New device plugs dangerous heart valve leaks without open surgery
NCT ID NCT04489823
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a special plug device to close leaks that can form around surgically implanted heart valves. These leaks can cause serious problems like heart failure or anemia. The procedure is done through a catheter, avoiding the need for another open-heart surgery. The study includes 200 adults with moderate or worse leaks and aims to see if the device is safe and effective.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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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
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2020
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Subject is implanted with a mechanical or biological surgical valve in the aortic or mitral position * Note: Subjects in European countries can only be implanted with a mechanical valve in the aortic or mitral position * Subject has a clinically significant paravalvular leak with a severity grade of moderate or higher, associated with signs of heart failure and/or hemolysis necessitating recurring blood transfusions. * Subject has one clinically significant PVL defect that can be closed with a single AVP III as assessed pre-procedurally * Subject has provided written informed consent * Subject is ≥18 years old Exclusion Criteria: * Subject has a rocking valve or extreme dehiscence of the prosthetic valve involving more than 40% of the sewing ring * Subject's PVL(s) originates from a transcatheter aortic or mitral valve replacement, or from rapid deployment or sutureless surgical replacement valves * Subject has a prosthetic aortic valve and prosthetic mitral valve which both have a clinically significant paravalvular leak. * Subject who is hemodynamically unstable or who cannot undergo an elective procedure * Subject with active endocarditis or other active infection * Subject has within the last 6 months a previously documented intracardiac mass, vegetation, tumor, or thrombus which would interfere with placement of the AVP III * Subject has inadequate vasculature for delivery of the AVP III * Subject has unsuitable anatomy for PVL closure using the AVP III (such as a PVL associated with an abscess cavity or a pseudoaneurysmal sac) or anatomy where the AVP III would interfere with other intracardiac or intravascular structures (such coronary ostia) * Subjects who are unable to receive intraprocedural anticoagulant therapy * Pregnant or nursing subjects or subjects who plan pregnancy during the clinical investigation follow-up period. * 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, or impact the scientific soundness of the clinical investigation results. * Life expectancy is less than 1 year in the opinion of the Investigator * Incapacitated individuals, defined as persons with mental illnesses or handicaps that impair their ability to provide informed consent, or individuals without legal authority to provide informed consent. * Individual who are currently participating in an investigational drug or device study that has not reached the primary endpoint or that may confound the results of this study
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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.
Contacts and locations
Locations
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Baptist Memorial Hospital
Memphis, Tennessee, 38120, United States
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Carilion Roanoke Memorial Hospital
Roanoke, Virginia, 24014, United States
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Edinburgh Heart Centre
Edinburgh, Lothian, EH16 4SA, United Kingdom
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Emory University Hospital
Atlanta, Georgia, 30322, United States
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Gornoslaskie Centrum Medyczne im.prof. Leszka Gieca
Katowice, Silesian Voivodeship, 40-635, Poland
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Hospital Ramón y Cajal
Madrid, Madrid, 28034, Spain
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Hospital Universitario de Salamanca
Salamanca, Spain
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Institut de Cardiologie de Montreal (Montreal Heart Inst.)
Montreal, Quebec, H1T 1C8, Canada
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Institut de Cardiologie de Quebec (Hôpital Laval)
Québec, Quebec, G1V 4G5, Canada
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Intermountain Medical Center
Murray, Utah, 84157, United States
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Lenox Hill Hospital
New York, New York, 10021, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Minneapolis Heart Institute
Minneapolis, Minnesota, 55407, United States
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New York Presbyterian Hospital/Cornell University
New York, New York, 10021, United States
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Ospedale San Raffaele
Milan, Lombard, 20132, Italy
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Papworth Hospital NHS Foundation Trust
Cambridge, United Kingdom
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Providence Sacred Heart Medical Center
Spokane, Washington, 99202, United States
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Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111, United States
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St. Antonius Ziekenhuis
Nieuwegein, Utrecht, 3435 CM, Netherlands
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The Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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The Royal Sussex County Hospital
Brighton, Soeast, BN25BE, United Kingdom
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University Hospital - Univ. of Alabama at Birmingham (UAB)
Birmingham, Alabama, 35249, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States