50 Participants Needed

Transcatheter Valve Replacement for Tricuspid Regurgitation

Recruiting at 5 trial locations
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: inQB8 Medical Technologies, LLC
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new device called the inQB8 MonarQ, designed to replace a faulty heart valve in individuals with severe tricuspid regurgitation. The main goal is to assess the safety and effectiveness of this device in those with symptoms who have already received treatment for heart failure. Suitable candidates have severe symptoms of tricuspid regurgitation and stable heart health. As an unphased trial, this study allows patients to contribute to groundbreaking research and potentially benefit from an innovative treatment.

Will I have to stop taking my current medications?

The trial protocol does not specify whether you need to stop taking your current medications. However, it mentions that participants should be adequately treated for heart failure, which might imply continuing some medications. Please consult with the trial team for specific guidance.

What prior data suggests that the inQB8 MonarQ Tricuspid Valve Replacement System is safe for tricuspid regurgitation?

Research has shown that the inQB8 MonarQ Tricuspid Valve Replacement System is likely safe. In one study, only 1.37% of patients experienced serious problems while in the hospital, and 2.49% had issues within 30 days after the procedure. Thus, very few people faced major complications during or shortly after the treatment. Early results from the first use in humans also demonstrated positive outcomes without significant issues. These findings suggest that the treatment is generally well-tolerated. However, as this is an early study, further research is needed to confirm these results.12345

Why are researchers excited about this trial?

The inQB8 TTVR System is unique because it offers a minimally invasive approach to treating tricuspid regurgitation, a condition where the heart's tricuspid valve leaks, causing blood to flow backward. Traditional treatments typically involve open-heart surgery, which carries significant risks and a lengthy recovery time. This new system allows for a transcatheter valve replacement, which is less invasive and could lead to quicker recovery times. Researchers are excited about this treatment because it targets the problem directly at the valve without the need for major surgery, potentially improving outcomes and quality of life for patients.

What evidence suggests that the inQB8 TTVR System is effective for tricuspid regurgitation?

Research has shown that the inQB8 MonarQ Tricuspid Valve Replacement System, which participants in this trial will receive, may help treat tricuspid regurgitation, a condition where the heart's tricuspid valve leaks. In a case study of the first patient to receive this system, the procedure was completed successfully, suggesting it could be a good option. A larger review of similar valve replacement procedures with different devices showed positive results in 1,017 patients, indicating that this approach can improve symptoms and heart function. Although specific data on the inQB8 system is limited, these findings suggest it could be effective for those with severe valve leakage.12345

Are You a Good Fit for This Trial?

This trial is for individuals with severe or greater tricuspid valve regurgitation, who are stable and have been treated for heart failure. They must be anatomically suitable for the MonarQ TTVR System. Those in other studies, needing urgent surgery, or with refractory heart failure requiring advanced intervention cannot join.

Inclusion Criteria

Anatomically suitable for the MonarQ TTVR System
I have severe symptoms from heart valve leakage.
My heart and blood pressure are stable.
See 1 more

Exclusion Criteria

Currently participating in another investigational biologic, drug or device study
Any condition, in the opinion of the investigator, making it unlikely the patient will be able to complete all protocol procedures and follow-up
I do not need any urgent surgeries, including heart surgery in the next year or heart procedures in the next 3 months.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the inQB8 MonarQ Transcatheter Tricuspid Valve Replacement System

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 year
Multiple visits at 30 days, 6 months, and 1 year

What Are the Treatments Tested in This Trial?

Interventions

  • inQB8 TTVR System
Trial Overview The study is testing the safety and performance of a new device called the inQB8 MonarQ Tricuspid Valve Replacement System through a procedure known as transcatheter tricuspid valve replacement at multiple centers.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: TreatmentExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

inQB8 Medical Technologies, LLC

Lead Sponsor

Trials
1
Recruited
50+

Published Research Related to This Trial

Transcatheter tricuspid valve replacement (TTVR) was performed successfully in 46 high-risk patients with severe tricuspid regurgitation, achieving a procedural success rate of 97.8% and significantly reducing the severity of TR after 6 months.
The procedure demonstrated a favorable safety profile, with a 6-month mortality rate of 17.4% and a significant reduction in symptoms like peripheral edema and ascites, indicating improved patient outcomes.
Transcatheter tricuspid valve replacement in patients with severe tricuspid regurgitation.Lu, FL., An, Z., Ma, Y., et al.[2021]
The meta-analysis of 35 studies involving 5,316 patients found that the operative mortality rate for isolated surgical tricuspid valve replacement (TVR) was 12%, with higher risks for patients operated on before 1995, those with prior cardiac surgeries, or liver disease.
Common complications following surgical TVR included pacemaker implantation (10%), bleeding (12%), acute kidney injury (15%), and respiratory issues (15%), highlighting the need for careful patient selection and management in future transcatheter tricuspid valve replacement trials.
Outcomes of isolated tricuspid valve replacement: a systematic review and meta-analysis of 5,316 patients from 35 studies.Scotti, A., Sturla, M., Granada, JF., et al.[2023]
In a study of 80 patients with symptomatic tricuspid regurgitation treated with either the PASCAL or MitraClip-XTR device, both systems showed similar effectiveness in reducing TR severity, with 91% of PASCAL patients and 96% of MitraClip-XTR patients achieving at least a one-grade reduction at 30 days.
Both devices were found to be safe, with no periprocedural deaths and comparable 30-day and 3-month mortality rates, indicating that TTVR is a viable option for high-surgical-risk patients.
PASCAL versus MitraClip-XTR edge-to-edge device for the treatment of tricuspid regurgitation: a propensity-matched analysis.Sugiura, A., Vogelhuber, J., Öztürk, C., et al.[2021]

Citations

1.clinicaltrials.cedars-sinai.educlinicaltrials.cedars-sinai.edu/view/21001-US
inQB8 MonarQ Transcatheter Tricuspid Valve Replacement ...This study focuses on people who were diagnosed with symptomatic severe tricuspid valve leakage. The purpose of this study is to learn whether an experimental ...
Clinical Outcomes Following Transcatheter Tricuspid Valve ...This meta-analysis pooled data from 20 studies including 1017 patients undergoing transcatheter tricuspid valve replacement (TTVR) across 8 different device ...
Clinical trials: Cardiothoracic Surgery - MONARQThe primary objective of the study is to generate early feasibility safety data for the inQB8 MonarQ TTVR System to support future clinical studies for the ...
NCT06611579 | Clinical Study of the inQB8 TTVR SystemThe study is a multi-center, prospective, single-arm study to assess safety and performance of the inQB8 Medical Technologies MonarQ Tricuspid Valve Replacement ...
First-in-Human Implantation of a New Transcatheter Tricuspid ...We report the first-in-human percutaneous transcatheter tricuspid valve replacement with the MonarQ system in a 75-year-old female patient
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