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Recruiting NCT06591000

Clinical Efficacy and Long-term Outcomes of ALLOgraft Versus Stented Biological Prosthesis for Primary TRIcuspid Valve Disease (ALLOTRI)

Observational Allograft Bioprosthesis Tricuspid Valve Disease

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: tricuspid valve replacement.
Who it may be relevant to
Registry conditions: Allograft, Bioprosthesis, Tricuspid Valve Disease. Basic parameters: 18 years — 70 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Russia
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Clinical Efficacy and Long-term Outcomes of Allograft Versus Stented Biological Prosthesis for Primary Tricuspid Valve Disease

Overview

The aim of the study is to evaluate early safety, clinical efficacy and long-term outcomes of mitral allografts and stented biological prosthesis in tricuspid valve replacement for primary tricuspid valve diseases.

Detailed description

Early safety (morbidity, mortality rate, freedom from any valve related complication) along with clinical efficacy ( survival, freedom from reoperation, repeat endocarditis and other valve related complication ), long term outcomes ( survival, freedom from reoperation, repeat endocarditis and other valve related complication ), echocardiografic assessment and MSCT scan for both groups of patients are going to be evaluated.

Interventions

  • Procedure tricuspid valve replacement
    Complete or partial tricuspid valve replacement with mitral allograft/ complete tricuspid valve replacement with biological prosthesis

Primary outcome measures

  • Mortality [Time frame: 30-day period after surgery]
  • Stroke [Time frame: 30-day period after surgery]
  • Severe valve dysfunction [Time frame: 1-year after surgery, annually, assessed up to 3 years]
  • Freedom from prosthetic endocarditis [Time frame: 1-year after surgery, annually, assessed up to 3 years]
  • Freedom from reoperation [Time frame: 1-year after surgery, annually, assessed up to 3 years]
  • New pacemaker implantation [Time frame: 1-year after surgery, annually, assessed up to 3 years]
Secondary outcome measures (3)
  • Transvalvular gradient [Time frame: 1 year after surgery, annually, assessed up to 3 years]
  • Transprosthetic regurgitation [Time frame: 1 year after surgery, annually, assessed up to 3 years]
  • Right atrial remodeling [Time frame: 1 year after surgery, annually, assessed up to 3 years]

Eligibility criteria

Inclusion criteria

  • Patients with primary tricuspid valve disease and/or tricuspid bioprosthetic failure scheduled for tricuspid valve intervention.
  • Intraoperative findings suggested for tricuspid valve replacement rather than repair.

Exclusion criteria

  • Pregnancy
  • Confirmed active drug addiction
  • Progressive HIV-infection
  • HIV-infected patients with CD4-cells count less than 250
  • Patients with secondary tricuspid valve pathology (left-sided valve disease)
  • LV Ejection fraction less than 40%

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Case-control

Study locations

Russia · 1 center
  • Department of Cardiac Surgery — Chelyabinsk

Publications

  • Nuzhdin M, Malinovsky Y, Galchenko M, Komarov R, Fokin A, Nadtochiy N. Stented Biological Prosthesis Versus Mitral Allograft in Surgical Treatment of Tricuspid Valve Infective Endocarditis. Rev Cardiovasc Med. 2025 Jul 8;26(7):37204. doi: 10.31083/RCM37204. eCollection 2025 Jul. PMID 40776959

Identifiers

NCT: NCT06591000 · 14012016

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗