Clinical Feasibility and Evaluation Study of POINT-GUARD Embolic Protection Device During TAVR (GUARDIAN)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorTransverse Medical, Inc.

About this trial

The purpose of this study is to assess the feasibility and safety of the Transverse Medical, Inc. Point-Guard device. This feasibility study is a limited clinical investigation of the Point-Guard device. The study will be conducted to evaluate the device design concept with respect to clinical safety and device functionality.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The patient is ≥18 years of age;

The patient meets indications for Transcatheter Aortic Valve Replacement (TAVR);

The patient is willing to comply with protocol-specified follow-up evaluations;

The patient has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent, approved by the appropriate Institutional Review Board or Ethics Committee.

Disqualifiers

TAVR conducted via other than transfemoral access (subclavian, axillar, transapical, transaortic, carotid or transcaval).

Anatomy that precludes safe delivery and retrieval of the investigational device.

Current or planned treatment with any investigational drug or investigational device during the study enrollment or follow-up period.

Cardiovascular surgical or interventional procedure 10 days prior or planned during the TAVR procedure or during the 30-day study follow-up.

Trial design

Design model

Single group

Treatments tested in this trial

  • cerebral embolic protection

    Device

    Use of Transverse Medical Inc. Point-Guard CEP device.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Point-GuardExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Primary Endpoint

Technical success, defined as successful deployment, positioning and retrieval per the Instructions For Use (IFU), with minimal device interference, and as outlined below: * Deployment of the Point-Guard filter unit from the Delivery sheath into the aortic arch; * Positioning of the Point-Guard device within the aortic arch; * Retrieving and removing the Point-Guard device intact; * Minimal device interference (operator assessed).

Time frame
From beginning of TAVI procedure to end.
2

Primary Safety Endpoints

1. Primary Safety Endpoint: TAVR procedure complications associated with the delivery, positioning, and removal of the test device. 2. Primary Safety Endpoint: MACCE (all death, all stroke, and acute kidney injury class 3) within 72 hours or discharge, whatever occurs first and at 30 days.

Time frame
Beginning of TAVI procedure to 30 days post-procedure.

Secondary outcomes

Other outcomes

1

Observational Endpoints

1\. Reduction in Median Total New Lesion Volume in whole-brain as assessed by traditional 1.5T DW-MRI as soon as possible and within twenty-four (24) hours post-procedure. \[Time Frame: Day 0-1 days Post-Procedure\] \- Total new lesion volume is defined as the sum of all diffusion- positive new cerebral lesions in post-TAVR DW-MRI relative to the pre-TAVR DW-MRI scans. (in mm\^3)

Time frame
24 hours pre-procedure to 24 hours post-procedure

Sponsors and contacts

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Transverse Medical, Inc.

Lead sponsor

Medical Metrics Diagnostics, Inc

Collaborator

Monash Health

Collaborator

Transverse Medical Australia

Collaborator

Ascend Clinical

Collaborator