NCT05685303

Brief Summary

Prospective, multicenter, randomized, sham-controlled, double blinded, adaptive study designed to evaluate the safety and efficacy of a percutaneously created interatrial shunt using the Alleviant ALV1 System in patients with HFpEF/HFmrEF.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
700

participants targeted

Target at P75+ for not_applicable heart-failure

Timeline
80mo left

Started Jan 2023

Longer than P75 for not_applicable heart-failure

Geographic Reach
14 countries

95 active sites

Status
enrolling by invitation

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 Progress34%
Jan 2023Dec 2032

First Submitted

Initial submission to the registry

December 14, 2022

Completed
27 days until next milestone

Study Start

First participant enrolled

January 10, 2023

Completed
7 days until next milestone

First Posted

Study publicly available on registry

January 17, 2023

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2032

Last Updated

May 4, 2026

Status Verified

April 1, 2026

Enrollment Period

4.9 years

First QC Date

December 14, 2022

Last Update Submit

April 30, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Composite Primary Endpoint

    The primary endpoint is a composite of mortality, heart failure events and quality of life based on Kansas City Cardiomyopathy Questionnaire (KCCQ) calculated at 12 months. KCCQ responses are provided along a rating scale from 0-100 with a higher score indicating better health.

    12-month

Study Arms (2)

Treatment

EXPERIMENTAL

Subjects randomized to the treatment arm will undergo cardiac imaging, femoral vein access and receive the Alleviant ALV1 System device procedure.

Device: Alleviant ALV1 System

Control

SHAM COMPARATOR

Subjects randomized to the control arm will undergo cardiac imaging and sheath placement in femoral vein.

Other: Sham-Control

Interventions

Creation of interatrial shunt

Treatment

Cardiac imaging

Control

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Symptomatic HFpEF/HFmrEF with LVEF greater than or equal to 40%
  • NYHA Class II, III or ambulatory IV
  • Exercise right heart catheterization\*
  • Elevated left atrial pressure during exercise right heart catheterization (greater than or equal to 25 mmHg)
  • Exercise PVR \< 1.8 WU
  • Ongoing stable GDMT

You may not qualify if:

  • Advanced heart failure
  • Presence of a pacemaker
  • Evidence of right heart dysfunction

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (97)

University of Alabama

Birmingham, Alabama, 35249, United States

Location

Arizona Cardiovascular Research Center

Phoenix, Arizona, 85016, United States

Location

Pima Heart and Vascular

Tucson, Arizona, 85718, United States

Location

Memorial Care Long Beach Medical Center

Long Beach, California, 90806, United States

Location

UC Davis Medical Center

Sacramento, California, 95817, United States

Location

Scripps Clinical Research Services

San Diego, California, 92121, United States

Location

San Francisco VA

San Francisco, California, 94121, United States

Location

University of California San Francisco

San Francisco, California, 94143, United States

Location

Santa Barbara Cottage Hospital

Santa Barbara, California, 93105, United States

Location

Hartford Hospital

Hartford, Connecticut, 06106, United States

Location

The Cardiac and Vascular Institute (TCAVI)

Gainesville, Florida, 32504, United States

Location

HCA Florida Memorial Hospital

Jacksonville, Florida, 32216, United States

Location

NCH Research Institute

Naples, Florida, 34102, United States

Location

Advent Health Orlando

Orlando, Florida, 32803, United States

Location

Ascension Sacred Heart

Pensacola, Florida, 32504, United States

Location

Atlanta VA Health Care System

Decatur, Georgia, 30032, United States

Location

Advocate Illinois Masonic Medical Center

Chicago, Illinois, 60657, United States

Location

Midwest Cardiovascular Institute

Naperville, Illinois, 60540, United States

Location

Prairie Education and Research Cooperative

Springfield, Illinois, 62769, United States

Location

Indiana University

Indianapolis, Indiana, 46202, United States

Location

St. Elizabeth Healthcare

Edgewood, Kentucky, 41017, United States

Location

Cardiovascular Institute of the South

Houma, Louisiana, 70360, United States

Location

University Medical Center New Orleans

New Orleans, Louisiana, 70112, United States

Location

Johns Hopkins Medical Institution

Baltimore, Maryland, 21287, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

VA Ann Arbor

Ann Arbor, Michigan, 48105, United States

Location

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, 55407, United States

Location

Washington University - St Louis

St Louis, Missouri, 63110, United States

Location

VA NY Harbor Healthcare System

New York, New York, 10010, United States

Location

New York University

New York, New York, 10016, United States

Location

Lenox Hill Hospital

New York, New York, 10075, United States

Location

St. Francis Hospital

Roslyn, New York, 11576, United States

Location

Stony Brook Medicine

Stony Brook, New York, 11794-8167, United States

Location

Mission Hospital

Asheville, North Carolina, 28801, United States

Location

Duke University Hospital

Durham, North Carolina, 27705, United States

Location

NC Heart and Vascular Research

Raleigh, North Carolina, 27607, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

ProMedica Toledo Hospital

Toledo, Ohio, 43606, United States

Location

South Oklahoma Heart Research, LLC.

Oklahoma City, Oklahoma, 73135, United States

Location

Providence St. Vincent's Medical Center

Portland, Oregon, 97225, United States

Location

Pinnacle Health Cardiovascular Institute

Harrisburg, Pennsylvania, 17101, United States

Location

Prisma Health - Midlands

Columbia, South Carolina, 29203, United States

Location

Monument Health

Rapid City, South Dakota, 57701, United States

Location

Stern Cardiovascular Foundation

Germantown, Tennessee, 38138, United States

Location

Tennova Healthcare - Turkey Creek Medical Center

Knoxville, Tennessee, 37934, United States

Location

Hendrick Health

Abilene, Texas, 79601, United States

Location

Austin Heart

Austin, Texas, 78756, United States

Location

UT Southwestern

Dallas, Texas, 75930, United States

Location

Baylor Scott & White Research Institute

Plano, Texas, 75093, United States

Location

NextStage Clinical Research

Waco, Texas, 76712, United States

Location

University of Washington

Seattle, Washington, 98195, United States

Location

Advocate Aurora Health/Aurora Research Institute

Milwaukee, Wisconsin, 53215, United States

Location

Monash Health Victorian Heart Hospital

Clayton, Victoria, 3068, Australia

Location

Austin Hospital

Heidelberg, Victoria, 3084, Australia

Location

Medizinische Universität Graz

Graz, Austria

Location

OLV Hospital

Aalst, Belgium

Location

ZAS Middelheim

Antwerp, Belgium

Location

AZ Sint Jan Brugge

Bruges, Belgium

Location

University Hospital UMHAT Sveti Georgi

Plovdiv, 4002, Bulgaria

Location

Acibadem City Clinic University Tokuda Hospital

Sofia, 1407, Bulgaria

Location

Acibadem City Clinic Cardiovascular Center Sofia

Sofia, 1700, Bulgaria

Location

Southlake Regional Hospital Centre

Newmarket, Ontario, L3Y 2P6, Canada

Location

Centre hospitalier de l'Universite de Montreal (CHUM)

Montreal, Quebec, H2X 0C1, Canada

Location

Centre Integre Universitaire de Sainte et de Services Scoiiaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de l'Estrie - CHUS)

Montreal, Quebec, H2X 0C1, Canada

Location

Kardiocentrum Nemocnice AGEL Trinec-Podlesi

Třinec, 73961, Czechia

Location

Tbilisi Heart and Vascular

Tbilisi, Georgia

Location

Heart and Vascular Center-Bad Bevensen

Bad Bevensen, 29549, Germany

Location

Herz- und Gefasszentrum Bad Bevensen

Bad Bevensen, 29549, Germany

Location

University of Gießen

Giessen, 35392, Germany

Location

Marienkrankenhaus

Hamburg, 22087, Germany

Location

Askelepios Klinik Altona

Hamburg, 22763, Germany

Location

St. Vincentius Kliniken

Karlsruhe, 76137, Germany

Location

Universitatsklinikum Schleswig-Holstein (UKSH)

Lübeck, 23538, Germany

Location

Universitätsklinikum Kardiologie

Magdeburg, 39120, Germany

Location

Universitatsmedizin Rostock

Rostock, 18057, Germany

Location

European Interbalken Medical Center

Thessaloniki, Greece

Location

Shaare Zedek Medical Center

Jerusalem, Israel

Location

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel

Location

Shamir Medical Center

Zrifin, Israel

Location

Humanitas Research Milan

Rozzano, MI, Italy

Location

Instituto Auxologico Italiano

Milan, 20149, Italy

Location

ChristChurch Hospital

Christchurch, 8011, New Zealand

Location

Dunedin Hospital

Dunedin, 9016, New Zealand

Location

University Clinical Hospital in Opole

Opole, Poland

Location

Poznan University of Medical Sciences

Poznan, Poland

Location

Kashubian Center for Heart and Vascular Diseases, Pomeranian

Wejherowo, 84-200, Poland

Location

4th Military Hospital

Wroclaw, Poland

Location

Uniwesytecki Szpital Kliniczny

Wroclaw, Poland

Location

Silesian Center for Heart Disease

Zabrze, Poland

Location

Hospital de la Santa Creu i Sant Pau

Barcelona, 08025, Spain

Location

Barcelona Hospital del Mar

Barcelona, 08033, Spain

Location

Hospital Clinic de Barcelona

Barcelona, 08036, Spain

Location

Vall d'Hebron University Hospital Barcelona

Barcelona, Spain

Location

Hospital Universitario Puerta de Hierro

Madrid, 28222, Spain

Location

Hospital Clínico Universitario de Salamanca

Salamanca, Spain

Location

Valencia Hospital Clinico

Valencia, 46010, Spain

Location

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Officials

  • James Udelson, MD

    Tufts Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 14, 2022

First Posted

January 17, 2023

Study Start

January 10, 2023

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2032

Last Updated

May 4, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations