- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03382457
Clinical Study of Edwards Cardioband FIT Valve Repair System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Northwestern University
-
-
Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
-
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New Jersey
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Morristown, New Jersey, United States, 07962
- Morristown Medical Center
-
-
New York
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New York, New York, United States, 10032
- Columbia University Medical Center /New York Presbyterian Hospital
-
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Oregon
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Portland, Oregon, United States, 97293
- Oregon Health & Science University
-
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Pennsylvania
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Wynnewood, Pennsylvania, United States, 19096
- Lankenau Medical Center
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Texas
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Plano, Texas, United States, 75093
- Heart Hospital Baylor Plano
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Utah
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Murray, Utah, United States, 84107
- Intermountain Medical Center
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Virginia
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Charlottesville, Virginia, United States, 22908
- University of Virginia Health System
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Tricuspid regurgitation (moderate or greater)
- Despite medical therapy, per the local Heart Team, patient has signs of TR, symptoms from TR, or prior heart failure hospitalization from TR.
- The local site Heart Team determines that the patient is appropriate for transcatheter tricuspid reconstruction
- Patient is willing and able to comply with all specified study evaluations and provides written informed consent
Key Exclusion Criteria:
Patients with conditions or anatomical considerations that preclude safe and successful procedure-related or study device access, deployment, or function, including but not limited to:
- Patients in whom transesophageal echocardiography is contraindicated or cannot be completed.
- Patients in whom tricuspid valve anatomy is not evaluable by TTE or TEE
- Untreatable hypersensitivity or contraindication to any of the following: all antiplatelets, all anticoagulants, nitinol alloys (nickel and titanium), polyester, or contrast media.
- Previous tricuspid valve repair or replacement with device in place
- Presence of trans-tricuspid pacemaker or defibrillator leads where: (a)TR is a result of impingement on the tricuspid valve leaflet as evaluated by echocardiography; or (b) implanted in the RV within the last 90 days
Primary tricuspid valve disease
Any physical impairment which limits the patient's capacity to complete functional testing due to other medical conditions independent of their TR (e.g., orthopedic condition)
Currently participating in another investigational biologic, drug, or device study
Any of the following cardiovascular procedures:
- Percutaneous coronary, intracardiac, or endovascular intervention within the last 30 days
- Carotid surgery within the last 30 days
- Direct current cardioversion within the last 30 days
- Leadless RV pacemaker implant within the last 30 days
- Cardiac surgery within the last 90 days
Any of the following underlying medical conditions:
- Severe aortic, mitral and/or pulmonic valve stenosis and/or regurgitation
- Active endocarditis or infection requiring antibiotic therapy (oral or intravenous)
- Hemodynamically significant pericardial effusion
- Significant intra-cardiac mass, thrombus, or vegetation
- Untreated clinically significant coronary artery disease (CAD) requiring revascularization, evidence of acute coronary syndrome, or recent myocardial infarction (MI)
- Known history of untreated severe symptomatic carotid stenosis (>50% by ultrasound) or asymptomatic carotid stenosis (>70% by ultrasound)
- Hypotension (systolic pressure <90 mmHg) or requirement for inotropic support or hemodynamic support within the last 30 days
- Known bleeding or clotting disorders or patient refuses blood transfusion
- Active GI bleeding
- Recent stroke
- Need for emergent or urgent surgery for any reason or any planned cardiac surgery within the next 12 months or any planned percutaneous cardiac procedure within the next 90 days
- Deep vein thrombosis (DVT) or pulmonary embolism (PE) in the last 6 months
Pregnant, breastfeeding, or planning pregnancy within the next 12 months
Concurrent medical condition with a life expectancy of less than 12 months in the judgment of the Investigator
Study Plan
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 |
Intervention / Treatment |
|---|---|
|
Experimental: Treatment
Treatment with the Edwards Cardioband FIT Repair System
|
Repair of the tricuspid valve through a transcatheter approach
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Primary Safety Endpoint -Composite Major Adverse Event (MAE) Rate
Time Frame: 30 days
|
Number and percentage of patients who experienced at least one major adverse event (MAE).
|
30 days
|
|
Primary Performance Endpoint - Intraprocedural Success
Time Frame: Intraprocedural
|
Number of patients who had Intraprocedural Success, definition modified from TVARC criteria.
Per patient analysis.
|
Intraprocedural
|
|
Primary Performance Endpoint - Clinical Success
Time Frame: 30 days and 1 year
|
Number of patients who had Clinical Success at 30 days and 1 year, definition modified from TVARC criteria.
Per patient analysis.
|
30 days and 1 year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Device Success
Time Frame: Intraprocedural
|
Number and percentage of patients who had Device Success, definition modified from MVARC criteria.
Per device analysis.
|
Intraprocedural
|
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Procedural Success
Time Frame: Discharge (2-7 days)
|
Number and percentage of patients who had Procedural Success, definition modified from MVARC criteria.
Per patient analysis.
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Discharge (2-7 days)
|
|
Clinical Success
Time Frame: 30 days
|
Number and percentage of patients who had procedural success without MAEs at 30 days.
Per patient analysis.
|
30 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: William Gray, MD, Lankenau Heart
- Principal Investigator: Firas Zahr, MD, Oregon Health and Science University
Publications and helpful links
General Publications
- Davidson CJ, Abramson S, Smith RL, Kodali SK, Kipperman RM, Eleid MF, Reisman M, Whisenant BK, Puthumana J, Fowler D, Grayburn PA, Hahn RT, Koulogiannis K, Pislaru SV, Zwink T, Minder M, Deuschl F, Feldman T, Gray WA, Lim DS; Cardioband Tricuspid Valve Reconstruction System Early Feasibility Study Investigators. Transcatheter Tricuspid Repair With the Use of 4-Dimensional Intracardiac Echocardiography. JACC Cardiovasc Imaging. 2022 Mar;15(3):533-538. doi: 10.1016/j.jcmg.2021.01.029. Epub 2021 Mar 17. No abstract available.
- Davidson CJ, Lim DS, Smith RL, Kodali SK, Kipperman RM, Eleid MF, Reisman M, Whisenant B, Puthumana J, Abramson S, Fowler D, Grayburn P, Hahn RT, Koulogiannis K, Pislaru SV, Zwink T, Minder M, Dahou A, Deo SH, Vandrangi P, Deuschl F, Feldman TE, Gray WA; Cardioband TR EFS Investigators. Early Feasibility Study of Cardioband Tricuspid System for Functional Tricuspid Regurgitation: 30-Day Outcomes. JACC Cardiovasc Interv. 2021 Jan 11;14(1):41-50. doi: 10.1016/j.jcin.2020.10.017.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017-19
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
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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