What is the Purpose of this Study?
The purpose of this study is to learn about the safety and performance of an experimental device called the J-Valve TF System. The device is designed to treat severe aortic regurgitation, (AR). AR occurs when the aortic valve does not close properly, which causes blood to leak back into the heart. People with severe symptomatic AR who are considered at high risk to open surgical aortic valve replacement will be suitable for the study. When compared to open chest surgery, the study procedure is less invasive, as it is performed through catheters in the Cath Lab. Patients enrolled and participating in the study will be followed by clinic visits up to 5 years.
Eligibility
- 1. Symptomatic according to New York Heart Association (NYHA) functional class (FC) II or higher
- 2. Severe AR, defined as follows, as assessed by Imaging Core Laboratory:
- A. Severe AR by Transthoracic Echocardiography (TTE) (grade 3 or 4)
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Inclusion Criteria:
- 1. Symptomatic according to New York Heart Association (NYHA) functional class (FC) II or higher
- 2. Severe AR, defined as follows, as assessed by Imaging Core Laboratory:
- A. Severe AR by Transthoracic Echocardiography (TTE) (grade 3 or 4)
- B. OR, if indeterminate AR, by TTE, ANY ONE of the following:
- i. Cardiac magnetic resonance imaging (CMR)-derived aortic regurgitant fraction (RF) ≥43% ii. CMR-derived RF ≥33% + left ventricular dilation (left ventricular end diastolic volume index \[LVEDVi\]) \>105 mL/m\^2 for men or LVEDVi \>96 mL/m\^2 for women) iii. CMR-derived RF ≥33% + LV ejection fraction (LVEF) ≤55% or left ventricular end systolic volume index (LVESVi) ≥43mL/m\^2; iv. Severe AR by Transesophageal Echocardiography (TEE) (grade 3 or 4)
- 3. High risk for surgery as judged by a multi-disciplinary heart team
- 4. Suitable anatomy to accommodate the insertion, delivery, and deployment of the study devices (see anatomic exclusions below)
- 5. Written informed consent and agreement to comply with all required post-procedure follow-up visits at investigational site.
Exclusion Criteria:
- 1. Previous prosthetic aortic valve (bioprosthesis or mechanical) implant
- 2. Aortic valve stenosis \> moderate\*
- 3. Severe mitral valve or tricuspid valve regurgitation\*
- 4. Severe mitral valve or tricuspid valve stenosis\*
- 5. Active infection, including infective endocarditis
- 6. Cardiac imaging evidence of cardiac mass, thrombus or vegetation
- 7. Inability to tolerate or a condition precluding treatment with antithrombotic (antiplatelet, anticoagulant) therapy
- 8. Renal insufficiency (eGFR \<30 mL/min/1.73m\^2) or end stage renal disease requiring chronic dialysis
- 9. Liver disease (cirrhosis of the liver \[Child-Pugh Class B or C\])
- 10. Blood dyscrasias as defined: leukopenia (WBC \<3000 cells/mcL), thrombocytopenia (platelet count \<50,000 cells/mcL), anemia (hemoglobin \<9 g/dL), history of bleeding diathesis coagulopathy, or hypercoagulable state (unless therapeutically stable)
- 11. Known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, clopidogrel, Nitinol (Nickel, Titanium) or sensitivity to contrast media, which cannot be adequately premedicated
- 12. Left ventricular dysfunction with left ventricular ejection fraction (LVEF) \<25% as measured by resting echocardiogram (or by CMR, when performed)\*
- 13. Clinically significant untreated coronary artery disease requiring revascularization or anticipated coronary revascularization procedure within 12-months post index procedure
- 14. Acute myocardial infarction within 30 days prior to index procedure
- 15. PCI within 30 days prior to index procedure
- 16. Carotid intervention within 6 weeks prior to index procedure or carotid artery disease requiring intervention
- 17. Previous, or planned, other surgical or interventional procedures within 30 days before, during, or within 30 days after the index procedure
- 18. Uncontrolled atrial fibrillation
- 19. Severe right ventricular (RV) dysfunction\*
- 20. Pulmonary hypertension (systolic PA pressure \>70mmHg or systolic PA pressure ≥2/3 of systemic systolic BP)
- 21. Severe chronic obstructive pulmonary disease (COPD) requiring chronic oral steroids or requiring continuous home O2
- 22. Stroke (CVA), transient ischemic attack (TIA) or neurological signs and symptoms attributed to carotid or vertebrobasilar disease within 90 days prior to index procedure
- 23. Cardiogenic shock defined as systolic blood pressure \<90 mmHg in addition to signs of tissue hypoperfusion or the need for vasopressors and/or mechanical hemodynamic support to maintain systolic blood pressure ≥90mmHg
- 24. Patient requires mechanical circulatory support within 30 days prior to index procedure
- 25. Estimated life expectancy of less than 24 months due to associated non-cardiac co-morbid conditions
- 26. Pregnancy or intent to become pregnant prior to completion of all protocol follow-up requirements
- 27. Participation in another investigational study that has not reached its primary endpoint
- 28. Considered to be part of a vulnerable population
- * As assessed by Imaging Core Laboratory
- Anatomic Exclusions:
- 1. Ascending Aortic diameter \>5 cm\*
- 2. Aortic Annulus Perimeter \<57 mm or \>104 mm\*
- 3. Inappropriate anatomy for femoral introduction and delivery of the study system
- 4. Left ventricular end-diastolic diameter (LVEDD) \>75 mm\*
- 5. Congenital aortic valve disease including Unicuspid, Bicuspid, or Quadricuspid aortic valve anatomy\*
- 6. Congenital univentricle or other condition that, in the opinion of the investigator and/or consulting physician, may constitute an unwarranted surgical risk
- 7. Excessive aortic valve prolapse that would preclude proper seating of the implant in the aortic annulus
- 8. Abdominal/thoracic aortic aneurysm ≥5.0 cm\*
- 9. Aorto-iliac disease requiring intervention to facilitate delivery of access sheath
- 10. Excessive tortuosity of delivery system pathway, defined as severe tortuosity of multiple vessels including iliofemoral, thoracoabdominal aorta, aortic arch, or LV-aortic root angle \>80⁰
- 11. Non-native anatomy in aortic zones 0A \& 0B (aortic valve annulus to the distal margin of the right pulmonary artery); 0C (to innominate) only if deemed unfavorable by the Study Screening Committee
- * As assessed by Imaging Core Laboratory
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Where can I participate?
Beverly
More about this Clinical Trial
What is the full name of this clinical trial?
J-Valve to Treat Aortic Regurgitation via Transcatheter Therapy