New dissolving heart plug could stop strokes without lifelong drugs
NCT ID NCT07300358
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new biodegradable device that closes a common heart hole (PFO) in people who have already had a stroke or mini-stroke. The device is placed through a tube in the leg and dissolves over time, leaving no permanent implant. The trial will check if it safely and effectively prevents future strokes compared to standard treatments.
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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 258 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2025
An estimate. Start dates often move.
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 to 65 years
- 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: * Aged between 18 and 65 years. * Presence of a patent foramen ovale (PFO) confirmed by transthoracic echocardiography (TTE) or transesophageal echocardiography (TEE). * Presence of a moderate-to-large right-to-left shunt (RLS) at rest or during the Valsalva maneuver, as confirmed by agitated saline contrast echocardiography (also known as bubble study). * Clinically diagnosed with a PFO-associated ischemic stroke or transient ischemic attack (TIA). Exclusion Criteria: * An alternative, clearly identified cause of ischemic stroke or TIA (other than PFO) is determined by the investigator. * Large territory cerebral infarction within 4 weeks prior to the planned procedure. * Atherosclerotic stenosis (\>50%) of the carotid or vertebral arteries, as confirmed by CT angiography or vascular ultrasound per investigator assessment. * Presence of intracardiac thrombus or vegetation as confirmed by echocardiography. * Left ventricular ejection fraction (LVEF) \< 35%. * Atrial fibrillation or atrial flutter. * Left ventricular aneurysm or severe regional wall motion abnormality. * Significant valvular stenosis or regurgitation, or history of valvular replacement or repair surgery. * Pulmonary hypertension or a PFO constituting a special conduit (e.g., right-to-left shunt due to elevated right heart pressures). * Other confirmed causes of right-to-left shunt, such as atrial septal defect (ASD) or pulmonary arteriovenous fistula. * Complex PFO anatomy (e.g., multi-tunnel PFO) or PFO associated with an ASD requiring different closure strategy. * Thrombus, mass, or vegetation identified at the intended implant site or along the potential delivery pathway. * Acute myocardial infarction or unstable angina within 3 months prior to the procedure. * Previous implantation of an inferior vena cava filter, PFO closure device, or ASD closure device. * Any other condition deemed by the investigator to make the patient unsuitable for PFO device implantation. * Concomitant cardiac anomalies requiring surgical correction. * Uncontrolled systemic or local infection, or sepsis. * Active infection requiring concurrent antibiotic therapy (Patients with transient conditions may be enrolled after completing antibiotic therapy and a subsequent 14-day washout period). * Contraindication to antiplatelet or anticoagulant therapy (e.g., major bleeding within 3 months, known retinopathy, history of intracranial hemorrhage, or other significant intracranial pathology). * Known hypersensitivity or allergy to tantalum or nickel. * Pregnancy, lactation, or women of childbearing potential not using highly effective contraception. * Life expectancy less than 1 year due to malignancy or other comorbid disease. * Current participation in another investigational drug or device clinical study that has not yet completed its primary endpoint.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- After a stroke, does the heart inflame? MRI study probes the link