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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 350 (estimated) |
| Sponsor | Alleviant Medical, Inc. Industry-sponsored |
| Locations | 70 sites (Los Angeles, California and 69 other locations) |
| Status | Recruiting |
| Started | March 10, 2025 |
| Main results expected | December 2028 |
| Study ends | December 2028 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT06812533 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
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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
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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
- Principal investigator: Gregg Stone — Icahn School of Medicine at Mount Sinai
- Study coordinator: Stacia Kraus
- Email: stacia.kraus@alleviantmedical.com
- Phone: 612-387-4552
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.