Pulsta® Transcatheter Pulmonary Valve Korean Multicenter Study
A Prospective, Multicenter, Single Arm Study to Evaluate the Safety and Effectiveness of Implantation of 'Transcatheter Pulmonary Valve (TPV)' for the Treatment of Congenital Heart Disease With Pulmonary Valve Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Haehak-ro Jongno-gu
-
Seoul, Haehak-ro Jongno-gu, South Korea, 03080
- Seoul National University Hospital
-
-
Hohyun-ro, Sosa-gu
-
Bucheon-si, Hohyun-ro, Sosa-gu, South Korea, 14754
- Sejong General Hospital
-
-
Ilwon-ro, Gangnam-gu
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Seoul, Ilwon-ro, Gangnam-gu, South Korea, 06351
- Samsung Medical Center
-
-
Olympic-ro, Songpa-gu
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Seoul, Olympic-ro, Songpa-gu, South Korea, 05505
- Asan Medical Center
-
-
Yonsei-ro, Seodaemun-gu
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Seoul, Yonsei-ro, Seodaemun-gu, South Korea, 03722
- Severance Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Body weight greater than or equal to 30 kilograms
- Pulmonary regurgitation ≥moderate pulmonary regurgitation (PR) (≥3+) or RVOT conduit obstruction with mean gradient >35mmHg by echocardiography
- pulmonary artery annulus or in situ conduit size of ≥16 and ≤26mm
- Patient willing to provide written informed consent and comply with follow-up requirements
Exclusion Criteria:
- Pre-existing mechanical heart valve in any position
- Obstruction of the central veins (pulmonic bioprosthesis delivery system to the heart)
- Coronary artery compression
- A known hypersensitivity to Aspirin or Heparin
- Immunosuppressive disease
- Active infectious disease (e.g. endocarditis, meningitis)
- Estimated survival less than 6 months
- Female of child-bearing potential who are unable to take adequate contraceptive precautions, are known to be pregnant, or are currently breastfeeding an infant.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Pulsta® Transcatheter Pulmonary Valve
Pulsta® Transcatheter Pulmonary Valve (TaeWoong Medical Co., Ltd.
Korea)
|
Pulsta® Transcatheter Pulmonary Valve Replacement
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hemodynamic functional improvement at 6month
Time Frame: 6 months
|
Hemodynamic functional improvement is defined as mean RVOT gradient ≤30 mmHg by continuous wave doppler, and a pulmonary regurgitant fraction <20% by cardiac magnetic resonance (MR).
|
6 months
|
|
Procedural / Device related serious adverse events at 6month
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Procedural success
Time Frame: 5 days
|
Procedural success is defined as the TPV implant within desired position, Right ventricle-Pulmonary artery (RV-PA) peak systolic pressure gradient <35mmHg by catheter, less mild pulmonary regurgitation by angiography, and freedom from explantation of the TPV at 24 hours post-implant.
|
5 days
|
|
Hemodynamic function
Time Frame: 5 years
|
Hemodynamic function will be measured including peak RVOT pressure gradient, mean RVOT pressure gradient, RV-PA pressure gradient, RV pressure, cardiac output, cardiac index, RV end-diastolic volume by echocardiography, cardiac MR, or catheterization.
|
5 years
|
|
Severity of pulmonary regurgitation
Time Frame: 5 years
|
5 years
|
|
|
New York Heart Association (NYHA) functional classification
Time Frame: 5 years
|
5 years
|
|
|
Stent fracture
Time Frame: 5 years
|
Stent fracture will be assessed by the investigator through radiography (X-ray, Fluoroscopy).
|
5 years
|
|
Catheter reintervention on TPV
Time Frame: 5 years
|
5 years
|
|
|
Reoperation
Time Frame: 5 years
|
5 years
|
|
|
Procedural / Device related serious adverse events
Time Frame: 5 years
|
5 years
|
|
|
Death (all cause / procedural / device-related)
Time Frame: 5 years
|
5 years
|
|
|
Other adverse events
Time Frame: 5 years
|
5 years
|
|
|
Pulmonary regurgitant fraction
Time Frame: 6 months
|
Pulmonary regurgitant fraction will be measured by cardiac MRI.
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Gi Beom Kim, phD. MD., Seoul National University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Heart Diseases
- Heart Valve Diseases
- Ventricular Outflow Obstruction
- Congenital Abnormalities
- Cardiovascular Abnormalities
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Heart Defects, Congenital
- Pulmonary Valve Stenosis
- Surgical Procedures, Operative
- Transplantation
- Replantation
Other Study ID Numbers
Other Study ID Numbers
- TPV-101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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