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NCT Number: NCT07619872

KONECT RESILIA Aortic Valved Conduit (AVC) Real-world Study Assessing Safety and Performance

KONECTION is a prospective, observational, single-arm, multicenter study designed to collect real-world clinical outcomes in up to 250 participants who will receive the KONECT RESILIA aortic valved conduit, Model 11060A.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

TUM Klinikum Deutsches Herzzentrum

München, Bavaria, 80636, Germany

Location status: Recruiting

Location contact

Markus Krane, Prof. Dr. med.

PRINCIPAL_INVESTIGATOR

About this study

Subjects in the KONECTION study will be enrolled at up to 20 sites in Europe and Canada. The population will be participants requiring replacement of their diseased native or prosthetic aortic valve, and the associated repair or replacement of a damaged or diseased ascending aorta.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years or older at the time of informed consent
  • Have a diseased native or prosthetic aortic valve and a damaged or diseased ascending aorta that requires aortic valved conduit replacement surgery with the KONECT RESILIA AVC
  • Provide written informed consent
  • Willing to follow protocol requirements

Exclusion criteria

  • Active endocarditis or endocarditis within 3 months prior to the study index procedure
  • Emergency procedure
  • Stage 4 renal disease (estimated glomerular filtration rate [eGFR] <30 excluded) or requiring dialysis
  • Less than 2-year life expectancy due to non-cardiovascular life-threatening disease in the opinion of the study investigator
  • High predicted risk of mortality prior to the procedure: Society of Thoracic Surgeons Predicted Risk of Mortality (STS-PROM) ≥8%

Treatment and study plan

Edwards KONECT RESILIA AVC

Device

Surgical replacement of the aortic valve and ascending aorta with the Edwards KONECT RESILIA AVC

Primary outcomes

  1. Percentage of participant's freedom from death and/or device related reintervention

    Time frame: ≤ 30 days

    Participants' freedom from valve-related death or valve- and/or graft-related reintervention. Time to events were estimated by Kaplan-Meier method.

Secondary outcomes

  1. Participant's linearized rate of thromboembolism

    Time frame: Events occurring ≥ 31 days and up through 5 years post-implant

    A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100]. Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact. Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.

  2. Participant's linearized rate of valve thrombosis

    Time frame: Events occurring ≥ 31 days and up through 5 years post-implant

    A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100]. Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact. Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.

  3. Participant's linearized rate of major paravalvular leak

    Time frame: Events occurring ≥ 31 days and up through 5 years post-implant

    A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100]. Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact. Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.

  4. Participant's linearized rate of endocarditis

    Time frame: Events occurring ≥ 31 days and up through 5 years post-implant

    A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100]. Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact. Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.

  5. Participant's linearized rate of major hemorrhage

    Time frame: Events occurring ≥ 31 days and up through 5 years post-implant

    A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100]. Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact. Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.

  6. Percentage of participant's with freedom from death and/or device related reintervention

    Time frame: 1-, 2-, 3-, 4-, 5-, 6-, 7-, 8-, 9-, and 10- Years follow-up

    Participants' freedom from valve-related death or valve- and/or graft-related reintervention. Time to events were estimated by Kaplan-Meier method.

  7. Participant's functional improvement over time from baseline for New York Heart Association (NYHA) Class

    Time frame: Baseline, 1 month, 1-, 2-, 3-, 4-, 5-, 6-, 7-, 8-, 9-, and 10- Years follow-up

    The New York Heart Association functional classification system relates symptoms to everyday activities and the patient's quality of life.

    Class I. Patients with cardiac disease but without resulting limitation of physical activity.

    Class II. Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest.

    Class III. Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest.

    Class IV. Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort.

    Symptoms of heart failure or anginal syndrome may be present even at rest.

  8. Participant's average mean gradient measurement over time

    Time frame: 1 month, 1-, 3-, and 5- Years follow-up

    Mean gradient is the average flow of blood through the aortic valve measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. In general, a higher value is considered worse, and a lower value is considered better but the value is dependent on the size and type of valve.

  9. Participant's average peak gradient measurement over time

    Time frame: 1 month, 1-, 3-, and 5- Years follow-up

    Peak gradient is the maximum value measured of flow of blood through the aortic valve as measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. In general, a higher valve is considered worse, and a lower value is considered better, but the value is dependent on the size and type of valve.

  10. Participant's average Effective Orifice Area (EOA) measurement over time

    Time frame: 1 month, 1-, 3-, and 5- Years follow-up

    Effective orifice area represents the cross-sectional area of the blood flow downstream of the aortic valve. Effective orifice area is evaluated by echocardiography over time. In general, a higher value is considered better, and a lower value is considered worse, but the value is dependent on the size and type of valve.

  11. Participant's average Effective Orifice Area Index (EOAI) measurement over time

    Time frame: 1 month, 1-, 3-, and 5- Years follow-up

    Effective orifice area index represents the minimal cross-sectional area of the blood flow downstream of the aortic valve divided by the person's body surface area. Effective orifice area index is evaluated by echocardiography over time. In general, a higher value is considered better, and a lower value is considered worse, but the value is dependent on the size of the patient and the size and type of valve.

Study contacts

Contact information is provided by the study sponsor or research team.

Sabrina Hundt, PhD

CONTACT

[email protected]

+49 (0)151 67550601

Sponsors and collaborators

Lead sponsor

Edwards Lifesciences

Industry

Registry information

Acronym: KONECTION

Important dates

Study start
2026
Primary completion
2028
Study completion
2039
First posted
Jun 2, 2026
Registry last updated
Jul 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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