease, etc.)
7. The patient is currently participating in another investigational device or drug study that has not reached its primary objective/endpoint
8. Pregnant, lactating, or planning pregnancy within next 12 months

Where it's running

  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Catholic Medical Center
    Manchester, New Hampshire, United States
    Recruiting
  • Minneapolis Heart Institute
    Minneapolis, Minnesota, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.