ClinicalTrials.gg
RecruitingNCT07140562Updated Oct 13, 2026

Safety and Feasibility Study: Transcatheter Valve Repair in Severe Symptomatic Functional Tricuspid Regurgitation

An interventional study of Tricuspid Annular Therapy System in Tricuspid Regurgitation Functional, Tricuspid Regurgitation (TR) and Tricuspid Regurgitation, sponsored by Tangent Cardiovascular Inc.. Recruiting at 1 site in Paraguay. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Tangent Cardiovascular Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2025; still recruiting 1 year 3 months later.
Updated Oct 13, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the safety and technical success of the Tangent Tricuspid Annular Therapy System in patients with severe, symptomatic functional tricuspid regurgitation.

02

Conditions studied

  • Tricuspid Regurgitation Functional
  • Tricuspid Regurgitation (TR)
  • Tricuspid Regurgitation
03

In context

Tricuspid Valve Insufficiency

226 studies on the registry are indexed under Tricuspid Valve Insufficiency; 109 are open to participants now.

This study's planned enrollment of 25 is below the median of 60 across 128 interventional studies indexed under Tricuspid Valve Insufficiency.

Browse Tricuspid Valve Insufficiency studies →

Lead sponsor

This is the only study on the registry with Tangent Cardiovascular Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
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. 18-90 years old at the time of consent
  2. Symptomatic functional tricuspid regurgitation (without co-existing degenerative disease) despite being adequately treated with optimal medical therapy by the Local Heart Team for at least 30 days prior to the study consent
  3. Severe, massive or torrential functional tricuspid regurgitation, as determined by qualifying transesophageal echocardiogram (TEE) and/or transthoracic echocardiogram (TTE) using the 5-grade classification
  4. TEE imaging confirms adequate visualization of valve for TR quantification and procedural guidance
  5. The Local Heart Team determines the candidate is suitable for transcatheter tricuspid valve repair
  6. Subject or legally authorized representative has provided and agrees to return for all required post-procedure follow-up visits

Exclusion criteria

Exclusion Criteria:

  1. Estimated of less than 12 months
  2. Systolic pulmonary artery pressure (sPAP) >70 mmHg as assessed by TTE or right heart catheterization
  3. Acutely decompensated, defined as hypotension with SBP \<90 mmHg, use of hemodynamic support devices or inotropes or uncontrolled arterial hypertension with SBP >180 mmHg within 30 days of the study procedure
  4. Severe dependent on home oxygen or chronic home oxygen use
  5. Echocardiographic evidence of severe right ventricular dysfunction
  6. Severe aortic, mitral and/or pulmonic valve stenosis and/or regurgitation requiring treatment (prior transcatheter or surgical treatment allowable)
  7. Any condition that would interfere with the procedure, such as prior tricuspid valve repair, tricuspid valve leaflet anatomy which may preclude device implantation, pacemaker or Implantable Cardioverter Defibrillator (ICD) leads that would prevent appropriate placement or visualization of implant, Ebstein Anomaly (normal annulus position, but valve leaflets attached to walls and septum of the right ventricle)
  8. Tricuspid valve stenosis defined as a tricuspid valve orifice of ≤1.0 cm2 and/or mean gradient of ≥5 mmHg
  9. New or untreated right heart chamber and/or superior vena cava intracardiac mass, thrombus, or vegetation
  10. Degenerative tricuspid or rheumatic tricuspid valve disease
  11. Any percutaneous cardiovascular intervention, cardiovascular surgery, or carotid surgery within 30 days of the study procedure
  12. Implant or revision of any rhythm management device (CRT or CRT-D, ICD, or leadless pacemaker) within 90 days prior to the study procedure
  13. Known need for emergent, urgent, or planned surgery or intervention within 30 days following the study procedure, or planned or scheduled cardiac surgery within 12 months following the study procedure
  14. Stroke or other major cerebrovascular event within 90 days prior to the study procedure
  15. Untreated coronary artery disease requiring revascularization, recent (within 30 days of the study procedure) acute coronary syndrome or myocardial infarction
  16. Active or recent GI bleed within 30 days prior to the study procedure, or patients for oral anticoagulation therapy
  17. Bleeding disorders including thrombocytopenia ( count \<70,000 mm3) or thrombocytosis (platelet count >700,000 mm3)
  18. Transfusion-dependent chronic anemia with \<9/dL
  19. Current or planned pregnancy within 12 months of the study procedure for women of
  20. Active or recent endocarditis within 90 days of the study procedure, or sepsis/other systemic infection requiring oral or intravenous antibiotics within 30 days of the study procedure
  21. Prior tricuspid repair or tricuspid replacement or prosthetic implant that would interfere with successful deployment or functioning of the Tangent Implant
  22. Participation in another pre-market device study or investigational drug study (for a cardiac-related drug)
  23. Presence of other anatomic or co-morbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's availability to participate in the clinical investigation or to comply with follow-up requirements
  24. Any patient considered to be vulnerable
  25. (LVEF) \<30%
  26. Deep vein thrombosis or pulmonary embolism within 6 months of the study procedure
  27. C cirrhosis
Terms in these criteria, in plain language(11)

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.

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.

COPD

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

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.

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.

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).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

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

Study arms

  • Experimental
    Tangent Tricuspid Annular Therapy System Treatment Group

    Subjects will receive the experimental device according to the protocol. Primary safety and technical efficacy will be assessed, as well as secondary performance measures.

    Device: Tricuspid Annular Therapy System

Interventions

  • DeviceTricuspid Annular Therapy System

    A transcatheter device designed for tricuspid valve repair.

06

What researchers measure

Primary outcomes

  1. Primary Safety Endpoint: Proportion of Patients Free From Device or Procedure-Related Major Adverse Events (MAEs) Through 30-Days Post-Procedure

    Freedom from device or procedure-related major adverse events (MAEs) through 30 days post-procedure, including: * Cardiovascular mortality * Stroke * Myocardial infarction * Major cardiac structural complications * Device-related pulmonary embolism (PE) * Severe bleeding defined by MVARC * Unplanned tricuspid valve re-intervention (percutaneous or surgical)

    Time frame: 30 days post-procedure

  2. Primary Technical and Efficacy Endpoint - Measure 1: Technical Success at Completion of the Procedure

    Technical success upon completion of the procedure in the catheterization lab or operating room, defined as: 1. Successful delivery and removal of the Delivery System; 2. Device implanted in the patient as intended.

    Time frame: At completion of the index procedure

  3. Primary Technical and Efficacy Endpoint - Measure 2: Procedural Technical Success and TR ≤Moderate at Hospital Discharge

    Procedural success at discharge, defined as: 1. Achieved technical success; 2. TR classification of moderate or less

    Time frame: At hospital discharge following the index procedure

Secondary outcomes

  1. Secondary Endpoint - NYHA Functional Class at 30, 90, 180, and 365-Days Post-Procedure

    Change from baseline at 30-, 90-, 180-, and 365-days post-procedure in the following: a) New York Heart Association (NYHA) functional class

    Time frame: 30 days (±7 days); 90 days (±30 days); 180 days (±30 days); 365 days (±60 days)

  2. Secondary Endpoint - KCCQ at 30, 90, 180, and 365-Days Post-Procedure

    Change from baseline at 30-, 90-, 180-, and 365-days post-procedure in the following: b) KCCQ

    Time frame: 30 days (±7 days); 90 days (±30 days); 180 days (±30 days); 365 days (±60 days)

  3. Secondary Endpoint - 6MWT at 30, 90, 180, and 365-Days Post-Procedure

    Change from baseline at 30-, 90-, 180-, and 365-days post-procedure in the following: c) 6-minute walk test

    Time frame: 30 days (±7 days); 90 days (±30 days); 180 days (±30 days); 365 days (±60 days)

  4. Secondary Endpoint - Tricuspid Regurgitation at 30, 90, 180, and 365-Days Post-Procedure

    Change from baseline at 30-, 90-, 180-, and 365-days post-procedure in the following: d) Tricuspid regurgitation

    Time frame: 30 days (±7 days); 90 days (±30 days); 180 days (±30 days); 365 days (±60 days)

07

Study locations

1 of 1 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Primary completion
Jan 2026→Aug 2027
Oct 13, 2026
Study completion
Dec 2026→Sep 2028
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Primary completion Jan 2026→Aug 2027
    Study completion Dec 2026→Sep 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07140562
Lead sponsor
Tangent Cardiovascular Inc.
Responsible party
Sponsor
First posted
Aug 24, 2025
Start date
Jul 15, 2025
Primary completion
Aug 2027 (estimated)
Completion
Sep 2028 (estimated)
Last update
Oct 13, 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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