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RecruitingNCT07021612CAIR-JARUpdated Sep 16, 2026

A Clinical and Imaging Registry of Transcatheter Aortic Valve Implantation Using JenaValve System/ J-Valve System for Patients With Pure Aortic Regurgitation

An observational study in Aortic Valve Disease, sponsored by Prince of Wales Hospital, Shatin, Hong Kong. Recruiting at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Prince of Wales Hospital, Shatin, Hong Kong · Observational

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

Aortic regurgitation (AR) is not uncommon. Transcatheter aortic valve implantation (TAVI) for treating pure aortic regurgitation is a potential future treatment option for pure AR especially in patients having high risk for open heart surgery.

TAVI using dedicated device for pure AR has a different anchor mechanism to TAVI for aortic stenosis (AS). AR patientsalso have different cardiac flow pattern, aortic root pathology and left ventricular remodeling pattern compared to AS patients. Subclinical leaflet thrombosis has been described in AS patient receiving TAVI, which will affect the durability and antithrombotic regime. Follow-up imaging for dedicated TAVI device in AR patient is limited.

02

Conditions studied

  • Aortic Valve Disease

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Keywords

  • Transcatherter Aortic Valve Intervention
03

In context

Aortic Valve Disease

234 studies on the registry are indexed under Aortic Valve Disease; 70 are open to participants now.

This study's planned enrollment of 30 is below the median of 200 across 106 observational studies indexed under Aortic Valve Disease.

Browse Aortic Valve Disease studies →

Lead sponsor

Prince of Wales Hospital, Shatin, Hong Kong is the lead sponsor of 27 studies on the registry; 15 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients receiving transcatheter aortic valve implantation (TAVI) (using Jenavalve/J-Valve) in PWH with severe symptomatic AR (NYHA III-IV) despite optimal medical therapy

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. receiving transcatheter aortic valve implantation (TAVI) (using Jenavalve/J-Valve) in PWH
  2. with severe symptomatic AR ( III-IV) despite optimal medical therapy
  3. Deemed high risk for aortic valve surgery determined by a multidisciplinary heart team (including cardiologists, cardiac surgeons and cardiac anesthetists)
  4. Capable of providing

Exclusion criteria

Exclusion Criteria:

  1. Evidence of intracardiac mass, thrombus or vegetation
  2. Anatomical structures precluding proper device deployment or device vascular access, evaluated by echo or CT
  3. Sepsis or active endocarditis within 3 months, or infections requiring antibiotic therapy within 2 weeks prior to the planned procedure
  4. Subjects currently participating in another clinical trial of an drug or device that has not yet completed its primary endpoint.
  5. Chronic Kidney Disease with \<30 ml/min/1.73m2.
  6. Cardiogenic shock or other hemodynamic instability requiring inotropic support or ventricular assist device
  7. for CT or MRI assessment
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Interventional group

    Patient implanted with J-Valve or JenaValve TAVI system

    Device: JenaValve · Device: J-Valve

Interventions

  • DeviceJenaValve

    JenaValve is a newly developed advanced TAVI system developed by Jenavalve Technology Inc.

  • DeviceJ-Valve

    J-Valve is a newly developed advanced TAVI system developed by Genesis Medtech.

06

What researchers measure

Primary outcomes

  1. Presence of leaflet thrombosis

    Presence of hypoattenuated leaflet thickening (HALT) detected on 6 month follow-up computed tomography

    Time frame: 6 month

  2. Presence of leaflet thrombosis

    Presence of restricted leaflet motion (RELM) detected on 6 month follow-up computed tomography

    Time frame: 6 month

  3. Presence of leaflet thrombosis

    Presence of hypoattenuation affecting motion (HAM) detected on 6 month follow-up computed tomography

    Time frame: 6 month

Secondary outcomes

  1. Magnetic Resonance Imaging (MRI)

    Comparison of 4D-Flow pattern using MRI at 1 month post-OP vs pre-OP

    Time frame: 1 month

  2. Magnetic Resonance Imaging (MRI)

    Comparison of Aortic Valve Flow Velocity using MRI at 1 month post-OP vs pre-OP

    Time frame: 1 month

  3. Magnetic Resonance Imaging (MRI)

    Comparison of Aortic Wall shear stress using MRI at 1 month post-OP vs pre-OP

    Time frame: 1 month

  4. Magnetic Resonance Imaging (MRI)

    Comparison of Intraventricular flow pattern using MRI at 1 month post-OP vs pre-OP

    Time frame: 1 month

  5. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (hypoattenuated leaflet thickening (HALT) on CT images at baseline

    Time frame: Baseline

  6. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (hypoattenuated leaflet thickening (HALT) on CT images at post-OP

    Time frame: Up to 1-month post-OP

  7. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (hypoattenuated leaflet thickening (HALT) on CT images at 1 year post-OP

    Time frame: 1-year

  8. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (restricted leaflet motion (RELM)) on CT images at baseline

    Time frame: Baseline

  9. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (restricted leaflet motion (RELM)) on CT images at post-OP

    Time frame: Up to 1-month post-OP

  10. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (restricted leaflet motion (RELM)) on CT images at 1 year post-OP

    Time frame: 1-year

  11. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (hypoattenuation affecting motion (HAM )on CT images at baseline

    Time frame: Baseline

  12. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (hypoattenuation affecting motion (HAM )on CT images at post-OP

    Time frame: Upto 1-month post-OP

  13. Computed Tomographic Endpoints

    Presence of leaflet thrombosis (hypoattenuation affecting motion (HAM )on CT images at 1 year post-OP

    Time frame: 1-year

  14. Computed Tomographic Endpoints

    To obtain the native valve dimensions using CT imaging at pre-OP (baseline)

    Time frame: Baseline

  15. Computed Tomographic Endpoints

    To compare the impanted Transcatheter valve dimensions using CT imaging with baseline at post-OP

    Time frame: Up to 1-month post-OP

  16. Computed Tomographic Endpoints

    To compare the impanted Transcatheter valve dimensions using CT imaging with baseline at 6 month post-OP

    Time frame: 6-month

  17. Computed Tomographic Endpoints

    To compare the impanted Transcatheter valve dimensions using CT imaging with baseline at 12 month post-OP

    Time frame: 1-year

  18. Computed Tomographic Endpoints

    To obtain the impanted Transcatheter valve location using CT imaging at post-OP

    Time frame: Up to 1-month post-OP

  19. Computed Tomographic Endpoints

    To compare the impanted Transcatheter valve location using CT imaging with post-OP at 6 month post-OP

    Time frame: 6-month

  20. Computed Tomographic Endpoints

    To compare the impanted Transcatheter valve location using CT imaging with post-OP at 12 month post-OP

    Time frame: 1-year

  21. Computed Tomographic Endpoints

    To obtain the native valve leaflet overhang using CT imaging at pre-OP (baseline)

    Time frame: Baseline

  22. Computed Tomographic Endpoints

    To obtain the impanted valve leaflet overhang using CT imaging at post-OP

    Time frame: Up to 1-month post-OP

  23. Computed Tomographic Endpoints

    To compare the impanted valve leaflet overhang using CT imaging with post-OP at 6 month post-OP

    Time frame: 6-month

  24. Computed Tomographic Endpoints

    To compare the impanted valve leaflet overhang using CT imaging with post-OP at 12 month post-OP

    Time frame: 1-year

  25. Echocardiographic Endpoints

    To grade AR Severity using echocardiography at baseline ii. Mean Aortic valve pressure gradient iii. Left Ventricular Ejection Fraction (LVEF) iv. Paravalvular leak severity

    Time frame: Baseline

  26. Echocardiographic Endpoints

    To grade AR Severity using echocardiography at Day 1-7 post-OP

    Time frame: day 1-7

  27. Echocardiographic Endpoints

    To grade AR Severity using echocardiography at Day30 post-OP

    Time frame: day 30

  28. Echocardiographic Endpoints

    To grade AR Severity using echocardiography at 6 months post-OP

    Time frame: 6-month

  29. Echocardiographic Endpoints

    To grade AR Severity using echocardiography at 1 year post-OP

    Time frame: 1-year

  30. Echocardiographic Endpoints

    To obtain Mean Aortic valve pressure gradient using echocardiography at baseline

    Time frame: Baseline

  31. Echocardiographic Endpoints

    To obtain Mean Aortic valve pressure gradient using echocardiography at Day 1-7 post OP

    Time frame: day 1-7

  32. Echocardiographic Endpoints

    To obtain Mean Aortic valve pressure gradient using echocardiography at Day 30 post OP

    Time frame: day 30

  33. Echocardiographic Endpoints

    To obtain Mean Aortic valve pressure gradient using echocardiography at 6 months post OP

    Time frame: 6-month

  34. Echocardiographic Endpoints

    To obtain Mean Aortic valve pressure gradient using echocardiography at 12 months post OP

    Time frame: 1-year

  35. Echocardiographic Endpoints

    To obtain Left Ventricular Ejection Fraction (LVEF) using echocardiography at baseline

    Time frame: Baseline

  36. Echocardiographic Endpoints

    To obtain Left Ventricular Ejection Fraction (LVEF) using echocardiography at Day 1-7 post OP

    Time frame: Day 1-7 post OP

  37. Echocardiographic Endpoints

    To obtain Left Ventricular Ejection Fraction (LVEF) using echocardiography at Day 30 post OP

    Time frame: Day30 post OP

  38. Echocardiographic Endpoints

    To obtain Left Ventricular Ejection Fraction (LVEF) using echocardiography at 6 months post OP

    Time frame: 6 months post OP

  39. Echocardiographic Endpoints

    To obtain Left Ventricular Ejection Fraction (LVEF) using echocardiography at 12 months post OP

    Time frame: 12 months post OP

  40. Echocardiographic Endpoints

    To evaluate Paravalvular leak severity using echocardiography at Day 1-7 post OP

    Time frame: Day 1-7 post OP

  41. Echocardiographic Endpoints

    To evaluate Paravalvular leak severity using echocardiography at Day 30 post OP

    Time frame: Day 30 post OP

  42. Echocardiographic Endpoints

    To evaluate Paravalvular leak severity using echocardiography at 6 months post OP

    Time frame: 6 months post OP

  43. Echocardiographic Endpoints

    To evaluate Paravalvular leak severity using echocardiography at 12 months post OP

    Time frame: 12 months post OP

  44. cardiovascular Mortality events

    cardiovascular Mortality event up till 12 months post-OP

    Time frame: 12 months post OP

  45. Myocardial Infarction event

    Myocardial Infarction (MI) event up till 12 months post-OP

    Time frame: 12 months post OP

  46. Stroke event

    Stroke event up till 12 months post-OP

    Time frame: 12 months post OP

  47. New onset renal failure event

    New onset renal failure requiring unplanned dialysis or renal replacement therapyevent up till 12 months post-OP

    Time frame: 12 months post OP

  48. Severe Bleeding event

    Severe Bleeding (includes fatal, life-threatening and extensive bleeding as defined by VARC) event up till 12 months post-OP

    Time frame: 12 months post OP

  49. Non-elective aortic valve surgery event

    Non-elective aortic valve surgery event up till 12 months post-OP

    Time frame: 12 months post OP

  50. Non-elective transcatheter re-intervention event

    Non-elective transcatheter re-intervention post procedure event up till 12 months post-OP

    Time frame: 12 months post OP

  51. Major cardiac structural complications

    Major cardiac structural complications event up till 12 months post-OP

    Time frame: 12 months post OP

  52. Major access site complications

    Major access site complications event up till 12 months post-OP

    Time frame: 12 months post OP

  53. New pacemaker implantation event

    New pacemaker implantation due to AV block event up till 12 months post-OP

    Time frame: 12 months post OP

  54. Acute Device Success Rate

    Rate of successful deployment of the device and removal of the delivery system as planned, with no unplanned surgery related to the device or access procedure immediately post-OP

    Time frame: immediately post-OP

  55. Procedural Success Rate

    Rate of Device success without clinically significant PVL, as determined by the Echo Core Lab (ECL) assessment of a discharge TTE. Subjects who die or undergo aortic valve surgery before discharge are procedure failures.

    Time frame: immediately post-OP

  56. All-cause mortality

    30-day all-cause mortality rate of subjects

    Time frame: 30-day

  57. All-cause mortality

    1-year all-cause mortality rate of subjects

    Time frame: 1-year

  58. heart failure hospitalization

    30-day heart failure hospitalization rate of subjects

    Time frame: 30-day

  59. heart failure hospitalization

    1 year heart failure hospitalization rate of subjects

    Time frame: 1-year

  60. NYHA Functional Class

    NYHA Functional Class of subjects at baseline

    Time frame: Baseline

  61. NYHA Functional Class

    NYHA Functional Class of subjects at post-OP

    Time frame: Post-OP

  62. NYHA Functional Class

    NYHA Functional Class of subjects at 1 month post-OP

    Time frame: 1 month Post-OP

  63. NYHA Functional Class

    NYHA Functional Class of subjects at 6-month post-OP

    Time frame: 6-month Post-OP

  64. NYHA Functional Class

    NYHA Functional Class of subjects at 12-month post-OP

    Time frame: 12-month Post-OP

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 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
NCT07021612
Lead sponsor
Prince of Wales Hospital, Shatin, Hong Kong
Responsible party
Dr So Chak Yu kent (Clinical Assistant Professor, Prince of Wales Hospital, Shatin, Hong Kong) — Principal investigator
First posted
Jun 15, 2025
Start date
Apr 1, 2025
Primary completion
Mar 31, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Sep 16, 2026

Oversight

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

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