A First in Human Study for the Versa Device for Tricuspid Regurgitation
Transcatheter Tricuspid Repair Utilizing the Versa Vascular Repair System
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Aaron Grogan
- Phone Number: 650 265 8123
- Email: aaron@versavascular.com
Study Locations
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São Paulo, Brazil
- Instituto do Coração de São Paulo Incor
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Santiago, Chile
- Pontificia Universidad Católica
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Santiago, Chile
- Hospital Clinico San Borja Arriarán
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Talcahuano, Chile
- Hospital Las Higueras
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Auckland, New Zealand
- Auckland City Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Tricuspid regurgitation (TR) associated symptoms despite optimal medical treatment.
- TR ≥ 3 as determined by the assessment of a transthoracic echocardiogram or transesophageal echocardiogram.
- The local multi-disciplinary heart team agrees that the participant is a poor candidate for surgery.
- Age ≥ 18 years at the time of consent.
- Ability and willingness to provide written informed consent prior to any study related procedure(s).
Exclusion Criteria:
- Severe pulmonary hypertension.
- Severe uncontrolled hypertension Systolic Blood Pressure (SBP) ≥ 180 mmHg and/or Diastolic Blood Pressure (DBP) ≥ 110 mmHg.
- Any condition that would interfere with the Versa procedure, such as prior tricuspid valve repair or tricuspid valve leaflet anatomy which may preclude successful device implantation, pacemaker or Implantable Cardioverter Defibrillator (ICD) leads that would prevent appropriate placement or visualization of Versa implant, Ebstein Anomaly (normal annulus position, but valve leaflets attached to walls and septum of the right ventricle), tricuspid valve anatomy non-evaluable by echocardiography.
- Known allergy to antiplatelet therapy, heparin, or to device materials.
- Femoral venous mass or thrombus or vegetation.
- Tricuspid valve anatomy not compatible with the Versa implant
- Undergone any heart valve surgery within prior 60 days.
- Tricuspid valve stenosis - Defined as a tricuspid valve orifice of ≤ 4.0 cm2.
- Severe mitral regurgitation.
- Left Ventricular Ejection Fraction (LVEF) ≤ 20%
- Active endocarditis, other ongoing infection requiring antibiotic therapy.
- Myocardial infarction or percutaneous coronary intervention within prior 30 days.
- Cardiogenic shock or the need for inotropic support or hemodynamic support device (e.g., intra-aortic balloon pump).
- Cerebrovascular Accident (CVA) within prior 30 days
- Active gastrointestinal (GI) bleeding
- Life expectancy of less than 12 months independent of tricuspid valvular disease.
- Subject currently participating in another clinical study (not yet completed primary endpoint).
- Pregnant or nursing subjects or those who plan pregnancy during the study.
- The presence of anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the eye of the investigator, limits the subject's ability to participate in the clinical investigation or comply with follow-up requirements.
- Absence of appropriate venous access.
- Unwillingness to complete the required follow-up visits.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- 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 |
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Experimental: Implant
Participants who pass all screening criteria will undergo a percutaneous procedure for the implantation of a permanent tricuspid repair device.
Participants will be followed for 1 year to evaluate the safety and feasibility of the Versa System procedure and the Versa Tricuspid Repair Implant.
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The Versa Vascular Implant and Delivery System consists of a percutaneously delivered, permanent right-atrial implant and the delivery catheter that is used to first position the implant over the native valve orifice and to then place the implant.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Acute Procedural Success
Time Frame: Immediately after the procedure
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Successful in Versa Vascular Device implantation, and residual TR grade equivalent to a reduction of at least 1 grade of TR when compared to TR evaluated prior to implantation of the Versa Vascular Device.
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Immediately after the procedure
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Incidence of major adverse events (MAE)
Time Frame: (up to 7 days) from date of procedure to date of patient discharge from hospital
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Freedom from procedure and/or device related Major Adverse Events (MAE).
MAE are defined as all-cause mortality, reoperation, or reintervention for tricuspid regurgitation prior to hospital discharge.
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(up to 7 days) from date of procedure to date of patient discharge from hospital
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Tricuspid Regurgitation Severity Change
Time Frame: 90 days
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Percentage of patients with tricuspid regurgitation reduced by at least one grade.
Echocardiographic analysis of Tricuspid regurgitation at 90 days.
TR grade at day 90 will be compared against TR grade at the time of implantation.
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90 days
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Mark Webster, MD, Auckland City Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- TP_01428
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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