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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06368401
Registration number
NCT06368401
Ethics application status
Date submitted
7/04/2024
Date registered
16/04/2024
Titles & IDs
Public title
A First in Human Study for the Versa Device for Tricuspid Regurgitation
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Scientific title
Transcatheter Tricuspid Repair Utilizing the Versa Vascular Repair System
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Secondary ID [1]
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TP_01428
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Tricuspid Regurgitation
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Versa Implant
Experimental: Implant - Participants who pass all screening criteria will undergo a percutaneous procedure for the implantation of a permanent tricuspid repair device. Participants will be followed for 1 year to evaluate the safety and feasibility of the Versa System procedure and the Versa Tricuspid Repair Implant.
Treatment: Devices: Versa Implant
The Versa Vascular Implant and Delivery System consists of a percutaneously delivered, permanent right-atrial implant and the delivery catheter that is used to first position the implant over the native valve orifice and to then place the implant.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Acute Procedural Success
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Assessment method [1]
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Successful in Versa Vascular Device implantation, and residual TR grade equivalent to a reduction of at least 1 grade of TR when compared to TR evaluated prior to implantation of the Versa Vascular Device.
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Timepoint [1]
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Immediately after the procedure
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Primary outcome [2]
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Incidence of major adverse events (MAE)
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Assessment method [2]
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Freedom from procedure and/or device related Major Adverse Events (MAE). MAE are defined as all-cause mortality, reoperation, or reintervention for tricuspid regurgitation prior to hospital discharge.
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Timepoint [2]
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(up to 7 days) from date of procedure to date of patient discharge from hospital
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Secondary outcome [1]
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Tricuspid Regurgitation Severity Change
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Assessment method [1]
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Percentage of patients with tricuspid regurgitation reduced by at least one grade. Echocardiographic analysis of Tricuspid regurgitation at 90 days. TR grade at day 90 will be compared against TR grade at the time of implantation.
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Timepoint [1]
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90 days
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Eligibility
Key inclusion criteria
* Tricuspid regurgitation (TR) associated symptoms despite optimal medical treatment.
* TR = 3 as determined by the assessment of a transthoracic echocardiogram or transesophageal echocardiogram.
* The local multi-disciplinary heart team agrees that the participant is a poor candidate for surgery.
* Age = 18 years at the time of consent.
* Ability and willingness to provide written informed consent prior to any study related procedure(s).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Severe pulmonary hypertension.
* Severe uncontrolled hypertension Systolic Blood Pressure (SBP) = 180 mmHg and/or Diastolic Blood Pressure (DBP) = 110 mmHg.
* Any condition that would interfere with the Versa procedure, such as prior tricuspid valve repair or tricuspid valve leaflet anatomy which may preclude successful device implantation, pacemaker or Implantable Cardioverter Defibrillator (ICD) leads that would prevent appropriate placement or visualization of Versa implant, Ebstein Anomaly (normal annulus position, but valve leaflets attached to walls and septum of the right ventricle), tricuspid valve anatomy non-evaluable by echocardiography.
* Known allergy to antiplatelet therapy, heparin, or to device materials.
* Femoral venous mass or thrombus or vegetation.
* Tricuspid valve anatomy not compatible with the Versa implant
* Undergone any heart valve surgery within prior 60 days.
* Tricuspid valve stenosis - Defined as a tricuspid valve orifice of = 4.0 cm2.
* Severe mitral regurgitation.
* Left Ventricular Ejection Fraction (LVEF) = 20%
* Active endocarditis, other ongoing infection requiring antibiotic therapy.
* Myocardial infarction or percutaneous coronary intervention within prior 30 days.
* Cardiogenic shock or the need for inotropic support or hemodynamic support device (e.g., intra-aortic balloon pump).
* Cerebrovascular Accident (CVA) within prior 30 days
* Active gastrointestinal (GI) bleeding
* Life expectancy of less than 12 months independent of tricuspid valvular disease.
* Subject currently participating in another clinical study (not yet completed primary endpoint).
* Pregnant or nursing subjects or those who plan pregnancy during the study.
* The presence of anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the eye of the investigator, limits the subject's ability to participate in the clinical investigation or comply with follow-up requirements.
* Absence of appropriate venous access.
* Unwillingness to complete the required follow-up visits.
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/06/2024
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Versa Vascular, Inc
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is prospective, non-randomized, single-arm,first in human study to evaluate the safety and feasibility of the Versa Vascular System for intervention in adults with severe tricuspid regurgitation who are not surgical candidates.
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Trial website
https://clinicaltrials.gov/study/NCT06368401
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mark Webster, MD
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Address
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Auckland City Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Aaron Grogan
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Address
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Country
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Phone
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650 265 8123
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06368401