Registry for patients with severe tricuspid regurgitation after TricValve implantation
Official title: Cardiovascular, Renal and haemodynamIc Outcomes in Patients With Severe TrIcuspid Regurgitation After triCvALve System Implantation: an International Registry - CRITICAL INTERNATIONAL REGISTRY
Run by Azienda Ospedaliero, Universitaria Pisana · NCT05820516 · Data updated 2026-11-12
This study is collecting information from patients with severe tricuspid regurgitation who are getting a TricValve implant to see how the procedure affects their heart health and overall quality of life.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Azienda Ospedaliero, Universitaria Pisana Academic / other |
| Locations | 1 site (Pisa, Pisa) |
| Status | Recruiting |
| Started | February 1, 2025 |
| Main results expected | December 2026 |
| Study ends | May 2027 |
| Registry record updated | May 11, 2026 |
| Trial ID | NCT05820516 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with symptomatic severe tricuspid regurgitation and specific hemodynamic criteria.
✕Probably not a fit
Patients with mild or asymptomatic tricuspid regurgitation or those not suitable for TricValve implantation will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to collect data from patients with severe tricuspid regurgitation who are undergoing TricValve implantation across multiple centers in Italy and Europe. It will assess the impact of the procedure on cardiovascular and all-cause mortality, heart failure rehospitalization, renal function, functional capacity, and quality of life. The study will involve a cohort of 100 patients, with evaluations conducted at baseline, discharge, and 30-day follow-up, including clinical, biohumoral, echocardiographic, and hemodynamic data collection.
Why it matters
Potential benefit: If successful, this study could improve treatment outcomes and quality of life for patients with severe tricuspid regurgitation.
How similar studies have gone: While this approach is observational, similar studies have shown promise in assessing the outcomes of transcatheter valve interventions.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria 1. The subject must be 18 years of age or older 2. The subject must be a patient with massive or torrential symptomatic tricuspid regurgitation demonstrated by echocardiography with significant backflow in the IVC and/or SVC and with a v-wave ≥ 25 mmHg as demonstrated by right heart catheterization (measured in the IVC and/or SVC 2-4 cm above/ below right atrium (RA) inflow) within 8 weeks prior to the implantation 3. Suitable for TricValve Transcatheter Bicaval Valves System implantation according to anatomic criteria by computed tomography (CT)inserire la parte retrospettiva ossia i pazienti che già hanno avuto l'impianto 4. The subjects must have severe, tricuspid regurgitation leading to New York Heart Association (NYHA) class III or IV 5. Distance covered in 6-minute walk test (6MWT) ≥ 60m 6. Patient/authorized legal guardian understands the nature of the procedure, is willing to comply with associated follow-up evaluations, and provides written informed consent Patient/patient's authorized legal guardian is geographically stable (or willing to return for required study follow-up) and understands and is willing to fulfil all of the expected requirements of the clinical protocol Exclusion Criteria 1. Known significant intracardiac shunt (e.g. ventricular septal defect) or congenital structural heart disease based on heart team decision 2. Requirement for other elective cardiac procedures e.g. Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Graft (CABG) up to 90 days after the procedure or 30 days before the procedure 3. Right ventricular failure (TAPSE ≤13 mm) 4. Systolic pulmonary arterial pressure \> 65 mmHg as assessed by Doppler echocardiography 5. Life expectancy less than one year 6. Cerebro-vascular event within the past 3 months 7. History of mitral/tricuspid endocarditis within the last 12 months 8. Patient has untreated significant left sided valvular heart disease which requires treatment (e.g. mitral regurgitation or stenosis, and aortic regurgitation or stenosis) 9. Documented primary coagulopathy or platelet disorder, including thrombocytopenia (absolute platelet count \<90k) 10. Documented evidence of significant renal dysfunction (serum creatinine \> 3.0mg/dl) or on any form of dialysis at time of screening within the last 4 weeks 11. Contraindication or known allergy to device's components, anti-coagulation therapy with vitamin K antagonists or contrast media that cannot be adequately pre-treated 12. Evidence of an acute myocardial infarction (AMI) ≤ 1 month (30 days) 13. Currently participating in another study of an investigational drug or device that would directly impact the treatment or outcome of the current study
Where it's running
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Azienda Ospedaliero Universitaria Pisana
Pisa, Pisa, Italy Recruiting
Study contacts
- Study coordinator: Marco De Carlo, MD
- Email: marcodecarlo@gmail.com
- Phone: +39050995326
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Transcatheter Tricuspid Valve Replacement for Severe Tricuspid Regurgitation
This trial tests the Laplace TTVR System to see if it safely and effectively treats adults with severe tricuspid regurgitation.
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TruGamma tricuspid valve replacement for high-risk patients
This trial tests the TruGamma tricuspid valve replacement system in high-risk patients with severe tricuspid regurgitation to see if it is safe and helps symptoms when added to standard medical care.
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Vyne TriNova Transcatheter Tricuspid Valve Replacement study for severe tricuspid regurgitation
This trial tests the VDyne TriNova system in adults with symptomatic severe tricuspid regurgitation to see if it is safe and helps heart symptoms compared with an alternative device.
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Lead-related tricuspid valve leakage after first-time pacemaker or ICD implantation
This project will see if a new transvenous pacemaker or ICD lead causes new or worse tricuspid valve regurgitation in people getting their first device.
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Tracking progression and consequences of heart valve disease
This project will follow adults with moderate or worse valve disease to see if clinical tests and imaging can predict when their condition will get worse.
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Assessment of the inQB8 Tricuspid Valve Replacement System
This study is testing a new valve replacement system to see if it can safely help people with severe tricuspid valve problems feel better.
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.