A Prospective, Multicenter, Randomized, Clinical Trial of the TricValve Transcatheter Bicaval Valve System in Subjects With Severe Tricuspid Regurgitation (TR).
P+F Products + Features USA Inc.
Summary
The Investigational Device is the TricValve Transcatheter Bicaval Valve System (also referred to as the TricValve System). The bioprosthesis is available in two different diameters for each model (SVC and IVC) specifically designed to adapt to the anatomic features of the superior vena cava (SVC) and inferior vena cava (IVC). The SVC and IVC valves are single use, sterile devices provided in two sizes each, for a total of four valve sizes. The valves are designed for heterotopic caval implantation without perturbing the native tricuspid valve. The valves are made of bovine pericardium leaflets sutured on a nitinol self-expanding stent system. The SVC and IVC valves are provided pre-mounted in two separate TricValve Delivery Systems, and are individually packaged into two separate boxes, provided sterile and ready to use. The two TricValve Delivery Systems deliver the two valves percutaneously into the SVC and IVC via femoral vein access using a transvenous approach.
Description
This is a prospective, multi-center, randomized controlled pivotal clinical trial to evaluate the safety and effectiveness of the TricValve System with Optimal Medical Therapy (OMT) compared to OMT alone in the treatment of patients with severe TR and caval reflux (CR). The TricValve System received Breakthrough Device Designation from the US FDA.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: 1. The subject must be 18 years or older. 2. Severe tricuspid regurgitation (TR), as determined by Echo Core Lab. 3. NYHA Class III-IVa or heart failure (HF) admission in the past 6 months. 4. Subject is treated with stable OMT for at least 30 days. 5. The local Heart Team and Independent Eligibility Committee (IEC) determine that the patient is eligible 6. For females of childbearing potential, negative pregnancy test. 7. Capable and willing to provide signed informed consent. Exclusion Criteria: 1. Recent Myocardial Infarction (MI), stroke or Cerebrovascular Accident (…
Interventions
- DeviceTricValve® Transcatheter Bicaval Valve System
TricValve® Device (Device) Group subjects will undergo TricValve® implantation and will continue to be managed with optimal medical therapies.
- DrugOptimal medical therapy
Optimal medical therapy
Locations (15)
- St. Joseph's Hospital and Medical CenterPhoenix, Arizona
- Scripps Memorial Hospital La JollaSan Diego, California
- Tampa General HospitalTampa, Florida
- Northshore Evanston HospitalEvanston, Illinois
- Ascension Medical Group St. Vincent The Heart Center of IndianaIndianapolis, Indiana
- Cardiovascular Institute of the SouthHouma, Louisiana