ClinicalTrials.gg
RecruitingNCT07321899PATHFINDERUpdated Sep 25, 2026

Transcatheter Tricuspid Valve Replacement With the Medtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System in Severe Tricuspid Regurgitation

An interventional study of Medtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System and Edwards EVOQUE Tricuspid Valve Replacement (TTVR) System in Severe Tricuspid Regurgitation, sponsored by Medtronic Cardiovascular. Recruiting at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Medtronic Cardiovascular (part of Medtronic) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Sep 25, 2026Start date moved9 sites addedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
1,186
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical trial evaluates the safety and effectiveness of the Medtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System in symptomatic patients with severe or greater tricuspid regurgitation.

Read the detailed description

Prospective, global, pre-market, interventional, multi-center, randomized controlled pivotal trial to evaluate the safety and effectiveness of the Medtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System compared to Edwards EVOQUE TTVR System in symptomatic patients with severe or greater tricuspid regurgitation.

02

Conditions studied

  • Severe Tricuspid Regurgitation

Keywords

  • Tricuspid Regurgitation
  • Symptomatic tricuspid regurgitation
  • Heart valve disease
  • Structural heart intervention
  • Severe valve disease
  • Randomized controlled trial
  • tricuspid insufficiency
  • tricuspid disease
  • tricuspid valve disease
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 1,186 is above the median of 60 across 128 interventional studies indexed under Tricuspid Valve Insufficiency.

Browse Tricuspid Valve Insufficiency studies →

Lead sponsor

Medtronic Cardiovascular is the lead sponsor of 70 studies on the registry; 7 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

  • Age ≥18 years at the time of consent.
  • Severe symptomatic tricuspid regurgitation (TR) despite optimal medical therapy (OMT).
  • Local site multidisciplinary heart team experienced in tricuspid valve therapies agrees that the subject is appropriate for TTVR.

Exclusion criteria

Exclusion Criteria:

  • Any tricuspid device currently in place.
  • Anatomic .
  • Need for emergent or urgent surgery.
  • \<25%.
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,186 participants (estimated)

Study arms

  • Experimental
    Medtronic Intrepid™ TTVR

    Transcatheter tricuspid valve replacement with Medtronic Intrepid™ TTVR System in patients with severe or greater tricuspid regurgitation.

    Device: Medtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System

  • Active comparator
    Edwards EVOQUE TTVR

    Transcatheter tricuspid valve replacement with Edwards EVOQUE TTVR in patients with severe or greater tricuspid regurgitation.

    Device: Edwards EVOQUE Tricuspid Valve Replacement (TTVR) System

  • Experimental
    Single Arm Registry

    Transcatheter tricuspid valve replacement with Medtronic Intrepid™ TTVR System in patients with severe or greater tricuspid regurgitation who are not eligible for randomization.

    Device: Medtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System

Interventions

  • DeviceMedtronic Intrepid™ Transcatheter Tricuspid Valve Replacement (TTVR) System

    Transcatheter Tricuspid Valve Replacement

  • DeviceEdwards EVOQUE Tricuspid Valve Replacement (TTVR) System

    Transcatheter Tricuspid Valve Replacement

06

What researchers measure

Primary outcomes

  1. Rate of Major Adverse Events (MAE)

    Time frame: 30-days post-procedure

  2. Composite Endpoint: All-cause mortality, Heart failure hospitalization, and tricuspid valve reintervention

    Time frame: 1-year post-procedure

Secondary outcomes

  1. Tricuspid regurgitation (TR) grade reduction

    Total number of patients with at least one grade TR reduction

    Time frame: 6 months post-procedure

  2. Change in quality of life (QoL) as measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ) from baseline

    KCCQ overall summary score is a patient-reported measure of health status. Scores range from 0 to 100 where higher scores reflect better quality of life

    Time frame: 6 months post-procedure

  3. All-cause mortality

    Time frame: 12 months post-procedure

  4. Heart failure hospitalization

    Time frame: 12 months post-procedure

  5. New onset conduction disturbance (NOCD)

    Time frame: 30 days post-procedure

  6. Total procedure time

    Time frame: Procedure

  7. Right ventricle (RV) dysfunction

    Time frame: 12 months post-procedure

07

Study locations

13 of 13 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
9 sites added
Show 9 added (9 United States)
  • University of Alabama at Birmingham (UAB) Hospital · Birmingham, United States
  • Yale New Haven Hospital · New Haven, United States
  • Emory University Hospital Midtown · Atlanta, United States
  • Northwestern Memorial Hospital · Chicago, United States
  • Buffalo General Medical Center · Buffalo, United States
  • Northwell Health North Shore University Hospital · Manhasset, United States
  • NYU Langone Medical Center · New York, United States
  • Montefiore Medical Center · New York, United States
  • Cleveland Clinic Foundation · Cleveland, United States
Sep 25, 2026
Start date
Aug 2026→Sep 11, 2026 (actual)
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    9 sites added
    Show 9 added (9 United States)
    • University of Alabama at Birmingham (UAB) Hospital · Birmingham, United States
    • Yale New Haven Hospital · New Haven, United States
    • Emory University Hospital Midtown · Atlanta, United States
    • Northwestern Memorial Hospital · Chicago, United States
    • Buffalo General Medical Center · Buffalo, United States
    • Northwell Health North Shore University Hospital · Manhasset, United States
    • NYU Langone Medical Center · New York, United States
    • Montefiore Medical Center · New York, United States
    • Cleveland Clinic Foundation · Cleveland, United States
    Start date Aug 2026→Sep 11, 2026 (now actual)
    + 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 ↗

10

Registry details

Key details

Study ID
NCT07321899
Responsible party
Sponsor
First posted
Jan 7, 2026
Start date
Sep 11, 2026
Primary completion
Sep 2031 (estimated)
Completion
Apr 2041 (estimated)
Last update
Sep 25, 2026

Study contacts

Amber St Martin
Contact
rs.pathfinder@medtronic.com
612-380-5637
Vinayak N. Bapat, MD
principal investigator · Minneapolis Heart Institute
Anita Asgar, MD
principal investigator · Northwestern Medicine Bluhm Cardiovascular Institute
Nicolas Dumonteil, MD
principal investigator · Clinique Pasteur Groupe CardioVasculaire Interventionnel
Azeem Latib, MD
principal investigator · Montefiore Medical Center
Firas Zahr, MD
principal investigator · Knight Cardiovascular Institute

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion