Clinical trial Recruiting at 75 sites Interventional Ages 40 and up

Interatrial shunt with Alleviant ALV1 for heart failure with preserved or mid-range ejection fraction

Official title: Safety and Efficacy of the Alleviant System for No-Implant Interatrial Shunt Creation in Patients With Chronic Heart Failure

Run by Alleviant Medical, Inc. · NCT05685303 · Data updated 2026-11-12

This study tests whether creating a small interatrial shunt with the Alleviant ALV1 system can help people with HFpEF or HFmrEF who have symptoms, by comparing it to a sham procedure.

More Heart Failure trials

Quick facts

Study typeInterventional
Ages40 Years and up
SexAll
Enrollment700 (estimated)
SponsorAlleviant Medical, Inc.
Industry-sponsored
Locations93 sites (Phoenix, Arizona and 92 other locations)
StatusRecruiting
StartedJanuary 10, 2023
Main results expectedDecember 1, 2027
Study endsDecember 1, 2032
Registry record updatedAugust 14, 2026
Trial IDNCT05685303 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with symptomatic HFpEF or HFmrEF (LVEF ≥40%), NYHA II–IV, and evidence of elevated left atrial pressure during exercise, on stable GDMT.

Probably not a fit

Patients with advanced heart failure, pacemaker dependence, or 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 is a prospective, multicenter, randomized, sham-controlled, double-blinded, adaptive study evaluating the safety and efficacy of a percutaneously created interatrial shunt using the Alleviant ALV1 System in patients with heart failure with preserved or mid-range ejection fraction. Participants must have symptomatic HFpEF/HFmrEF, LVEF ≥40%, NYHA class II–IV, and evidence of elevated left atrial pressure during exercise, among other criteria, and must be on stable guideline-directed medical therapy. The intervention involves the Alleviant ALV1 System versus a sham-control, with outcomes assessed through safety and efficacy measures. The trial is conducted at multiple centers in Arizona with lead sponsor Alleviant Medical, Inc. No collaborators are listed.

Why it matters

Potential benefit: If successful, patients may experience improved symptoms and functional capacity from reduced left atrial pressure.

How similar studies have gone: Previous interatrial shunt approaches have shown mixed results; this trial uses a sham-controlled design to rigorously test safety and efficacy in HFpEF/HFmrEF.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Symptomatic HFpEF/HFmrEF with LVEF greater than or equal to 40%
2. NYHA Class II, III or ambulatory IV
3. Exercise right heart catheterization\*

   1. Elevated left atrial pressure during exercise right heart catheterization (greater than or equal to 25 mmHg)
   2. Exercise PVR \< 1.8 WU
4. Ongoing stable GDMT

Exclusion Criteria:

1. Advanced heart failure
2. Presence of a pacemaker
3. Evidence of right heart dysfunction

Where it's running

  • Pima Heart and Vascular
    Tucson, Arizona, United States
    Recruiting
  • Memorial Care Long Beach Medical Center
    Long Beach, 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
  • Santa Barbara Cottage Hospital
    Santa Barbara, California, United States
    Recruiting
Show 44 more locations
  • The Cardiac and Vascular Institute (TCAVI)
    Gainesville, Florida, United States
    Recruiting
  • HCA Florida Memorial Hospital
    Jacksonville, Florida, United States
    Recruiting
  • NCH Research Institute
    Naples, Florida, United States
    Recruiting
  • Advent Health Orlando
    Orlando, Florida, United States
    Recruiting
  • Ascension Sacred Heart
    Pensacola, Florida, United States
    Recruiting
  • Atlanta VA Health Care System
    Decatur, Georgia, United States
    Recruiting
  • Midwest Cardiovascular Institute
    Naperville, Illinois, United States
    Recruiting
  • Indiana University
    Indianapolis, Indiana, United States
    Recruiting
  • St. Elizabeth Healthcare
    Edgewood, Kentucky, United States
    Recruiting
  • Cardiovascular Institute of the South
    Houma, Louisiana, United States
    Recruiting
  • University Medical Center New Orleans
    New Orleans, Louisiana, United States
    Recruiting
  • Johns Hopkins Medical Institution
    Baltimore, Maryland, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Boston Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • VA Ann Arbor
    Ann Arbor, Michigan, 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
  • New York University
    New York, New York, United States
    Recruiting
  • Stony Brook Medicine
    Stony Brook, 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
  • South Oklahoma Heart Research, LLC.
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Pinnacle Health Cardiovascular Institute
    Harrisburg, Pennsylvania, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting
  • Prisma Health - Midlands
    Colombia, South Carolina, United States
    Recruiting
  • Monument Health
    Rapid City, South Dakota, United States
    Recruiting
  • Stern Cardiovascular Foundation
    Germantown, Tennessee, 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
  • UT Southwestern
    Dallas, Texas, United States
    Recruiting
  • Baylor Scott & White Research Institute
    Plano, Texas, United States
    Recruiting
  • Waco Cardiology
    Waco, Texas, United States
    Recruiting
  • Monash Health Victorian Heart Hospital
    Clayton, Victoria, Australia
    Recruiting
  • Austin Hospital
    Heidelberg, Victoria, Australia
    Recruiting
  • Medizinische Universität Graz
    Graz, Austria
    Recruiting
  • OLV Hospital
    Aalst, Belgium
    Recruiting
  • ZAS Middelheim
    Antwerp, Belgium
    Recruiting
  • AZ Sint Jan Brugge
    Bruges, Belgium
    Recruiting
  • University Hospital UMHAT Sveti Georgi
    Plovdiv, Bulgaria
    Recruiting

+43 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.