ClinicalTrials.gg
RecruitingNCT06816485Updated Apr 16, 2026

INFLATE Study: Investigation of the Safety and Performance of a Novel PTV Balloon in Patients Undergoing TAVI for Severe Aortic Stenosis

An interventional study of PTV (Percutaneous Transcatheter Valvuloplasty) Balloon in Aortic Diseases, sponsored by Biosensors Europe SA. Recruiting at 9 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Biosensors Europe SA (part of Blue Sail Medical Co., Ltd.) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
93
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This clinical investigation is being done to evaluate the safety and effectiveness of a new device, a PTV Balloon, that will be used to open up an area in the heart (the valve) before and potentially after placing a new valve in patients requiring a new heart valve.

The main question it aims to answer is:

What percentage of patients develop new heart conduction problems after using the investigational PTV Balloon for pre-dilatation?

Participants will:

  1. Undergo a TAVI procedure, where the PTV Balloon will be used for pre-dilatation and may also be used for post-dilatation.
  2. Will be followed up until discharge or up to 7 days, whichever happens first.
02

Conditions studied

  • Aortic Diseases

Keywords

  • PTV Balloon
  • TAVI
  • Aortic Valve Stenosis
  • Balloon Aortic Valvuloplasty
03

In context

Aortic Diseases

108 studies on the registry are indexed under Aortic Diseases; 43 are open to participants now.

This study's planned enrollment of 93 is close to the median of 90 across 42 interventional studies indexed under Aortic Diseases.

Browse Aortic Diseases studies →

Lead sponsor

Biosensors Europe SA is the lead sponsor of 24 studies on the registry; 3 are open to participants now.

First submitted after Biosensors Europe SA became part of Blue Sail Medical Co., Ltd..

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

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

  1. Symptomatic severe calcific stenosis of a native aortic valve with an AVA ≤1.0 cm2 (or AVA index ≤0.6 cm2/m2) AND mean aortic pressure gradient ≥ 40mmHg OR maximal transaortic velocity ≥4.0m/s OR Doppler velocity index ≤0.25 on site-reported echocardiography
  2. Local multi-disciplinary Heart Team agrees on indication and eligibility for TAVI
  3. Age ≥18 years
  4. Patient has signed the Patient Form
  5. Patient is willing and able to comply with requirements of the study
  6. Patients planned for trans-femoral procedure

Exclusion criteria

Exclusion Criteria:

  1. Mean aortic annulus diameter as measured by pre-procedural CT or internal diameter of the bioprosthesis is \<16 mm or >30 mm
  2. Echocardiographic evidence of intracardiac thrombus, mass or vegetation (site-reported)
  3. Significant disease of the aorta that would preclude safe advancement of the TAVI system
  4. Severe ilio-femoral vessel disease that would preclude safe performance of the TAVI procedure
  5. Severe tricuspid regurgitation and/or failing right heart (site-reported)
  6. Severe left ventricular dysfunction with (EF) \<20% (site-reported)
  7. Evidence of active endocarditis or other acute infections
  8. Renal failure requiring continuous renal replacement therapy
  9. Untreated coronary artery disease requiring revascularization
  10. Acute MI ≤30 days prior to the index procedure
  11. Symptomatic carotid or vertebral artery disease requiring intervention or carotid/vertebral intervention within the preceding 45 days
  12. Cerebrovascular accident (CVA) or (TIA) ≤6 months or prior CVA with moderate or severe disability (e.g. modified Rankin scale score >2)
  13. History of bleeding diathesis or coagulopathy; acute blood dyscrasias as defined: thrombocytopenia ( \<80,000/µl), acute anemia ( \<10 g/dl), leukopenia (WBC \<3000/ µl)
  14. Severe (greater than 3+) mitral insufficiency (site-reported)
  15. Known to contrast media, which cannot be adequately pre-medicated or to anticoagulant or anti-platelet medication or to nitinol alloy or to bovine tissue
  16. Currently participating in another drug or device study
  17. Pregnancy or intend to become pregnant during study participation
  18. Unicuspid aortic valve
  19. Non-calcified aortic stenosis
  20. Identified high risk of coronary occlusion due to Sinus of Valsalva anatomy and/or bulky calcified aortic valve leaflets in close proximity to coronary ostia
  21. Isolated Aortic Insufficiency
  22. Patients with a permanent pacemaker
  23. Patients with pre-existing LBBB, RBBB and AV block 2 and 3
Terms in these criteria, in plain language(9)

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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).

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Biosensors PTV balloon catheter

    Patients suffering from a severe aortic stenosis and scheduled for a TAVI.

    Device: PTV (Percutaneous Transcatheter Valvuloplasty) Balloon

Interventions

  • DevicePTV (Percutaneous Transcatheter Valvuloplasty) Balloon

    Minimally invasive medical procedure used to replace a diseased aortic valve without the need for open-heart surgery. It is commonly used to treat severe aortic stenosis, a condition in which the aortic valve becomes narrowed and restricts blood flow from the heart to the rest of the body.

06

What researchers measure

Primary outcomes

  1. The primary endpoint is the rate of new conduction system abnormalities, including 3rd AV block, LBBB, or RBBB, occurring after pre-dilatation using the study device

    The primary endpoint evaluates the incidence of new conduction system abnormalities that emerge after pre-dilatation using a PTV Balloon, the study device. These conduction system abnormalities include: * Third-degree atrioventricular (AV) block: A complete disruption of electrical signals between the atria and ventricles, requiring pacemaker placement in most cases. * Left bundle branch block (LBBB): A condition where electrical impulses are delayed or blocked in the left bundle branch, potentially leading to desynchrony in ventricular contraction. * Right bundle branch block (RBBB): A delay or blockage of electrical signals in the right bundle branch, which can affect the heart's pumping efficiency.

    Time frame: During TAVI procedure

Secondary outcomes

  1. Successful inflation and deflation of the study device during pre-dilatation

    Rate of study devices successfully inflated and deflated

    Time frame: Measured during TAVI procedure

  2. Balloon rupture during pre-dilatation

    absolute number and percentages of balloon ruptures during pre-dilatation

    Time frame: measured during TAVI procedure

  3. Number of pre-dilatations performed

    Total number

    Time frame: Measured during TAVI procedure

  4. Need for post-dilatation and reason (under expansion, PVL, other)

    absolute number and percentages of post-dilatation and reason why

    Time frame: measured during TAVI procedure

  5. Successful inflation and deflation of the balloon during post-dilatation

    Rate of study devices successfully inflated and deflated

    Time frame: measured during TAVI procedure

  6. Number of post-dilatations performed

    absolute number and percentages of post-dilatation

    Time frame: measured during TAVI procedure

  7. Balloon rupture during post-dilatation

    absolute number and percentages of balloon ruptures during post-dilatation

    Time frame: measured during TAVI procedure

  8. Rate of conduction system abnormalities induced by post-dilatation

    Evaluates the incidence of new conduction system abnormalities that emerge after post-dilatation using a PTV Balloon, the study device. These conduction system abnormalities include: * Third-degree atrioventricular (AV) block: A complete disruption of electrical signals between the atria and ventricles, requiring pacemaker placement in most cases. * Left bundle branch block (LBBB): A condition where electrical impulses are delayed or blocked in the left bundle branch, potentially leading to desynchrony in ventricular contraction. * Right bundle branch block (RBBB): A delay or blockage of electrical signals in the right bundle branch, which can affect the heart's pumping efficiency.

    Time frame: measured during TAVI procedure

  9. Degree of aortic regurgitation (para-valvular) post-dilatation

    absolute number and percentages of mild, moderate or severe aortic regurgitation

    Time frame: measured during TAVI procedure

  10. New onset conduction disorders and arrhythmias at any other times during the procedure

    absolute number and percentages of new onset conduction disorders and arrhythmias

    Time frame: measured during TAVI procedure

  11. Annular rupture

    absolute number and percentages of annular ruptures

    Time frame: measured during TAVI procedure

  12. Usability assessment of the device per case

    Absolute number and percentages within each category of the below scale: Unsuccessful Poor Average Good Excellent

    Time frame: After TAVI procedure

  13. All-cause mortality

    absolute number and percentages of deaths

    Time frame: From enrollment until the patient is discharged (max. 7 days)

  14. Cardiovascular mortality

    absolute number and percentages of cardiovascular deaths

    Time frame: From enrollment until the patient is discharged (max. 7 days)

  15. Neurological events (All stroke, stroke disability, transient ischemic attack)

    absolute number and percentages of neurological events

    Time frame: From enrollment until the patient is discharged (max. 7 days)

  16. Procedure or valve related hospitalization

    absolute number and percentages of hospitalizations

    Time frame: From TAVI procedure until the patient is discharged (max. 7 days)

  17. Bleeding

    absolute number and percentages of bleeding events

    Time frame: From enrollment until the patient is discharged (max. 7 days)

  18. Major vascular complications

    absolute number and percentages of major vascular complications

    Time frame: From enrollment until the patient is discharged (max. 7 days)

  19. Major cardiac structural complications

    absolute number and percentages of major cardiac structural complications

    Time frame: From enrollment until the patient is discharged (max. 7 days)

  20. Conversion to open surgery

    absolute number and percentages of conversions to open surgery

    Time frame: measured during TAVI procedure

  21. Valve malposition (valve migration, valve embolization, ectopic valve deployment)

    Absolute number and percentages of valve malpositions

    Time frame: measured during TAVI procedure

07

Study locations

9 of 9 sites recruiting
08

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 Dec 2025 (actual). Primary completion is estimated for Aug 2026, 8 months after the start.

Of 21 interventional studies with no phase under Aortic Diseases, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 107. This study's planned 8 months is below that.

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

Registered
Jan 23, 2025
First posted
Feb 10, 2025
StartActual
Dec 15, 2025
Primary completionEst.
Aug 2026
CompletionEst.
Aug 2026
Last update
Apr 16, 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 Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06816485
Responsible party
Sponsor
First posted
Feb 10, 2025
Start date
Dec 15, 2025
Primary completion
Aug 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
Apr 16, 2026

Study contacts

Anders Jönsson
Contact
a.jonsson@biosensors.com
0041218048000
Diana Schuette
Contact
d.schuette@biosensors.com
00447970942022

Oversight

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

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