Surgical versus transcatheter aortic valve replacement for patients aged 65–75
Official title: Surgical Bioprosthesis Aortic Valve Replacement Vs. Myval Balloon-Expandable THV Series in Patients Aged 65 to 75 With Symptomatic Severe Aortic Stenosis Judged Eligible by Heart Team
Run by Ceric Sàrl · NCT06861361 · Data updated 2026-11-12
This trial will test whether the Myval transcatheter heart valve works as well as surgical bioprosthetic aortic valve replacement for people aged 65 to 75 with symptomatic severe aortic stenosis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years to 75 Years |
| Sex | All |
| Enrollment | 1180 (estimated) |
| Sponsor | Ceric Sàrl Industry-sponsored |
| Locations | 49 sites (Graz and 48 other locations) |
| Status | Recruiting |
| Started | May 15, 2025 |
| Main results expected | September 2028 |
| Study ends | September 2037 |
| Registry record updated | May 12, 2026 |
| Trial ID | NCT06861361 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people aged 65–75 with symptomatic severe native calcific aortic stenosis for whom both transfemoral TAVR and surgical valve replacement are considered feasible by a multidisciplinary heart team.
✕Probably not a fit
Patients unlikely to benefit include those with life expectancy under one year, known hypersensitivity to aspirin, clopidogrel, or device frame components, inability to follow the protocol, or those judged unsuitable for transfemoral access or surgery by the heart team.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, open-label, multinational trial that will enroll 1,180 patients with symptomatic severe native calcific aortic stenosis aged 65–75. Participants are randomized to receive either a Myval balloon-expandable transcatheter heart valve (transfemoral TAVR) or a surgical bioprosthetic aortic valve replacement (SAVR). The primary objective is to demonstrate non-inferiority of clinical outcomes with the Myval series compared with SAVR as judged by predefined endpoints determined by a multidisciplinary heart team. The trial is being conducted across multiple centers with standard follow-up to compare safety and efficacy between the two approaches.
Why it matters
Potential benefit: If successful, the transcatheter Myval approach could offer outcomes similar to surgery while providing a less invasive option with potentially faster recovery.
How similar studies have gone: Previous large randomized trials have shown TAVR to be non-inferior or superior to surgery in older and intermediate-risk populations, but randomized evidence specifically focused on the 65–75 age group is more limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Participant will be included if all the following criteria are met: 1. Patients aged ≥65 and ≤75 2. Symptomatic severe aortic stenosis (mean gradient≥40mmHg, and or peak velocity\>4m/sec). 3. Patients with symptomatic heart disease due to severe native calcific aortic stenosis, as judged by a multidisciplinary heart team (including a cardiac surgeon), for whom SAVR or transfemoral TAVR is deemed feasible and approved by the local heart team.Signed informed consent for participation in the clinical investigation Exclusion Criteria: Participant will not be included if any one of the following conditions exists: 1. Unable to understand and follow clinical investigation-related instructions or unable to comply with the clinical investigation protocol 2. Life expectancy less than 1 year 3. Known hypersensitivity or allergy to aspirin, clopidogrel or any Device frame components. 4. Under judicial protection, tutorship, or curatorship 5. Participation in another trial before the primary endpoint
Where it's running
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Medical University of Graz
Graz, Austria Recruiting -
University Hostpital Sankt Pölten
Sankt Pölten, Austria Recruiting -
Medical University of Vienna
Vienna, Austria Recruiting -
North-Estonia Medical Centre Foundation
Tallinn, Estonia Recruiting -
CHU Lille
Lille, France Recruiting -
Infirmerie Protestante de Lyon
Lyon, France Recruiting
Show 43 more locations
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Massy-Hôpital Jacques Cartier
Massy, France Recruiting -
Clinique Pasteur
Toulouse, France Recruiting -
Hospital de Santa Cruz, ULSLO
Carnaxide, Portugal Recruiting -
Institute of Cardiovascular Diseases of Vojvodina
Kamenitz, Serbia Recruiting -
UKC Ljubljana
Ljubljana, Slovenia Recruiting -
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, Spain Recruiting -
Hospital clínico universitario de Valladolid
Valladolid, Spain Recruiting -
Chuv
Lausanne, Switzerland Recruiting -
University Hospital Sussex NHS foundation Trust
Brighton, United Kingdom Recruiting -
Castle Hill Hospital, Hull University Teaching Hospitals NHS Trust
Cottingham, United Kingdom Recruiting -
University Hospitals Coventry and Warwickshire NHS Trust
Coventry, United Kingdom Recruiting -
Barts Heart Centre
London, United Kingdom Recruiting -
Imperial College Healthcare NHS Trust
London, United Kingdom Recruiting -
Morriston Hospital
Swansea, United Kingdom Recruiting -
CHU de Rouen
Rouen, France Not yet recruiting -
University Hospital Frankfurt
Frankfurt, Germany Not yet recruiting -
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Germany Not yet recruiting -
German Heart Munich
München, Germany Not yet recruiting -
Krankenhaus der Barmherzigen Brüder Trier
Trier, Germany Not yet recruiting -
Gottsegen National Cardiovascular Center
Budapest, Hungary Not yet recruiting -
Department of Cardiology and Cardiac Surgery, University of Debrecen
Debrecen, Hungary Not yet recruiting -
University of Szeged
Szeged, Hungary Not yet recruiting -
Montevergine Clinic
Mercogliano, Italy Not yet recruiting -
IRCCS Ospedale Galeazzi Sant'Ambrogio
Milan, Italy Not yet recruiting -
Centro Cardiologico Monzino IRCCS
Milan, Italy Not yet recruiting -
Azienda Ospedaliero-Universitaria di Parma
Parma, Italy Not yet recruiting -
Fondazione Policlinico Campus Bio-Medico di Roma
Roma, Italy Not yet recruiting -
IRCCS Policlinico San Donato
San Donato Milanese, Italy Not yet recruiting -
Poznan University Hospital
Poznan, Poland Not yet recruiting -
Pomorski Uniwersytet Medyczny w Szczecinie
Szczecin, Poland Not yet recruiting -
Medical Univeristy of Warsaw
Warsaw, Poland Not yet recruiting -
National Institute of Cardiology
Warsaw, Poland Not yet recruiting -
Military Institute of Medicine in Warsaw
Warsaw, Poland Not yet recruiting -
Military Hospital in Wroclaw
Wroclaw, Poland Not yet recruiting -
Provincial Specialist Hospital in Wroclaw
Wroclaw, Poland Not yet recruiting -
Bucharest Clinical Emergency Hospital
Bucharest, Romania Not yet recruiting -
Central military emergency university hospital
Bucharest, Romania Not yet recruiting -
IBCV Iasi
Iași, Romania Not yet recruiting -
University Clinical Center of Serbia
Belgrade, Serbia Not yet recruiting -
Royal Victoria Hospital
Belfast, United Kingdom Not yet recruiting -
Royal Papworth Hospital
Cambridge, United Kingdom Not yet recruiting -
Freeman Hospital
Newcastle upon Tyne, United Kingdom Not yet recruiting -
Sheffield Teaching Hopitals NHS Foundation Trust
Sheffield, United Kingdom Not yet recruiting
Study contacts
- Principal investigator: Philippe Garot — European Cardiovascular Research Center
- Study coordinator: Philippe Garot, MD
- Email: pgarot@angio-icps.com
- Phone: +330160134602
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.