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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 40 Years and up |
| Sex | All |
| Enrollment | 700 (estimated) |
| Sponsor | Alleviant Medical, Inc. Industry-sponsored |
| Locations | 93 sites (Phoenix, Arizona and 92 other locations) |
| Status | Recruiting |
| Started | January 10, 2023 |
| Main results expected | December 1, 2027 |
| Study ends | December 1, 2032 |
| Registry record updated | August 14, 2026 |
| Trial ID | NCT05685303 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
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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
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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
- Principal investigator: James Udelson, MD — Tufts Medical Center
- Study coordinator: Jennifer Olson
- Email: jen.olson@alleviantmedical.com
- Phone: +1 612 327 2741
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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.