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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06652841
Registration number
NCT06652841
Ethics application status
Date submitted
30/09/2024
Date registered
22/10/2024
Date last updated
14/08/2025
Titles & IDs
Public title
Feasibility Study of the transShield Embolic Protection System
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Scientific title
Prospective, Multi-center, Single Arm Feasibility Study of the transShield Embolic Protection System
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Secondary ID [1]
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CPL-06-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Aortic Stenosis
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - transShield Embolic Protection System
Experimental: Patients with severe aortic valve stenosis scheduled for TAVR - transShield Embolic Protection System
Treatment: Devices: transShield Embolic Protection System
Patient undergoing TAVR procedure will receive the transShield EPS with the intent to capture and remove debris dislodged during the interventional procedure.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Performance Objective: Technical Success defined as tranShield EPS ability to perform all the following functions without adjudicated device malfunctions:
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Assessment method [1]
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Ability to successfully deploy the device in the correct anatomical position, in the ascending aorta without interference with TAVR procedure/devices, and ability to retrieve and remove the device intact, including no visual evidence of any filter damage.
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Timepoint [1]
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During procedure
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Primary outcome [2]
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Safety Objective: MACCE at 30 Days
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Assessment method [2]
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Defined as incidence of Major Adverse Cardiac and Cerebrovascular Events (MACCE) at 30 days according to VARC-3 including: All cause mortality, All stroke (disabling and non-disabling) and TIA, Acute kidney injury (stage 2 or 3), Major vascular and access-related complications, and Life-threatening or disabling bleeding (type 2-4).
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Timepoint [2]
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30 day post procedure
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Secondary outcome [1]
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Embolic Debris Captured
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Assessment method [1]
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Volume of debris captured defined as the average number of captured particles great than or equal to 150 µm in diameter, as assessed by independent pathologist.
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Timepoint [1]
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Procedure
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Secondary outcome [2]
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Incidence of Stroke
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Assessment method [2]
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Incidence of stroke according to VARC-3 definitions (subclassified ischemic, hemorrhagic, or undetermined, and as disabling or non-disabling) and TIA
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Timepoint [2]
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Discharge and 30 Day Post-Procedure
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Secondary outcome [3]
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Adverse Events
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Assessment method [3]
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Sunmary of all Adverse Events
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Timepoint [3]
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Up to 30 Days Post-procedure
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Eligibility
Key inclusion criteria
1. Patient is =18 years old
2. Patient is scheduled for percutaneous TAVR using a commercial TAVR system
3. Patient meets indications for TAVR per the device IFU
4. The diameter of the artery at the site of the filter placement is = 42 mm
5. Size and condition of the femoral artery iliac arteries are appropriate for the 10F transShield Introducer
6. Patient, or authorized representative, signs a written Informed Consent form to participate in the study, prior to any study mandated procedures
7. Patient is willing and able to complete follow-up requirement
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patient not undergoing TAVR via the trans-femoral route
2. Carotid artery stenosis > 70% in either carotid artery
3. Severe vascular tortuosity or anatomy that would preclude the safe introduction of the device
4. Aortic valve is a congenital unicuspid valve or is non-calcified
5. Predominant aortic regurgitation >3+
6. A known contraindication or hypersensitivity to all anticoagulation regimens or an inability to undergo anticoagulation for the study procedure
7. History of bleeding diathesis or in whom anticoagulant and/or anti- platelet therapy is contraindicated, patients who will refuse transfusion, or have an active peptic ulcer or upper GI bleeding within the prior 3 months
8. Renal disease requiring chronic dialysis at time of treatment
9. History of stroke or transient ischemic attack (TIA) within prior 6 months
10. Evidence of an acute myocardial infarction (MI) within 30 days prior to study procedure
11. Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation, or mechanical heart assistance within prior 30 days
12. Severe left ventricular (LV) dysfunction with LV ejection fraction (LVEF) <20%
13. Severe pulmonary hypertension and right ventricular (RV) dysfunction
14. Echocardiographic evidence of intracardiac mass, thrombus or vegetation
15. Life expectancy <12 months due to non-cardiac co-morbid conditions
16. Evidence of active systemic or local groin infection
17. Significant aortic disease, including abdominal aortic or thoracic aneurysm defined as maximal luminal diameter 5cm or greater; marked tortuosity (hyperacute bend), aortic arch atheroma or severe atheroma (especially with calcification and surface irregularities) of the thoracic aorta, severe "unfolding" and tortuosity of the thoracic aorta
18. Known hypersensitivity or contraindication to aspirin, heparin or bivalirudin, ticlopidine, or clopidogrel, and/or contrast agents, that cannot be managed with premedication
19. Planned other cardiac surgical procedure within 2 weeks prior to or planned cardiac surgical or interventional procedure within 30 days after the TAVR procedure.
Note: Diagnostic cardiac catheterization is permitted within 10 days prior to the TAVR procedure
20. Known allergy to any device component
21. Known or suspected to be pregnant or lactating
22. Currently enrolled in an investigational drug or device clinical study in which the primary endpoint has not occurred
23. Patient has other medical, social or psychological problem that in the opinion of the investigator precludes them from participating
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
26/03/2025
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
5/08/2025
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Sample size
Target
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Accrual to date
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Final
2
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Hamilton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
TransAortic Medical, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The objective of this study is to evaluate the initial safety and performance of the transShield EPS used for embolic protection during Transcatheter Aortic Valve Replacement (TAVR).
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Trial website
https://clinicaltrials.gov/study/NCT06652841
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06652841
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