About this trial
The objective of this study is to establish reasonable assurance of safety, effectiveness, and noninferiority of the Encore PFO closure device when compared to any investigator chosen FDA-approved PFO closure device.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of PFO, defined as visualization of microbubbles per TEE in the left atrium within three cardiac cycles from the right atrial opacification demonstrating right-to-left shunting at rest and/or during Valsalva release
Cryptogenic stroke within the last 270 days; stroke is defined as acute focal neurological deficit, presumed to be due to focal ischemia, and confirmed by MRI or CT to be a new, neuroanatomically relevant cerebral infarct
Disqualifiers
Age <18 years and age >60 years
Greater than 50% lumen diameter stenosis of intracranial or extracranial vessels
Intracardiac thrombus or tumor
Acute or recent (within 6 months) myocardial infarction (MI) or unstable angina
Trial design
Parallel
Treatments tested in this trial
Encore PFO closure device
DeviceThe Encore PFO closure device comprises an implant component and a single-use delivery system.
FDA-approved PFO closure device
DeviceChosen by the investigator
Treatment groups
Trial outcomes
Primary outcomes
Safety: The incidence of device- or procedure-related serious adverse events (SAEs)
Effectiveness: Effective closure
Defined as shunt grade 0 or I while at rest and during Valsalva as assessed by transesophageal echocardiography (TEE) and bubble study as adjudicated by the echocardiographic core laboratory
Secondary outcomes
Complete closure
Defined as shunt grade 0 while at rest and during Valsalva as assessed by TEE and bubble study as adjudicated by the echocardiographic core laboratory
Occurrence of recurrent symptomatic cryptogenic non-fatal stroke or cardiovascular death
Occurrence of transient ischemic attacks (TIA)
Occurrence of clinically significant new atrial arrhythmia (including atrial fibrillation)
Sponsors and contacts
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Encore Medical Inc.
Lead sponsor
Bright Research Partners
Collaborator
Yale Cardiovascular Research Group
Collaborator