Valvular & structural heart disease

Design and rationale of the prospective, randomized, controlled trial to assess the management of moderate aortic stenosis by clinical surveillance or transcatheter aortic valve replacement: The PROGRESS Trial

Am Heart JPublished prospective, open-label, randomized, controlled, multicenter trial

Study context

Population
Patients with moderate aortic stenosis (AS) and at-risk featuresplanned enrolment
Participants
up to 750 patients
Planned comparison
Early intervention with transfemoral TAVR vs clinical surveillance
Primary endpoint
composite of death or heart failure event with or without hospitalization (primary effectiveness endpoint)
Follow-up
2 years
Methodological detailsdesign and rationale, stratified by site, left ventricular ejection fraction, and peak jet velocity, followed annually through 10 years
  • Design and rationale
  • Stratified by site, left ventricular ejection fraction, and peak jet velocity
  • Followed annually through 10 years

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Design and rationale of the prospective, randomized, controlled trial to assess the management of moderate aortic stenosis by clinical surveillance or transcatheter aortic valve replacement: The PROGRESS Trial. Am Heart J. Published 25 March 2026. doi:10.1016/j.ahj.2026.107433

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