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PROGRESS: Management of Moderate Aortic Stenosis by Clinical Surveillance or TAVR

Key facts

Who runs it
Edwards Lifesciences
Where
Geneva and Zurich, SwitzerlandSee the 2 sitesAlso in 5 other countries, 78 sites
Trial code
Status
Recruiting
People taking part
2,250 people, planned
Started
12 Oct 2021
Expected to end
Jun 2037
Type of study
Interventional, 2 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA
Record updated
17 December 2025

Who can take part

Age
65 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 15 criteriaShow less

Who can take part

  • 65 years of age or older at time of randomization
  • Moderate aortic stenosis
  • Subject has symptoms or evidence of cardiac damage/dysfunction
  • The subject or subject's legal representative has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent

Who cannot take part

  • Prior balloon aortic valvuloplasty to treat severe AS
  • Cardiac imaging evidence of intracardiac mass, thrombus, or vegetation
  • LVEF < 20%
  • Native aortic annulus size unsuitable for the THV
  • Anatomical characteristics that would preclude safe transfemoral placement of the introducer sheath or safe passage of the delivery system
  • Aortic valve is unicuspid or non-calcified
  • Bicuspid aortic valve with an aneurysmal ascending aorta > 4.5 cm or severe raphe/leaflet calcification
  • Pre-existing mechanical or bioprosthetic aortic valve
  • Severe aortic regurgitation
  • Left ventricular outflow tract calcification that would increase the risk of annular rupture or significant paravalvular leak post-TAVR
  • Coronary or aortic valve anatomy that increases the risk of coronary artery obstruction post-TAVR

Where in Switzerland

Also in 5 other countries, 78 sites

  • Hôpitaux Universitaire de GenèveGeneva, SwitzerlandContact: Edwards THV Clinical AffairsNo longer taking part
  • Universitätsspital ZürichZurich, SwitzerlandContact: Edwards THV Clinical AffairsNo longer taking part

About the trial

What the trial wants to find out

This study objective is to establish the safety and effectiveness of the Edwards SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA Transcatheter Heart Valve systems in subjects with moderate, calcific aortic stenosis.

Read full original descriptionShow less

Following completion of enrollment, subjects will be eligible for enrollment in the continued access phase of the trial.

The 2 groups in the trial

  • TAVRTreatment being tested

    Transcatheter Aortic Valve Replacement (TAVR)

    Treatment: SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA

  • CSNo study treatment, for comparison

    Clinical Surveillance (CS)

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
The PROGRESS Trial: A Prospective, Randomized, Controlled Trial to Assess the Management of Moderate Aortic Stenosis by Clinical Surveillance or Transcatheter Aortic Valve Replacement
Publications
Record updated
17 December 2025