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Growing heart valve could spare kids repeat surgeries

NCT ID NCT05006404

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 1 time

Summary

This study tests a special heart valve for children aged 1.5 to 16 years with congenital heart disease who need a pulmonary valve replacement. The valve can be expanded after implant to match the child's growth, potentially avoiding multiple surgeries. Researchers will check safety and how well the valve works over 10 years.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Autus Size-Adjustable Valve (a heart valve device that can be expanded to fit a growing child)
What this could lead to
If successful, this valve could reduce the number of repeat surgeries children need as they grow, offering a more adaptable solution for heart valve replacement.
What could go wrong
This is an early-stage study with only 51 participants, so results may not apply to all children. Risks include device-related complications like blood clots or valve 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 51 people

The number the study aims to enrol. It can still change while the study runs.

Started

Feb 2024

Expected to finish

Feb 2036

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 months to 16 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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: Candidates must meet all of the following inclusion criteria to be considered for enrollment in this study. 1. Age 18 months to 16 years. 2. Male or female. 3. Subject has a native or repaired right ventricular outflow tract. 4. Subject has been recommended for surgical pulmonary valve replacement by treating clinical team (cardiologist and cardiac surgeon). 5. Subject has at least one of the following echocardiographic findings: 1. Severe pulmonary stenosis (defined as RV to PA peak instantaneous gradient ≥60 mmHg); 2. Moderate or greater pulmonary regurgitation; 3. Moderate or greater pulmonary stenosis plus moderate or greater pulmonary regurgitation. 6. Subject's body size is suitable for implantation of a study device ranging from 12.7 to 22 mm (internal diameter). 7. Subject and parent/legal representative, where appropriate, are willing to provide informed written consent. 8. Subject and parent/legal representative, where appropriate, and treating physician agree that the subject will return for, and comply with, all required study assessments and follow-up visits. Exclusion Criteria: Candidates will be excluded from the study if any of the following conditions are met: 1. Subject requires valve replacement in a non-pulmonary position. 2. Subject has a prosthetic valve at other valve position or will need a prosthetic valve at other valve position (i.e., anticipate additional valve replacements needed within 3 years). 3. Subject has pulmonary arterial hypertension (defined as mean PA pressure ≥25 mmHg). 4. Subject has pulmonary atresia and major aortopulmonary collaterals. 5. Subject has significant peripheral pulmonary artery stenosis. 6. Subject has an active infection requiring current systemic antibiotic therapy (if temporary illness, subject may be a candidate 4 weeks after discontinuation of antibiotics). 7. Subject has active endocarditis or a history of infective endocarditis. 8. Subject has renal insufficiency as determined by a serum creatinine (S-Cr) level ≥2.5 mg/dL within 60 days prior to the Screening Visit, or has end-stage renal disease. 9. Subject has leukopenia (defined as a white blood cell (WBC) count \<3.5 x 103/µL) 10. Subject has acute or chronic anemia (defined as hemoglobin (Hgb) \<10.0 g/dl or 6 mmol/L). 11. Subject has thrombocytopenia (defined as platelet count \<50 x 103/µL. 12. Subject has a known hypersensitivity to anticoagulants and antiplatelet drugs. 13. Subject has a known autoimmune disease or receives immunosuppressant and/or immunostimulant drugs that the Investigator or Eligibility Screening Committee (ESC) believes may negatively affect study outcomes. 14. Subject needs emergency cardiac or vascular surgery or intervention. 15. Positive pregnancy test prior to valve implant procedure in female subjects who have had their first menses. 16. Subject has, in the opinion of the Investigator, a life expectancy of less than 5 years. 17. Subject or parent/legal representative refuses blood transfusions. 18. Subject has medical, social or psychosocial factors that, in the opinion of the Investigator or ESC, could impact safety or compliance with study procedures. 19. Subject is participating in an investigational study of a new drug, biologic or device at the time of study screening.

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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

  • Ann and Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611, United States

  • Boston Children's Hospital

    Boston, Massachusetts, 02115, United States

  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30322, United States

  • Children's Hospital Colorado

    Aurora, Colorado, 80045, United States

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027, United States

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104, United States

  • Columbia University Irving Medical Center/New York Presbyterian Morgan Stanley Children's Hospital

    New York, New York, 10032, United States

  • Duke University

    Durham, North Carolina, 27703, United States

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205, United States

  • Seattle Children's Hospital

    Seattle, Washington, 98105, United States

  • University of Michigan - Mott Children's Hospital

    Ann Arbor, Michigan, 48109, United States

  • University of Utah - Intermountain Primary Children's Hospital

    Salt Lake City, Utah, 84113, United States

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