The Medtronic Harmony™ Transcatheter Pulmonary Valve Clinical Study
This study is investigating a special heart valve called the Harmony Transcatheter Pulmonary Valve (TPV) System. It's designed for individuals born with certain heart problems affecting their pulmonary valve, such as Tetralogy of Fallot or issues with the right side of their heart. When this valve doesn't work correctly, it can lead to blood leaking backwards, which is called pulmonary regurgitation. The main goal of this research is to check how safe and effective the Harmony TPV system is over many years. Researchers are particularly interested in understanding its long-term performance after it has been put in without open-heart surgery, offering a less invasive way to help people with these conditions. This is a follow-up to earlier stages of the study, ensuring the valve continues to work well for those who have received it.
At a glance
Results
Results from this study
Posted December 2021Results have been published for this study.
What is this study about?
This study is all about a special kind of heart valve called the Harmony TPV system. It's for people who were born with certain heart conditions, like Tetralogy of Fallot, where parts of their heart haven't formed quite right. Sometimes, this can affect the 'pulmonary valve,' which controls blood flow from the heart to the lungs. If this valve doesn't close properly, blood can leak backwards into the heart, a problem called pulmonary regurgitation. This can make the heart work harder and lead to symptoms over time.
Traditionally, fixing valve problems often involved open-heart surgery. However, the Harmony TPV is designed to be put into place using a small tube (a catheter) that doctors guide into the heart without needing major surgery. This study is continuing to look at how well this new valve works and how safe it is over a long period. Many people have already had the Harmony TPV fitted, and this research is now following them up for longer to make sure the valve keeps working well for many years to come.
Essentially, the study aims to confirm that this innovative valve helps people live healthier lives with their heart conditions. By gathering more information over several years, doctors can better understand the long-term benefits of this less invasive way of treating these specific heart problems.
Key takeaways
- This study evaluates the long-term safety and effectiveness of the Harmony TPV heart valve.
- It's for people born with specific heart conditions affecting their pulmonary valve.
- The Harmony TPV is designed to be a less invasive treatment option.
- This phase focuses on following up with participants who already have the valve.
- It aims to understand how the valve performs over many years.
- You have the right to withdraw from the study at any time.
Who may be eligible?
This study is looking for people who have a significant leak in their pulmonary valve, meaning blood is flowing backward into their heart. Doctors will check this using special scans like an echo or an MRI. You would also need to be someone for whom doctors would normally consider surgery to repair or replace a heart valve or tube in the same area of the heart. Lastly, you must be willing to agree to participate in the study if you meet the other requirements.
However, some people would not be able to join. This includes individuals who have already had an operation to put in a special tube or a different man-made valve in a specific part of their heart (called the RV-PA conduit). Also, if the shape or structure of your heart in that area isn't suitable for the Harmony TPV device to be safely put in, you wouldn't be able to take part. For women, a positive pregnancy test would also mean you couldn't join. Finally, if doctors believe you have less than a year to live due to other serious health issues, you would not be eligible.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Do I have a significant leak in my pulmonary heart valve?
- Am I being considered for heart valve surgery by my doctor?
- Have I previously had a specific type of heart repair called an RV-PA conduit?
- Is my heart's structure suitable for a TPV device?
- Am I willing to have regular check-ups as part of the study?
What does participation involve?
This study is mainly about following up with people who have already had the Harmony TPV device fitted. If you are part of this study, you will have regular check-ups and tests, typically involving visits to the hospital, to see how the valve is working and how you are feeling. These visits will likely include heart scans like echocardiograms or MRI scans. The aim is to follow people for a long time, extending up to ten years for some participants, to understand the long-term effects of the valve. There are no new medications being given as part of this follow-up study, as it focuses on the already implanted valve. The exact number of visits will depend on how long you have been in the study, but each visit helps doctors gather important information about the Harmony TPV.
Potential risks and benefits
Locations (12)
- Ronald Regan UCLA Medical CenterVerified postcodeLos Angeles, United States
- Stanford University Medical CenterVerified postcodePalo Alto, United States
- Yale UniversityVerified postcodeNew Haven, United States
- Mayo ClinicVerified postcodeRochester, United States
- Nationwide Children's HospitalVerified postcodeColumbus, United States
- The Children's Hospital of PhiladelphiaVerified postcodePhiladelphia, United States
- Texas Children's HospitalVerified postcodeHouston, United States
- Primary Children's HospitalVerified postcodeSalt Lake City, United States
- Seattle Children's HospitalVerified postcodeSeattle, United States
- The Hospital for Sick Children (SickKids)Verified postcodeToronto, Canada
- Toronto General HospitalVerified postcodeToronto, Canada
- National Cerebral and Cardiovascular CenterVerified postcodeSuita, Japan
Common questions
What is the Harmony TPV system?
It's a special heart valve designed to fix problems with the pulmonary valve, often in people born with heart conditions. It's put in using a tube, not open-heart surgery.
Why is this study happening?
The study wants to check if the Harmony TPV valve is safe and works well for a long time after it's been put into people's hearts.
Who is this study for?
It's for people who have a significant leak in their pulmonary heart valve and would normally be considered for surgery to fix it.
Will I get a new valve if I join?
No, this specific part of the study is for people who have already had the Harmony TPV valve fitted in earlier stages of research. It's about long-term follow-up.
How long will I be followed in the study?
The study aims to follow participants for an extended period, potentially up to ten years, to understand the long-term performance of the valve.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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