60 Participants Needed

VenusP-Valve for Pulmonary Regurgitation

(PROTEUS Trial)

CM
Overseen ByCong Ma
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Venus MedTech (HangZhou) Inc.
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 heart valve treatment, the VenusP-Valve, for individuals with severe pulmonary regurgitation. Pulmonary regurgitation occurs when a leaky valve causes blood to flow backward into the heart, leading to symptoms like shortness of breath and fatigue. The trial aims to determine if transcatheter pulmonary valve implantation (TPVI) is safe and effective for those with a specific heart condition affecting blood flow. This treatment may suit individuals diagnosed with severe pulmonary valve leakage without serious valve narrowing. Participants will undergo regular follow-ups for up to 10 years to monitor outcomes. As an unphased trial, this study offers a unique chance to contribute to groundbreaking research and potentially benefit from an innovative treatment.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

What prior data suggests that the VenusP-ValveTM System is safe for patients with RVOT dysfunction?

Research shows that the VenusP-Valve, used in transcatheter pulmonary valve implantation (TPVI), is generally safe. In studies with patients suffering from severe pulmonary regurgitation, the VenusP-Valve was used without major complications. Specifically, one study found that 86% of patients did not experience serious problems over an average of 5.5 years, suggesting the procedure is usually well-tolerated. Other studies also support the VenusP-Valve's safety and effectiveness for midterm outcomes. Overall, the available evidence indicates that the VenusP-Valve is safe for treating issues in the right ventricular outflow tract.12345

Why are researchers excited about this trial?

The VenusP-ValveTM System is unique because it offers a minimally invasive solution for pulmonary regurgitation through transcatheter pulmonary valve implantation (TPVI). Unlike traditional surgical valve replacement, which requires open-heart surgery, TPVI can be performed via a catheter, reducing recovery time and potential complications. Researchers are excited about this treatment because it provides a less invasive alternative with the potential for quicker recovery and fewer risks, opening up options for patients who might not be candidates for surgery.

What evidence suggests that the VenusP-ValveTM System is effective for pulmonary regurgitation?

Research has shown that the VenusP-ValveTM System effectively treats problems in the heart's right ventricular outflow tract (RVOT). This trial will assess the VenusP-ValveTM System's effectiveness in reducing backward blood flow into the heart and improving heart function by placing a valve without surgery. One study found that all patients avoided needing another procedure within the first year, and the treatment remained successful over a longer period. The VenusP-Valve has also been used safely in patients, demonstrating good results even in the medium term. Overall, the VenusP-Valve is a safe and effective treatment option for people with RVOT issues.13567

Are You a Good Fit for This Trial?

This trial is for individuals at least 12 years old, weighing over 55 lbs, with pulmonary valve or regurgitation issues. They should have mild to moderate heart dysfunction and a noticeable decrease in exercise tolerance. Participants must commit to follow-up visits for up to 10 years.

Inclusion Criteria

I weigh at least 55 pounds.
My heart's pumping strength is slightly or moderately reduced.
You demonstrate a decreasing capacity for physical activity, are willing to agree to the study terms and will follow through with any post-study evaluations.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Procedure

Participants undergo the VenusP-ValveTM System procedure for RVOT dysfunction

During the procedure
1 visit (in-person)

Initial Follow-up

Participants are monitored for safety and effectiveness at pre-discharge, 30 days, and 6 months post-procedure

6 months
3 visits (in-person)

Extended Follow-up

Participants are monitored annually for safety and effectiveness up to 10 years post-procedure

10 years
Annual visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Transcatheter pulmonary valve implantation (TPVI)
  • VenusP-ValveTM System
Trial Overview The study tests the VenusP-ValveTM System's safety and effectiveness in patients with native right ventricular outflow tract (RVOT) dysfunction through a procedure called transcatheter pulmonary valve implantation (TPVI).
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: TPVIExperimental Treatment2 Interventions

Transcatheter pulmonary valve implantation (TPVI) is already approved in European Union, China, United States for the following indications:

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Approved in European Union as VenusP-Valve for:
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Approved in China as VenusP-Valve for:
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Approved in United States as VenusP-Valve for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Venus MedTech (HangZhou) Inc.

Lead Sponsor

Trials
7
Recruited
1,100+

Published Research Related to This Trial

This report presents the first known case of transcatheter pulmonary valve implantation (TPVI) using the Inspiris Resilia® bioprosthetic valve, which features a specially designed balloon-expandable valve ring for better implantation.
The use of the VFit zone in the Inspiris Resilia® valve may enhance the success of TPVI by providing a more suitable area for valve placement in patients with repaired congenital heart disease.
Transcatheter pulmonary valve-in-valve implantation within the expandable Inspiris Resilia® bioprosthetic valve.Batlivala, SP., Hagel, JA., Hirsch, R., et al.[2022]
Transcatheter pulmonary valve implantation (TPVI) is a promising treatment for young patients with pulmonary regurgitation or stenosis, offering a less invasive alternative to traditional conduit replacement.
The study of 4 young women who successfully underwent TPVI and later had pregnancies indicates that with proper precautions, pregnancy and delivery are safe after this procedure.
Pregnancy After Transcatheter Pulmonary Valve Implantation.Kozicka, U., Weroński, K., Rużyłło, W., et al.[2018]
Transcatheter pulmonary valve implantation (TPVI) demonstrated a high initial success rate of 93% in 100 patients, with significant improvements in pulmonary gradient and right ventricular function, indicating its efficacy for treating RVOT dysfunction after congenital heart defect repair.
The long-term safety profile of TPVI is promising, with 86% of patients free from serious adverse events over an average of 5.5 years, although careful patient selection and infection prevention strategies are crucial to minimize risks like infective endocarditis.
Transcatheter pulmonary valve implantation in 100 patients: a 10-year single-center experience.Rużyłło, W., Biernacka, EK., Woźniak, O., et al.[2023]

Citations

Transcatheter Pulmonary Valve Implantation Using Self- ...This CE study reports the results of VenusP-valve implantation during 3-year follow-up in patients with severe PR after previous repair of RVOT.
Transcatheter pulmonary valve implantation in 100 patientsFreedom from reintervention was 100% in 1 year and from serious adverse events 86% in mean 5.5 years of observation. TPVI is a safe and effective method of ...
Medium-term results of percutaneous pulmonary valve ...The cohort demonstrated a statistically significant reduction in pulmonary regurgitation fraction and indexed right ventricular diastolic volumes at six and 12 ...
Long-term outcomes of transcatheter pulmonary valve ...Transcatheter pulmonary valve implantation is effective for treating right ventricular outflow tract dysfunction in patients with congenital heart diseases.
VenusP-Valve for Pulmonary Regurgitation (PROTEUS Trial)The VenusP-Valve has been used safely in patients with pulmonary regurgitation, with studies showing promising midterm outcomes. Additionally, transcatheter ...
Transcatheter Pulmonary Valve Implantation Using Self ...We report the 3-year CE study results of percutaneous pulmonary valve implantation in patients with severe pulmonary regurgitation.
Transcatheter Pulmonary Valve ImplantationSummary of Safety and Effectiveness Data: Melody™. Transcatheter Pulmonary Valve (2015). Available at <https://www.accessdata.fda.gov>.
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