Clinical trial Recruiting at 68 sites Interventional Ages 18 and up

Alleviant ALV1 Shunt for HFrEF: a Safe Test in Eligible Patients

Official title: Safety and Efficacy of the Alleviant No-Implant Interatrial Shunt in Patients With Heart Failure and Reduced Ejection Fraction

Run by Alleviant Medical, Inc. · NCT06812533 · Data updated 2026-11-12

This test checks whether a percutaneous interatrial shunt using the ALV1 system can be safely used in people with heart failure and reduced ejection fraction who are on stable medication.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment350 (estimated)
SponsorAlleviant Medical, Inc.
Industry-sponsored
Locations70 sites (Los Angeles, California and 69 other locations)
StatusRecruiting
StartedMarch 10, 2025
Main results expectedDecember 2028
Study endsDecember 2028
Registry record updatedOctober 6, 2026
Trial IDNCT06812533 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with HFrEF (LVEF ≤40%) who are NYHA class II–IV and on stable GDMT.

Probably not a fit

Patients with advanced HF, limited life expectancy, or underlying right heart dysfunction may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter, randomized, sham-controlled trial compares the Alleviant ALV1 interatrial shunt to a sham procedure in adults with HFrEF. The study is double-blind for patients and observers and aims to determine safety and efficacy. Eligible participants have LVEF ≤40% and NYHA class II–IV symptoms despite optimized guideline-directed medical therapy. Key exclusions include advanced HF, life expectancy under 12 months, and right heart dysfunction. The trial is sponsored by Alleviant Medical, with sites at USC Keck, UCLA, and UC Davis.

Why it matters

Potential benefit: If successful, the approach could provide a new therapy to help reduce symptoms and improve outcomes for patients with HFrEF.

How similar studies have gone: Other interatrial shunt approaches in HF have shown mixed results; this study tests a specific percutaneous shunt with a rigorous sham-control.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* LVEF ≤ 40%
* NYHA class II, III or ambulatory IV HF
* Receiving optimal, maximally tolerated, stable GDMT

Exclusion Criteria:

* Advanced heart failure
* Life-expectancy \< 12 months
* Evidence of right heart dysfunction

Where it's running

  • Keck Medical Center of USC
    Los Angeles, California, United States
    Recruiting
  • University California Los Angeles Medical Center
    Los Angeles, California, United States
    Recruiting
  • UC Davis Medical Center
    Sacramento, California, United States
    Recruiting
  • Scripps Clinical Research Services
    San Diego, California, United States
    Recruiting
  • University of California San Francisco
    San Francisco, California, United States
    Recruiting
  • Delray Medical Center
    Delray Beach, Florida, United States
    Recruiting
Show 44 more locations
  • Ascension Sacred Heart
    Pensacola, Florida, United States
    Recruiting
  • Tampa General Hospital
    Tampa, Florida, United States
    Recruiting
  • Atlanta VA Health Care System
    Decatur, Georgia, United States
    Recruiting
  • Midwest Cardiovascular Institute
    Naperville, Illinois, United States
    Recruiting
  • Cardiovascular Institute of the South
    Houma, Louisiana, United States
    Recruiting
  • University Medical Center New Orleans
    New Orleans, Louisiana, United States
    Recruiting
  • Tufts Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Boston Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • Minneapolis Heart Institute Foundation
    Minneapolis, Minnesota, United States
    Recruiting
  • Washington University - St Louis
    St Louis, Missouri, United States
    Recruiting
  • UMC of Southern Nevada
    Las Vegas, Nevada, United States
    Recruiting
  • Deborah Heart & Lung Center
    Browns Mills, New Jersey, United States
    Recruiting
  • Englewood Medical Center
    Englewood, New Jersey, United States
    Recruiting
  • Stony Brook Medicine
    New York, New York, United States
    Recruiting
  • Rochester General Hospital
    Rochester, New York, United States
    Recruiting
  • University of Rochester Medical Center
    Rochester, New York, United States
    Recruiting
  • Mission Hospital
    Asheville, North Carolina, United States
    Recruiting
  • Duke University Hospital
    Durham, North Carolina, United States
    Recruiting
  • NC Heart and Vascular Research
    Raleigh, North Carolina, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting
  • ProMedica Toledo Hospital
    Toledo, Ohio, United States
    Recruiting
  • Pinnacle Health Cardiovascular Institute
    Harrisburg, Pennsylvania, United States
    Recruiting
  • Roper St. Francis Healthcare
    Charleston, South Carolina, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting
  • Monument Health
    Rapid City, South Dakota, United States
    Recruiting
  • Tennova Healthcare - Turkey Creek Medical Center
    Knoxville, Tennessee, United States
    Recruiting
  • Hendrick Health
    Abilene, Texas, United States
    Recruiting
  • Austin Heart
    Austin, Texas, United States
    Recruiting
  • Baylor Scott & White Research Institute
    Plano, Texas, United States
    Recruiting
  • Baylor Scott & White - Temple
    Temple, Texas, United States
    Recruiting
  • Waco Cardiology
    Waco, Texas, United States
    Recruiting
  • Carilion Clinic
    Roanoke, Virginia, United States
    Recruiting
  • Monash Health Victorian Heart Hospital
    Clayton, Victoria, Australia
    Recruiting
  • Alfred Hospital
    Melbourne, Victoria, Australia
    Recruiting
  • OLV Hospital
    Aalst, Belgium
    Recruiting
  • ZAS Middelheim
    Antwerp, Belgium
    Recruiting
  • AZ Sint Jan Brugge
    Bruges, Belgium
    Recruiting
  • Southlake Regional Hospital Centre
    Newmarket, Ontario, Canada
    Recruiting
  • Centre hospitalier de l'Universite de Montreal (CHUM)
    Montreal, Quebec, Canada
    Recruiting
  • Centre Integre Universitaire de Sainte et de Services Scoiiaux de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke (CIUSSS de l'Estrie - CHUS)
    Montreal, Quebec, Canada
    Recruiting
  • IUCPQ - Université Laval (Quebec)
    Québec, Quebec, Canada
    Recruiting
  • Tbilisi Heart and Vascular
    Tbilisi, Georgia
    Recruiting
  • Hippocration General Hospital Athens
    Athens, Greece
    Recruiting

+20 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.