EFS of the DUO System for Tricuspid Regurgitation (TANDEM II)

May 28, 2026 updated by: CroiValve Limited

Early Feasibility Study of the DUO Transcatheter Tricuspid Coaptation Valve System in Patients With Tricuspid Regurgitation

The study is an early feasibility study to measure individual patient clinical outcomes and effectiveness, evaluate the safety and function of the DUO Transcatheter Tricuspid Coaptation Valve System (DUO System).

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Multi-center, prospective, non-randomized, investigational, and pre-market. Data collected in this clinical study will include safety and function of the investigational system as well as up to 5 year clinical outcomes.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Estimated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
15

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Study Contact Backup

Study Locations

  • Poland
      • Katowice, Poland, 40-635
        • Recruiting
        • Medical University of Silesia
        • Principal Investigator:
          • Wojtek Wojakowski, MD, PhD
    • Poznan
      • Poznan, Poznan, Poland, 60-355
        • Recruiting
        • Uniwersytetem Medycznym im. Karola Marcinkowskiego w Poznaniu
        • Principal Investigator:
          • Marek Grygier
        • Contact:
    • Warsaw
      • Warsaw, Warsaw, Poland, 04-628
        • Recruiting
        • Narodowym Instytutem Kardiologii Stefana Kardynała Wyszyńskiego - Państwowym Instytutem Badawczym
        • Contact:
          • Anna Pyłko
          • Phone Number: +48 785 988 045
        • Principal Investigator:
          • Adam Witkowski
  • United States
    • Arizona
      • Phoenix, Arizona, United States, 85013
        • Recruiting
        • Dignity Health St. Joseph's Hospital & Medical Center
        • Principal Investigator:
          • Hursh Naik, MD
        • Contact:
    • California
      • Thousand Oaks, California, United States, 91360
        • Recruiting
        • Los Robles Hospital & Medical Center
        • Principal Investigator:
          • Saibal Kar, MD
        • Contact:
    • Georgia
      • Atlanta, Georgia, United States, 30309
        • Recruiting
        • Piedmont Heart Institute
        • Principal Investigator:
          • Pradeep Yadav, MD
        • Principal Investigator:
          • Vinod Thourani, MD
        • Contact:
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Recruiting
        • Northwestern University
        • Principal Investigator:
          • Charles Davidson, MD
        • Contact:
    • Kansas
      • Wichita, Kansas, United States, 67214
        • Recruiting
        • Ascension via Christi Research
        • Principal Investigator:
          • Bassem Chehab, MD
        • Contact:
    • Minnesota
      • Minneapolis, Minnesota, United States, 55407
        • Recruiting
        • Allina Health Minneapolis Heart Institute Foundation
        • Principal Investigator:
          • Paul Sorajja, MD
        • Contact:
    • New York
      • New York, New York, United States, 10032
        • Recruiting
        • Columbia University Medical Center/NYPH
        • Contact:
        • Principal Investigator:
          • Susheel Kodali, MD
    • Ohio
      • Columbus, Ohio, United States, 43214
        • Recruiting
        • OhioHealth Research Institute
        • Principal Investigator:
          • Steven Yakubov, MD
        • Principal Investigator:
          • Carlos Sanchez, MD
        • Contact:
          • Emily Sudnick
    • Pennsylvania
      • Harrisburg, Pennsylvania, United States, 17050
        • Recruiting
        • UPMC Pinnacle Harrisburg
        • Principal Investigator:
          • Hemal Gada, MD
        • Contact:
    • Texas
      • San Antonio, Texas, United States, 78229
        • Enrolling by invitation
        • San Antonio Methodist
    • Utah
      • Salt Lake City, Utah, United States, 84111
        • Recruiting
        • Intermountain Health
        • Principal Investigator:
          • Brian Whisenant, MD
        • Contact:
    • Washington
      • Seattle, Washington, United States, 98195
        • Recruiting
        • University of Washington
        • Contact:
        • Principal Investigator:
          • James McCabe MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Presence of severe or greater tricuspid regurgitation as determined by the Echo Core Lab.
  2. Patient is symptomatic despite medical therapy.
  3. The local Site Heart Team determines the Patient is appropriate for transcatheter valve intervention.
  4. The Patient's anatomy is suitable in the judgment of the Patient Selection Committee.
  5. Age ≥18 years
  6. The Patient has been informed of the nature of the study and agrees to its provisions and has provided written Informed Consent.

Exclusion Criteria:

  1. Patient is currently participating in another clinical investigation that could affect the outcome of this trial.
  2. Any previous tricuspid valve intervention that would interfere with the placement of the investigational device.
  3. Moderate or greater tricuspid valve stenosis.
  4. Severe aortic, mitral and/or pulmonic valve stenosis and/or regurgitation
  5. Pacemaker or implantable cardioverter-defibrillator (ICD) leads that would prevent appropriate placement of the investigational device.
  6. Need for concomitant surgical or interventional procedure, known at the time of screening (e.g., CABG, Atrial Septal Defect (ASD) repair).
  7. Ejection Fraction (EF) <25%
  8. Echocardiographic evidence of unstable intracardiac mass, thrombus or vegetation
  9. Patient has Systolic Pulmonary Pressure (sPAP) >60 mm Hg
  10. Severe hemodynamic instability: cardiogenic shock or the need for inotropic support or Intra-Aortic Balloon Pump (IABP) or other percutaneous ventricular assist devices
  11. Severe respiratory instability with continuous use of home oxygen
  12. Severe right ventricular dysfunction
  13. Untreated clinically significant coronary or carotid artery disease requiring revascularization surgical or interventional PCI.
  14. Stroke or transient ischemic event within 90 days prior to the index procedure
  15. Acute myocardial infarction within 30 days before the index procedure
  16. Renal insufficiency (eGFR <25 ml/min) or currently on chronic dialysis
  17. Active endocarditis within 6 months of the index procedure
  18. Pulmonary embolism or deep vein thrombosis within the last 6 months
  19. Any surgical, interventional, or transcatheter procedure within 30 days prior to the index procedure
  20. Hypertrophic cardiomyopathy, restrictive cardiomyopathy or constrictive pericarditis
  21. Life expectancy <1 year
  22. Active infections requiring current antibiotic therapy
  23. Known severe liver disease
  24. Is on the waiting list for a transplant or has had a prior heart or lung transplant
  25. Known active peptic ulcer or active GI bleed
  26. Unable to take anticoagulant therapy
  27. Any known major coagulation abnormalities, thrombocytopenia, platelets < 50,000/ml or severe anemia Hb <8 g/dl
  28. Known patient is actively abusing drugs
  29. Any known sensitivities or allergies to contrast (that cannot be adequately premedicated) and/or the device materials, including nickel and titanium
  30. Patients who are pregnant or intend to become pregnant
  31. Any condition making it unlikely the Patient will be able to complete all protocol procedures (including compliance with optimal medical therapy and immobility that would prevent completion of 6MWT), follow-up visits, or impact the scientific soundness of the clinical investigation result

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Treatment
Treatment with the DUO Transcatheter Tricuspid Coaptation Valve System (DUO System)
Device: DUO Transcatheter Tricuspid Coaptation Valve System
Reduction of tricuspid regurgitation through a transcatheter approach
Other Names:
  • DUO System

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Freedom from device or procedure related MAEs
Time Frame: At 30 days
  • Death
  • Reintervention
  • Disabling stroke
  • Myocardial infarction
  • Major access site and vascular complications
  • Severe bleeding
  • Renal failure requiring dialysis
  • Major cardiac structural complications
  • Pulmonary embolism
At 30 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
CroiValve Limited

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
August 13, 2024

Primary Completion (Estimated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
December 1, 2027

Study Completion (Estimated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
October 1, 2029

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
May 31, 2023

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 12, 2023

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
June 22, 2023

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
June 1, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
May 28, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • CV006

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

Yes

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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