Study on the Safety and Effectiveness of a Biodegradable Patent Foramen Ovale Occluder System

NCT ID: NCT07300358

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

258 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-30

Study Completion Date

2027-06-30

Brief Summary

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To evaluate the Safety and Efficacy of a Novel Biodegradable Occluder for Percutaneous Closure of Patent Foramen Ovale (PFO)

Detailed Description

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This is a prospective, multicenter, randomized, controlled, non-inferiority clinical study. The study aims to evaluate the safety and efficacy of a novel biodegradable patent foramen ovale (PFO) occluder system compared to a conventional metallic occluder in patients with a PFO that is clinically determined to be associated with an PFO⁃associated stroke(PFO-AS)or transient ischemic attack (TIA).

Conditions

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Cardiovascular Abnormality Heart Defects, Congenital Heart Septal Defects Heart Septal Defects, Atrial Foramen Ovale, Patent Stroke, Ischemic Stroke (CVA) or TIA Cardiovascular Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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Cardi-o-fix PFO occluder

Participants treated with th with the Cardi-o-fix PFO occluder according to the INSTRUCTIONS for Use (IFU)

Group Type ACTIVE_COMPARATOR

Active Comparator

Intervention Type DEVICE

Percutaneously occlusion of PFO with Cardi-o-fix PFO occluder

Biodegradable PFO occluder system

Participants treated with th with the biodegradable PFO occluder system according to the INSTRUCTIONS for Use (IFU)

Group Type EXPERIMENTAL

Experimental

Intervention Type DEVICE

Transcatheter closure of a patent foramen ovale (PFO) with biodegradable PFO occluder

Interventions

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Active Comparator

Percutaneously occlusion of PFO with Cardi-o-fix PFO occluder

Intervention Type DEVICE

Experimental

Transcatheter closure of a patent foramen ovale (PFO) with biodegradable PFO occluder

Intervention Type DEVICE

Other Intervention Names

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Cardi-o-fix PFO occluder

Eligibility Criteria

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Inclusion Criteria

* Aged between 18 and 65 years.
* Presence of a patent foramen ovale (PFO) confirmed by transthoracic echocardiography (TTE) or transesophageal echocardiography (TEE).
* Presence of a moderate-to-large right-to-left shunt (RLS) at rest or during the Valsalva maneuver, as confirmed by agitated saline contrast echocardiography (also known as bubble study).
* Clinically diagnosed with a PFO-associated ischemic stroke or transient ischemic attack (TIA).

Exclusion Criteria

* An alternative, clearly identified cause of ischemic stroke or TIA (other than PFO) is determined by the investigator.
* Large territory cerebral infarction within 4 weeks prior to the planned procedure.
* Atherosclerotic stenosis (\>50%) of the carotid or vertebral arteries, as confirmed by CT angiography or vascular ultrasound per investigator assessment.
* Presence of intracardiac thrombus or vegetation as confirmed by echocardiography.
* Left ventricular ejection fraction (LVEF) \< 35%.
* Atrial fibrillation or atrial flutter.
* Left ventricular aneurysm or severe regional wall motion abnormality.
* Significant valvular stenosis or regurgitation, or history of valvular replacement or repair surgery.
* Pulmonary hypertension or a PFO constituting a special conduit (e.g., right-to-left shunt due to elevated right heart pressures).
* Other confirmed causes of right-to-left shunt, such as atrial septal defect (ASD) or pulmonary arteriovenous fistula.
* Complex PFO anatomy (e.g., multi-tunnel PFO) or PFO associated with an ASD requiring different closure strategy.
* Thrombus, mass, or vegetation identified at the intended implant site or along the potential delivery pathway.
* Acute myocardial infarction or unstable angina within 3 months prior to the procedure.
* Previous implantation of an inferior vena cava filter, PFO closure device, or ASD closure device.
* Any other condition deemed by the investigator to make the patient unsuitable for PFO device implantation.
* Concomitant cardiac anomalies requiring surgical correction.
* Uncontrolled systemic or local infection, or sepsis.
* Active infection requiring concurrent antibiotic therapy (Patients with transient conditions may be enrolled after completing antibiotic therapy and a subsequent 14-day washout period).
* Contraindication to antiplatelet or anticoagulant therapy (e.g., major bleeding within 3 months, known retinopathy, history of intracranial hemorrhage, or other significant intracranial pathology).
* Known hypersensitivity or allergy to tantalum or nickel.
* Pregnancy, lactation, or women of childbearing potential not using highly effective contraception.
* Life expectancy less than 1 year due to malignancy or other comorbid disease.
* Current participation in another investigational drug or device clinical study that has not yet completed its primary endpoint.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Lingsi Medical Technology Co., Ltd.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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XiangBin Pan, Doctor

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences, Fuwai Hospital

Central Contacts

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XiangBin Pan, Doctor

Role: CONTACT

Phone: 13811763898

Email: [email protected]

Wenbin Ouyang, Doctor

Role: CONTACT

Other Identifiers

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ShanghaiLingsiMedTech

Identifier Type: -

Identifier Source: org_study_id