Clinical trial Recruiting at 13 sites Interventional Ages 18 and up

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.

More Tricuspid Regurgitation trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1186 (estimated)
SponsorMedtronic Cardiovascular
Industry-sponsored
Locations13 sites (Birmingham, Alabama and 12 other locations)
StatusRecruiting
StartedSeptember 11, 2026
Main results expectedSeptember 2031
Study endsApril 2041
Registry record updatedSeptember 25, 2026
Trial IDNCT07321899 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.