TReatment of Pulmonary Hypertension Group II Study (TROPHY-II)
Primary Purpose
Pulmonary Hypertension (PH) Due to Left Heart Disease
Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Pulmonary Denervation
Sponsored by
About this trial
This is an interventional treatment trial for Pulmonary Hypertension (PH) Due to Left Heart Disease
Eligibility Criteria
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.
Sites / Locations
- UC San Diego Medical Center
- University of California, San Francisco Medical Center
- Massachusetts General Hospital
Outcomes
Primary Outcome Measures
Procedural related Adverse Events (complications) at up to 30 days post procedure
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 Outcome Measures
Changes in cardiopulmonary exercise test
Changes in cardiopulmonary exercise test (CPET) results (Peak VO2, VE/VCO2 slope, VO2 at anaerobic threshold, peak workload) from baseline
Change in resting mean right atrial pressure
Change in resting mean atrial pressure (mRAP) from baseline
Changes in 6MWD from baseline
Changes in 6MWD from baseline
Changes in Echocardiography parameters
Changes in Echocardiography parameters including Right Ventricular function from baseline
Change in NT-BNP levels
Change in NT-BNP levels from baseline
Procedure related and PH worsening adverse events
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.
Change in exercise mean right atrial pressure
Change in exercise mean right atrial pressure (mRAP) from baseline
Change in exercise mean pulmonary artery pressure
Change in exercise mean pulmonary artery pressure (mPAP) from baseline
Change in exercise pulmonary vascular resistance
Change in exercise pulmonary vascular resistance (PVR) from baseline
Change in exercise cardiac index
Change in exercise cardiac index (CI) from baseline
Change in resting mean pulmonary artery pressure
Change in resting mean pulmonary artery pressure (mPAP) from baseline
Change in resting pulmonary vascular resistance
Change in resting pulmonary vascular resistance (PVR) from baseline
Change in resting cardiac index
Change in resting cardiac index (CI) from baseline
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03611270
Brief Title
TReatment of Pulmonary Hypertension Group II Study
Acronym
TROPHY-II
Official 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
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 30, 2018 (Actual)
Primary Completion Date
December 1, 2023 (Anticipated)
Study Completion Date
July 2027 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
SoniVie Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Hypertension (PH) Due to Left Heart Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Device
Intervention Name(s)
Pulmonary Denervation
Intervention Description
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 Outcome Measure Information:
Title
Procedural related Adverse Events (complications) at up to 30 days post procedure
Description
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.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Changes in cardiopulmonary exercise test
Description
Changes in cardiopulmonary exercise test (CPET) results (Peak VO2, VE/VCO2 slope, VO2 at anaerobic threshold, peak workload) from baseline
Time Frame
4 month
Title
Change in resting mean right atrial pressure
Description
Change in resting mean atrial pressure (mRAP) from baseline
Time Frame
4 month
Title
Changes in 6MWD from baseline
Description
Changes in 6MWD from baseline
Time Frame
4 month
Title
Changes in Echocardiography parameters
Description
Changes in Echocardiography parameters including Right Ventricular function from baseline
Time Frame
4 month
Title
Change in NT-BNP levels
Description
Change in NT-BNP levels from baseline
Time Frame
4 month
Title
Procedure related and PH worsening adverse events
Description
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.
Time Frame
12 month
Title
Change in exercise mean right atrial pressure
Description
Change in exercise mean right atrial pressure (mRAP) from baseline
Time Frame
4 month
Title
Change in exercise mean pulmonary artery pressure
Description
Change in exercise mean pulmonary artery pressure (mPAP) from baseline
Time Frame
4 month
Title
Change in exercise pulmonary vascular resistance
Description
Change in exercise pulmonary vascular resistance (PVR) from baseline
Time Frame
4 month
Title
Change in exercise cardiac index
Description
Change in exercise cardiac index (CI) from baseline
Time Frame
4 month
Title
Change in resting mean pulmonary artery pressure
Description
Change in resting mean pulmonary artery pressure (mPAP) from baseline
Time Frame
4 month
Title
Change in resting pulmonary vascular resistance
Description
Change in resting pulmonary vascular resistance (PVR) from baseline
Time Frame
4 month
Title
Change in resting cardiac index
Description
Change in resting cardiac index (CI) from baseline
Time Frame
4 month
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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.
Facility Information:
Facility Name
UC San Diego Medical Center
City
San Diego
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
University of California, San Francisco Medical Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94158
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114-2696
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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TReatment of Pulmonary Hypertension Group II Study
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