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Recruiting NCT07407816

Feasibility Study of the Supira System in Patients Undergoing HRPCI With Support Beyond the PCI Procedure

No phase Interventional Heart Disease Coronary Arterial Disease (CAD) Heart Failure

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: Supira System.
Who it may be relevant to
Registry conditions: Heart Disease, Coronary Arterial Disease (CAD), Heart Failure. Basic parameters: 18 years — 90 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
Georgia
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Feasibility Study of the Supira System in Patients Undergoing High-Risk Percutaneous Coronary Intervention (HRPCI) Who May Benefit From Mechanical Circulatory Support Beyond the PCI Procedure

Overview

The objective of this study is to assess the safety and feasibility of the Supira System in heart failure patients with low LVEF, undergoing HRPCI with use of mechanical circulatory support who may benefit from cardiovascular hemodynamic support beyond the PCI procedure.

Detailed description

The study is a prospective, non-randomized, single-arm, multi-center, feasibility study.

The Supira System is a minimally invasive, percutaneous ventricular assist device (pVAD) that is intended to provide hemodynamic support to patients undergoing high risk percutaneous coronary intervention (HRPCI) and requiring hemodynamic support. The Catheter is inserted percutaneously, across the aortic valve, and into the left ventricle under fluoroscopic guidance. The left ventricle is unloaded by pumping blood from the ventricle into the ascending aorta and systemic circulation.

Interventions

  • Device Supira System
    The Supira System is a minimally invasive, percutaneous ventricular assist device (pVAD) that is intended to provide hemodynamic support to patients undergoing high risk percutaneous coronary intervention (HRPCI). The Catheter is inserted percutaneously via the femoral artery, across the aortic valve, and into the left ventricle under fluoroscopic guidance. The left ventricle is unloaded by pumping blood from the ventricle into the ascending aorta and systemic circulation.

Primary outcome measures

  • Safety [Time frame: Perioperative/Periprocedural]
  • Feasibility: [Time frame: Perioperative/Periprocedural]
Secondary outcome measures (1)
  • Secondary Study Endpoints [Time frame: 30 days]

Eligibility criteria

Inclusion criteria

  • Subject has pre-existing heart failure, with NYHA Class II, III or IV prior to the index admission and documented LVEF ≤ 45%
  • Subject is presenting with one of the following criteria: unprotected left main coronary artery (ULMCA) disease, last patent vessel, or 3-vessel disease
  • Subject may benefit from hemodynamic support beyond the index procedure
  • Informed consent granted by the patient or legally authorized representative

Exclusion criteria

  • Stroke within 6 months of the index procedure, or any prior stroke with permanent neurologic deficit
  • Aortic valvular disease or regurgitation categorized as moderate or greater (≥2+ on a 4-grade scale as assessed on TTE)
  • Aortic stenosis and/or aortic regurgitation categorized as moderate or greater (mean gradient >20 mmHg or valve area <1.5 cm2 as assessed on TTE)
  • Presence of decompensated liver disease; severe liver dysfunction (Child-Pugh Score class C)
  • Ongoing renal replacement therapy with dialysis or continues renal replacement therapy
  • Heparin-induced thrombocytopenia, current or any prior occurrences
  • Known hypersensitivity to intravenous contrast agents that cannot be adequately pre-medicated or known hypersensitivity to heparin, aspirin, adenosine diphosphate (ADP) receptor inhibitors, or nitinol
  • Known or suspected coagulopathy or abnormal coagulation parameters (defined as platelet count ≤ 100,000/mm³ or spontaneous International Normalized Ratio (INR) ≥1.5 in the absence of medication or known fibrinogen ≤1.5 g/L)
  • Breastfeeding or pregnant
  • Currently participating in active follow-up phase of another clinical study of an investigational drug or device
  • Other medical, social, or psychological problems that, in the opinion of the Investigator, compromises the subject's ability to provide written informed consent and/or to comply with study procedures

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

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

Georgia · 2 centers
  • Tbilisi Heart and Vascular Clinic — Tbilisi
  • Israeli-Georgian Medical Research Clinic HealthyCore 13g Tevdore-Mghvdeli Street Tbilisi G — Tbilisi

Identifiers

NCT: NCT07407816 · CP-10005

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗