Status:
RECRUITING
FreeFlow Percutaneous Atrial Septal Shunt for IPAH
Lead Sponsor:
Shanghai Zhongshan Hospital
Conditions:
Pulmonary Arterial Hypertension
Eligibility:
All Genders
18-70 years
Phase:
NA
Brief Summary
The goal of this clinical trial is to explore the safety and efficacy of the FreeFlow percutaneous atrial septal shunt for treatment of idiopathic pulmonary arterial hypertension. The main questions i...
Eligibility Criteria
Inclusion
- 18≤ age ≤70 years old, female or male;
- 10 mmHg≤ mean right atrial pressure (mRAP) ≤20 mmHg;
- The subjects had severe idiopathic pulmonary hypertension (mean pulmonary arterial pressure \> 45 mmHg);
- WHO grade III or IV;
- NT-proBNP≥650 ng/L;
- The subjects were informed of the nature of the study and agreed to all the requirements for participating in the study. They signed the informed consent form and agreed to complete the follow-up and the examinations required for the follow-up.
Exclusion
- Local or systemic sepsis or other acute infection;
- Severe coagulopathy;
- Allergy to nickel and/or titanium and/or nickel/titanium-based materials;
- Patients with contraindications to antiplatelet, coagulant or thrombotic therapy;
- Intolerance to contrast media;
- Have participated in other drug or device clinical trials during the same period;
- Glomerular filtration rate (GFR) \< 50 mL/min;
- Patients with severe liver dysfunction (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> 3 times the upper limit of normal);
- The patient had malignant arrhythmia;
- The patient did not receive standardized drug therapy (triple sequential therapy) according to the Chinese guidelines for the diagnosis and treatment of pulmonary hypertension within 3 months;
- Women who are pregnant, planning to become pregnant (within 12 months) or breastfeeding;
- Severe restrictive or obstructive lung disease;
- Implanted atrial septal defect (ASD)/ patent foramen ovale (PFO) closure device;
- Left ventricular ejection fraction (LVEF) \<50%;
- SpO2 \< 90% without oxygen inhalation (pulse measurement);
- The anatomical structure of the heart is abnormal, and the shunt cannot be implanted on the atrial septum;
- Other circumstances in which the patient was deemed by the investigator to be ineligible for inclusion in the trial.
Key Trial Info
Start Date :
September 11 2023
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
September 11 2027
Estimated Enrollment :
30 Patients enrolled
Trial Details
Trial ID
NCT06605794
Start Date
September 11 2023
End Date
September 11 2027
Last Update
September 20 2024
Active Locations (1)
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1
180 Fenglin Road
Shanghai, Shanghai Municipality, China, 200032