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Active, Not Recruiting

NCT Number: NCT03611270

TReatment of Pulmonary Hypertension Group II Study

The objective of this study is to assess the safety and initial effectiveness of the TIVUS™ System when used for pulmonary artery denervation in group II PH patients through change in clinical parameters including hemodynamics, exercise tolerance, and quality of life.

This is a prospective, multi-center, non-randomized, open-label clinical trail. The study will be conducted in up to 3 centers and will recruit up to 15 patients diagnosed with pulmonary hypertension due to left heart disease that demonstrate combined pre and post capillary involvement with PVR>3 wood units.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UC San Diego Medical Center, San Diego, California, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Written informed consent to participate in the study obtained from the patient, according to local regulations, prior to initiation of any study mandated procedure.
  • Male or female, ≥ 18 years of age at the time of screening
  • Patient with known pulmonary hypertension (PH) due to left heart disease (WHO Group II) diagnosed as either HFpEF or HFrEF at chronic state receiving stable guideline directed medical therapy.
  • Combined post-capillary and precapillary pulmonary hypertension diagnosis confirmed by hemodynamic evaluation performed prior to screening or during baseline (Eligibility II visit) procedure
  • Patient with a current diagnosis of NYHA functional class II/III
  • Patient with eGFR levels of ≥ 30 ml/min/1.73m2or serum creatinine levels of ˂ 150μmol/l

Exclusion criteria

  • Pregnant women or women planning a pregnancy within 12 months of study enrolment
  • Patient with significant co-morbid condition(s) which, at the discretion of the PI, are deemed to prohibit study entry
  • Patient with life expectancy of less than a year
  • Concurrent enrollment in another device or drug trial except for observational studies (unless specifically approved by the sponsor)
  • Patient with pulmonary artery anatomy that precludes treatment
  • Patient with moderate to severe pulmonary artery stenosis
  • Patient with any pulmonary artery aneurysm
  • Patient who has experienced a myocardial infarction, unstable angina pectoris, or a cerebrovascular accident in the previous 6 months
  • Patient experiencing a current episode of acute decompensated heart failure
  • Patient who has cardiac pacemakers/ICD/CRT-D that were implanted fewer than three months prior to enrolment. Patient who has implantable Cardiomems device, neurostimulators or drug infusion devices, regardless of implant date.

Treatment and study plan

Pulmonary Denervation

Device

Pulmonary Denervation (PDN) using the TIVUS™ System will be performed in patient suffering from pulmonary hypertension after completion of screening and eligibility phase, The procedure will be performed during right heart catheterisation. Safety and effectiveness of the PDN treatment will be assessed during one year follow up.

Primary outcomes

  1. Procedural related Adverse Events (complications) at up to 30 days post procedure

    Time frame: 30 days

    Procedural related Adverse Events (complications) at up to 30 days post procedure including pulmonary artery perforation/dissection, acute thrombus formation in the pulmonary artery, pulmonary artery aneurysm, vascular stenosis, hemoptysis, all cause PH related as well as procedural related death.

Secondary outcomes

  1. Changes in cardiopulmonary exercise test

    Time frame: 4 month

    Changes in cardiopulmonary exercise test (CPET) results (Peak VO2, VE/VCO2 slope, VO2 at anaerobic threshold, peak workload) from baseline

  2. Change in resting mean right atrial pressure

    Time frame: 4 month

    Change in resting mean atrial pressure (mRAP) from baseline

  3. Changes in 6MWD from baseline

    Time frame: 4 month

    Changes in 6MWD from baseline

  4. Changes in Echocardiography parameters

    Time frame: 4 month

    Changes in Echocardiography parameters including Right Ventricular function from baseline

  5. Change in NT-BNP levels

    Time frame: 4 month

    Change in NT-BNP levels from baseline

  6. Procedure related and PH worsening adverse events

    Time frame: 12 month

    Procedure related and PH worsening adverse events and all cause death up to 12 months will be recorded, and serious adverse events will be reported in accordance with regulatory requirements.

  7. Change in exercise mean right atrial pressure

    Time frame: 4 month

    Change in exercise mean right atrial pressure (mRAP) from baseline

  8. Change in exercise mean pulmonary artery pressure

    Time frame: 4 month

    Change in exercise mean pulmonary artery pressure (mPAP) from baseline

  9. Change in exercise pulmonary vascular resistance

    Time frame: 4 month

    Change in exercise pulmonary vascular resistance (PVR) from baseline

  10. Change in exercise cardiac index

    Time frame: 4 month

    Change in exercise cardiac index (CI) from baseline

  11. Change in resting mean pulmonary artery pressure

    Time frame: 4 month

    Change in resting mean pulmonary artery pressure (mPAP) from baseline

  12. Change in resting pulmonary vascular resistance

    Time frame: 4 month

    Change in resting pulmonary vascular resistance (PVR) from baseline

  13. Change in resting cardiac index

    Time frame: 4 month

    Change in resting cardiac index (CI) from baseline

Sponsors and collaborators

Lead sponsor

SoniVie Inc.

Industry

Registry information

Official study title

Clinical Evaluation of the Therapeutic Intra-Vascular Ultrasound (TIVUS™) System for Pulmonary Artery Denervation in Patients With Pulmonary Hypertension Due to Left Heart Disease

Acronym: TROPHY-II

Important dates

Study start
2018
Primary completion
2023
Study completion
2027
First posted
Aug 2, 2018
Registry last updated
Aug 21, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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