ClinicalTrials.gg
RecruitingNCT06033274TRIPLACEUpdated Sep 15, 2026

Global Multicenter Registry on Transcatheter TRIcuspid Valve RePLACEment

An observational study in Tricuspid Regurgitation, sponsored by Montefiore Medical Center. Recruiting at 31 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Montefiore Medical Center · Observational

From the registry’s dates

  • Started Oct 2023; still recruiting 3 years 1 month later.

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Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
800
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
8th of 18
800 · median 464
Started
2023
with 3 others
Observational
18 of 60
9 open now
Primary completion
2028-12
later than 26 of 35 live
Registered
38th of 60
by date

Among the 60 studies in Tricuspid Valve Insufficiency with a site in United States, this one is the 8th largest by planned enrollment of the 18 observational ones that give a count, is one of 4 that started in 2023, is one of 18 observational ones, reaches primary completion later than 26 of the 35 other live ones, and was the 38th 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.

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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 field of transcatheter tricuspid valve replacement (TTVR) is rapidly emerging and data on this topic are scarce. Particularly, little is known about which patients are at greatest risk of procedural complications, such as the timing and onset of conduction disturbances necessitating permanent pacemaker implantation, and how such patients are managed. On this background, the TRIPLACE Registry - an investigator-initiated global multicenter registry - is aimed at better understanding the safety and efficacy of orthotopic TTVR.

Read the detailed description

The primary aims of the registry will be:

  • To examine the safety, efficacy, and long-term outcomes of TTVR
  • To assess the incidence of procedural complications and their correlations with adverse clinical outcomes
  • To investigate the impact of different pre/post-procedural factors on peri-procedural complications and long-term outcomes after TTVR
  • To explore the characteristics of patients deemed eligible for TTVR.
03

Conditions studied

  • Tricuspid Regurgitation

Keywords

  • valvular heart disease
  • tricuspid regurgitation
  • transcatheter tricuspid valve replacement
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients undergoing orthotopic Transcatheter Tricuspid Valve Replacement for clinically significant tricuspid valve disease.

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

  • Patients undergoing Transcatheter Tricuspid Valve Replacement
  • Native Tricuspid Valve disease
  • Orthotopic Tricuspid Valve Implantation

Exclusion criteria

Exclusion Criteria:

  • Age under 18 years
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
800 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with Tricuspid Regurgitation undergoing Transcatheter Tricuspid Valve Replacement

    Patients having clinically significant tricuspid regurgitation, defined according to current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease, requiring transcatheter tricuspid valve replacement

    Device: Transcatheter Tricuspid Valve Replacement

Interventions

  • DeviceTranscatheter Tricuspid Valve Replacement

    All patients undergoing Transcatheter Tricuspid Valve Replacement for native tricuspid valve disease

06

What researchers measure

Primary outcomes

  1. Freedom from device-related complications

    Freedom from device-related complications will be determined by assessing the number of participants with procedural, peri-procedural and device-related complications

    Time frame: 30 days after the index procedure

  2. Reduction in Tricuspid Regurgitation Severity

    Tricuspid Regurgitation measured by transthoracic echocardiography. Assessment of MI severity according to current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease. Tricuspid Regurgitation is measured by transthoracic echocardiography in accordance with current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease. Mean tricuspid regurgitation severity will be determined using the following scale: 0=none/trace; 1=mild; 2=moderate; 3=severe; 4=massive; 5=torrential. Change from baseline tricuspid regurgitation severity score 30 days after baseline will be assessed

    Time frame: 30 days after the index procedure

Secondary outcomes

  1. Permanent Pacemaker Implantation

    The number of participants who have received a permanent pacemaker implantation will be recorded

    Time frame: 30 days after the index procedure

  2. Combined all-cause mortality or rehospitalization for congestive heart failure

    The composite of mortality from any cause and participants re-hospitalized for acute decompensated congestive heart failure will be recorded

    Time frame: 12 months after the index procedure

  3. All-cause mortality

    The number of deaths due to any cause will be recorded

    Time frame: 12 months after the index procedure

  4. Hospitalization for congestive heart failure

    The number of participants who have been hospitalized with acute decompensated congestive heart failure will be recorded

    Time frame: 12 months after the index procedure

  5. The number of participants with New York Heart Association (NYHA) Stage III or IV heart failure

    The number of participants who meet either NYHA III or NYHA IV classifications for heart failure will be recorded. NYHA Class III - Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g. walking short distances (20-100 m).Comfortable only at rest NYHA Class IV - Severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients

    Time frame: 12 months after the index procedure

  6. Device Thrombosis

    The number of participants who have been identified with device thrombosis will be recorded

    Time frame: 12 months after the index procedure

  7. Tricuspid Regurgitation Severity

    Tricuspid Regurgitation is measured by transthoracic echocardiography. Assessment of MI severity will be conducted in accordance with current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease. Mean tricuspid regurgitation severity will be determined using the following scale: 0=none/trace; 1=mild; 2=moderate; 3=severe; 4=massive; 5=torrential. Higher mean scores are indicative of greater TR severity

    Time frame: 12 months after the index procedure

  8. Quality of Life - Kansas City Cardiomyopathy Questionnaire

    Quality of Life is evaluated using the Kansas City Cardiomyopathy Questionnaire (KCCQ). The KCCQ has a 2-week recall period and includes 23 items that map to 7 domains: symptom frequency; symptom burden; symptom stability; physical limitations; social limitations; quality of life; and self-efficacy (the patient's understanding of how to manage their heart failure). The symptom frequency and symptom burden domains are merged into a total symptom score, which can be combined with the physical limitation domain to create a clinical summary score that mirrors the key concepts of the NYHA functional class. The symptom, physical limitations, social limitations, and quality of life domains are combined to create an overall summary score, which is the primary health status outcome All scores are represented on a 0-to-100-point scale, where lower scores represent more severe symptoms and/or limitations and scores of 100 indicate no symptoms, no limitations, and excellent quality of life

    Time frame: 12 months after the index procedure

  9. Tricuspid Valve Reintervention

    The number of participants who undergo tricuspid valve surgical and/or transcatheter reintervention will be summed and recorded

    Time frame: 12 months after the index procedure

07

Study locations

31 of 31 sites recruiting
08

References and documents

Publications

  • Scotti A, Puri R, Sturla M, Zahr F, Boone R, Kodali S, Tchetche D, De Backer O, Coisne A, Ludwig S, Stolz L, Estevez Loureiro R, Adam M, De Marco F, Ho EC, Cheung A, Moey M, Ong G, Chadderdon S, Lulic D, Bartkowiak J, Echarte J, Sievert H, Byrne T, Maisano F, Frerker C, Dumonteil N, Oliva OA, Rudolph TK, Kirchner J, Bakhtadze B, Kapadia SR, Rodes-Cabau J, Schofer N, Granada J, Hausleiter J, Hahn RT, Modine T, Fam N, Latib A. Incidence, Predictors, and Management of Conduction Disturbances After Transcatheter Tricuspid Valve Replacement: The TRIPLACE Registry. JACC Cardiovasc Interv. 2025 Jul 28;18(14):1789-1799. doi: 10.1016/j.jcin.2025.05.029. Epub 2025 Jul 9. PubMed 40637674 ↗
  • Scotti A, Latib A, Filtz A, Sturla M, Zahr F, Boone R, Kodali S, Tchetche D, De Backer O, Coisne A, Ludwig S, Garcia SA, Stolz L, Loureiro RE, Adam M, De Marco F, Ho EC, Cheung A, Biroli M, Patrascu A, Alnasser S, Chadderdon S, Lulic D, Bartkowiak J, Echarte-Morales J, Sievert H, Byrne T, Maisano F, Frerker C, Dumonteil N, Oliva OA, Rudolph TK, Rudolph F, Guddeti R, Bakhtadze B, Krishnaswamy A, Kapadia SR, Portillo JD, Rodes-Cabau J, Schofer N, Cruz-Gonzalez I, Granada J, Hausleiter J, Hahn RT, Modine T, Fam N, Puri R. Incidence, Clinical Implications, and Predictors of Paravalvular Leak Following Transcatheter Tricuspid Valve Replacement: The TRIPLACE Registry. JACC Cardiovasc Interv. 2026 Mar 23;19(6):680-693. doi: 10.1016/j.jcin.2026.01.281. PubMed 41881643 ↗
  • Traynor BP, Scotti A, Puri R, Sturla M, Zahr F, Boone R, Kodali S, Tchetche D, De Backer O, Coisne A, Ludwig S, Stolz L, Loureiro RE, Adam M, De Marco F, Biroli M, Ho EC, Cheung A, Patrascu A, Alnasser S, Chadderdon S, Lulic D, Bartkowiak J, Echarte-Morales J, Sievert H, Byrne T, Maisano F, Frerker C, Dumonteil N, Oliva OA, Rudolph TK, Rudolph F, Krishnaswamy A, Kapadia SR, Portillo JD, Rodes-Cabau J, Schofer N, Granada JF, Hausleiter J, Hahn RT, Modine T, Latib A, Fam N. Transcatheter Tricuspid Valve Replacement in Patients With Cardiac Implantable Electronic Device Leads: The TRIPLACE Registry. JACC Clin Electrophysiol. 2026 Mar;12(3):474-485. doi: 10.1016/j.jacep.2025.12.027. Epub 2026 Jan 22. PubMed 41575411 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2023 (actual). Primary completion is estimated for Dec 2028, 62 months after the start.

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

Registered
Sep 5, 2023
First posted
Sep 13, 2023
StartActual
Oct 5, 2023
Primary completionEst.
Dec 2028
CompletionEst.
Dec 2028
Last update
Sep 15, 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 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06033274
Responsible party
Sponsor
First posted
Sep 13, 2023
Start date
Oct 5, 2023
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Sep 15, 2026

Study contacts

Andrea Scotti, MD
Contact
ascotti@montefiore.org
7189043388
Rishi Puri, MD
Contact
purir@ccf.org
(216) 444-2273
Andrea Scotti, MD
principal investigator · Montefiore Medical Center
Azeem Latib, MD
principal investigator · Montefiore Medical Center
Rishi Puri, MD
principal investigator · The Cleveland Clinic
Neil Fam, MD
principal investigator · St. Michaels Hospital
Thomas Modine, MD
principal investigator · University Hospital, Bordeaux

Oversight

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

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