Aortic Valve DiseasePILATUSNCT06119607
PILot Aortic Triflo Valve Study
A study testing TRIFLO Heart Valve in people with Aortic Valve Disease, run by Novostia SA at 1 site in Lithuania.
Trial summary
A prospective, single arm, exploratory clinical investigation to assess preliminary safety and collect performance and effectiveness data of the TRIFLO Heart Valve. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Aortic Valve Disease
- What is being tested?
- TRIFLO Heart Valve
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteLithuania
- Study dates
- 30 Nov 2023to Jun 2029
- 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient is between 18 and 75 years old.
- Patient with symptomatic aortic valve disease (stenosis and/or regurgitation) where aortic valve replacement with a mechanical valve is recommended according to the decision of the site heart team and validated by the independent clinical review committee.
- Patient with a low surgical mortality risk with EuroSCORE II < 4%.
- Patient with echocardiographic Left Ventricular Ejection Fraction (LVEF) > 35% using Transthoracic Echocardiogram (TTE).
- Assessment using echocardiography imaging modality of annular suitable for a valve of 21 mm in size and acceptable for the Body Surface Area (BSA) of the patient to avoid any patient prosthesis mismatch.
- Participants are able to take low-dose aspirin at a dose of 75 -100 mg daily or have a documented contraindication to aspirin use.
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- Patient is geographically stable and willing to return to implanting site for follow-up visits up to 5 years.
- Patient has been adequately informed of risks and requirements of the clinical investigation and is willing and able to provide informed consent for participation.
- In opinion of the Investigator, the patient has a life expectancy of at least 5 years.
Who cannot join
- Patient has a pre-existing prosthetic valve (including TAVI) or annuloplasty device or requires replacement or repair of the mitral, pulmonary or tricuspid valve.
- Patient is maintained on any permanent or long-term anticoagulant therapy (i.e. any A-fib, deep vein thrombosis, lung embolism, percutaneous coronary intervention (PCI), previous ST-elevation myocardial infarct (STEMI)).
- Patient has a history of vascular-related neurological events (TIA, stroke, intracranial bleeding) occurring within 6 months prior to enrollment.
- Patient has active endocarditis/myocarditis or other systemic infection within 3 months of the scheduled surgery.
- Patient has an additional cardiovascular pathology which would increase surgical risk of morbidity or mortality.
- Patient is planning another unrelated surgical procedure outside of the cardiac area within the next 12 months of study device implantation.
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- Patient has renal insufficiency as determined by creatinine (S-Cr) level as ≥ 1.5 mg/dL or end stage renal disease requiring chronic dialysis at screening visit.
- Patient presents hemodynamic or respiratory instability requiring inotropic support, mechanical circulatory support, or mechanical ventilation within 30 days prior to planned valve surgery.
- Patient has active, clinically relevant bleeding disorder (documented leukopenia (WBC < 4.0 x 103/μL), acute anemia (Hgb < 10.0 g/dL or 6 mmol/L), thrombocytopenia (platelet count < 100 x 103/μL) or history of bleeding diathesis or coagulopathy).
- Patient has had prior organ transplant or is currently an organ transplant candidate.
- Patient is currently participating or participated in the last 30 days in another investigational device or drug trial.
- Patient who is pregnant, plan to become pregnant during the time of the clinical trial or is lactating or patient of childbearing age not taking any effective method of birth control.
- Patient is considered part of vulnerable population (i.e. prison inmates).
- Patient with documented history of substance (drug or alcohol) abuse within the last 5 years prior to implantation procedure.
Trial locations and contacts
1 site in 1 country.
Lithuania1 site
Vilnius University Hospital Santaros Klinikos
Vilnius, Vilnius County, LT-08661
About this study
Official title: A Prospective, Single-arm, Exploratory Clinical Investigation to Assess Preliminary Safety and Collect Performance and Effectiveness Data of the TRIFLO Heart Valve
A prospective, single arm, exploratory clinical investigation to assess preliminary safety and collect performance and effectiveness data of the TRIFLO Heart Valve.
Read the detailed description
Up to 10 Subjects requiring aortic valve replacement of the native valve will be included in this First in Human clinical investigation on the TRIFLO Heart Valve device in Europe. The study is prospective, single-arm-open-label-non-randomized.
- Conditions
- Aortic Valve Disease
- Being tested
- TRIFLO Heart Valve
- Medical subject headings
- Aortic Valve Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TRIFLO Heart ValveDevice
Surgical Aortic Valve Replacement - Mechanical Valve
| Study group | Role | What they receive |
|---|---|---|
| TRIFLO | Experimental | Not described Receives: Device: TRIFLO Heart Valve |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety - Mortality
Rate of occurrence of all-cause mortality, cardiovascular, non-cardiovascular, and device-related mortality
Measured: At 12 and 18 months post procedure
Safety - Thrombotic events
Rate of valve related thrombotic events
Measured: Between 3 to 18 months post procedure
Secondary outcomes (21)
Safety - Major adverse cardiovascular events
Rate of occurrence of MACEs
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Safety - Thromboembolism events
Rate of occurrence of Transient Ischemic Attack (TIA), coronary and/or peripheral embolism
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Thrombotic events
Rate of valve-related thrombotic events
Measured: 24, 36, 48 and 60 months.
Safety - Atrial Fibrillation
Rate of occurrence of New Onset Atrial Fibrillation
Measured: 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Safety - Endocarditis
Rate of occurrence of Endocarditis
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Hemolysis
Rate of occurrence of Hemolysis followed by Plasma free hemoglobin
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Reoperation
Rate of occurrence of Reoperation
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Structural & Non structural Valve Dysfunction
Rate of occurrence of Structural \& Non structural Valve Dysfunction
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Bleeding
Rate of occurrence of bleeding classified according to BARC
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Pacemaker
Rate of occurrence New pacemaker implantation due to intervention
Measured: 3 months
Safety - All-cause mortality
Rate of occurrence of All-cause mortality, cardiovascular, non-cardiovascular, and device related mortality
Measured: 1, 3, 9, 15, 24, 36, 48 and 60 months
Safety - Procedural mortality
Rate of occurrence of Procedural mortality
Measured: 1 month.
Performance - Procedure
Rate of initial success, correct positioning of a single TRIFLO Heart Valve into the proper anatomical location.
Measured: Procedure
Performance - Hemodynamics
Change of hemodynamics compared to baseline followed by mean aortic valve pressure gradient
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Performance - Regurgitation
Change of regurgitation class (As per VARC 3 Classification Guidelines) compared to baseline
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Performance - EOA
Change of Effective Orifice Area (EOA) compared to baseline
Measured: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Performance - Noise
Assessment of noise perception - patient survey
Measured: 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Effectiveness - NYHA
Change of NYHA Score compared to baseline
Measured: 1, 3, 9, 12, 18, 24, 36, 48 and 60 months
Effectiveness - QoL
Change of Quality-of-life Score using KCCQ-12 questionnaires, compared to baseline
Measured: 1, 3, 9, 12, 18, 24, 36, 48 and 60 months
Effectiveness - 6MWT
Functional Assessment in 6-min walk test
Measured: 3, 9, 12, 18, 24, 36, 48 and 60 months
Usability
Assessment of device handling ease by the physician - survey
Measured: Procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2023
- Study start30 Nov 2023
- Primary completionDec 2025 (estimated)
- Study completionJun 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Aortic Valve DiseaseStudies 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
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novostia SA
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Veranex
- Responsible party
- Sponsor
- Investigators
- Kęstutis Ručinskas, Prof., Principal investigator, Vilnius University Hospital Santaros Clinics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06119607
- Sponsor's protocol ID
- 100144
- Other IDs
- CIV-LT-23-08-043783
- Acronym
- PILATUS
- Status last verified
- Jun 2025
- First submitted
- 31 Oct 2023
- Last updated
- 15 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Single-arm, Exploratory Clinical Investigation to Assess Preliminary Safety and Collect Performance and Effectiveness Data of the TRIFLO Heart Valve
- ClinicalTrials.gov ID
- NCT06119607
- Acronym / sponsor ID
- PILATUS / 100144
- Conditions
- Aortic Valve Disease
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Novostia SAIndustry (pharma, biotech, devices)
- Collaborators
- Veranex
- Study start
- 30 Nov 2023 (actual)
- Primary completion
- Dec 2025 (estimated)
- Study completion
- Jun 2029 (estimated)
- First posted
- 7 Nov 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.
A prospective, single arm, exploratory clinical investigation to assess preliminary safety and collect performance and effectiveness data of the TRIFLO Heart Valve.
Detailed description
Up to 10 Subjects requiring aortic valve replacement of the native valve will be included in this First in Human clinical investigation on the TRIFLO Heart Valve device in Europe. The study is prospective, single-arm-open-label-non-randomized.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| TRIFLO | Experimental | Device: TRIFLO Heart Valve |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patient is between 18 and 75 years old.
- Patient with symptomatic aortic valve disease (stenosis and/or regurgitation) where aortic valve replacement with a mechanical valve is recommended according to the decision of the site heart team and validated by the independent clinical review committee.
- Patient with a low surgical mortality risk with EuroSCORE II < 4%.
- Patient with echocardiographic Left Ventricular Ejection Fraction (LVEF) > 35% using Transthoracic Echocardiogram (TTE).
- Assessment using echocardiography imaging modality of annular suitable for a valve of 21 mm in size and acceptable for the Body Surface Area (BSA) of the patient to avoid any patient prosthesis mismatch.
Key exclusion criteria (14 listed)
- Patient has a pre-existing prosthetic valve (including TAVI) or annuloplasty device or requires replacement or repair of the mitral, pulmonary or tricuspid valve.
- Patient is maintained on any permanent or long-term anticoagulant therapy (i.e. any A-fib, deep vein thrombosis, lung embolism, percutaneous coronary intervention (PCI), previous ST-elevation myocardial infarct (STEMI)).
- Patient has a history of vascular-related neurological events (TIA, stroke, intracranial bleeding) occurring within 6 months prior to enrollment.
- Patient has active endocarditis/myocarditis or other systemic infection within 3 months of the scheduled surgery.
- Patient has an additional cardiovascular pathology which would increase surgical risk of morbidity or mortality.
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 |
|---|---|---|
| TRIFLO Heart ValveSurgical Aortic Valve Replacement - Mechanical Valve | Device | TRIFLO |
Primary outcome
Safety - Mortality
Time frame: At 12 and 18 months post procedure
Rate of occurrence of all-cause mortality, cardiovascular, non-cardiovascular, and device-related mortality
Safety - Thrombotic events
Time frame: Between 3 to 18 months post procedure
Rate of valve related thrombotic events
21 secondary outcomes
Safety - Major adverse cardiovascular events
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Safety - Thromboembolism events
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Thrombotic events
Time frame: 24, 36, 48 and 60 months.
Safety - Atrial Fibrillation
Time frame: 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Safety - Endocarditis
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Hemolysis
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Reoperation
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Structural & Non structural Valve Dysfunction
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Bleeding
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months.
Safety - Pacemaker
Time frame: 3 months
Safety - All-cause mortality
Time frame: 1, 3, 9, 15, 24, 36, 48 and 60 months
Safety - Procedural mortality
Time frame: 1 month.
Performance - Procedure
Time frame: Procedure
Performance - Hemodynamics
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Performance - Regurgitation
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Performance - EOA
Time frame: 1, 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Performance - Noise
Time frame: 3, 9, 12, 15, 18, 24, 36, 48 and 60 months
Effectiveness - NYHA
Time frame: 1, 3, 9, 12, 18, 24, 36, 48 and 60 months
Effectiveness - QoL
Time frame: 1, 3, 9, 12, 18, 24, 36, 48 and 60 months
Effectiveness - 6MWT
Time frame: 3, 9, 12, 18, 24, 36, 48 and 60 months
Usability
Time frame: 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 15 Aug 2025.
- 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.
Kęstutis Ručinskas, Prof. principal investigator
Vilnius University Hospital Santaros Clinics
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing TRIFLO Heart Valve in people with Aortic Valve Disease, run by Novostia SA at 1 site in Lithuania.
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 9 inclusion and 14 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 15 Aug 2025. 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 Lithuania. 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?
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?
Safety - Mortality (time frame: At 12 and 18 months post procedure). 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?
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 15 Aug 2025.