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Enrolling by invitationNCT04093297Updated Apr 17, 2026

Band Versus Ring for Tricuspid Regurgitation

An interventional study of Tricuspid Annuloplasty in Tricuspid Regurgitation, sponsored by Nanjing Medical University. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-04-17.

Sponsored by Nanjing Medical University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

Tricuspid regurgitation is common in patients with heart valve disease, both flexible band and rigid ring annuloplasty can correct this anomaly. However, there is no data to address which one can bring more benefits to these patients with combined heart valve disease. This study aims to prospectively compare the efficacy and long term outcomes of flexible band versus rigid ring annuloplasty for the correction of tricuspid regurgitation.

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Conditions studied

  • Tricuspid Regurgitation
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In context

Tricuspid Valve Insufficiency

219 studies on the registry are indexed under Tricuspid Valve Insufficiency; 106 are open to participants now.

This study's planned enrollment of 300 is above the median of 60 across 118 interventional studies indexed under Tricuspid Valve Insufficiency.

Browse Tricuspid Valve Insufficiency studies →

Lead sponsor

Nanjing Medical University is the lead sponsor of 169 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 1. Subject must be 18 years and 70 years at time of consent and must not be a member of a vulnerable population.
  • 2. Subject or a legally authorized representative (where allowed per local regulations) must provide written informed consent prior to any trial related procedure.
  • 3. Subjects with tricuspid regurgitation determined by the assessment of a qualifying transthoracic echocardiogram (TTE) and/or transesophageal echocardiogram (TEE).

Exclusion criteria

Exclusion Criteria:

  • 1. Patient unable or unwilling to provide informed consent;
  • 2. Subjects with mild tricuspid regurgitation;
  • 3. Emergency surgery;
  • 4. Prior tricuspid valve leaflet surgery or any currently implanted prosthetic tricuspid valve, or any prior transcatheter tricuspid valve procedure;
  • 5. Subjects with percutaneous coronary intervention within prior 30 days prior to enrollment;
  • 6. Subjects with 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;
  • 7. Subjects with permanent or temporary pacemaker implantation;
  • 8. Subjects with severe, irreversible pulmonary hypertension in the judgment of the investigator;
  • 9. History of mitral/tricuspid endocarditis within the last 12 months;
  • 10. Subjects with contraindication or known allergy to device's components, aspirin, anti-coagulation therapy or contrast media that cannot be adequately premeditated;
  • 11. Subjects with bleeding or coagulation disorders (e.g. active peptic ulcer or active gastrointestinal bleeding);
  • 12. Female patient is pregnant (urine HCG test result positive) or lactating;
  • 13. Subject is currently participating in another clinical trial that has not yet completed its primary endpoint;
  • 14. Subjects with left ventricular ejection fraction (LVEF)≤20%.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Active comparator
    Group Ring

    Patients in Group Ring will undergo tricuspid rigid ring annuloplasty

    Procedure: Tricuspid Annuloplasty

  • Active comparator
    Group Band

    Patients in Group Band will undergo flexible band annuloplasty

    Procedure: Tricuspid Annuloplasty

Interventions

  • ProcedureTricuspid Annuloplasty

    Patients will undergo repair of tricuspid regurgitation

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What researchers measure

Primary outcomes

  1. A composite of reoperation for tricuspid regurgitation, progression of tricuspid regurgitation by two grades from baseline or the presence of severe tricuspid regurgitation, or death.

    Improvement in tricuspid regurgitation: refers to Mild or No tricuspid regurgitation Tricuspid regurgitation is graded as mild, moderate, and severe based on regurgitant jet area

    Time frame: at follow-up of 5 years

Secondary outcomes

  1. Mortality

    Mortality: Mortality within hospital stay or 1 month postoperative.

    Time frame: up to 3 months of intervention

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Study locations

1 site
  • The First Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu 210029, China
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References and documents

Publications

  • Veen KM, Etnel JRG, Quanjel TJM, Mokhles MM, Huygens SA, Rasheed M, Oei FBS, Ten Cate FJ, Bogers AJJC, Takkenberg JJM. Outcomes after surgery for functional tricuspid regurgitation: a systematic review and meta-analysis. Eur Heart J Qual Care Clin Outcomes. 2020 Jan 1;6(1):10-18. doi: 10.1093/ehjqcco/qcz032. PubMed 31287501 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04093297
Lead sponsor
Nanjing Medical University
Responsible party
Hong Liu (Staff of Department of Cardiothoracic Surgery, The First Affiliated Hospital with Nanjing Medical University) — Principal investigator
First posted
Sep 18, 2019
Start date
Jan 1, 2025
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Apr 17, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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