A new Catheter-Based valve could fix a leaky heart valve without surgery
NCT ID NCT06183684
First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time
Summary
This trial tests a new device, the Laplace Transcatheter Tricuspid Valve Replacement (TTVR) System, designed to replace the tricuspid valve in people with severe, symptomatic tricuspid regurgitation. The procedure is done through a catheter, avoiding open-heart surgery. The study aims to see if the device can be safely implanted and whether it reduces the backward flow of blood. Participants are adults aged 18 to 90 with severe or worse tricuspid regurgitation despite medical therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a new device called the Laplace Transcatheter Tricuspid Valve Replacement (TTVR) System, placed through a catheter to replace the tricuspid valve without open-heart surgery
- What this could lead to
- If it works, this could offer a less invasive treatment option for people with severe tricuspid regurgitation who cannot have open-heart surgery.
- What could go wrong
- This is an early feasibility study with only 65 participants, so the device may not be safe or effective in the long run. Risks include complications from catheter-based valve replacement, such as bleeding, infection, or device failure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 65 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Feb 2024
- Expected to finish
-
Dec 2032
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 90 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. 18 - 90 years of age at the time of the study procedure 2. 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. 3. Severe, massive or torrential tricuspid regurgitation determined by qualifying transthoracic echocardiogram (TTE) and/or transesophageal echocardiogram (TEE) using the 5-grade classification. 4. 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. 5. Anatomically suitable for the Laplace TTVR system (with trans-jugular or transfemoral) access 6. Subject has provided informed consent and agrees to return for all required post-procedure follow-up visits Exclusion Criteria: 1. Estimated life expectancy of less than 12 months 2. PVR \>5 Wood units 3. Echocardiographic evidence of severe right ventricular dysfunction 4. Severe aortic, mitral and/or pulmonic valve stenosis and/or regurgitation requiring treatment 5. Presence of significant congenital heart disease including but not limited to hemodynamically significant atrial septal defect, RV dysplasia, and arrhythmogenic RV. 6. 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 7. Stroke or other major cerebrovascular event within 90-days prior to index procedure 8. Untreated clinically significant coronary artery disease requiring revascularization, recent (within last 30 days) acute coronary syndrome or myocardial infarction. 9. Bleeding disorders including thrombocytopenia or platelet count \<70,000 mm3 or thrombocytosis (platelet count \>700,000 /mm3) 10. Current or planned pregnancy within next 12 months for women of childbearing potential 11. Active or recent endocarditis within last 90 days or, sepsis/ other systemic infection requiring oral or intravenous antibiotics within last 30 days 12. 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. 13. Left ventricular ejection fraction (LVEF) \< 30% 14. Contraindication or inability to complete transesophageal or intracardiac echocardiogram
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Tricuspid regurgitation are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The study's own enquiry address
This study publishes an address for enquiries. See it below .
-
The places running it
10 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
By submitting, you agree to our Terms of use
Study contacts
-
Contact
Email: •••••@•••••
Locations
-
Dartmouth-Hitchcock Medical Center
RECRUITINGLebanon, New Hampshire, 03756, United States
-
Kaiser Permanente
RECRUITINGSan Francisco, California, 94118, United States
-
Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
-
Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10641, United States
-
Oklahoma Heart Institute
RECRUITINGTulsa, Oklahoma, 74104, United States
-
Piedmont Hospital
RECRUITINGAtlanta, Georgia, 30309, United States
-
Providence Heart Institute
RECRUITINGPortland, Oregon, 97225, United States
-
Tucson Medical Center
RECRUITINGTucson, Arizona, 85712, United States
-
University Hospitals, Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
-
Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37203, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pacemaker showdown: which device spares the Heart's valve?
- Can a tiny heart implant fix a leaky valve without surgery?
- Can a catheter valve replace Open-Heart surgery for a leaky heart valve?
- New clip device aims to repair leaky heart valve without Open-Heart surgery
- New study aims to simplify care for patients with multiple leaky heart valves
- 5,500 patients to test new heart valve devices in massive safety study