NCT06183684

Brief Summary

The objective of the study is to assess the safety and technical feasibility of the Laplace Transcatheter Tricuspid Valve Replacement (TTVR) System

Trial Health

77
On Track

Trial Health Score

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

Enrollment
45

participants targeted

Target at P25-P50 for not_applicable

Timeline
56mo left

Started Feb 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

6 active sites

Status
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 Progress33%
Feb 2024Dec 2030

First Submitted

Initial submission to the registry

December 7, 2023

Completed
20 days until next milestone

First Posted

Study publicly available on registry

December 27, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

February 19, 2024

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2030

Expected
Last Updated

June 17, 2025

Status Verified

June 1, 2025

Enrollment Period

1.8 years

First QC Date

December 7, 2023

Last Update Submit

June 13, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Technical success

    Successful valve implantation

    During procedure

Secondary Outcomes (2)

  • Procedural success

    During procedure

  • Device success

    30-days post-procedure

Study Arms (1)

Tricuspid Valve Replacement

EXPERIMENTAL

Transcatheter replacement of the native tricuspid valve with the Laplace bioprosthesis

Device: Laplace TTVR System

Interventions

Transcatheter Tricuspid Valve Replacement (TTVR) System for the treatment of severe, symptomatic tricuspid regurgitation

Tricuspid Valve Replacement

Eligibility Criteria

Age22 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age at the time of the study procedure
  • Symptomatic tricuspid regurgitation despite being adequately treated with optimal medical therapy by the Local Heart Team for at least 30 days prior to the time of study consent.
  • Severe, massive or torrential tricuspid regurgitation determined by qualifying transthoracic echocardiogram (TTE) and/or transesophageal echocardiogram (TEE) using the 5-grade classification.
  • Candidate felt suitable for transcatheter tricuspid valve replacement as determined by the local heart team and confirmed by the patient selection committee. For patients with pre-existing trans-tricuspid pacemaker or ICD leads, the local heart team shall include an electrophysiologist.
  • Subject or legally authorized representative has provided informed consent and agrees to return for all required post-procedure follow-up visits

You may not qualify if:

  • Estimated life expectancy of less than 12 months
  • PVR \>5 Wood units
  • Echocardiographic evidence of severe right ventricular dysfunction
  • Severe aortic, mitral and/or pulmonic valve stenosis and/or regurgitation requiring treatment
  • Presence of significant congenital heart disease including but not limited to hemodynamically significant atrial septal defect, RV dysplasia, and arrhythmogenic RV.
  • Any percutaneous cardiovascular intervention, cardiovascular surgery, or carotid surgery, within last 30 days. Implant or revision of any rhythm management device (CRT or CRT-D) or implantable cardioverter-defibrillator or leadless pacemaker within 90 days prior to the study procedure
  • Stroke or other major cerebrovascular event within 90-days prior to index procedure
  • Untreated clinically significant coronary artery disease requiring revascularization, recent (within last 30 days) acute coronary syndrome or myocardial infarction.
  • Bleeding disorders including thrombocytopenia or platelet count \<70,000 mm3 or thrombocytosis (platelet count \>700,000 /mm3)
  • Current or planned pregnancy within next 12 months for women of childbearing potential
  • Active or recent endocarditis within last 90 days or, sepsis/ other systemic infection requiring oral or intravenous antibiotics within last 30 days
  • Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements. Any patient considered to be vulnerable.
  • Left ventricular ejection fraction (LVEF) \< 30%

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Tucson Medical Center

Tucson, Arizona, 85712, United States

RECRUITING

Kaiser Permanente

San Francisco, California, 94118, United States

RECRUITING

Piedmont Hospital

Atlanta, Georgia, 30309, United States

RECRUITING

Mayo Clinic

Rochester, Minnesota, 55905, United States

RECRUITING

Providence Heart Institute

Portland, Oregon, 97225, United States

RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, 37203, United States

RECRUITING

MeSH Terms

Conditions

Tricuspid Valve Insufficiency

Condition Hierarchy (Ancestors)

Heart Valve DiseasesHeart DiseasesCardiovascular Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DEVICE FEASIBILITY
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 7, 2023

First Posted

December 27, 2023

Study Start

February 19, 2024

Primary Completion

December 1, 2025

Study Completion (Estimated)

December 1, 2030

Last Updated

June 17, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Locations