Early Feasibility Study of the Edwards APTURE Transcatheter Shunt System

ConditionHeart Failure
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEdwards Lifesciences

About this trial

The objectives of this early feasibility study are to: evaluate initial clinical safety, device functionality, and effectiveness of the APTURE system for treatment of symptomatic HFrEF patients with elevated LAP, provide guidance for future clinical study and system designs utilizing the APTURE system.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A primary diagnosis of HFrEF (LVEF ≤ 40%), and

NYHA Class II, III, or IVa heart failure symptoms and

Hospitalization for heart failure; or

Increased treatment for heart failure, including intravenous (IV) or higher-dose diuretic therapy.

Disqualifiers

Ambulatory NT-proBNP value >5,000 pg/ml or BNP value >1,600 pg/ml

Left ventricular end-diastolic diameter (LVEDD) >8 cm

Left ventricular ejection fraction (LVEF) < 20%

ACC/AHA Stage D HF or non-ambulatory NYHA Class IV HF

Trial design

Design model

Single group

Treatments tested in this trial

  • Edwards APTURE transcatheter shunt system

    Device

    Transcatheter treatment of symptomatic heart failure patients with elevated left atrial pressure (LAP).

Treatment groups

15 Participants
are divided into 1 treatment group
Group A: Edwards APTURE transcatheter shunt systemExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Rate of major cardiac/cerebrovascular/renal events and re-intervention (Safety Endpoint)

Composite of device- or procedure-related major adverse cardiovascular, cerebrovascular, and renal events (MACCRE) at 30 days post implant procedure or hospital discharge, whichever is later.

Time frame
30 days

Secondary outcomes

1

Change in KCCQ Overall Summary Score (Performance Endpoint)

Change in KCCQ-OSS from baseline to 6 months.

Time frame
6 months

Other outcomes

Sponsors and contacts

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