Transcatheter Tricuspid Valve Replacement for Severe Tricuspid Regurgitation with TTVR Systems
Official title: Transcatheter Tricuspid Valve Replacement Using the Medtronic Intrepid™ TTVR System in Patients With Severe Symptomatic Tricuspid Regurgitation - PATHFINDER
Run by Medtronic Cardiovascular · NCT07321899 · Data updated 2026-11-12
This trial tests whether the Medtronic Intrepid TTVR system can safely and effectively treat severe symptomatic tricuspid regurgitation in adults.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1186 (estimated) |
| Sponsor | Medtronic Cardiovascular Industry-sponsored |
| Locations | 13 sites (Birmingham, Alabama and 12 other locations) |
| Status | Recruiting |
| Started | September 11, 2026 |
| Main results expected | September 2031 |
| Study ends | April 2041 |
| Registry record updated | September 25, 2026 |
| Trial ID | NCT07321899 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older with severe symptomatic tricuspid regurgitation despite optimized medical therapy and a heart-team assessment favoring TTVR.
✕Probably not a fit
Patients with contraindications to transcatheter devices, emergent surgical needs, or very reduced left ventricular function 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, global, pre-market, interventional, multi-center, randomized pivotal trial comparing the Medtronic Intrepid Transcatheter Tricuspid Valve Replacement system to the Edwards EVOQUE system in adults with severe or greater tricuspid regurgitation. Participants are adults with symptoms despite optimal medical therapy and are evaluated by a multidisciplinary heart team for suitability. The study aims to assess safety and effectiveness of the two transcatheter tricuspid valve replacement approaches in a real-world, clinical setting. Enrollment is limited to centers with tricuspid valve expertise, and the trial excludes patients with certain anatomic contraindications or severe left ventricular dysfunction. Outcomes will inform potential regulatory approval and future use in this patient population.
Why it matters
Potential benefit: If successful, the trial could expand treatment options for patients with severe TR and provide evidence on a potentially safer, less invasive alternative to surgery.
How similar studies have gone: Prior studies in transcatheter valve therapies have shown promise, but this comparison between two TTVR systems in TR is a novel, pivotal evaluation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥18 years at the time of consent. * Severe symptomatic tricuspid regurgitation (TR) despite optimal medical therapy (OMT). * Local site multidisciplinary heart team experienced in tricuspid valve therapies agrees that the subject is appropriate for TTVR. Exclusion Criteria: * Any tricuspid device currently in place. * Anatomic contraindications. * Need for emergent or urgent surgery. * Left ventricular ejection fraction \<25%.
Where it's running
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University of Alabama at Birmingham (UAB) Hospital
Birmingham, Alabama, United States Recruiting -
Abrazo Arizona Heart Hospital
Phoenix, Arizona, United States Recruiting -
Los Robles Hospital & Medical Center
Thousand Oaks, California, United States Recruiting -
Yale New Haven Hospital
New Haven, Connecticut, United States Recruiting -
Emory University Hospital Midtown
Atlanta, Georgia, United States Recruiting -
Northwestern Memorial Hospital
Chicago, Illinois, United States Recruiting
Show 7 more locations
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Abbott Northwestern Hospital
Minneapolis, Minnesota, United States Recruiting -
Buffalo General Medical Center
Buffalo, New York, United States Recruiting -
Northwell Health North Shore University Hospital
Manhasset, New York, United States Recruiting -
NYU Langone Medical Center
New York, New York, United States Recruiting -
Montefiore Medical Center
New York, New York, United States Recruiting -
The Christ Hospital
Cincinnati, Ohio, United States Recruiting -
Cleveland Clinic Foundation
Cleveland, Ohio, United States Recruiting
Study contacts
- Principal investigator: Vinayak N. Bapat, MD — Minneapolis Heart Institute
- Study coordinator: Amber St Martin
- Email: rs.pathfinder@medtronic.com
- Phone: 612-380-5637
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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Registry for patients with severe tricuspid regurgitation after TricValve implantation
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.
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Transcatheter tricuspid valve clipping for severe tricuspid regurgitation
This trial will try a catheter-delivered tricuspid valve clipping device to reduce severe tricuspid regurgitation in adults who have been stable on medical therapy.
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Transcatheter tricuspid repair or replacement with implanted pulmonary-artery pressure monitoring
This project will test whether adding a small implanted pulmonary-artery pressure sensor and remote monitoring after transcatheter tricuspid repair or replacement helps people with severe tricuspid regurgitation and heart failure have fewer hospital stays.
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First-in-man TRICENTO G2 Transcatheter Valve for Tricuspid Regurgitation
This trial tests whether the TRICENTO G2 transcatheter valve can safely improve symptoms for adults with severe or greater tricuspid regurgitation.
-
3D Echocardiography to See How CIEDs May Worsen Tricuspid Regurgitation
This study tests whether different CIEDs (leadless pacemakers, LBBaP, and conventional pacemakers) differ in causing worsening tricuspid regurgitation, using 3D heart imaging.
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.