Tricuspid RegurgitationVISTA-USNCT05848284
Clinical Safety and Efficacy of the VDyne Transcatheter Tricuspid Valve Replacement System for the Treatment of Tricuspid Regurgitation ( VISTA-US)
A study testing VDyne Transcatheter Tricuspid Valve Replacement System in people with Tricuspid Regurgitation and Tricuspid Valve Disease, run by VDyne, Inc. at 11 sites in 2 countries.
Trial summary
The purpose of this clinical study is to evaluate the safety and clinical efficacy of the VDyne System in the treatment of symptomatic severe tricuspid regurgitation (TR). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Tricuspid Regurgitation, Tricuspid Valve Disease, Tricuspid Valvular Disorders
- What is being tested?
- VDyne Transcatheter Tricuspid Valve Replacement System
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 11 sitesin 2 countries
- Study dates
- 1 Apr 2024to 30 Nov 2031
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Symptomatic severe tricuspid valve regurgitation of primary or secondary etiology.
- NYHA class ≥ II. If NYHA Class IV, patient must be ambulatory.
- Subject is adequately treated with medical therapy for heart failure ≥ 30 days prior to
- index procedure, including a diuretic.
- Heart Team determines patient is a recommended candidate for the VDyne System.
- Age >18 years at time of index procedure.
- Clinical Screening Committee (CSC) and Imaging Core Labs confirm suitability for treatment with the VDyne System.
Who cannot join
- Patient anatomy (cardiac and vascular) is not suitable for VDyne System as assessed by Imaging Core Labs, Sponsor or Clinical Screening Committee (CSC)
- Intolerance to procedural anticoagulation or post-procedural antiplatelet/ anticoagulation regimen that cannot be medically managed
- Hypersensitivity to nickel or titanium
- Left Ventricular Ejection Fraction (LVEF) <30%.
- Severe RV dysfunction.
- Significant abnormalities of the tricuspid valve and sub-valvular apparatus.
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- Sepsis including active infective endocarditis (IE) (within last 6 months).
- Right ventricular, atrial thrombus, vegetation or mass on tricuspid valve.
- Severe tricuspid annular or leaflets calcification.
- Systolic pulmonary hypertension with systolic pulmonary artery pressure >70 mmHg.
- History or rheumatic fever
- Significant coronary artery disease requiring treatment such as symptomatic, unresolved multi-vessel or unprotected left main coronary artery disease.
- Any planned surgery or interventional procedure within 30 days prior to or 30 days following the implant procedure. This includes any planned concomitant cardiovascular procedure such as CABG, PCI, pulmonary vein ablation, left atrial appendage occlusion, septal defect repair, etc.
- Unresolved severe symptomatic carotid stenosis (> 70% by ultrasound).
- Cardiac resynchronization therapy device or implantable pulse generator implanted within 60 days of planned implant procedure.
- Permanent pacing leads that will interfere with delivery or implantation of the VDyne Valve.
- Cardiogenic shock or hemodynamic instability requiring inotropes or mechanical support devices at the time of planned implant procedure.
- Prior tricuspid valve surgery or catheter-based therapy with permanent residual device(s) implanted that would preclude delivery or implantation of the VDyne Valve (e.g. valve replacement, edge to edge repair, etc.).
- Significant valvular heart disease requiring intervention other than the tricuspid valve.
- Known significant intracardiac shunt (e.g. septal defect)
- Cerebrovascular accident (stroke, TIA) within 6 months of treatment procedure.
- Severe lung disease (severe COPD or continuous use of home oxygen or oral steroids).
- Acute myocardial infarction (AMI) within 30 days.
- Significant renal dysfunction (eGFR<30 ml/min/1.73m2) or on dialysis.
- End-stage liver disease (MELD > 11 / CHILD class C).
- Bleeding requiring transfusion within prior 30 days.
- Coagulopathy or other clotting disorder that cannot be medically managed.
- Chronic immunosuppression or other condition that could impair healing response.
- Any of the following: leukopenia, chronic anemia (Hgb < 9), thrombocytopenia, history of bleeding diathesis, or coagulopathy.
- Unwilling to receive blood products.
- Known hypersensitivity or contraindication to procedural or post-procedural medications (e.g., contrast solution) which cannot be adequately managed medically.
- Life expectancy less than 12 months due to non-cardiac comorbidities.
- Treatment is not expected to provide benefit (futile).
- Current IV Drug user (must be free drug abuse for > 1 year).
- Pregnant, lactating or planning pregnancy within next 12 months.
- Vulnerable patient groups (minors, cognitively impaired persons, prisoners, persons whose willingness to volunteer could be unduly influenced by the expectation of benefits associated with participation or of retaliatory response from senior members of a hierarchy in case of refusal to participate, such as students, residents, and employees).
- Currently participating in an investigational drug or device trial that has not reached its primary endpoint or is likely to interfere with this study.
- Patient (or legal guardian) unable or unwilling to provide written, informed consent before study enrollment.
- Patient unable or unwilling to comply with study required testing and follow-up visits
Trial locations and contacts
11 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
11 sites in 2 countries
United States10 sites, 8 recruiting
- Recruiting
Medical University of South Carolina
Charleston, South Carolina, 29425
Natalie Drain, MHA, 843-876-5037, drain@musc.edu
Nick Amoroso, MD
- Recruiting
The Christ Hospital
Cincinnati, Ohio, 45219
Belinda Frakes, 5135851777, Belinda.frakes@thechristhospital.com
Santiago Garcia
- Active, not recruiting
Henry Ford Hospital
Detriot, Michigan, 48208
- Recruiting
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Mitch Gheorghiu, 3104236152, Mitch.Gheorghiu@cshs.org
Raj Makkar
- Active, not recruiting
Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55407
- Recruiting
Ascension St. Thomas
Nashville, Tennessee, 37205
Erin Beller, BSN, RN, 6152226997, erin.beller@ascension.org
Andrew Morse, MD
- Recruiting
Columbia University Medical Center/NYPH
New York, New York, 10032
Treena Williams, 2123423485, taw2112@cumc.columbia.edu
Torsten Vahl, MD
- Recruiting
Oregon Health and Science Unversity
Portland, Oregon, 97239
Anna Garwood, 503-494-3472, garwood@ohsu.edu
Firas Zahr, MD
- Recruiting
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Adam Logeman, 507-422-2263, Logeman.Adam@mayo.edu
- Recruiting
Montefiore Medical Center
The Bronx, New York, 10467
Kara Booth, (718) 920-6523, kbooth@montefiore.org
Edwin Ho, MD
Canada1 site, 1 recruiting
- Recruiting
Québec-Université Laval (IUCPQ-ULaval)
Québec, Quebec, G1V 4G5
Dominique Lachance Clinical Study Coordinator, (418) 656-8711 ext. 3055, Dominique.Lachance@criucpq.ulaval.ca
Joseph Rodés, MD
About this study
Official title: Clinical Safety and Efficacy of the VDyne Transcatheter Tricuspid Valve Replacement System for the Treatment of Tricuspid Regurgitation
The purpose of this clinical study is to evaluate the safety and clinical efficacy of the VDyne System in the treatment of symptomatic severe tricuspid regurgitation (TR).
- Being tested
- VDyne Transcatheter Tricuspid Valve Replacement System
- Keywords
- VDyne
- 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.
VDyne Transcatheter Tricuspid Valve Replacement SystemDevice
Also called VDyne System, VDyne Tricuspid System, VDyne Valve System, VDyne Valve
The study investigational device is the VDyne Transcatheter Tricuspid Valve Replacement System which consists of a bioprosthetic implantable tricuspid valve, the VDyne Delivery System, Drop Tether, accessories that facilitate the placement of the valve and the VDyne Retrieval System. The VDyne Valve is deployed by transfemoral implantation within the native tricuspid valve and is implanted under fluoroscopic and transesophageal echocardiography (TEE) guidance, while the heart remains beating, without the use of CPB. The valve is repositionable and fully retrievable intraoperatively. Repositioning allows optimization of the valve position following deployment, and retrieval, with the VDyne Retrieval System, allows use of an alternative valve size or removal of the index VDyne Valve in the event of suboptimal valve delivery or other intraoperative complication.
| Study group | Role | What they receive |
|---|---|---|
| VDyne System Treatment Arm | Experimental | Device Receives: Device: VDyne Transcatheter Tricuspid Valve Replacement System |
What is being measured
The primary outcome is the main question the study is designed to answer.
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).
Measured: Implant to 30 days post-procedure
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Measured: Baseline to 1 month after implant
Changes in symptom status (NYHA class)
Changes in symptom status (NYHA class)
Measured: Baseline to 1 month after implant
Changes in functional capacity (6-minute walk test)
Changes in functional capacity (6-minute walk test)
Measured: Baseline to 1 month after implant
Changes in in quality of life (KCCQ score)
Changes in in quality of life (KCCQ score). A higher score indicates worsening quality of life outcomes
Measured: Baseline to 1 month after implant
Secondary outcomes (7)
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) after 30 days to 1 year of the procedure, as classified by the Clinical Events Committee (CEC).
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) after 30 days to 1 year of the procedure, as classified by the Clinical Events Committee (CEC).
Measured: 30 days post-procedure to 1 year
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Measured: 1 month after implant to 1 year post-implant
Changes in right ventricle as measured by core lab
Changes in the right ventricle as measured by core lab
Measured: 1 month after implant to 1 year post-implant
Rate of heart failure hospitalization
Rate of heart failure hospitalization
Measured: 1 month after implant to 1 year post-implant
Changes in symptom status (NYHA class)
Changes in symptom status (NYHA class)
Measured: 1 month after implant to 1 year post-implant
Changes in functional capacity (6-minute walk test)
Changes in functional capacity (6-minute walk test)
Measured: 1 month after implant to 1 year post-implant
Changes in in quality of life (KCCQ score).
Changes in in quality of life (KCCQ score). A higher score indicates worsening outcomes
Measured: 1 month after implant to 1 year post-implant
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2023
- Study start1 Apr 2024
- Primary completion30 Nov 2026 (estimated)
- Study completion30 Nov 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Tricuspid RegurgitationStudies 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
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- VDyne, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05848284
- Sponsor's protocol ID
- TPR0037-P
- Acronym
- VISTA-US
- Status last verified
- Sep 2026
- First submitted
- 29 Mar 2023
- Last updated
- 21 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Safety and Efficacy of the VDyne Transcatheter Tricuspid Valve Replacement System for the Treatment of Tricuspid Regurgitation
- ClinicalTrials.gov ID
- NCT05848284
- Acronym / sponsor ID
- VISTA-US / TPR0037-P
- Keywords
- VDyne
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- VDyne, Inc.Industry (pharma, biotech, devices)
- Study start
- 1 Apr 2024 (actual)
- Primary completion
- 30 Nov 2026 (estimated)
- Study completion
- 30 Nov 2031 (estimated)
- First posted
- 8 May 2023 (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.
The purpose of this clinical study is to evaluate the safety and clinical efficacy of the VDyne System in the treatment of symptomatic severe tricuspid regurgitation (TR).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| VDyne System Treatment Arm | Experimental | Device: VDyne Transcatheter Tricuspid Valve Replacement SystemDevice |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Symptomatic severe tricuspid valve regurgitation of primary or secondary etiology.
- NYHA class ≥ II. If NYHA Class IV, patient must be ambulatory.
- Subject is adequately treated with medical therapy for heart failure ≥ 30 days prior to
- index procedure, including a diuretic.
- Heart Team determines patient is a recommended candidate for the VDyne System.
Key exclusion criteria (39 listed)
- Patient anatomy (cardiac and vascular) is not suitable for VDyne System as assessed by Imaging Core Labs, Sponsor or Clinical Screening Committee (CSC)
- Intolerance to procedural anticoagulation or post-procedural antiplatelet/ anticoagulation regimen that cannot be medically managed
- Hypersensitivity to nickel or titanium
- Left Ventricular Ejection Fraction (LVEF) <30%.
- Severe RV dysfunction.
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 |
|---|---|---|
| VDyne Transcatheter Tricuspid Valve Replacement SystemAlso: VDyne System, VDyne Tricuspid System, VDyne Valve System, VDyne ValveThe study investigational device is the VDyne Transcatheter Tricuspid Valve Replacement System which consists of a bioprosthetic implantable tricuspid valve, the VDyne Delivery System, Drop Tether, accessories that facilitate the placement of the valve and the VDyne Retrieval System. The VDyne Valve is deployed by transfemoral implantation within the native tricuspid valve and is implanted under fluoroscopic and transesophageal echocardiography (TEE) guidance, while the heart remains beating, without the use of CPB. The valve is repositionable and fully retrievable intraoperatively. Repositioning allows optimization of the valve position following deployment, and retrieval, with the VDyne Retrieval System, allows use of an alternative valve size or removal of the index VDyne Valve in the event of suboptimal valve delivery or other intraoperative complication. | Device | VDyne System Treatment Arm |
Primary outcome
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).
Time frame: Implant to 30 days post-procedure
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Time frame: Baseline to 1 month after implant
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Changes in symptom status (NYHA class)
Time frame: Baseline to 1 month after implant
Changes in symptom status (NYHA class)
Changes in functional capacity (6-minute walk test)
Time frame: Baseline to 1 month after implant
Changes in functional capacity (6-minute walk test)
Changes in in quality of life (KCCQ score)
Time frame: Baseline to 1 month after implant
Changes in in quality of life (KCCQ score). A higher score indicates worsening quality of life outcomes
7 secondary outcomes
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) after 30 days to 1 year of the procedure, as classified by the Clinical Events Committee (CEC).
Time frame: 30 days post-procedure to 1 year
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Time frame: 1 month after implant to 1 year post-implant
Changes in right ventricle as measured by core lab
Time frame: 1 month after implant to 1 year post-implant
Rate of heart failure hospitalization
Time frame: 1 month after implant to 1 year post-implant
Changes in symptom status (NYHA class)
Time frame: 1 month after implant to 1 year post-implant
Changes in functional capacity (6-minute walk test)
Time frame: 1 month after implant to 1 year post-implant
Changes in in quality of life (KCCQ score).
Time frame: 1 month after implant to 1 year post-implant
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 21 Sep 2026.
- Related InfoLink provided by the sponsor.
- 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.
11 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing VDyne Transcatheter Tricuspid Valve Replacement System in people with Tricuspid Regurgitation and Tricuspid Valve Disease, run by VDyne, Inc. at 11 sites in 2 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 7 inclusion and 39 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: looking for participants now, as of the sponsor's last update on 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in United States, Canada. 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 Vinny Podichetty (763-777-5969, vpodichetty@vdyne.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC). (time frame: Implant to 30 days post-procedure). The study lists 5 primary outcomes in all. 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 21 Sep 2026.