Clinical Safety and Efficacy of the VDyne Transcatheter Tricuspid Valve Replacement System for the Treatment of Tricuspid Regurgitation ( VISTA-US)
VISTA-US
1 other identifier
interventional
30
2 countries
11
Brief Summary
The purpose of this clinical study is to evaluate the safety and clinical efficacy of the VDyne System in the treatment of symptomatic severe tricuspid regurgitation (TR).
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 Apr 2024
Longer than P75 for not_applicable
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 29, 2023
CompletedFirst Posted
Study publicly available on registry
May 8, 2023
CompletedStudy Start
First participant enrolled
April 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 30, 2031
March 31, 2026
February 1, 2026
2.7 years
March 29, 2023
March 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) within 30 days of the procedure, as classified by the Clinical Events Committee (CEC).
Implant to 30 days post-procedure
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
Baseline to 1 month after implant
Changes in symptom status (NYHA class)
Changes in symptom status (NYHA class)
Baseline to 1 month after implant
Changes in functional capacity (6-minute walk test)
Changes in functional capacity (6-minute walk test)
Baseline to 1 month after implant
Changes in in quality of life (KCCQ score)
Changes in in quality of life (KCCQ score). A higher score indicates worsening quality of life outcomes
Baseline to 1 month after implant
Secondary Outcomes (7)
The percentage of subjects with Device- and/or Procedure-related Major Adverse Events (MAE) after 30 days to 1 year of the procedure, as classified by the Clinical Events Committee (CEC).
30 days post-procedure to 1 year
Change in tricuspid valve regurgitation compared to baseline as measured by the Imaging Core Labs
1 month after implant to 1 year post-implant
Changes in right ventricle as measured by core lab
1 month after implant to 1 year post-implant
Rate of heart failure hospitalization
1 month after implant to 1 year post-implant
Changes in symptom status (NYHA class)
1 month after implant to 1 year post-implant
- +2 more secondary outcomes
Study Arms (1)
VDyne System Treatment Arm
EXPERIMENTALDevice
Interventions
The study investigational device is the VDyne Transcatheter Tricuspid Valve Replacement System which consists of a bioprosthetic implantable tricuspid valve, the VDyne Delivery System, Drop Tether, accessories that facilitate the placement of the valve and the VDyne Retrieval System. The VDyne Valve is deployed by transfemoral implantation within the native tricuspid valve and is implanted under fluoroscopic and transesophageal echocardiography (TEE) guidance, while the heart remains beating, without the use of CPB. The valve is repositionable and fully retrievable intraoperatively. Repositioning allows optimization of the valve position following deployment, and retrieval, with the VDyne Retrieval System, allows use of an alternative valve size or removal of the index VDyne Valve in the event of suboptimal valve delivery or other intraoperative complication.
Eligibility Criteria
You may qualify if:
- Symptomatic severe tricuspid valve regurgitation of primary or secondary etiology.
- NYHA class ≥ II. If NYHA Class IV, patient must be ambulatory.
- Subject is adequately treated with medical therapy for heart failure ≥ 30 days prior to
- index procedure, including a diuretic.
- Heart Team determines patient is a recommended candidate for the VDyne System.
- Age \>18 years at time of index procedure.
- Clinical Screening Committee (CSC) and Imaging Core Labs confirm suitability for treatment with the VDyne System.
You may not qualify if:
- Patient anatomy (cardiac and vascular) is not suitable for VDyne System as assessed by Imaging Core Labs, Sponsor or Clinical Screening Committee (CSC)
- Intolerance to procedural anticoagulation or post-procedural antiplatelet/ anticoagulation regimen that cannot be medically managed
- Hypersensitivity to nickel or titanium
- Left Ventricular Ejection Fraction (LVEF) \<30%.
- Severe RV dysfunction.
- Significant abnormalities of the tricuspid valve and sub-valvular apparatus.
- Sepsis including active infective endocarditis (IE) (within last 6 months).
- Right ventricular, atrial thrombus, vegetation or mass on tricuspid valve.
- Severe tricuspid annular or leaflets calcification.
- Systolic pulmonary hypertension with systolic pulmonary artery pressure \>70 mmHg.
- History or rheumatic fever
- Significant coronary artery disease requiring treatment such as symptomatic, unresolved multi-vessel or unprotected left main coronary artery disease.
- Any planned surgery or interventional procedure within 30 days prior to or 30 days following the implant procedure. This includes any planned concomitant cardiovascular procedure such as CABG, PCI, pulmonary vein ablation, left atrial appendage occlusion, septal defect repair, etc.
- Unresolved severe symptomatic carotid stenosis (\> 70% by ultrasound).
- Cardiac resynchronization therapy device or implantable pulse generator implanted within 60 days of planned implant procedure.
- +24 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- VDyne, Inc.lead
Study Sites (11)
Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
Henry Ford Hospital
Detriot, Michigan, 48208, United States
Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55407, United States
Mayo Clinic - Rochester
Rochester, Minnesota, 55905, United States
Columbia University Medical Center/NYPH
New York, New York, 10032, United States
Montefiore Medical Center
The Bronx, New York, 10467, United States
The Christ Hospital
Cincinnati, Ohio, 45219, United States
Oregon Health and Science Unversity
Portland, Oregon, 97239, United States
Medical University of South Carolina
Charleston, South Carolina, 29425, United States
Ascension St. Thomas
Nashville, Tennessee, 37205, United States
Québec-Université Laval (IUCPQ-ULaval)
Québec, Quebec, G1V 4G5, Canada
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
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
March 29, 2023
First Posted
May 8, 2023
Study Start
April 1, 2024
Primary Completion (Estimated)
November 30, 2026
Study Completion (Estimated)
November 30, 2031
Last Updated
March 31, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share