Tricuspid RegurgitationNCT03904147
TRILUMINATE Pivotal Trial
A study testing TriClipTM Device in people with Tricuspid Regurgitation, run by Abbott Medical Devices at 76 sites in 5 countries.
Trial summary
The primary objective of this trial is to demonstrate the safety and effectiveness of the TriClip device in improving clinical outcomes in symptomatic patients with severe tricuspid regurgitation (TR), who are at intermediate or greater estimated risk for mortality or morbidity with tricuspid valve surgery. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Tricuspid Regurgitation
- What is being tested?
- TriClipTM Device
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 572 participants
- Where
- 76 sitesin 5 countries
- Study dates
- 21 Aug 2019to Apr 2029
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- In the judgment of the site local heart team, subject has been adequately treated per applicable standards (including medical management) and stable for at least 30 days as follows:
- Optimized medical therapy for treatment of TR (e.g. diuretics).
- Medical and/or device therapy, for mitral regurgitation, atrial fibrillation, coronary artery disease and heart failure.
- The Eligibility Committee will confirm that the subject has been adequately treated medically.
- Subject is symptomatic with Severe TR despite being optimally treated as described above. TR severity is determined by the assessment of a qualifying TTE and confirmed by the ECL. The ECL will also request a TEE to confirm TR etiology. Note: If any cardiac procedure(s) occur after eligibility was determined, TR severity will need to be re-assessed 30 days after the cardiac procedure(s).
- The cardiac surgeon of the site local heart team concur that the patient is at intermediate or greater estimated risk for mortality or morbidity with tricuspid valve surgery.
Show all 10Show fewer
- New York Heart Association (NYHA) Functional Class II, III or ambulatory class IV
- In the judgment of the TriClip(TM) implanting Investigator, femoral vein access is determined to be feasible and can accommodate a 25 Fr catheter.
- Age ≥18 years at time of consent.
- Subject must provide written informed consent prior to any trial related procedure.
Who cannot join
- Systolic pulmonary artery pressure (sPAP) > 70 mmHg or fixed pre-capillary pulmonary hypertension as assessed by right heart catheterization (RHC)
- Severe uncontrolled hypertension Systolic Blood Pressure (SBP) ≥ 180 mmHg and/or Diastolic Blood Pressure (DBP) ≥ 110 mm Hg
- Any prior tricuspid valve procedure that would interfere with placement of the TriClip(TM) device
- Indication for left-sided (e.g. severe aortic stenosis, severe mitral regurgitation) or pulmonary valve correction prior 60 days. Note: Patients with concomitant Mitral and tricuspid valve disease will have the option of getting their MR treated, and wait 60 days prior to being reassessed for the trial.
- Pacemaker or ICD leads that would prevent appropriate placement of the TriClip(TM) clip.
- Tricuspid valve stenosis - Defined as a tricuspid valve orifice of ≤ 1.0 cm2 and/or mean gradient ≥5 mmHg as measured by the ECL
Show all 31Show fewer
- Left Ventricular Ejection Fraction (LVEF) ≤20%
- Tricuspid valve leaflet anatomy which may preclude clip implantation, proper clip positioning on the leaflets or sufficient reduction in TR. This may include:
- Evidence of calcification in the grasping area
- Presence of a severe coaptation defect (> 2cm) of the tricuspid leaflets
- Severe leaflet defect(s) preventing proper device placement
- Ebstein Anomaly - Identified by having a normal annulus position while the valve leaflets are attached to the walls and septum of the right ventricle.
- Tricuspid valve anatomy not evaluable by TTE and TEE
- Active endocarditis or active rheumatic heart disease or leaflets degenerated from rheumatic disease (i.e. noncompliant, perforated).
- MI or known unstable angina within prior 30 days
- Percutaneous coronary intervention within prior 30 days
- Hemodynamic instability defined as systolic pressure < 90 mmHg with or without afterload reduction, cardiogenic shock or the need for inotropic support or intra-aortic balloon pump or other hemodynamic support device.
- Cerebrovascular Accident (CVA) within prior 90 days
- Chronic dialysis
- Bleeding disorders or hypercoagulable state
- Active peptic ulcer or active gastrointestinal (GI) bleeding
- Contraindication, allergy or hypersensitivity to dual antiplatelet and anticoagulant therapy.
- Note: Contraindication to either antiplatelet or anticoagulant therapy (individually not both therapies) is not an exclusion criterion.
- Ongoing infection requiring current antibiotic therapy (if temporary illness, patients may enroll 30 days after discontinuation of antibiotics with no active infection).
- Known allergy or hypersensitivity to device materials
- Evidence of intracardiac, inferior vena cava (IVC), or femoral venous mass, thrombus or vegetation.
- Life expectancy of less than 12 months
- Subject is currently participating in another clinical trial that has not yet completed its primary endpoint.
- Subject is currently participating in another clinical investigation for valvular heart disease(s).
- Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period. Female subjects of child-bearing potential are required to have a negative pregnancy test done within 7 days of the baseline visit per site standard test. Female patients of childbearing potential should be instructed to use safe contraception (e.g., intrauterine devices, hormonal contraceptives: contraceptive pills, implants, transdermal patches hormonal vaginal devices, injections with prolonged release.) It is accepted, in certain cases, to include subjects having a sterilized regular partner or subjects using a double barrier contraceptive method.
- Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results.
Trial locations and contacts
76 sites in 5 countries.
76 sites in 5 countries
United States63 sites
Albany Medical Center
Albany, New York, 12208
University of Michigan
Ann Arbor, Michigan, 48104
Piedmont Heart Institute
Atlanta, Georgia, 30309
JFK Medical Center
Atlantis, Florida, 33462
University of Colorado Hospital
Aurora, Colorado, 80045
Austin Heart
Austin, Texas, 78756
University Hospital - University of Alabama at Birmingham
Birmingham, Alabama, 35249
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Manatee Memorial Hospital
Bradenton, Florida, 34208
Buffalo General Hospital
Buffalo, New York, 14203
Carolinas Medical Center
Charlotte, North Carolina, 28203
Novant Health Heart and Vascular Research Institute
Charlotte, North Carolina, 28204
University of Virginia Medical Center
Charlottesville, Virginia, 22908
Rush University Medical Center
Chicago, Illinois, 60612
Christ Hospital
Cincinnati, Ohio, 45219
Morton Plant Valve Clinic
Clearwater, Florida, 33756
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Ohio Health Research Institute
Columbus, Ohio, 43214
Baylor Scott and White Heart and Vascular Hospital
Dallas, Texas, 75226
Delray Medical Center
Delray Beach, Florida, 33484
Northshore University HealthSystem
Evanston, Illinois, 60201
Inova Fairfax Hospital
Falls Church, Virginia, 22042
Cardiovascular Institute of the South
Houma, Louisiana, 70361
The Methodist Hospital
Houston, Texas, 77030
MedStar Health Research Institute
Hyattsville, Maryland, 20782
St. Vincent Hospital
Indianapolis, Indiana, 46240
Kansas University Medical Center
Kansas City, Kansas, 66160
Scripps Green Hospital
La Jolla, California, 92037
Cedars-Sinai Medical Center
Los Angeles, California, 90048
North Shore University Hospital
Manhasset, New York, 11030
Baptist Hospital of Miami
Miami, Florida, 33176
Aurora Medical Group
Milwaukee, Wisconsin, 53215
Abbott Northwestern Hospital
Minneapolis, Minnesota, 55407
El Camino Hospital
Mountain View, California, 94040
Intermountain Medical Center
Murray, Utah, 84157
Centennial Heart Cardiovascular Consultants
Nashville, Tennessee, 37203
St. Thomas Hospital
Nashville, Tennessee, 37205
Yale New Haven
New Haven, Connecticut, 06510
Mount Sinai Hospital
New York, New York, 10029
New York-Presbyterian/Columbia University Medical Center
New York, New York, 10032
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507
Providence Medical Foundation (St. Joseph Hospital)
Orange, California, 92868
Palm Beach Garden Medical Center
Palm Beach Gardens, Florida, 33410
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
St. Joseph's Hospital & Medical Center
Phoenix, Arizona, 85013
Arizona Cardiovascular Research Center
Phoenix, Arizona, 85016
Phoenix Cardiovascular Research Group
Phoenix, Arizona, 85018
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Providence Heart and Vascular Institute
Portland, Oregon, 97225
Sutter Medical Center, Sacramento
Sacramento, California, 95816
University of California - Davis Medical Center
Sacramento, California, 95817
Methodist Hospital of San Antonio
San Antonio, Texas, 78229
California Pacific Medical Center
San Francisco, California, 94109
Scottsdale Healthcare Shea
Scottsdale, Arizona, 85260
Swedish Medical Center
Seattle, Washington, 98107
University of Washington Medical Center
Seattle, Washington, 98195
Tallahassee Research Institute
Tallahassee, Florida, 32308
Montefiore Medical Center - Moses Division
The Bronx, New York, 10467
Los Robles Regional Medical Center
Thousand Oaks, California, 91360
Tucson Medical Center
Tucson, Arizona, 85712
Cardiovascular Research Institute of Kansas
Wichita, Kansas, 67226
Canada7 sites
Hamilton Health Science Centre
Hamilton, Ontario, L8L 2X2
Institut de Cardiologie de Montreal (Montreal Heart Inst.)
Montreal, Quebec, H1T 1C8
The Royal Victoria
Montreal, Quebec, H4A 3J1
Ottawa Heart Institute
Ottawa, Ontario, K1Y 4W7
St. Michael's Hospital
Toronto, Ontario, M5B 1W8
Sunnybrook Health Science Centre
Toronto, Ontario, M5N 3M5
St. Paul's Hospital
Vancouver, British Columbia, V6Z 2E8
Germany4 sites
Universitätsklinikum Bonn AdöR
Bonn, North Rhine-Westphalia, 53105
Herzzentrum Leipzig GmbH
Leipzig, Saxony, 04289
UNIVERSITATSMEDIZIN der Johannes Gutenberg-Universität Mainz
Mainz, Rhineland-Palatinate, 55131
München Grosshadern
München, Bavaria, 81377
Spain1 site
Hospital Clinic I Provincial de Barcelona
Barcelona, Catalonia, 08036
About this study
Official title: Clinical Trial to Evaluate Cardiovascular Outcomes In Patients Treated With the Tricuspid Valve Repair System Pivotal
The primary objective of this trial is to demonstrate the safety and effectiveness of the TriClip device in improving clinical outcomes in symptomatic patients with severe tricuspid regurgitation (TR), who are at intermediate or greater estimated risk for mortality or morbidity with tricuspid valve surgery. This randomized controlled trial will compare the investigational device (TriClip device) to Control (Medical Therapy).
- Conditions
- Tricuspid Regurgitation
- Being tested
- TriClipTM Device
- Keywords
- ABT-CIP-10249, Tricuspid, Cardiovascular, Pivotal
- Medical subject headings
- Tricuspid Valve Insufficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TriClipTM DeviceDevice
Transcatheter TriClip placement in the tricuspid valve to repair the valve and correct regurgitation
| Study group | Role | What they receive |
|---|---|---|
| Randomized - Device Group | Experimental | Subjects will undergo TriClip implantation and will continue to be managed on medical therapy, per physician discretion Receives: Device: TriClipTM Device |
| Randomized - Control Group | Active comparator | Subjects will continue to be managed on medical therapy, per physician discretion Receives: Device: TriClipTM Device |
| Single Arm Group | Experimental | Subjects will receive the TriClip device and will continue to be managed on medical therapy, per physician discretion. Receives: Device: TriClipTM Device |
| Continued Access Study (CAS) | Experimental | Subjects will undergo TriClip implantation and will continue to be managed on medical therapy, per physician discretion Receives: Device: TriClipTM Device |
What is being measured
The primary outcome is the main question the study is designed to answer.
For Randomized Cohort: Hierarchical Composite of All-cause Death or Tricuspid Valve Surgery, Heart Failure Hospitalizations, and KCCQ Improvement
Analysis of hierarchical composite of all-cause death or tricuspid valve surgery, heart failure hospitalizations, and KCCQ improvement of at least 15 points was performed in ITT population using Finkelstein-Schoenfeld method.
A win ratio was also calculated to descriptively quantify the magnitude of treatment benefits. The win ratio is calculated as the ratio of the number of wins in Device versus Control patients. The primary analysis population consisted of 175 Device patients and 175 Control patients, resulting in 30,625 Device-Control patient pairs (i.e., 175 × 175).
Measured: 12 Months
For Single-Arm Cohort: Rate of Survival Through 12 Months With a Quality of Life Improvement (Assessed Using KCCQ Overall Score) of at Least 10 Points Compared to Baseline.
This outcome will be assessed as the percentage of subjects meeting the definition of the endpoint.
Measured: 12 months
Secondary outcomes (9)
For Randomized Cohort - Device Group Only: Rate of Kaplan-Meier Estimate (SE) of Freedom From Major Adverse Events (MAE) Occurring Within 30 Days Post-procedure
Freedom from major adverse events (MAE) was assessed in the Attempted Procedure population (n=172). MAEs included cardiovascular mortality, new onset renal failure, endocarditis requiring surgery, and non-elective cardiovascular surgery for TriClip device-related AE post-index procedure.
Measured: 30 Days
For Randomized Cohort: Change in Quality of Life as Assessed by KCCQ Score
The mean change in KCCQ score between 12 months and baseline in the Device and Control groups will be compared, while adjusting for the baseline KCCQ score. The primary analysis for this endpoint imputed a KCCQ score of 0 at 12-month visit for all subjects who experienced a heart failure related cardiovascular death or received tricuspid valve surgery prior to completing 12-month follow-up. All KCCQ scores are scaled from 0 (worst) to 100 (best possible status), where the higher score reflects a better health status.
Measured: 12 months minus baseline
For Randomized Cohort: Tricuspid Regurgitation Reduction to Moderate or Less at 30-Day Visit
The percentage of subjects with tricuspid regurgitation reduced to moderate or less at 30-day visit in the Device Group will be compared with that in the Control Group. Tricuspid regurgitation severity will be graded on a 5-point scale: trace/mild, moderate, severe (severe 3), massive (severe 4), and torrential (severe 5), which has frequently been used in recent interventional tricuspid studies to categorize tricuspid regurgitation severity. This grading system follows the 2017 ASE guidelines (Zoghbi WA, Adams D, Bonow RO et al. Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 2017;30:303-371.), and further stratifies the traditional "severe" category into severe (Severe 3), massive (Severe 4), and torrential (Severe 5).
Measured: 30 Days
For Randomized Cohort: Change in 6 Minute Walk Test (6MWT) From Baseline to 12 Months
The primary analysis for this endpoint imputed a 6MWT distance of 0 meters for all subjects who experienced a heart failure related cardiovascular death or received tricuspid valve surgery prior to completing 12-month follow-up. Subjects who were unable to exercise due to cardiac reasons were also assigned a 6MWT distance of 0 meters at 12-month follow-up. Other subjects with missing 6MWT distance at either baseline or 12-month follow-up were excluded from the analysis.
Measured: 12 Months
For Single-Arm Cohort: The Percentage of Subjects With TR Reduction by at Least 1 Grade at 30-Day Follow-up
Measured: 30 days
For Single-Arm Cohort: Rate of Freedom From MAE Through 30 Days
Freedom from MAE occurring after procedure attempt (femoral vein puncture) at 30 days. Components of MAE consist of Cardiovascular Mortality, New Onset Renal Failure, Endocarditis Requiring Surgery, and Non-Elective Cardiovascular Surgery for TriClip device-related AE post-index procedure.
Measured: 30 days
For Single-Arm Cohort: Change in 6 Minute Walk Test (6MWT) From Baseline to 12 Months
This analysis imputed a 6MWT distance of 0 meters for all subjects who were unable to exercise due to cardiac reasons. However, there were no subjects unable to exercise due to cardiac reasons and therefore no imputation was performed. Subjects with missing 6MWT distance at either baseline or 12-month follow-up were excluded from the analysis.
Measured: 12 months
Recurrent HF Hospitalizations at 24 Months
H0: HR(24M)>1; H1: HR(24M)≤1
Measured: 24 months
Freedom From All-cause Mortality, Tricuspid Valve Surgery, and Tricuspid Valve Intervention at 24 Months
H0: Survival curves of the two groups through 24 months are the same. H1: Survival curves of the two groups through 24 months are different.
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Apr 2019
- Study start21 Aug 2019
- Primary completion18 Nov 2022
- Study completionApr 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Tricuspid RegurgitationStudies of the same condition, open and under way.
- More trials run by Abbott Medical DevicesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 572 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott Medical Devices
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Meghan Griffin, PhD, Study director, Abbott Structural HeartDavid Adams, MD, Principal investigator, Icahn School of Medicine at Mount SinaiPaul Sorajja, MD, Principal investigator, Allina Health System
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03904147
- Sponsor's protocol ID
- ABT-CIP-10249
- Status last verified
- Dec 2024
- First submitted
- 3 Apr 2019
- Last updated
- 19 Dec 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Publications
Kar S, Makkar RR, Whisenant BK, Hamid N, Naik H, Tadros P, Price MJ, Singh G, Schwartz JG, Kapadia S, Alli O, Horr S, Seshiah P, Batchelor W, Jones BM, Ahmed MI, Benza R, Jorde U, Thourani VH, Ghobrial AA, Tang GHL, Trusty PM, Huang D, Hahn RT, Adams DH, Sorajja P; TRILUMINATE Pivotal Investigators. Two-Year Outcomes of Transcatheter Edge-to-Edge Repair for Severe Tricuspid Regurgitation: The TRILUMINATE Pivotal Randomized Controlled Trial. Circulation. 2025 Jun 10;151(23):1630-1638. doi: 10.1161/CIRCULATIONAHA.125.074536. Epub 2025 Mar 30.
PubMed 40159089Naik H, Price MJ, Kapadia S, Whisenant BK, Tadros P, Makkar R, Asgar AW, Fam N, Tang GHL, Mehta SR, Byrne T, Singh G, Panaich SS, Peterman K, Trusty PM, Hamid N, Hahn RT, Adams DH, Sorajja P. Tricuspid Transcatheter Edge-to-Edge Repair in Patients With Transvalvular CIED Leads: The TRILUMINATE Pivotal Trial. JACC Clin Electrophysiol. 2025 May;11(5):1012-1020. doi: 10.1016/j.jacep.2025.01.001. Epub 2025 Jan 20.
PubMed 39903153Cavalcante JL, Scherer M, Fukui M, Lerakis S, Harb S, Pursnani A, Schwartz JG, Kapadia S, Ricciardi MJ, Khalique O, Kodali S, Shah D, Little SH, Sekaran N, Whisenant B, Flueckiger P, Yadav P, Emaminia A, Batchelor W, Kellman P, Lin Z, Trusty PM, Hahn RT, Adams D, Sorajja P. Advanced Imaging Assessment of the Impact of Tricuspid Regurgitation on Cardiac Remodeling: The TRILUMINATE Pivotal Imaging Substudy. J Am Coll Cardiol. 2025 Jan 28;85(3):250-261. doi: 10.1016/j.jacc.2024.09.009. Epub 2024 Nov 20.
PubMed 39570246Jorde UP, Benza R, McCarthy PM, Ailawadi G, Whisenant B, Makkar R, Tadros P, Naik H, Fam N, Sauer AJ, Murthy S, Kar S, von Bardeleben RS, Hahn RT, Hamid N, Zbinden J, Sorajja P, Adams D. Impact of Renal and Liver Function on Clinical Outcomes Following Tricuspid Valve Transcatheter Edge-to-Edge Repair. J Am Coll Cardiol. 2024 Dec 17;84(25):2446-2456. doi: 10.1016/j.jacc.2024.08.044. Epub 2024 Aug 31.
PubMed 39222896Sorajja P, Whisenant B, Hamid N, Naik H, Makkar R, Tadros P, Price MJ, Singh G, Fam N, Kar S, Schwartz JG, Mehta S, Bae R, Sekaran N, Warner T, Makar M, Zorn G, Spinner EM, Trusty PM, Benza R, Jorde U, McCarthy P, Thourani V, Tang GHL, Hahn RT, Adams DH; TRILUMINATE Pivotal Investigators. Transcatheter Repair for Patients with Tricuspid Regurgitation. N Engl J Med. 2023 May 18;388(20):1833-1842. doi: 10.1056/NEJMoa2300525. Epub 2023 Mar 4.
PubMed 36876753
Study at a glance
From the registry record, last updated by the sponsor on 19 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Trial to Evaluate Cardiovascular Outcomes In Patients Treated With the Tricuspid Valve Repair System Pivotal
- ClinicalTrials.gov ID
- NCT03904147
- Acronym / sponsor ID
- ABT-CIP-10249
- Conditions
- Tricuspid Regurgitation
- Keywords
- ABT-CIP-10249, Tricuspid, Cardiovascular, Pivotal
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 572 participants (actual)
- Lead sponsor
- Abbott Medical DevicesIndustry (pharma, biotech, devices)
- Study start
- 21 Aug 2019 (actual)
- Primary completion
- 18 Nov 2022 (actual)
- Study completion
- Apr 2029 (estimated)
- First posted
- 5 Apr 2019 (actual)
- Results
- Posted 27 Mar 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this trial is to demonstrate the safety and effectiveness of the TriClip device in improving clinical outcomes in symptomatic patients with severe tricuspid regurgitation (TR), who are at intermediate or greater estimated risk for mortality or morbidity with tricuspid valve surgery. This randomized controlled trial will compare the investigational device (TriClip device) to Control (Medical Therapy).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Randomized - Device Group | Experimental | Device: TriClipTM DeviceSubjects will undergo TriClip implantation and will continue to be managed on medical therapy, per physician discretion |
| Randomized - Control Group | Active comparator | Device: TriClipTM DeviceSubjects will continue to be managed on medical therapy, per physician discretion |
| Single Arm Group | Experimental | Device: TriClipTM DeviceSubjects will receive the TriClip device and will continue to be managed on medical therapy, per physician discretion. |
| Continued Access Study (CAS) | Experimental | Device: TriClipTM DeviceSubjects will undergo TriClip implantation and will continue to be managed on medical therapy, per physician discretion |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- In the judgment of the site local heart team, subject has been adequately treated per applicable standards (including medical management) and stable for at least 30 days as follows:
- Subject is symptomatic with Severe TR despite being optimally treated as described above. TR severity is determined by the assessment of a qualifying TTE and confirmed by the ECL. The ECL will also request a TEE to confirm TR etiology. Note: If any cardiac procedure(s) occur after eligibility was determined, TR severity will need to be re-assessed 30 days after the cardiac procedure(s).
- The cardiac surgeon of the site local heart team concur that the patient is at intermediate or greater estimated risk for mortality or morbidity with tricuspid valve surgery.
- New York Heart Association (NYHA) Functional Class II, III or ambulatory class IV
- In the judgment of the TriClip(TM) implanting Investigator, femoral vein access is determined to be feasible and can accommodate a 25 Fr catheter.
Key exclusion criteria (31 listed)
- Systolic pulmonary artery pressure (sPAP) > 70 mmHg or fixed pre-capillary pulmonary hypertension as assessed by right heart catheterization (RHC)
- Severe uncontrolled hypertension Systolic Blood Pressure (SBP) ≥ 180 mmHg and/or Diastolic Blood Pressure (DBP) ≥ 110 mm Hg
- Any prior tricuspid valve procedure that would interfere with placement of the TriClip(TM) device
- Indication for left-sided (e.g. severe aortic stenosis, severe mitral regurgitation) or pulmonary valve correction prior 60 days. Note: Patients with concomitant Mitral and tricuspid valve disease will have the option of getting their MR treated, and wait 60 days prior to being reassessed for the trial.
- Pacemaker or ICD leads that would prevent appropriate placement of the TriClip(TM) clip.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TriClipTM DeviceTranscatheter TriClip placement in the tricuspid valve to repair the valve and correct regurgitation | Device | Continued Access Study (CAS), Randomized - Control Group, Randomized - Device Group, Single Arm Group |
Primary outcome
For Randomized Cohort: Hierarchical Composite of All-cause Death or Tricuspid Valve Surgery, Heart Failure Hospitalizations, and KCCQ Improvement
Time frame: 12 Months
Analysis of hierarchical composite of all-cause death or tricuspid valve surgery, heart failure hospitalizations, and KCCQ improvement of at least 15 points was performed in ITT population using Finkelstein-Schoenfeld method. A win ratio was also calculated to descriptively quantify the magnitude of treatment benefits. The win ratio is calculated as the ratio of the number of wins in Device versus Control patients. The primary analysis population consisted of 175 Device patients and 175 Control patients, resulting in 30,625 Device-Control patient pairs (i.e., 175 × 175).
For Single-Arm Cohort: Rate of Survival Through 12 Months With a Quality of Life Improvement (Assessed Using KCCQ Overall Score) of at Least 10 Points Compared to Baseline.
Time frame: 12 months
This outcome will be assessed as the percentage of subjects meeting the definition of the endpoint.
9 secondary outcomes
For Randomized Cohort - Device Group Only: Rate of Kaplan-Meier Estimate (SE) of Freedom From Major Adverse Events (MAE) Occurring Within 30 Days Post-procedure
Time frame: 30 Days
For Randomized Cohort: Change in Quality of Life as Assessed by KCCQ Score
Time frame: 12 months minus baseline
For Randomized Cohort: Tricuspid Regurgitation Reduction to Moderate or Less at 30-Day Visit
Time frame: 30 Days
For Randomized Cohort: Change in 6 Minute Walk Test (6MWT) From Baseline to 12 Months
Time frame: 12 Months
For Single-Arm Cohort: The Percentage of Subjects With TR Reduction by at Least 1 Grade at 30-Day Follow-up
Time frame: 30 days
For Single-Arm Cohort: Rate of Freedom From MAE Through 30 Days
Time frame: 30 days
For Single-Arm Cohort: Change in 6 Minute Walk Test (6MWT) From Baseline to 12 Months
Time frame: 12 months
Recurrent HF Hospitalizations at 24 Months
Time frame: 24 months
Freedom From All-cause Mortality, Tricuspid Valve Surgery, and Tricuspid Valve Intervention at 24 Months
Time frame: 24 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40159089Kar S, Makkar RR, Whisenant BK, Hamid N, Naik H, Tadros P, Price MJ, Singh G, Schwartz JG, Kapadia S, Alli O, Horr S, Seshiah P, Batchelor W, Jones BM, Ahmed MI, Benza R, Jorde U, Thourani VH, Ghobrial AA, Tang GHL, Trusty PM, Huang D, Hahn RT, Adams DH, Sorajja P; TRILUMINATE Pivotal Investigators. Two-Year Outcomes of Transcatheter Edge-to-Edge Repair for Severe Tricuspid Regurgitation: The TRILUMINATE Pivotal Randomized Controlled Trial. Circulation. 2025 Jun 10;151(23):1630-1638. doi: 10.1161/CIRCULATIONAHA.125.074536. Epub 2025 Mar 30.
- Derived from this study: PubMed 39903153Naik H, Price MJ, Kapadia S, Whisenant BK, Tadros P, Makkar R, Asgar AW, Fam N, Tang GHL, Mehta SR, Byrne T, Singh G, Panaich SS, Peterman K, Trusty PM, Hamid N, Hahn RT, Adams DH, Sorajja P. Tricuspid Transcatheter Edge-to-Edge Repair in Patients With Transvalvular CIED Leads: The TRILUMINATE Pivotal Trial. JACC Clin Electrophysiol. 2025 May;11(5):1012-1020. doi: 10.1016/j.jacep.2025.01.001. Epub 2025 Jan 20.
- Derived from this study: PubMed 39570246Cavalcante JL, Scherer M, Fukui M, Lerakis S, Harb S, Pursnani A, Schwartz JG, Kapadia S, Ricciardi MJ, Khalique O, Kodali S, Shah D, Little SH, Sekaran N, Whisenant B, Flueckiger P, Yadav P, Emaminia A, Batchelor W, Kellman P, Lin Z, Trusty PM, Hahn RT, Adams D, Sorajja P. Advanced Imaging Assessment of the Impact of Tricuspid Regurgitation on Cardiac Remodeling: The TRILUMINATE Pivotal Imaging Substudy. J Am Coll Cardiol. 2025 Jan 28;85(3):250-261. doi: 10.1016/j.jacc.2024.09.009. Epub 2024 Nov 20.
- Derived from this study: PubMed 39222896Jorde UP, Benza R, McCarthy PM, Ailawadi G, Whisenant B, Makkar R, Tadros P, Naik H, Fam N, Sauer AJ, Murthy S, Kar S, von Bardeleben RS, Hahn RT, Hamid N, Zbinden J, Sorajja P, Adams D. Impact of Renal and Liver Function on Clinical Outcomes Following Tricuspid Valve Transcatheter Edge-to-Edge Repair. J Am Coll Cardiol. 2024 Dec 17;84(25):2446-2456. doi: 10.1016/j.jacc.2024.08.044. Epub 2024 Aug 31.
- Derived from this study: PubMed 36876753Sorajja P, Whisenant B, Hamid N, Naik H, Makkar R, Tadros P, Price MJ, Singh G, Fam N, Kar S, Schwartz JG, Mehta S, Bae R, Sekaran N, Warner T, Makar M, Zorn G, Spinner EM, Trusty PM, Benza R, Jorde U, McCarthy P, Thourani V, Tang GHL, Hahn RT, Adams DH; TRILUMINATE Pivotal Investigators. Transcatheter Repair for Patients with Tricuspid Regurgitation. N Engl J Med. 2023 May 18;388(20):1833-1842. doi: 10.1056/NEJMoa2300525. Epub 2023 Mar 4.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Meghan Griffin, PhD study director
Abbott Structural Heart
David Adams, MD principal investigator
Icahn School of Medicine at Mount Sinai
Paul Sorajja, MD principal investigator
Allina Health System
76 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing TriClipTM Device in people with Tricuspid Regurgitation, run by Abbott Medical Devices at 76 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 19 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 76 sites in United States, Canada, Germany, Italy, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
For Randomized Cohort: Hierarchical Composite of All-cause Death or Tricuspid Valve Surgery, Heart Failure Hospitalizations, and KCCQ Improvement (time frame: 12 Months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03904147, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2024; AzTrials last refreshed its copy on 30 Oct 2026.