NCT05595187

Brief Summary

Tricuspid regurgitation is common in patients with severe left heart diseases, such as degenerative mitral regurgitation. However, the evidence base is insufficient to inform a decision about whether to perform concomitant tricuspid-valve repair during left heart surgery in patients who have mild tricuspid regurgitation. To inform decision making, we will conduct a multicenter, randomized trial to assess the benefits and risks of tricuspid-valve repair at the time of left heart diseases in patients with mild tricuspid regurgitation who were undergoing surgery for left heart surgery.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
400

participants targeted

Target at P75+ for not_applicable

Timeline
7mo left

Started May 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Study Progress76%
May 2024Dec 2026

First Submitted

Initial submission to the registry

October 23, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 26, 2022

Completed
1.5 years until next milestone

Study Start

First participant enrolled

May 1, 2024

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

December 14, 2023

Status Verified

December 1, 2023

Enrollment Period

2.7 years

First QC Date

October 23, 2022

Last Update Submit

December 7, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • A composite of adverse cardiovascular events

    a composite of reoperation for tricuspid regurgitation, progression of tricuspid regurgitation from baseline by two grades or the presence of severe tricuspid regurgitation, or death.

    2 years after surgery at follow-up

Study Arms (2)

Tricuspid repair

EXPERIMENTAL

Tricuspid repair techniques included suture placement and the type of prosthetic annuloplasty with specified the use of an approved rigid, incomplete, nonplanar, and undersized (ranging 26, 28, or 30, 32, 34 mm) ring.

Device: Tricuspid repair

Blank control

NO INTERVENTION

Interventions

Tricuspid repair included suture placement and the type of prosthetic annuloplasty.

Tricuspid repair

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients undergoing left heart valve surgery with mild tricuspid regurgitation;
  • Patients aged 18-80 years;
  • Agree to participate in this study and sign the informed consent form.

You may not qualify if:

  • Infective endocarditis within 3 months;
  • Primary tricuspid regurgitation;
  • Isolated tricuspid regurgitation
  • Lactating women and suspected pregnant or pregnant women;
  • Patients with mental disorders, drug and alcohol dependence;
  • Those who participated in other clinical trials one month before the trial;
  • Refusal to participate in this study without informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The First Affiliated Hospital of Nanjing Medical University

Nanjing, China

Location

MeSH Terms

Conditions

Tricuspid Valve InsufficiencyMitral Valve Insufficiency

Condition Hierarchy (Ancestors)

Heart Valve DiseasesHeart DiseasesCardiovascular Diseases

Central Study Contacts

Yong-feng Shao, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator of Cardiovascular Surgery

Study Record Dates

First Submitted

October 23, 2022

First Posted

October 26, 2022

Study Start

May 1, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

December 14, 2023

Record last verified: 2023-12

Locations