36 Participants NeededMy employer runs this trial

Pulmonary Valve Replacement for Congenital Heart Disease

Recruiting at 9 trial locations
SH
PM
JW
Overseen ByJennie Wurgler, MS, ACRP CP
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 type of heart valve, the Autus Valve, for children needing pulmonary valve replacement surgery. The valve is unique because it can be adjusted to fit as a child grows through a small balloon procedure. It targets children aged 18 months to 16 years with severe heart issues, such as significant narrowing or leaking of the pulmonary valve. Researchers will frequently monitor participants after receiving the valve to assess its long-term effectiveness. Children with common heart issues requiring a new valve might be suitable candidates for this trial. As an unphased trial, it offers a unique opportunity for children to access innovative treatment that could significantly improve their quality of life.

Do I need to stop my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications. However, if you have an active infection requiring antibiotics, you must wait 4 weeks after stopping them to participate.

What prior data suggests that the Autus Valve is safe for pediatric patients?

Previous studies have shown promising safety results for the Autus Valve. One study found that the valve functioned well one year after implantation, with no device-related side effects. Another study demonstrated that the valve allowed effective blood flow through the heart six months after the procedure. These findings suggest that patients generally tolerate the Autus Valve well. However, individual experiences can vary, so discussing potential risks with a healthcare provider is important.12345

Why are researchers excited about this trial?

The Autus Valve is unique because it introduces an innovative design for pulmonary valve replacement in individuals with congenital heart disease. Unlike traditional treatments that often rely on bioprosthetic or mechanical valves, the Autus Valve is designed to offer better durability and a more physiological flow pattern, potentially reducing the risk of complications and the need for future interventions. Researchers are excited about this treatment because it aims to improve the quality of life for patients by enhancing valve performance and longevity, which could lead to fewer surgeries over a patient's lifetime.

What evidence suggests that the Autus Valve is effective for pulmonary valve replacement in congenital heart disease?

Research has shown that the Autus Valve, which participants in this trial will receive, holds promise for children needing a new pulmonary valve. One study found that the valve functioned well and had no issues one year after implantation. Designed to grow with the child, the valve can be adjusted as the child grows, ensuring proper blood flow over time. Early results suggest the valve performs effectively without causing problems. Overall, the Autus Valve appears to be a safe and effective option for treating heart problems in young patients.23567

Are You a Good Fit for This Trial?

This trial is for children aged 18 months to 16 years with certain types of congenital heart disease who need surgical pulmonary valve replacement. Participants must be able to attend follow-up visits and have a body size suitable for the Autus Valve. Some medical conditions, active infections, or other risk factors may prevent participation.

Inclusion Criteria

Subject and parent/legal representative, where appropriate, and treating physician agree that the subject will return for, and comply with, all required study assessments and follow-up visits
Subject has at least one of the following echocardiographic findings: Severe pulmonary stenosis (RV to PA peak instantaneous gradient ≥60 mmHg), Moderate or greater pulmonary regurgitation, Moderate or greater pulmonary stenosis plus moderate or greater pulmonary regurgitation
I am between 18 months and 16 years old.
See 5 more

Exclusion Criteria

I do not accept blood transfusions.
I have a serious narrowing of the arteries in my lungs.
Subject has a known history of thrombocytopenia (defined as platelet count <50 x 103/µL)
See 16 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-Implant Evaluation

Subjects are evaluated prior to the Autus Valve implant procedure

1 week
1 visit (in-person)

Treatment

Autus Valve implantation and immediate post-implantation evaluation

1 week
1 visit (in-person)

Post-Implant Monitoring

Subjects are monitored at hospital discharge, 30 days, and 6 months post-implantation

6 months
3 visits (in-person)

Long-term Follow-up

Annual evaluations through 10 years post-valve implantation

10 years
Annual visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Autus Valve

Trial Overview

The study tests the Autus Size-Adjustable Valve in kids needing pulmonary valve replacement surgery. The valve can be expanded during and after surgery as the child grows. All participants receive this device and are followed up regularly for up to 10 years.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Autus Valve ArmExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Autus Valve Technologies, Inc.

Lead Sponsor

Trials
1
Recruited
50+

Edwards Lifesciences

Lead Sponsor

Trials
188
Recruited
67,500+
Founded
1958
Headquarters
Irvine, California, U.S.
Known For
Structural Heart Innovations
Top Products
SAPIEN Transcatheter Heart Valve, EVOQUE System, PASCAL Precision, SAPIEN M3
Todd Brinton profile image

Todd Brinton

Edwards Lifesciences

Chief Medical Officer since 2023

MD from Stanford University

Bernard Zovighian profile image

Bernard Zovighian

Edwards Lifesciences

Chief Executive Officer since 2023

MBA from INSEAD

Citations

Novel size-adjustable pulmonary valve US early feasibility ...

... effectiveness data throughout the study ... Outcome and performance of bioprosthetic pulmonary valve replacement in patients with congenital heart disease.

NCT05006404 | Autus Valve Pivotal Study

Prospective, single-arm, multi-center study to evaluate safety and effectiveness of the Autus Size-Adjustable Valve in pediatric patients aged 18 months to ...

3.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/40752778/

Novel Size-Adjustable Pulmonary Valve U.S. Early ...

One-year results of the novel Autus Size-Adjustable Valve EFS demonstrated intact valve function and no device-related adverse events.

Autus Valve Pivotal Study

Prospective, single-arm, multi-center study to evaluate safety and effectiveness of the Autus Size-Adjustable Valve in pediatric patients aged 18 months to 16 ...

72345 | Novel Size-Adjustable Pulmonary Valve U.S. Early ...

In this feasibility study evaluating the novel Autus Size-Adjustable Valve, one-year results demonstrated intact valve function and no device-related adverse ...

NCT07466745 | Autus Valve Continued Access Study (CAS)

Clinically acceptable hemodynamic performance at 6 months post-valve expansion procedure, as assessed by the Echo Core Laboratory via TTE, ...

Autus Valve Pivotal Study | Clinical Research Trial Listing

Prospective, single-arm, multi-center study to evaluate safety and effectiveness of the Autus Size-Adjustable Valve in pediatric patients aged 18 months to 16 ...