Treatment of Pulmonary Arterial Hypertension Using the Aria CV Pulmonary Hypertension System
ASPIRE PH
An Early Feasibility Study Assessing Treatment of Pulmonary Hypertension Using the Aria CV Pulmonary Hypertension System
1 other identifier
interventional
30
1 country
12
Brief Summary
This prospective study is a multi-center early feasibility study assessing the safety and performance of the Aria CV Pulmonary Hypertension System in patients with pulmonary hypertension and right heart dysfunction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Mar 2021
Longer than P75 for not_applicable
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 31, 2020
CompletedFirst Posted
Study publicly available on registry
September 18, 2020
CompletedStudy Start
First participant enrolled
March 15, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2026
ExpectedSeptember 29, 2025
September 1, 2025
4.6 years
August 31, 2020
September 24, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Primary Safety Endpoint is the incidence of investigational device- or procedure-related serious adverse events (SAEs).
The primary safety endpoint is the incidence of investigational device- or procedure-related serious adverse events through 30 days post-index procedure.
30 days post-implant
Secondary Outcomes (15)
Incidence of Device Implantation Success
7 days post-implant
Changes in World Health Organization (WHO) Functional Class
6 months post-implant
Changes in 6-Minute Walk Distance
6 months post-implant
Changes in Modified Borg Dyspnea Score (MBS)
6 months post-implant
Changes in biomarker N-terminal pro hormone BNP (NT-pro-BNP)
6 months post-implant
- +10 more secondary outcomes
Study Arms (1)
Aria CV Pulmonary Hypertension System
EXPERIMENTALTreatment with the Aria CV Pulmonary Hypertension System
Interventions
The Aria CV PH System is indicated for the treatment of adult patients diagnosed with Pulmonary Hypertension in World Health Organization (WHO) Groups I, II, and III who remain symptomatic despite treatment with optimal medical therapy.
Eligibility Criteria
You may qualify if:
- years of age or older.
- Mean pulmonary artery pressure (mPAP) \> 25mmHg.
- Right heart dysfunction as evidence by at least one of the following:
- Tricuspid Annulus Plan Systolic Excursion (TAPSE) ≤ 16mm
- RV Fractional area change \< 35%
- RV systolic velocity \< 11.5 cm/s
- RV free wall strain \< 18%
- Lateral tricuspid annulus peak systolic velocity (S') \< 9cm/s
- Pulmonary compliance (C) \< 3.0 ml/mmHg
- Current assessment of WHO FC III or ambulatory IV
- Main pulmonary artery (MPA) diameter and anatomy suitable for placement of the device as defined in the Instructions For Use (IFU) and as assessed by multi-slice computed tomography (MSCT).
- Subject is deemed appropriate for Aria CV device by the Subject Care Team at the investigation site and approved by the Eligibility Review Committee (ERC).
- The subject has agreed to participate in the study by signing the study specific informed consent form.
- The subject agrees to abide by device related travel restrictions.
- Pulmonary capillary wedge pressure (PCWP) ≤ 15mmHg
- +5 more criteria
You may not qualify if:
- Diagnosis of WHO Groups 4 or 5 PH.
- Recent clinical event(s) of any of the following:
- Myocardial infarction or stroke within 6 months prior to the index procedure;
- Sustained tachyarrhythmia (documented heart rate \>110/min) within 2 months prior to the index procedure;
- Uncontrolled, chronic atrial fibrillation.
- Pre-existing or requirement of emergent surgery/ intervention, or implantation of prosthetic cardiac device that, in the opinion of the investigator, may interfere with Aria CV PH System placement or function.
- Any of the following medical history or comorbidities:
- a. History of endocarditis; b. History of unprovoked Pulmonary Embolism; c. Current renal insufficiency as demonstrated by an eGFR \< 30 mL/min/1.73 m2 or end stage renal disease requiring chronic dialysis; d. Current diagnosis of scleroderma associated with: i. Any history of GI bleeding or receiving iron infusions within 2 years prior to enrollment; ii. Significant skin involvement that could compromise daily activities or the ability to receive IV medications, or sclerodactyly that causes surface ulcerations, digital ulcerations, or ulcerating calcinosis lesions.
- e. History of receiving immunosuppressant therapy as follows: i. Excluded if receiving Mycophenolate mofetil within 30 days prior to enrollment, or Rituximab within 6 months prior to enrollment, or currently receiving Prednisone at a dose \> 12 mg per day at time of enrollment; ii. Excluded if any immunosuppressant other than Mycophenolate mofetil, Rituximab or Prednisone, per above.
- e. Current pulmonary veno-occlusive disease (PVOD); f. Current pulmonary capillary hemangiomatosis (PCH); g. History of clinically significant patent foramen ovale (PFO) or other inter-atrial or inter-ventricular shunt; h. History of gastric antral vascular ectasia (GAVE), gastrointestinal or intracranial bleeding which, in the opinion of the investigator, will predispose subject to major bleeding events following Aria CV device placement and warfarin anticoagulation regimen; i. Active infection requiring antibiotic therapy within two (2) weeks of procedure; j. Blood dyscrasias that may, in the opinion of investigator(s), expose subject to unacceptable procedural risks such as severe or worsening leukopenia, anemia, thrombocytopenia, untreated iron deficiency or history of bleeding diathesis or coagulopathy.
- Anatomy is not suitable for placement of Aria CV device.
- Right heart valve regurgitation as follows:
- Moderate to severe (Grade 3 or 4) pulmonary valve regurgitation;
- Severe (Grade 4) tricuspid valve regurgitation.
- Hypersensitivity or contraindication to:
- +14 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Aria CV, Inclead
Study Sites (12)
University of California - San Diego
La Jolla, California, 92093, United States
University of California-Los Angeles
Los Angeles, California, 90095, United States
St. Vincent Health
Indianapolis, Indiana, 46260, United States
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
University of Minnesota
Minneapolis, Minnesota, 55435, United States
Mayo Clinic
Rochester, Minnesota, 55905, United States
Cornell University
New York, New York, 10065, United States
University of Rochester
New York, New York, 14627, United States
The Christ Hospital
Cincinnati, Ohio, 45219, United States
Ohio Health
Columbus, Ohio, 43214, United States
Medical University of South Carolina
Charleston, South Carolina, 29425, United States
Aurora St Luke's Medical Center
Milwaukee, Wisconsin, 53215, United States
Related Publications (1)
Vollmers K, Scandurra J, Woolley JR, Giridharan GA, Rothman AMK, Pritzker M, Weir EK, Gerges C, Lang I. Development of a Novel, Pulmonary Endovascular Device to Treat Patients With Pulmonary Hypertension. Pulm Circ. 2025 Jul 29;15(3):e70131. doi: 10.1002/pul2.70131. eCollection 2025 Jul.
PMID: 40741160DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ashwin Ravichandran, M.D.
Ascension Health
- PRINCIPAL INVESTIGATOR
Jim White, M.D., Ph.D.
University of Rochester
Central Study Contacts
VP of Clinical
CONTACT
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 31, 2020
First Posted
September 18, 2020
Study Start
March 15, 2021
Primary Completion
October 1, 2025
Study Completion (Estimated)
October 1, 2026
Last Updated
September 29, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share