Patent Foramen OvaleNCT05360771
Study on the Safety and Effectiveness of the SnowyTM PFO Closure System
A study testing SnowyTM PFO closure system and Cardi-o-fix PFO occluder in people with Patent Foramen Ovale, run by Hangzhou Dinova EP Technology Co., Ltd at 1 site in China.
Trial summary
To evaluate the safety and effectiveness of the SnowyTM PFO closure system in plugging patent foramen ovale Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Patent Foramen Ovale
- What is being tested?
- SnowyTM PFO closure system and Cardi-o-fix PFO occluder
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 242 participants
- Where
- 1 siteChina
- Study dates
- 20 Oct 2023to 20 Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age: 18 to 65 years old, regardless of gender
- Transthoracic echocardiographic contrast echocardiography (cTTE) confirmed the presence of PFO and at least moderate (see above definition) RLS (in Valsalva active/resting state)
- Existence of at least one of the following conditions: 1) Unexplained stroke or TIA 2) intractable or chronic migraine
- The subjects are informed of the nature of the study and agreed to all requirements for participation in the study, signed the informed consent form, and agree to complete the follow-up and follow-up examination
Who cannot join
- Patients have definite causes of stroke unrelated to the PFO
- RLS caused by other causes, such as atrial septal defect or pulmonary arteriovenous shunt
- Atrial fibrillation or atrial flutter
- Mitral and aortic stenosis or severe regurgitation
- Dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy
- Active endocarditis or other untreated infectious diseases
Show all 21Show fewer
- Left ventricular ejection fraction (LVEF) < 40%, or NYHA cardiac function grade III-IV
- Uncontrollable hypertension
- Previous intracardiac surgery
- Myocardial infarction or unstable angina pectoris within 6 months
- Contraindications to anticoagulants or antiplatelet drugs
- High risk of bleeding
- severe liver function impairment(alanine aminotransferase (ALT) or aspartate aminotransferase (AST) greater than 3 times the upper limit of normal value)
- Serum creatinine greater than 2 times the upper limit of normal or with any history of renal dialysis or renal transplantation
- Severe pulmonary disease including pulmonary hypertension (clinical diagnosis)
- Nickel or contrast allergy
- Active or planned (within 12 months) pregnancy, or lactating female patients
- Malignant tumors or other serious diseases resulting in a life expectancy of less than 12 months
- Psychiatric conditions that may interfere with medical compliance and compliance with follow-up
- Concomitant participation in other clinical trials
- The investigator determines that the patient is unsuitable because of reasons not listed but thought to interfere with safe trial participation
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site
The First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, 210029
Kong Xiangqing, MD
Peng Xiaoping, MD
About this study
Official title: A Prospective, Multicenter, Randomized Controlled Clinical Study on the Safety and Effectiveness of the SnowyTM PFO Closure System in Plugging Patent Foramen Ovale
To evaluate the safety and effectiveness of the SnowyTM PFO closure system in plugging patent foramen ovale
Read the detailed description
A prospective, multicenter, randomized controlled clinical trial is conducted to evaluate the safety and effectiveness of PFO closure system produced by Hangzhou Dinova EP Technology Co., Ltd.., Ltd. in closing patent foramen ovale (PFO). 242 patients are expected to be selected. They are randomly divided into the PFO closure system treatment group (121 cases) and the Chinese medicine Shengjie Cardi-o-fix PFO occluder treatment group (121 cases) according to 1:1. All patients will be followed up to 7 days after operation or before discharge, 1 month, 3 month, 6 month, 1 year, 2 year, 3 year, 4 year and 5 year.
- Conditions
- Patent Foramen Ovale
- Being tested
- SnowyTM PFO closure system, Cardi-o-fix PFO occluder
- Medical subject headings
- Foramen Ovale, Patent
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SnowyTM PFO closure systemDevice
Percutaneously occlusion of PFO with SnowyTM PFO closure system
Cardi-o-fix PFO occluderDevice
Percutaneously occlusion of PFO with Cardi-o-fix PFO occluder
| Study group | Role | What they receive |
|---|---|---|
| treatment group | Experimental | Percutaneously occlusion of PFO with SnowyTM PFO closure system Receives: Device: SnowyTM PFO closure system |
| control group | Experimental | Percutaneously occlusion of PFO with Cardi-o-fix PFO occluder Receives: Device: Cardi-o-fix PFO occluder |
What is being measured
The primary outcome is the main question the study is designed to answer.
The success rate of PFO effective occlusion
The amount of right to left shunt (RLS) confirmed by imaging examination after occluder implantation is grade 0-I
Measured: 6 months after the procedure
Secondary outcomes (8)
Number of Participants with Device success
The successful implantation of occluder is defined as the successful delivery and release of occluder during operation, the position of occluder is appropriate and the morphological structure is normal
Measured: immediately after the procedure
Number of Participants with Procedural success
The occluder is successfully implanted and there are no severe adverse events (SAE) during routine hospitalization. SAE include but are not limited to death, systemic embolism, occluder embolism/displacement, occluder thrombosis, heart injury and perforation, pericardial tamponade / pericardial effusion (pericardial effusion leads to hemodynamic damage or requires pericardiocentesis; prolonged hospitalization for more than 48 hours; hospitalization is required), infective endocarditis, atrial fibrillation, severe vascular access complications
Measured: immediately after the procedure
Complete closure rate
No RLS is confirmed by imaging examination after occluder implantation
Measured: 6 months after the procedure
Migraine Headache Impact Test (HIT-6) scores 6 months after operation (compared with baseline)
The scores range from 36 to 78 (higher scores mean a worse outcome).
Measured: 6 months after the procedure
Incidence of serious adverse events
Events that cause death or serious deterioration of health conditions during clinical trials, including fatal diseases or injuries, permanent defects in body structure or function, and the need for medical or surgical intervention to avoid permanent defects in body structure or function
Measured: 5 years after the procedure
Incidence of device-related adverse events
Adverse medical events related to the use of devices during clinical trials
Measured: 5 years after the procedure
All-cause mortality during follow-up
Measured: 5 years after the procedure
All-cause stroke during follow-up
Measured: 5 years after the procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2022
- Study start20 Oct 2023 (estimated)
- Primary completion20 Dec 2023 (estimated)
- Study completion20 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Patent Foramen OvaleStudies of the same condition, open and under way.
- 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 242 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hangzhou Dinova EP Technology Co., Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05360771
- Sponsor's protocol ID
- PFO-001
- Status last verified
- Jun 2023
- First submitted
- 23 Apr 2022
- Last updated
- 7 Jun 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multicenter, Randomized Controlled Clinical Study on the Safety and Effectiveness of the SnowyTM PFO Closure System in Plugging Patent Foramen Ovale
- ClinicalTrials.gov ID
- NCT05360771
- Acronym / sponsor ID
- PFO-001
- Conditions
- Patent Foramen Ovale
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 242 participants (estimated)
- Lead sponsor
- Hangzhou Dinova EP Technology Co., LtdIndustry (pharma, biotech, devices)
- Study start
- 20 Oct 2023 (estimated)
- Primary completion
- 20 Dec 2023 (estimated)
- Study completion
- 20 Dec 2027 (estimated)
- First posted
- 4 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and effectiveness of the SnowyTM PFO closure system in plugging patent foramen ovale
Detailed description
A prospective, multicenter, randomized controlled clinical trial is conducted to evaluate the safety and effectiveness of PFO closure system produced by Hangzhou Dinova EP Technology Co., Ltd.., Ltd. in closing patent foramen ovale (PFO). 242 patients are expected to be selected. They are randomly divided into the PFO closure system treatment group (121 cases) and the Chinese medicine Shengjie Cardi-o-fix PFO occluder treatment group (121 cases) according to 1:1. All patients will be followed up to 7 days after operation or before discharge, 1 month, 3 month, 6 month, 1 year, 2 year, 3 year, 4 year and 5 year.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| treatment group | Experimental | Device: SnowyTM PFO closure systemPercutaneously occlusion of PFO with SnowyTM PFO closure system |
| control group | Experimental | Device: Cardi-o-fix PFO occluderPercutaneously occlusion of PFO with Cardi-o-fix PFO occluder |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age: 18 to 65 years old, regardless of gender
- Transthoracic echocardiographic contrast echocardiography (cTTE) confirmed the presence of PFO and at least moderate (see above definition) RLS (in Valsalva active/resting state)
- Existence of at least one of the following conditions: 1) Unexplained stroke or TIA 2) intractable or chronic migraine
- The subjects are informed of the nature of the study and agreed to all requirements for participation in the study, signed the informed consent form, and agree to complete the follow-up and follow-up examination
Key exclusion criteria (21 listed)
- Patients have definite causes of stroke unrelated to the PFO
- RLS caused by other causes, such as atrial septal defect or pulmonary arteriovenous shunt
- Atrial fibrillation or atrial flutter
- Mitral and aortic stenosis or severe regurgitation
- Dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy
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 |
|---|---|---|
| SnowyTM PFO closure systemPercutaneously occlusion of PFO with SnowyTM PFO closure system | Device | treatment group |
| Cardi-o-fix PFO occluderPercutaneously occlusion of PFO with Cardi-o-fix PFO occluder | Device | control group |
Primary outcome
The success rate of PFO effective occlusion
Time frame: 6 months after the procedure
The amount of right to left shunt (RLS) confirmed by imaging examination after occluder implantation is grade 0-I
8 secondary outcomes
Number of Participants with Device success
Time frame: immediately after the procedure
Number of Participants with Procedural success
Time frame: immediately after the procedure
Complete closure rate
Time frame: 6 months after the procedure
Migraine Headache Impact Test (HIT-6) scores 6 months after operation (compared with baseline)
Time frame: 6 months after the procedure
Incidence of serious adverse events
Time frame: 5 years after the procedure
Incidence of device-related adverse events
Time frame: 5 years after the procedure
All-cause mortality during follow-up
Time frame: 5 years after the procedure
All-cause stroke during follow-up
Time frame: 5 years after the procedure
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jun 2023.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SnowyTM PFO closure system and Cardi-o-fix PFO occluder in people with Patent Foramen Ovale, run by Hangzhou Dinova EP Technology Co., Ltd at 1 site in China.
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 4 inclusion and 21 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: opening soon, as of the sponsor's last update on 7 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Kong Xiangqing, MD (+8602563806360, xiangqing_kong@sina.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The success rate of PFO effective occlusion (time frame: 6 months after the procedure). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 7 Jun 2023.