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CompletedNCT02098200PREVENTUpdated Mar 14, 2018

Percutaneous Treatment of Tricuspid Valve Regurgitation With the TriCinch System™

A Phase 1 interventional study of TriCinch System in Tricuspid Regurgitation, sponsored by 4Tech Cardio Ltd.. Completed at 14 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-03-14.

Sponsored by 4Tech Cardio Ltd. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The TriCinch System™ is intended for percutaneous treatment of tricuspid regurgitation.

It is a percutaneous catheter-based device designed for tricuspid valve repair in order to decrease effective cross-sectional area and relieve symptoms in patients with tricuspid valve regurgitation.

Read the detailed description

Implantation Procedure: Unlike the standard open chest, arrested heart approach, the 4TECH TriCinch System™ provides a percutaneous solution for tricuspid valve regurgitation treatment: this procedure is performed through deep sedation, while the heart is beating, without the need for respiratory assistance.

The TriCinch System™ consists of a Delivery System that enables transcatheter placement of an implant that can be adjusted to correct Tricuspid valve regurgitation. The TriCinch Delivery System is inserted from the femoral vein to access the right atrium of the heart. At the end of the correction process, the TriCinch Delivery System and the venous introducer are removed and the procedure is concluded.

02

Conditions studied

  • Tricuspid Regurgitation

Keywords

  • tricuspid
  • regurgitation
  • repair
  • outcomes
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Functional symptomatic tricuspid regurgitation (TR) 2+ to 4+ on a scale of 4+ (moderate to severe), with annular dilatation greater than 40mm.
  • Signed informed consent form prior to any study-related procedure.
  • Available and able to return to the study site for post-procedural follow-up examination
  • Eighteen (18) years of age or older.

Exclusion criteria

Exclusion Criteria:

  • Requirement for concomitant cardiac procedure (other than atrial fibrillation correction surgery, closure of PFO (Patent Foramen Ovale) or ASD (Atrial Septal Defect), or PTCA (percutaneous treatment of coronary artery) or CAD (coronary artery bypass surgery) from 1 to 3 months after or before other procedure.
  • Presence of any known life threatening (non-cardiac major or progressive disease), non-cardiac disease that will limit the subject's life expectancy to less than one year.
  • Cerebro-vascular event within the past 6 months.
  • History of mitral/tricuspid endocarditis within the last 12 months.
  • Organic tricuspid disease.
  • Contraindication or known allergy to device's components, aspirin, anti-coagulation therapy or contrast media that cannot be adequately premeditated.
  • Severe hypertension (SBP ≥ 180 mmHg and/or DBP ≥ 110 mmHg, measurement done by sphygmomanometer with stethoscope, allow the patient to sit for at least 5 minutes before beginning BP measurements).
  • Female patient is pregnant (urine HCG test result positive) or lactating.
  • Known alcohol or drug abuser.
  • Currently participating in the study of an investigational drug or device.
  • At heart team's judgement, patient IVC dimension is not adequate for device implantation.
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Percutaneous treatment of TR by TriCinch

    Percutaneous treatment of Tricuspid Regurgitation with TriCinch System

    Device: TriCinch System

Interventions

  • DeviceTriCinch System

    Percutaneous treatment of Tricuspid Regurgitation

05

What researchers measure

Primary outcomes

  1. Safety: The percentage of participants with Major Adverse Events within 30 days of the procedure.

    Freedom from major adverse event: death, Q-wave myocardial infarction, cardiac tamponade, cardiac surgery for failed TriCinch implantation, stroke, or septicaemia.

    Time frame: Up to 30 days

  2. Performance: The reduction in degree of tricuspid regurgitation measured immediately after the procedure compared to baseline.

    Ability to reduce tricuspid regurgitation by at least 1 degree immediately following implantation of the TriCinch device assessed by means of quantitative echocardiographic parameters.

    Time frame: intraoperative

  3. Performance: The reduction in the degree of tricuspid regurgitation measured at time of discharge compared to baseline.

    Ability to reduce tricuspid regurgitation by at least 1 degree immediately following implantation of the TriCinch device assessed by means of quantitative echocardiographic parameters.

    Time frame: Time of discharge - 5 days

Secondary outcomes

  1. Safety: The percentage of participants with Major Adverse Events up to 3 months of the procedure.

    Rate of device-related major adverse event (MAE).

    Time frame: 3 months

  2. Safety: The percentage of participants with Major Adverse Events within 6 months of the procedure.

    Rate of device-related Major Adverse Event (MAE).

    Time frame: 6 months

  3. Performance: Assessment in the degree of Tricuspid Regurgitation at 3 months compared to baseline.

    Ability to maintain Tricuspid Regurgitation with respect to baseline.

    Time frame: 3 months

  4. Performance: Assessment in the degree of Tricuspid Regurgitation at 6 months compared to baseline.

    Ability to maintain Tricuspid Regurgitation with respect to baseline.

    Time frame: 6 months

Other outcomes

  1. Quality of Life assessment

    Compare to baseline at 6 months

    Time frame: 6 months

06

Study locations

14 sites
  • Bichat Hospital
    Paris, Paris Cedex 18 75877, France
  • Hospices Civils de Lyon
    Lyon, France
  • Clinique Pasteur
    Toulouse, 31076, France
  • Universitatsklinikum Bonn
    Bonn, 53127, Germany
  • CardioVasculares Centrum Frankfurt
    Frankfurt am Main, 60389, Germany
  • UKE Heart Center
    Hamburg, Germany
  • Monzino Hospital
    Milan, Lombardy 20121, Italy
  • University Hospital Pisa
    Pisa, Tuscany 56124, Italy
  • Ferrarotto Hospital
    Catania, 95124, Italy
  • Fondazione Toscana G. Monasterio Ospedale del Cuore G. Pasquinucci
    Massa, 54100, Italy
  • San Raffaele Hospital
    Milano, 20129, Italy
  • Azienda Ospedaliera di Padova
    Padova, 35128, Italy
  • Fondazione PTV Policlinico Tor Vergata
    Roma, Italy
  • St. Antonius Ziekenhuis
    Nieuwegein, 3430EM, Netherlands
07

Registry details

Key details

Study ID
NCT02098200
Lead sponsor
4Tech Cardio Ltd.
Responsible party
Sponsor
First posted
Mar 27, 2014
Start date
Jun 2013
Primary completion
Nov 2016
Completion
Oct 2017
Last update
Mar 14, 2018

Study contacts

Antonio Colombo, MD
principal investigator · San Raffaele Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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