Brief Title
Outcomes of Transcatheter Aortic Valve Implantation in Oncology Patients With Severe Aortic Stenosis
Official Title
TOP-AS Registry: Transcatheter Aortic Valve Implantation in Oncology Patients With Severe Aortic Stenosis
Brief Summary
As for today, transcatheter aortic valve implantation (TAVI) is indicated only in symptomatic patients with severe aortic stenosis (AS) at high surgical risk. As cancer therapy improves, some AS patients suffering active malignancy (including advanced metastatic diseases) may be more endangered by their untreated valvular disease than their oncological disease. Among these patients, TAVI may be indicated before cancer related surgery or cardiotoxic anti-cancer therapy in order to achieve better anti-cancer therapy outcomes. Individualized life expectancy assumptions should be evaluated by the heart team in the clinical decision-making process as an essential factor in weighing the risk-benefit ratio for oncologic patients undergoing TAVI. A multicenter, international TAVI in Oncology Patients with AS (TOP-AS) registry was designed to collect data on patients with an active malignancy and severe AS undergoing TAVI. The aim of the study is to evaluate the outcomes, benefits and risks of oncology patients undergoing TAVI, mainly the patients' survival and cause of death and also the interactions between the valvular and the oncologic conditions.
Detailed Description
The TAVI program was initiated in Rabin Medical Center in 2008 and the institutional review board approved the prospective collection of our TAVI Database (i.e. RECORD TAVI). During these years, several oncology patients were treated with TAVI. Also, in daily practice a few asymptomatic AS patients in whom TAVI was indicated before cancer related surgery / cardiotoxic anti-cancer therapy underwent TAVI. This study will initiate a multicenter, international registry designed to collect data on TAVI in cancer patients in correspondence to medical records within each center. Data will be collected retrospectively for cases performed before registry initiation and prospectively thereafter. All inconsistencies regarding data collection will be resolved directly with local investigators and on-site data monitoring. Patients' inclusion approval is by a local ethics committee in each center. Saving Data: Data will be recorded in Excel table; each center and patient will receive a unique code so the data file will be anonymous.
Study Type
Observational [Patient Registry]
Primary Outcome
Patients survival
Secondary Outcome
New York Heart Association Functional Classification (NYHA FC)
Condition
Aortic Valve Stenosis
Intervention
Native aortic valve
Study Arms / Comparison Groups
TAVI Patients with active cancer
Description: Patients with active cancer undergoing transcatheter aortic valve implantation (TAVI) with native aortic valves.
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Device
Estimated Enrollment
168
Start Date
January 1, 2017
Completion Date
March 1, 2019
Primary Completion Date
March 1, 2019
Eligibility Criteria
Inclusion Criteria: - Patients with active malignancy (all types excluding non-melanoma skin Ca) - Severe aortic stenosis undergoing native valve TAVI (any transcatheter heart valve type). Exclusion Criteria: - TAVI for conditions other than severe AS. - Valve in valve TAVI patient. - Patients cured /in remission from cancer during the index TAVI.
Gender
All
Ages
N/A - N/A
Accepts Healthy Volunteers
No
Contacts
Ran Kornowski, Prof,MD, ,
Location Countries
Israel
Location Countries
Israel
Administrative Informations
NCT ID
NCT03181997
Organization ID
0136-17-RMC
Responsible Party
Principal Investigator
Study Sponsor
Rabin Medical Center
Study Sponsor
Ran Kornowski, Prof,MD, Study Chair, Chairman, Dept. of Cardiology, Rabin Medical Center, Israel
Verification Date
March 2019