Heart hole closer may cut stroke risk in mystery cases
NCT ID NCT03821129
First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This study tests a device called GORE® CARDIOFORM Septal Occluder to close a small hole in the heart (PFO) in people who have had a stroke with no clear cause. About 636 participants will get the device plus blood-thinning medicine. The goal is to see if this reduces the chance of having another stroke and to check for any serious side effects.
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
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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 636 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2019
- Expected to finish
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Oct 2031
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 to 70 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: * Diagnosed with an ischemic stroke presumed to be an embolic stroke of undetermined source (ESUS) verified by a neurologist within the last 365 days prior to enrollment. * Presence of Patent Foramen Ovale (PFO), as determined initially by positive bubble study utilizing transesophageal echocardiography (TEE) and/or transcranial Doppler (TCD), demonstrating spontaneous right-to-left shunting or right-to-left shunting during Valsalva maneuver. * Patient is able to tolerate antiplatelet therapy * Note: Additional Inclusion Criteria may apply Exclusion Criteria: * History of or ongoing atrial fibrillation/flutter * Other co-morbidities including, but not limited to, mural thrombus, dilated cardiomyopathy, cardiac prosthetics (valves), severe native valve disease (including mitral valve stenosis), severe ventricular wall motion abnormalities, aortic dissection, significant atherosclerosis, vasculitis, pre-existing non-vascular neurologic disorders, pulmonary arteriovenous malformations, prior intracranial hemorrhage, severe disability related to prior stroke, autoimmune disorders that would increase the risk of stroke or thromboembolism, or associated with increased risk of infection or procedural complications, in the opinion of the investigator, left ventricular ejection fraction of \<40%, coexistent cause or intra-cardiac shunting (e.g. VSD or ASD) * Previous Myocardial Infarction * Rankin Scale sore greater than or equal to 3 at the time of procedure * Active infection that cannot be treated successfully prior to enrollment * Neurological deficits not due to stroke that may affect the patient's neurologic assessments * Evidence of hypercoagulable state, Uncontrolled diabetes mellitus, uncontrolled systemic hypertension or pulmonary hypertension at the time of screening or procedure * Sensitivity or contraindication to all proposed medical treatments or any device components * Pregnant, lactating, or intent on becoming pregnant through 24 months after enrollment. * Indications outside the parameters accepted for placement of GSO, including extensive congenital cardiac anomalies and defect diameters considered too large for closure with the device. * Atrial septal anatomy that is expected to necessitate placement of more than one GORE® CARDIOFORM Septal Occluder * Need for concomitant procedure(s) that may confound detection of adverse events related to device placement * Note: Additional Exclusion Criteria may apply
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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 places running it
31 sites. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Alexian Brothers Medical Center
WITHDRAWNElk Grove Village, Illinois, 60007, United States
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Atrium Health
RECRUITINGCharlotte, North Carolina, 28203, United States
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Aurora Health Care, Metro Inc.
RECRUITINGMilwaukee, Wisconsin, 53215, United States
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Baptist Health Jacksonville
RECRUITINGJacksonville, Florida, 32207, United States
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Baylor College of Medicine-Houston
RECRUITINGHouston, Texas, 77030, United States
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Baylor Scott & White Memorial Hospital
RECRUITINGTemple, Texas, 76508, United States
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Catholic Health Initiatives- Iowa Corp dba Iowa Heart
RECRUITINGWest Des Moines, Iowa, 50266, United States
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Charleston Area Medical Center (CAMC)
RECRUITINGCharleston, West Virginia, 25302, United States
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Cleveland Clinic Florida
ACTIVE_NOT_RECRUITINGWeston, Florida, 33331, United States
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Columbia University Medical Center/NYPH
TERMINATEDNew York, New York, 10032, United States
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Covenant Medical Center, Inc.
TERMINATEDSaginaw, Michigan, 48602, United States
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Emory University
ACTIVE_NOT_RECRUITINGAtlanta, Georgia, 30322, United States
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Jersey Shore University / Hackensack UMC
WITHDRAWNFreehold, New Jersey, 07728, United States
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Lehigh Valley Hospital
RECRUITINGAllentown, Pennsylvania, 18103, United States
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Loma Linda University Health
RECRUITINGLoma Linda, California, 92354, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Medical Center of the Rockies
RECRUITINGLoveland, Colorado, 80538, United States
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Medical College of Wisconsin, Inc.
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Medical University of South Carolina
WITHDRAWNCharleston, South Carolina, 29425, United States
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Methodist Healthcare Systems of San Antonio d/b/a Methodist Hospital
ACTIVE_NOT_RECRUITINGSan Antonio, Texas, 78229, United States
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Minneapolis Heart Institute Foundation - Abbott Northwestern Hospital
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Multicare Health Tacoma-Multicare Institute for Research & Innovation
RECRUITINGTacoma, Washington, 98405, United States
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Naples Community Hospital
RECRUITINGNaples, Florida, 34102, United States
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Northwestern University
RECRUITINGEvanston, Illinois, 60208, United States
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Providence Heart & Vascular Institute
RECRUITINGPortland, Oregon, 97225, United States
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Research Foundation SUNY Buffalo
RECRUITINGBuffalo, New York, 14203, United States
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Rush University Medical Center
RECRUITINGChicago, Illinois, 60612, United States
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Santa Barbara Cottage Hospital
RECRUITINGSanta Barbara, California, 93105, United States
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Scripps Health La Jolla
RECRUITINGLa Jolla, California, 92037, United States
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Sentara Cardiovascular Research Institute
TERMINATEDNorfolk, Virginia, 23455, United States
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South Denver Cardiology Associates
RECRUITINGLittleton, Colorado, 80120, United States
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St. Marks Hospital
RECRUITINGSalt Lake City, Utah, 84124, United States
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St. Mary's Hospital
WITHDRAWNTucson, Arizona, 85745, United States
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Tennova Healthcare
WITHDRAWNKnoxville, Tennessee, 37934, United States
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The Methodist Hospital - Houston
RECRUITINGHouston, Texas, 77030, United States
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University of California - San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University of Iowa Hospitals & Clinic
RECRUITINGIowa City, Iowa, 52242, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Minnesota
WITHDRAWNEdina, Minnesota, 55435, United States
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University of SF (Tampa General Hospital)
RECRUITINGTampa, Florida, 33606, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84132, United States
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University of Virginia
RECRUITINGCharlottesville, Virginia, 22908, United States
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Vanderbilt University Medical Center
TERMINATEDNashville, Tennessee, 37232, United States
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William Beaumont Hospital
WITHDRAWNRoyal Oak, Michigan, 48073, United States
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Yale University School of Medicine
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a checklist and heart monitor stop repeat strokes?
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Zapping the spine while wearing a robotic ankle: a new way to help kids walk?
- Can a nurse and a neighbor help tame chronic disease?
- Can PET scans reveal hidden heart inflammation after a stroke?
- Two ways to catch a hidden heart rhythm after stroke