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Functional Tricuspid RegurgitationNCT05854095

The Study for Evaluation of Acute Phase Safety and Efficacy of 'Pivot Bridge' to Short-term Treat FTR

A study testing Pivot Bridge in people with Functional Tricuspid Regurgitation, run by Tau-MEDICAL Co., Ltd. at 10 sites in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

evaluation of safety and efficacy of 'Pivot Bridge' to short-term treat Functional Tricuspid regurgitation Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Functional Tricuspid Regurgitation
What is being tested?
Pivot Bridge
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
10 sitesSouth Korea
Study dates
13 Mar 2023to 27 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult males and females aged 20 years or above
  • Patients with clinical symptoms (Symptomatic) whose degree of tricuspid regurgitation using echocardiography meets the criteria of Severe or higher presented in the TR grade classification table
  • Short-term treatment using a catheter is required (expected to be effective) by a local site heart team including at least one cardiothoracic (cardiovascular) specialist and at least one thoracic surgeon each, and clinical symptoms of NYHA Class Ⅱ or higher person who falls under
  • In the screening test, A person who can confirm the possibility of reducing tricuspid valve regurgitation by inserting that 'Pivot Balloon' (Clinical Trial Approval No. 1327), etc.) through the same access path as the 'Pivot Bridge', a clinical trial medical device
  • An individual who voluntarily agreed to the participation in the clinical trial and signed the written consent
  • An individual who is able to understand and comply with the instructions and who can participate in the period before the clinical trial

Who cannot join

  • Uncontrolled hyperthyroidism
  • A recent formation of soft blood clot or embolic material
  • Uncorrected coagulopathy
  • Prohibition of anticoagulant agents
  • Those who had experience with anticoagulant use prior to participation in this clinical trial and who were treated with major bleeding (minor bleeding such as nosebleeds that can be hemostasis not applicable) due to anticoagulant use at this time or accompanied by severe anemia requiring hospitalization one with experience
  • Previous insertion of a device such as an Implantable Cardioverter Defibrillator (ICD) or a pacemaker
  • Those who is judged to have little possibility of reducing tricuspid valve regurgitation by inserting a balloon-type device (e.g. ASD sizing balloon, pivot balloon, etc.) through the same access route as the clinical trial medical device 'Pivot Bridge'
  • Persons with an anatomical structure that cannot be inserted through the corresponding route

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

South Korea10 sites
  • Hallym University Medical Center

    Anyang, Dongan-gu, 14068

  • Soonchunhyang University Bucheon Hospital

    Bucheon-si, Gyeonggi-do, 14754

  • Bucheon Sejong Hospital

    Bucheon-si

  • Keimyung University Dongsan Hospital

    Daegu, Dalseo-gu, 42601

  • Chungnam National University Hospital (CNU Hospital)

    Daejeon, Jung-gu, 35015

  • Chungnam National University sejong Hospital

    Daejeon, Jung-gu, 35015

  • Asan Medical Center

    Seoul, Songpa-gu, 05505

  • Samsung Medical Center

    Seoul

  • Ulsan Hospital

    Ulsan, Nam-gu, 44686

  • Pusan National University Yangsan Hospital

    Yangsan, Gyeongsangnam-do, 50602

Other trials in South Korea

About this study

Official title: The Study for Evaluation of Acute Phase Safety and Efficacy of 'Pivot Bridge' to Short-term Treat Functional Tricuspid Regurgitation : Multi-center, Open Label, Single Arm, Investigator Initiated Exploratory Pilot Study

evaluation of safety and efficacy of 'Pivot Bridge' to short-term treat Functional Tricuspid regurgitation

Read the detailed description

evaluation of safety and efficacy of 'Pivot Bridge' to short-term treat Functional Tri cuspid regurgitation : multi-center, open label, single arm, investigator initiated exploratory pilo t study

Being tested
Pivot Bridge
Keywords
FTR, RV failure, TauPnu

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pivot BridgeDevice

    transcatheter for short-term treat Functional Tricuspid regurgitation

Study groups in NCT05854095
Study groupRoleWhat they receive
Pivot BridgeExperimentaltranscatheter for short-term treat Functional Tricuspid regurgitation
Receives: Device: Pivot Bridge

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of Acute phase safety

    Check all adverse reactions Including serious adverse events and serious adverse medical device reactions

    Measured: immediately after the procedure

Secondary outcomes (14)
  1. Efficacy endpoint-1: Changes of hemodynamics

    Echocardiogram: Pulmonay artery forward flow(RV stroke volume) in ml

    Measured: within 1week of implant

  2. Efficacy endpoint-1: Changes of hemodynamics(1)

    Echocardiogram: RV Cardiac output(Heart rate x RVOT area x RVOT TVI) in ml/min

    Measured: within 1week of implant

  3. Efficacy endpoint-1: Changes of hemodynamics(2)

    Echocardiogram: Fractional area change in percentage

    Measured: within 1week of implant

  4. Efficacy endpoint-1: Changes of hemodynamics(3)

    Echocardiogram: LVEF in percentage

    Measured: within 1week of implant

  5. Efficacy endpoint-1: Changes of hemodynamics(4)

    Echocardiogram: Peak systolic annular velocity in cm/sec

    Measured: within 1week of implant

  6. Efficacy endpoint-1: Changes of hemodynamics(5)

    Echocardiogram: Tricuspid annular plane systolic excursion(TAPSE) in mm

    Measured: within 1week of implant

  7. Efficacy endpoint-1: Changes of hemodynamics(6)

    Echocardiogram: LVOT stroke volume in ml

    Measured: within 1week of implant

  8. Efficacy endpoint-1: Changes of hemodynamics(7)

    Echocardiogram: TV annular diameter in mm

    Measured: within 1week of implant

  9. Efficacy endpoint-1: Changes of hemodynamics(8)

    Echocardiogram: RV diameter base in mm

    Measured: within 1week of implant

  10. Efficacy endpoint-1: Changes of hemodynamics(9)

    Echocardiogram: Inferior vena cava diameter and PW tracing - Assessment of the presence or absence of systolic flow reversal

    Measured: within 1week of implant

  11. Efficacy endpoint-1: Changes of hemodynamics(10)

    Echocardiogram: RV-RA coupling(Tapse/PASP) in ratio

    Measured: within 1week of implant

  12. Efficacy endpoint-1: Changes of hemodynamics(11)

    Cardiac CT : RV volume in ml

    Measured: within 1week of implant

  13. Efficacy endpoint-2: Technical feasibility and TR grade changes

    Evaluation of reduction in tricuspid regurgitation grade (TR grade) according to Echo parameters

    Measured: within 1week of implant

  14. Assessment of short-term safety

    Check all adverse reactions Including serious adverse events and serious adverse medical device reactions

    Measured: within 1week of implant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 May 2023
  2. Study start13 Mar 2023
  3. Primary completion17 Oct 2023
  4. Study completion27 Dec 2023

Resources

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
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05854095
Sponsor's protocol ID
Pivot Bridge-FIM
Status last verified
Feb 2024
First submitted
30 Jan 2023
Last updated
8 Feb 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Chaabane C, Otsuka F, Virmani R, Bochaton-Piallat ML. Biological responses in stented arteries. Cardiovasc Res. 2013 Jul 15;99(2):353-63. doi: 10.1093/cvr/cvt115. Epub 2013 May 10.

    PubMed 23667187
  • Hwang HY, Kim KH, Kim KB, Ahn H. Treatment for severe functional tricuspid regurgitation: annuloplasty versus valve replacement. Eur J Cardiothorac Surg. 2014 Aug;46(2):e21-7. doi: 10.1093/ejcts/ezu224. Epub 2014 Jun 10.

    PubMed 24917649
  • Groves PH, Lewis NP, Ikram S, Maire R, Hall RJ. Reduced exercise capacity in patients with tricuspid regurgitation after successful mitral valve replacement for rheumatic mitral valve disease. Br Heart J. 1991 Oct;66(4):295-301. doi: 10.1136/hrt.66.4.295.

    PubMed 1747281
  • Rommel KP, Besler C, Noack T, Blazek S, von Roeder M, Fengler K, Ender J, Gutberlet M, Desch S, Borger MA, Thiele H, Lurz P. Physiological and Clinical Consequences of Right Ventricular Volume Overload Reduction After Transcatheter Treatment for Tricuspid Regurgitation. JACC Cardiovasc Interv. 2019 Aug 12;12(15):1423-1434. doi: 10.1016/j.jcin.2019.02.042. Epub 2019 Jul 17.

    PubMed 31326430
  • Kelly BJ, Ho Luxford JM, Butler CG, Huang CC, Wilusz K, Ejiofor JI, Rawn JD, Fox JA, Shernan SK, Muehlschlegel JD. Severity of tricuspid regurgitation is associated with long-term mortality. J Thorac Cardiovasc Surg. 2018 Mar;155(3):1032-1038.e2. doi: 10.1016/j.jtcvs.2017.09.141. Epub 2017 Nov 8.

    PubMed 29246545
  • Taramasso M, Benfari G, van der Bijl P, Alessandrini H, Attinger-Toller A, Biasco L, Lurz P, Braun D, Brochet E, Connelly KA, de Bruijn S, Denti P, Deuschl F, Estevez-Loureiro R, Fam N, Frerker C, Gavazzoni M, Hausleiter J, Ho E, Juliard JM, Kaple R, Besler C, Kodali S, Kreidel F, Kuck KH, Latib A, Lauten A, Monivas V, Mehr M, Muntane-Carol G, Nazif T, Nickening G, Pedrazzini G, Philippon F, Pozzoli A, Praz F, Puri R, Rodes-Cabau J, Schafer U, Schofer J, Sievert H, Tang GHL, Thiele H, Topilsky Y, Rommel KP, Delgado V, Vahanian A, Von Bardeleben RS, Webb JG, Weber M, Windecker S, Winkel M, Zuber M, Leon MB, Hahn RT, Bax JJ, Enriquez-Sarano M, Maisano F. Transcatheter Versus Medical Treatment of Patients With Symptomatic Severe Tricuspid Regurgitation. J Am Coll Cardiol. 2019 Dec 17;74(24):2998-3008. doi: 10.1016/j.jacc.2019.09.028. Epub 2019 Sep 27.

    PubMed 31568868
  • Kolte D, Elmariah S. Current state of transcatheter tricuspid valve repair. Cardiovasc Diagn Ther. 2020 Feb;10(1):89-97. doi: 10.21037/cdt.2019.09.11.

    PubMed 32175231
  • Izumi C. Isolated functional tricuspid regurgitation: When should we go to surgical treatment? J Cardiol. 2020 Apr;75(4):339-343. doi: 10.1016/j.jjcc.2019.11.001. Epub 2019 Nov 29.

    PubMed 31787551
  • Henning RJ. Tricuspid valve regurgitation: current diagnosis and treatment. Am J Cardiovasc Dis. 2022 Feb 15;12(1):1-18. eCollection 2022.

    PubMed 35291509
  • Asmarats L, Puri R, Latib A, Navia JL, Rodes-Cabau J. Transcatheter Tricuspid Valve Interventions: Landscape, Challenges, and Future Directions. J Am Coll Cardiol. 2018 Jun 26;71(25):2935-2956. doi: 10.1016/j.jacc.2018.04.031.

    PubMed 29929618
  • Taramasso M, Hahn RT, Alessandrini H, Latib A, Attinger-Toller A, Braun D, Brochet E, Connelly KA, Denti P, Deuschl F, Englmaier A, Fam N, Frerker C, Hausleiter J, Juliard JM, Kaple R, Kreidel F, Kuck KH, Kuwata S, Ancona M, Malasa M, Nazif T, Nickenig G, Nietlispach F, Pozzoli A, Schafer U, Schofer J, Schueler R, Tang G, Vahanian A, Webb JG, Yzeiraj E, Maisano F, Leon MB. The International Multicenter TriValve Registry: Which Patients Are Undergoing Transcatheter Tricuspid Repair? JACC Cardiovasc Interv. 2017 Oct 9;10(19):1982-1990. doi: 10.1016/j.jcin.2017.08.011.

    PubMed 28982563
  • Curio J, Demir OM, Pagnesi M, Mangieri A, Giannini F, Weisz G, Latib A. Update on the Current Landscape of Transcatheter Options for Tricuspid Regurgitation Treatment. Interv Cardiol. 2019 May 21;14(2):54-61. doi: 10.15420/icr.2019.5.1. eCollection 2019 May.

    PubMed 31178930
  • Park SJ, Oh JK, Kim SO, Lee SA, Kim HJ, Lee S, Jung SH, Song JM, Choo SJ, Kang DH, Chung CH, Song JK, Lee JW, Kim DH, Kim JB. Determinants of clinical outcomes of surgery for isolated severe tricuspid regurgitation. Heart. 2021 Mar;107(5):403-410. doi: 10.1136/heartjnl-2020-317715. Epub 2020 Nov 2.

    PubMed 33139325
  • Hahn RT, Meduri CU, Davidson CJ, Lim S, Nazif TM, Ricciardi MJ, Rajagopal V, Ailawadi G, Vannan MA, Thomas JD, Fowler D, Rich S, Martin R, Ong G, Groothuis A, Kodali S. Early Feasibility Study of a Transcatheter Tricuspid Valve Annuloplasty: SCOUT Trial 30-Day Results. J Am Coll Cardiol. 2017 Apr 11;69(14):1795-1806. doi: 10.1016/j.jacc.2017.01.054.

    PubMed 28385308
  • Kim EK, Chon MK, Kim HS, Park YH, Suh J, Park JH, Lee JH, Choi YJ, Shin ES, Yoon HJ, Yang DH, Park J, Lee SW, Hahn JY. Safety and Efficacy of Pivot-Bridge for Severe Functional Tricuspid Regurgitation: The First-in-Human Experiences. Catheter Cardiovasc Interv. 2026 May;107(6):2069-2077. doi: 10.1002/ccd.70572. Epub 2026 Mar 27.

    PubMed 41891323

Questions about this trial

What is this clinical trial studying?

A study testing Pivot Bridge in people with Functional Tricuspid Regurgitation, run by Tau-MEDICAL Co., Ltd. at 10 sites in South Korea.

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 6 inclusion and 8 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: finished, as of the sponsor's last update on 8 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in South Korea. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Assessment of Acute phase safety (time frame: immediately after the procedure). 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 NCT05854095, which also lists 15 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 8 Feb 2024.

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