ClinicalTrials.gg
RecruitingNCT07385625Pivot TRUpdated Feb 4, 2026

Acute Safety and Efficacy of the Pivot Bridge System for Functional Tricuspid Regurgitation

An interventional study of Pivot Bridge in Tricuspid Regurgitation Functional, sponsored by Tau-MEDICAL Co., Ltd.. Recruiting at 4 sites in South Korea. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-04.

Sponsored by Tau-MEDICAL Co., Ltd. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Nov 2025; still recruiting 11 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 15 studies in Tricuspid Valve Insufficiency with a site in Korea, Republic of — 6 open to participants now, 7 under way, 1 of them phase 3. Tricuspid Valve Insufficiency · Korea, Republic of.

Started
2025
with 1 other
No phase
6 of 15
2 open now
Registered
12th of 15
by date
Lead sponsor
3 of 15
Tau-MEDICAL Co., Ltd.

Among the 15 studies in Tricuspid Valve Insufficiency with a site in Korea, Republic of, this one is one of 2 that started in 2025, is one of 6 with no phase, and was the 12th 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

6 of the 15 studies in Tricuspid Valve Insufficiency with a site in Korea, Republic of are open now. Recruiting first, the newest first:

All 6 open studies →

A study can be open while its sites in Korea, Republic of have not opened yet or have stopped. Only those recruiting at a site in Korea, Republic of →

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.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 15 studies in Tricuspid Valve Insufficiency with a site in Korea, Republic of, or all of them as a file.
02

Study summary

The purpose of this clinical trial is as follows.

To assess the safety of the investigational medical device "Pivot Bridge" in participants aged 18 years or older with massive or greater functinal tricuspid regurgitation (TR) who have received medical therapy (diuretics/pharmacological treatment) for at least one month.

To evaluate clinical outcomes related to improvement of tricuspid regurgitation symptoms following implantation of the "Pivot Bridge" device, including procedure success and clinical success.

This study is designed as a self-controlled case series without a separate control group. The participant's non-exposure period to the investigational medical device, consisting of prior medical therapy (Medical Treatment, MT), is defined as the control period. The study compares (1) a period of fixed-dose medical therapy maintained for up to one week prior to application of the investigational medical device, and (2) a period during which the investigational medical device is temporarily implanted (within 1 week) in conjunction with medical therapy (Pivot Bridge, PB).

To quantitatively evaluate the efficacy of the investigational medical device in inducing improvement of tricuspid regurgitation, the following are assessed:

  1. improvement in regurgitation severity from baseline to Day 4-7 during fixed-dose medical therapy (ΔMT), and
  2. improvement from pre-application to the time of device removal following additional application of the Pivot Bridge (ΔPB).
03

Conditions studied

  • Tricuspid Regurgitation Functional

Keywords

  • Tricuspid Regurgitation
  • SPACER
  • Pivot Bridge
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

Subjects who meet all of the following criteria will be enrolled

  • Adults aged 18 years or older at the time of screening
  • Subjects who have received appropriate medical treatment (diuretics/medical therapy) for tricuspid regurgitation for at least 1 month prior to participation in this clinical trial
  • Subjects who, at the screening visit, are assessed by transthoracic echocardiography (TTE) to have functional tricuspid regurgitation severity of Massive (4+) or greater, as defined by Tricuspid Valve Academic Research Consortium classification, and who have clinical symptoms corresponding to (NYHA) functional class II or higher
  • Subjects who, at the screening visit, are found on TTE or cardiac computed tomography (CT) to have a right ventricle (RV) larger than the left ventricle (LV)
  • Subjects who, at the screening visit, are found on cardiac CT to have an annular diameter of 40 mm or greater
  • Subjects for whom the Heart Team, consisting of at least one cardiologist (specialist in cardiology) and at least one cardiac surgeon, has determined that surgical treatment for isolated Tricuspid Regurgitation is required
  • Subjects who voluntarily decide to participate in this clinical trial and provide written on the subject consent form
  • Subjects who are able to understand and comply with the investigator's instructions and participate throughout the entire clinical trial period

Exclusion criteria

Exclusion Criteria:

Subjects who meet any of the following criteria will be excluded

  • Subjects in whom thrombus or embolic material is identified on echocardiography or cardiac computed tomography (CT) performed at the screening visit
  • Subjects who have uncorrected coagulation disorders as shown by clinical laboratory tests performed at the screening visit
  • Subjects who cannot use anticoagulant agents
  • Subjects who, prior to participation in this clinical trial, have experienced major bleeding due to the use of anticoagulants (minor bleeding such as controllable epistaxis does not apply) requiring treatment, or who have had severe anemia necessitating hospitalization
  • Subjects who, prior to participation in this clinical trial, have had devices such as an implantable cardioverter defibrillator (ICD) or a pacemaker implanted
  • Subjects who, based on echocardiography and cardiac CT performed at the screening visit, are judged by the investigator to have anatomical structures unsuitable for implantation of the medical device
  • Subjects who, based on clinical laboratory tests performed at the screening visit, have a count of ≤80,000/µL
  • Subjects who, based on echocardiography performed at the screening visit, have pulmonary hypertension with TR Vmax ≥3.5 m/s
  • Subjects who, based on echocardiography performed at the screening visit, have (LVEF) \<50%
  • Subjects who, within 3 months prior to participation in this clinical trial, have had active gastrointestinal bleeding or have undergone gastrointestinal procedures (subjects with a risk of gastrointestinal bleeding)
  • Subjects who, within 30 days prior to participation in this clinical trial, have a history of cerebrovascular accident (CVA) or (TIA)
  • Subjects who, within 30 days prior to participation in this clinical trial, have a history of myocardial infarction (MI)
  • Subjects with active infective endocarditis requiring antibiotic therapy
  • Subjects with severe terminal illnesses (e.g., malignant tumors, end-stage pulmonary disease, end-stage liver disease, end-stage renal failure)
  • Subjects who, based on echocardiography performed at the screening visit, have moderate or severe aortic, pulmonary, or mitral stenosis
  • Subjects who, based on echocardiography performed at the screening visit, are found to have calcification of the tricuspid valve leaflets that would affect the procedure
  • Subjects who, based on echocardiography performed at the screening visit, are found to have masses, thrombi, or proliferative lesions in the right heart system, femoral vein, or inferior vena cava
  • Subjects who, within 30 days prior to participation in this clinical trial, have participated in another clinical trial
  • Pregnant or lactating women, and women planning to become pregnant during the study period
  • Women of who are not using medically acceptable methods of
  • Subjects who, in addition to the above, are deemed by the investigator to have findings that make them inappropriate for participation in this trial
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.

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.

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.

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.

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

05

Study design

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

Study arms

  • Experimental
    Patients ≥18 Years With Massive or Greater Functional Tricuspid Regurgitation on Medical Therapy

    Patients aged 18 years or older with massive or greater functional tricuspid regurgitation who have received medical therapy (diuretics and/or pharmacological treatment) for at least 1 month

    Device: Pivot Bridge

Interventions

  • DevicePivot Bridge

    The investigational "Pivot Bridge" device will be inserted through a small incision in the femoral vein and guided to the heart using a catheter. The Pivot Bridge device is designed to sit in the space where the valve isn't closing, helping the flaps of the valve to close tightly and reducing the amount of blood leaking back through the valve.

06

What researchers measure

Primary outcomes

  1. Procedure Success Based on Improvement in Tricuspid Regurgitation Severity

    Proportion of subjects achieving at least a 1-grade improvement in tricuspid regurgitation (TR grade) according to Tricuspid Valve Academic Research Consortium definitions

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

Secondary outcomes

  1. Clinical Success Based on Clinical Improvement

    The number of participants who experienced at least 1 drop in their TR grade from Baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

  2. Clinical Success Based on Clinical Improvement(1)

    Changes in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) score (a measure of symptoms, physical limitation, social limitations and quality of life domains) from baseline. Participants will be asked to tick a box on a scale indicating how each domain affects their life (e.g. scales range from extremely limited to not at all limited, from every morning/night to never over the past 2 weeks, from completely dissatisfied to completely satisfied). The responses will be used to calculate an average score on a scale of 0 to 100. A higher score equates to better outcomes (i.e. fewer symptoms, better physical and social function, improved quality of life).

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

  3. Clinical Success Based on Clinical Improvement(2)

    Changes in eGFR (estimated glomerular filtration rate) from baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

  4. Clinical Success Based on Clinical Improvement(3)

    Number of participants with at least 1 level of improvement in pitting edema from baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

  5. Clinical Success Based on Clinical Improvement(4)

    Number of participants with improvement in New York Heart Association (NYHA) functional class (system to classify the severity of heart failure symptoms) from baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

  6. Clinical Success Based on Clinical Improvement(5)

    Changes in echocardiogram (measurements and assessments of the heart's structure and function) as assessed by the central "Core Lab" reader

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (MT Day 4-7), Visit 3 (PB Day 4-7)

  7. Clinical Success Based on Anatomical Improvement

    Anatomical improvement : right ventricular volume, tricuspid valve annulus area, and other CT core lab analysis parameters

    Time frame: Visit1 (Screening), Visit 3 (PB Day 4-7)

  8. Clinical Success Within 3 Days After Device Removal

    Changes in echocardiogram (measurements and assessments of the heart's structure and function) as assessed by the central "Core Lab" reader

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 3 (Post-removal)

  9. Clinical Success at 1 Month After Device Removal

    Changes in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) score (a measure of symptoms, physical limitation, social limitations and quality of life domains) from baseline. Participants will be asked to tick a box on a scale indicating how each domain affects their life (e.g. scales range from extremely limited to not at all limited, from every morning/night to never over the past 2 weeks, from completely dissatisfied to completely satisfied). The responses will be used to calculate an average score on a scale of 0 to 100. A higher score equates to better outcomes (i.e. fewer symptoms, better physical and social function, improved quality of life).

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 4 (End of Study Visit, PB+ 1 Month)

  10. Clinical Success at 1 Month After Device Removal(1)

    Changes in eGFR (estimated glomerular filtration rate) from baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 4 (End of Study Visit, PB+ 1 Month)

  11. Clinical Success at 1 Month After Device Removal(2)

    Number of participants with at least 1 level of improvement in pitting edema from baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 4 (End of Study Visit, PB+ 1 Month)

  12. Clinical Success at 1 Month After Device Removal(3)

    Number of participants with improvement in New York Heart Association (NYHA) functional class (system to classify the severity of heart failure symptoms) from baseline

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 4 (End of Study Visit, PB+ 1 Month)

  13. Clinical Success at 1 Month After Device Removal(4)

    Changes in echocardiogram (measurements and assessments of the heart's structure and function) as assessed by the central "Core Lab" reader

    Time frame: Visit 2 (Baseline, MT Day 0), Visit 4 (End of Study Visit, PB+ 1 Month)

07

Study locations

4 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Of 55 industry-sponsored interventional studies with no phase under Tricuspid Valve Insufficiency, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 70. This study's planned 8 months is below that.

Counting every sponsor, half of 86 studies reached it within 38 months; a quarter within 23 and three quarters within 58.

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

Registered
Jan 26, 2026
First posted
Feb 4, 2026
StartActual
Nov 20, 2025
Primary completionEst.
Jul 2026
CompletionEst.
Jun 2027
Last update
Feb 4, 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 Feb 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07385625
Lead sponsor
Tau-MEDICAL Co., Ltd.
Responsible party
Sponsor
First posted
Feb 4, 2026
Start date
Nov 20, 2025
Primary completion
Jul 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Feb 4, 2026

Study contacts

June-Hong Kim, MD, PhD
Contact
junehongk@gmail.com
+82-(51)515-8783
Geu-Ru Hong, MD, PhD
principal investigator · Yonsei University Health System, Severance Hospital

Oversight

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

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