ClinicalTrials.gg
RecruitingNCT05848284VISTA-USUpdated Sep 21, 2026

Clinical Safety and Efficacy of the VDyne Transcatheter Tricuspid Valve Replacement System for the Treatment of Tricuspid Regurgitation ( VISTA-US)

An interventional study of VDyne Transcatheter Tricuspid Valve Replacement System in Tricuspid Regurgitation, Tricuspid Valve Disease and Tricuspid Valvular Disorders, sponsored by VDyne, Inc.. Recruiting at 11 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by VDyne, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2024; still recruiting 2 years 7 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 60 studies in Tricuspid Valve Insufficiency with a site in United States — 28 open to participants now, 36 under way, none of them phase 3. Tricuspid Valve Insufficiency · United States.

Planned enrollment
29th of 42
30 · median 63
Started
2024
with 7 others
No phase
39 of 60
19 open now
Primary completion
2026-11
later than 11 of 35 live
Registered
35th of 60
by date

Among the 60 studies in Tricuspid Valve Insufficiency with a site in United States, this one is the 29th largest by planned enrollment of the 42 interventional ones that give a count, is one of 8 that started in 2024, is one of 39 with no phase, reaches primary completion later than 11 of the 35 other live ones, and was the 35th registered.

Tricuspid Valve Insufficiency

227 studies on the registry are indexed under Tricuspid Valve Insufficiency; 110 are open to participants now.

Browse Tricuspid Valve Insufficiency studies →

Open to participants now

28 of the 60 studies in Tricuspid Valve Insufficiency with a site in United States are open now. Recruiting first, the newest first:

22 more — sign in →

All 28 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 82 Tricuspid Valve Insufficiency studies recruiting now, 68 (83%) set no upper age limit and none (0%) stop at 75 or younger; 7 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 60 studies in Tricuspid Valve Insufficiency with a site in United States, or all of them as a file.
02

Study summary

The purpose of this clinical study is to evaluate the safety and clinical efficacy of the VDyne System in the treatment of symptomatic severe tricuspid regurgitation (TR).

03

Conditions studied

  • Tricuspid Regurgitation
  • Tricuspid Valve Disease
  • Tricuspid Valvular Disorders

Keywords

  • VDyne
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Symptomatic severe tricuspid valve regurgitation of primary or secondary etiology.
  • class ≥ II. If NYHA Class IV, patient must be ambulatory.
  • Subject is adequately treated with medical therapy for heart failure ≥ 30 days prior to
  • index procedure, including a diuretic.
  • Heart Team determines patient is a recommended candidate for the VDyne System.
  • Age >18 years at time of index procedure.
  • Clinical Screening Committee (CSC) and Imaging Core Labs confirm suitability for treatment with the VDyne System.

Exclusion criteria

Exclusion Criteria:

  • Patient anatomy (cardiac and vascular) is not suitable for VDyne System as assessed by Imaging Core Labs, Sponsor or Clinical Screening Committee (CSC)
  • Intolerance to procedural anticoagulation or post-procedural antiplatelet/ anticoagulation regimen that cannot be medically managed
  • to nickel or titanium
  • (LVEF) \<30%.
  • Severe RV dysfunction.
  • Significant abnormalities of the tricuspid valve and sub-valvular apparatus.
  • Sepsis including active infective endocarditis (IE) (within last 6 months).
  • Right ventricular, atrial thrombus, vegetation or mass on tricuspid valve.
  • Severe tricuspid annular or leaflets calcification.
  • Systolic pulmonary hypertension with systolic pulmonary artery pressure >70 mmHg.
  • History or rheumatic fever
  • Significant coronary artery disease requiring treatment such as symptomatic, unresolved multi-vessel or unprotected left main coronary artery disease.
  • Any planned surgery or interventional procedure within 30 days prior to or 30 days following the implant procedure. This includes any planned concomitant cardiovascular procedure such as CABG, PCI, pulmonary vein ablation, left atrial appendage occlusion, septal defect repair, etc.
  • Unresolved severe symptomatic carotid stenosis (> 70% by ultrasound).
  • Cardiac resynchronization therapy device or implantable pulse generator implanted within 60 days of planned implant procedure.
  • Permanent pacing leads that will interfere with delivery or implantation of the VDyne Valve.
  • Cardiogenic shock or hemodynamic instability requiring inotropes or mechanical support devices at the time of planned implant procedure.
  • Prior tricuspid valve surgery or catheter-based therapy with permanent residual device(s) implanted that would preclude delivery or implantation of the VDyne Valve (e.g. valve replacement, edge to edge repair, etc.).
  • Significant valvular heart disease requiring intervention other than the tricuspid valve.
  • Known significant intracardiac shunt (e.g. septal defect)
  • Cerebrovascular accident (stroke, ) within 6 months of treatment procedure.
  • Severe lung disease (severe or continuous use of home oxygen or oral ).
  • Acute myocardial infarction (AMI) within 30 days.
  • Significant renal dysfunction (\<30 ml/min/1.73m2) or on dialysis.
  • End-stage liver disease (MELD > 11 / CHILD class C).
  • Bleeding requiring transfusion within prior 30 days.
  • Coagulopathy or other clotting disorder that cannot be medically managed.
  • Chronic or other condition that could impair healing response.
  • Any of the following: leukopenia, chronic anemia ( \< 9), thrombocytopenia, history of bleeding diathesis, or coagulopathy.
  • Unwilling to receive blood products.
  • Known hypersensitivity or to procedural or post-procedural medications (e.g., contrast solution) which cannot be adequately managed medically.
  • less than 12 months due to non-cardiac comorbidities.
  • Treatment is not expected to provide benefit (futile).
  • Current IV Drug user (must be free drug abuse for > 1 year).
  • Pregnant, lactating or planning pregnancy within next 12 months.
  • Vulnerable patient groups (minors, cognitively impaired persons, prisoners, persons whose willingness to volunteer could be unduly influenced by the expectation of benefits associated with participation or of retaliatory response from senior members of a hierarchy in case of refusal to participate, such as students, residents, and employees).
  • Currently participating in an drug or device trial that has not reached its primary endpoint or is likely to interfere with this study.
  • Patient (or legal guardian) unable or unwilling to provide written, before study enrollment.
  • Patient unable or unwilling to comply with study required testing and follow-up visits
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    VDyne System Treatment Arm

    Device

    Device: VDyne Transcatheter Tricuspid Valve Replacement System

Interventions

  • DeviceVDyne Transcatheter Tricuspid Valve Replacement System

    The study investigational device is the VDyne Transcatheter Tricuspid Valve Replacement System which consists of a bioprosthetic implantable tricuspid valve, the VDyne Delivery System, Drop Tether, accessories that facilitate the placement of the valve and the VDyne Retrieval System. The VDyne Valve is deployed by transfemoral implantation within the native tricuspid valve and is implanted under fluoroscopic and transesophageal echocardiography (TEE) guidance, while the heart remains beating, without the use of CPB. The valve is repositionable and fully retrievable intraoperatively. Repositioning allows optimization of the valve position following deployment, and retrieval, with the VDyne Retrieval System, allows use of an alternative valve size or removal of the index VDyne Valve in the event of suboptimal valve delivery or other intraoperative complication.

    Also known as: VDyne System, VDyne Tricuspid System, VDyne Valve System, VDyne Valve

06

What researchers measure

Primary outcomes

  1. The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).

    The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).

    Time frame: Implant to 30 days post-procedure

  2. Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs

    Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs

    Time frame: Baseline to 1 month after implant

  3. Changes in symptom status (NYHA class)

    Changes in symptom status (NYHA class)

    Time frame: Baseline to 1 month after implant

  4. Changes in functional capacity (6-minute walk test)

    Changes in functional capacity (6-minute walk test)

    Time frame: Baseline to 1 month after implant

  5. Changes in in quality of life (KCCQ score)

    Changes in in quality of life (KCCQ score). A higher score indicates worsening quality of life outcomes

    Time frame: Baseline to 1 month after implant

Secondary outcomes

  1. The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) after 30 days to 1 year of the procedure, as classified by the Clinical Events Committee (CEC).

    The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) after 30 days to 1 year of the procedure, as classified by the Clinical Events Committee (CEC).

    Time frame: 30 days post-procedure to 1 year

  2. Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs

    Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs

    Time frame: 1 month after implant to 1 year post-implant

  3. Changes in right ventricle as measured by core lab

    Changes in the right ventricle as measured by core lab

    Time frame: 1 month after implant to 1 year post-implant

  4. Rate of heart failure hospitalization

    Rate of heart failure hospitalization

    Time frame: 1 month after implant to 1 year post-implant

  5. Changes in symptom status (NYHA class)

    Changes in symptom status (NYHA class)

    Time frame: 1 month after implant to 1 year post-implant

  6. Changes in functional capacity (6-minute walk test)

    Changes in functional capacity (6-minute walk test)

    Time frame: 1 month after implant to 1 year post-implant

  7. Changes in in quality of life (KCCQ score).

    Changes in in quality of life (KCCQ score). A higher score indicates worsening outcomes

    Time frame: 1 month after implant to 1 year post-implant

07

Study locations

9 of 11 sites recruiting
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2024 (actual). Primary completion is estimated for Nov 2026, 31 months after the start.

Of 55 industry-sponsored interventional studies with no phase under Tricuspid Valve Insufficiency, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 70. This study's planned 31 months is below that.

Counting every sponsor, half of 86 studies reached it within 38 months; a quarter within 23 and three quarters within 58.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 29, 2023
First posted
May 8, 2023
StartActual
Apr 1, 2024
Primary completionEst.
Nov 30, 2026
CompletionEst.
Nov 30, 2031
Last update
Sep 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05848284
Lead sponsor
VDyne, Inc.
Responsible party
Sponsor
First posted
May 8, 2023
Start date
Apr 1, 2024
Primary completion
Nov 30, 2026 (estimated)
Completion
Nov 30, 2031 (estimated)
Last update
Sep 21, 2026

Study contacts

Vinny Podichetty
Contact
vpodichetty@vdyne.com
763-777-5969
Jeya Satheesh
Contact
jsatheesh@vdyne.com
952-686-8158

Oversight

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

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