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Rivet Shunt for Pulmonary Hypertension with Heart Failure

No longer recruiting at 2 trial locations
KS
Overseen ByKrystal Santiago
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: NXT Biomedical
Must be taking: Guideline directed medical therapy
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 treatment called Rivet PVS Therapy, a type of shunt procedure, to determine its effectiveness for people with pulmonary hypertension and heart failure. Researchers aim to assess the safety and efficacy of this therapy. Suitable candidates include those with heart failure experiencing symptoms like difficulty breathing or fatigue, recent heart-related hospital visits, and current management of their condition with medication. As an unphased trial, this study provides a unique opportunity to contribute to groundbreaking research and potentially benefit from an innovative treatment.

Will I have to stop taking my current medications?

The trial requires that participants continue their current stable heart failure medications as directed by their doctor, without changes for 6 months, except for adjustments in diuretic doses.

What prior data suggests that the Rivet PVS Therapy is safe for patients with pulmonary hypertension?

Research shows that Rivet PVS Therapy may help manage high blood pressure in the lungs and heart failure by lowering resistance in the lung's blood vessels. This is important for patients with these conditions. Earlier studies have not found major safety issues, suggesting the treatment might be safe for most people. However, since this is an early study, researchers continue to monitor its safety closely. Participants should discuss any concerns with their doctors to understand the possible risks and benefits.12345

Why are researchers excited about this trial?

Unlike the standard treatments for pulmonary hypertension with heart failure, like vasodilators or endothelin receptor antagonists, Rivet PVS Therapy introduces a novel approach by using a shunt mechanism. This therapy is unique because it creates a physical passageway in the pulmonary vasculature, potentially reducing the pressure in the pulmonary arteries directly. Researchers are excited about this treatment because it targets the underlying mechanical issues contributing to the disease, offering a potentially more direct and immediate effect on reducing symptoms and improving heart function. It represents a shift from chemical-based treatments to a structural intervention, which could be particularly beneficial for patients who have not responded well to conventional therapies.

What evidence suggests that the Rivet PVS Therapy is effective for pulmonary hypertension?

Research shows that Rivet PVS Therapy, which participants in this trial will receive, aims to manage pulmonary hypertension by lowering resistance in the lung blood vessels. Reducing this resistance can lessen heart strain and improve symptoms for patients with pulmonary hypertension and heart failure. Studies of similar treatments, such as the Potts shunt, have shown positive results, suggesting that Rivet PVS Therapy could be effective. While researchers are still gathering specific data on Rivet PVS Therapy, the concept is based on a solid understanding of managing these conditions.13456

Are You a Good Fit for This Trial?

Inclusion Criteria

You can walk at least 150 meters in six minutes.
You have been diagnosed with certain types of heart problems and have specific test results to confirm it.
You have ongoing serious heart problems with specific symptoms, hospitalization for heart failure, or a certain blood test result.
See 7 more

Exclusion Criteria

Any therapeutic intracardiac intervention within the last 30 days
Your average RAP (right atrial pressure) is higher than 12 mmHg when measured at rest while breathing room air.
You have pulmonary hypertension due to certain causes.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the Rivet PVS therapy and are monitored for safety and performance

1 month
In-person visits for implantation and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment, including changes in KCCQ score, RV chamber size, and hemodynamics

12 months
Regular follow-up visits, both in-person and virtual

Open-label extension (optional)

Participants may opt into continuation of treatment long-term

Long-term

What Are the Treatments Tested in This Trial?

Interventions

  • Rivet PVS Therapy
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Rivet Shunt TherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

NXT Biomedical

Lead Sponsor

Trials
2

Citations

Rivet PVS Therapy in Group 2 PH-HFpEF CanadaFailure to submit primary and secondary outcomes. Correction: Shown ... Heart Failure. Hypertension, Pulmonary. Plan for Individual Participant Data (IPD).
Rivet PVS Therapy for Pulmonary Hypertension and Heart ...The research suggests that reducing pulmonary vascular resistance (PVR) is important in managing pulmonary hypertension and heart failure. Treatments like left ...
Rivet Shunt for Pulmonary Hypertension with Heart FailureWhat data supports the effectiveness of the Rivet PVS Therapy treatment for pulmonary hypertension with heart failure? Research on the Potts shunt, a ...
Phase 2 Study to Evaluate the Efficacy and Safety ...Phase 2 Study to Evaluate the Efficacy and Safety of Inhaled Nitric Oxide Therapy in Patients With Severe Right Heart Failure Associated With Pulmonary ...
Therapeutic Challenges and Emerging Treatment Targets ...Design of the beta3‐adrenergic agonist treatment in chronic pulmonary hypertension secondary to heart failure trial. JACC Basic Transl Sci ...
Pulmonary Hypertension in Heart Failure Patients - PMCThe development of pulmonary hypertension (PH) in patients with heart failure is associated with increased morbidity and mortality.
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