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Harmony TPV Post-Approval Study

Not Applicable
Recruiting
Conditions
Congenital Heart Disease
Tetrology of Fallot
Pulmonary Regurgitation
RVOT Anomaly
Interventions
Device: Harmony TPV System
Registration Number
NCT05077774
Lead Sponsor
Medtronic Cardiovascular
Brief Summary

The purpose of this study is to characterize the functionality of transcatheter implantation of the Medtronic Harmony Transcatheter Pulmonary Valve (TPV) achieved by real-world implanters.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Patient eligible to receive the Harmony TPV, meeting the indications for use criteria per current geography-specific device labeling at time of study enrollment
  • Patient (or patient's legally authorized representative) is willing to consent to participate in the study
Exclusion Criteria
  • Obstruction of the central veins
  • Planned concomitant branch pulmonary artery stenting at time of implant
  • Subject is pregnant at time of implant procedure
  • Patients with previously treated with an RV-PA conduit or previously implanted bioprosthesis
  • A major or progressive non-cardiac disease (e.g. liver failure, renal failure, cancer) that results in a life expectancy of less than one year
  • Planned implantation of the Harmony TPV in the left heart
  • Echocardiographic evidence of intracardiac mass, thrombus, or vegetation
  • Pre-existing prosthetic heart valve or prosthetic ring in any position

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Harmony TPV SystemHarmony TPV SystemIntervention Device: Harmony Transcatheter Pulmonary Valves and Delivery System
Primary Outcome Measures
NameTimeMethod
Proportion of subjects without valve reintervention and with acceptable hemodynamic function composite at 6 months as defined by:6 months

* Mean RVOT gradient as measured by continuous-wave Doppler echocardiography ≤40 mmHg AND

* Pulmonary regurgitant fraction as measured by CMR \<20%

Secondary Outcome Measures
NameTimeMethod
Percentage of subjects free from catheter reintervention at 6-months6 months

Described by Kaplan-Meier statistics at 6-months.

Number and percentage of subjects with serious device-related adverse events at 6 months6 months

Also described with Kaplan-Meier method for AEs of clinical interest.

Percentage of subjects free from all-cause mortality at 6-months6 months

Described by Kaplan-Meier statistics at 6-months.

Percentage of subjects free from TPV dysfunction at 6-months6 months

Described by Kaplan-Meier statistics at 6-months.

Number and percentage of subjects with procedure success at 30-days30-days
Percentage of subjects free from reoperation at 6-months6 months

Described by Kaplan-Meier statistics at 6-months.

Trial Locations

Locations (22)

University of Alabama at Birmingham Hospital

🇺🇸

Birmingham, Alabama, United States

Phoenix Children's

🇺🇸

Phoenix, Arizona, United States

Cedars Sinai Medical Center

🇺🇸

Los Angeles, California, United States

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

St. Joseph Children's Hospital

🇺🇸

Tampa, Florida, United States

Advocate Christ Medical Center

🇺🇸

Oak Lawn, Illinois, United States

The Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

University of Michigan Health System

🇺🇸

Ann Arbor, Michigan, United States

Saint Louis Children's Hospital

🇺🇸

Saint Louis, Missouri, United States

Children's Hospital & Medical Center

🇺🇸

Omaha, Nebraska, United States

The Mount Sinai Hospital

🇺🇸

New York, New York, United States

Children's Hospital New York - Presbyterian

🇺🇸

New York, New York, United States

Atrium Health Levine Children's Hospital

🇺🇸

Charlotte, North Carolina, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

UPMC Children's Hospital of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Medical City Children's Hospital

🇺🇸

Dallas, Texas, United States

University of Virginia

🇺🇸

Charlottesville, Virginia, United States

University of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

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