Trial Outcomes & Findings for Edwards CLASP TR EFS (NCT NCT03745313)

NCT ID: NCT03745313

Last Updated: 2026-07-10

Results Overview

Number and percentage of patients who experienced at least one major adverse event (MAE). Composite of major adverse events (MAE) defined as cardiovascular mortality, myocardial infarction (MI), stroke, renal complications requiring unplanned dialysis or renal replacement therapy, severe bleeding, unplanned or emergency re-intervention related to the device, and major access site and vascular complications requiring intervention at 30 days.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

65 participants

Primary outcome timeframe

30 days

Results posted on

2026-07-10

Participant Flow

Participant milestones

Participant milestones
Measure
Edwards PASCAL Transcatheter Tricuspid Valve Repair System
Tricuspid valve repair with PASCAL implanted via transcatheter procedure
At 30 Days Follow-up
STARTED
65
At 30 Days Follow-up
COMPLETED
62
At 30 Days Follow-up
NOT COMPLETED
3
At 6 Months Follow-up
STARTED
62
At 6 Months Follow-up
COMPLETED
53
At 6 Months Follow-up
NOT COMPLETED
9
At 1 Year Follow-up
STARTED
55
At 1 Year Follow-up
COMPLETED
47
At 1 Year Follow-up
NOT COMPLETED
8
At 2 Years Follow-up
STARTED
49
At 2 Years Follow-up
COMPLETED
42
At 2 Years Follow-up
NOT COMPLETED
7
At 3 Years Follow-up
STARTED
43
At 3 Years Follow-up
COMPLETED
29
At 3 Years Follow-up
NOT COMPLETED
14
At 4 Years Follow-up
STARTED
33
At 4 Years Follow-up
COMPLETED
26
At 4 Years Follow-up
NOT COMPLETED
7
At 5 Years Follow-up
STARTED
27
At 5 Years Follow-up
COMPLETED
21
At 5 Years Follow-up
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Edwards PASCAL Transcatheter Tricuspid Valve Repair System
Tricuspid valve repair with PASCAL implanted via transcatheter procedure
At 30 Days Follow-up
Death
2
At 30 Days Follow-up
Exited for Other Reasons
1
At 6 Months Follow-up
Death
1
At 6 Months Follow-up
Missed Visit
2
At 6 Months Follow-up
Exited for Other Reasons
6
At 1 Year Follow-up
Death
5
At 1 Year Follow-up
Withdrawal by Subject
1
At 1 Year Follow-up
Missed Visit
2
At 2 Years Follow-up
Death
6
At 2 Years Follow-up
Missed Visit
1
At 3 Years Follow-up
Death
10
At 3 Years Follow-up
Missed Visit
4
At 4 Years Follow-up
Death
2
At 4 Years Follow-up
Withdrawal by Subject
3
At 4 Years Follow-up
Missed Visit
1
At 4 Years Follow-up
Exited for Other Reasons
1
At 5 Years Follow-up
Death
3
At 5 Years Follow-up
Lost to Follow-up
1
At 5 Years Follow-up
Missed Visit
1
At 5 Years Follow-up
Exited for Other Reasons
1

Baseline Characteristics

Data unavailable for 2 patients.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Edwards PASCAL Transcatheter Tricuspid Valve Repair System
n=65 Participants
Tricuspid valve repair with PASCAL implanted via transcatheter procedure
Age, Continuous
77.4 Years
STANDARD_DEVIATION 8.96 • n=65 Participants
Sex: Female, Male
Female
36 Participants
n=65 Participants
Sex: Female, Male
Male
29 Participants
n=65 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=65 Participants
Race (NIH/OMB)
Asian
3 Participants
n=65 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=65 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=65 Participants
Race (NIH/OMB)
White
55 Participants
n=65 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=65 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=65 Participants
Body Mass Index
26.8 Kilogram Per Square Meter
STANDARD_DEVIATION 5.97 • n=63 Participants • Data unavailable for 2 patients.
Tobacco Use
Current Daily Smoker
0 Participants
n=65 Participants
Tobacco Use
Former Daily Smoker
26 Participants
n=65 Participants
Tobacco Use
Never
39 Participants
n=65 Participants
NYHA Class
Class I
1 Participants
n=65 Participants
NYHA Class
Class II
17 Participants
n=65 Participants
NYHA Class
Class III
45 Participants
n=65 Participants
NYHA Class
Class IV
2 Participants
n=65 Participants
EuroScore II
5.1 %
STANDARD_DEVIATION 4.76 • n=60 Participants • Data unavailable for 5 patients.
STS Mortality Score (MV Repair)
7.4 %
STANDARD_DEVIATION 4.95 • n=62 Participants • Data unavailable for 3 patients.
Clinical Frailty Total Score
Non-Frail
48 Participants
n=63 Participants • Data unavailable for 2 patients.
Clinical Frailty Total Score
Mild-to-Moderately Frail
15 Participants
n=63 Participants • Data unavailable for 2 patients.
Clinical Frailty Total Score
Severely Frail
0 Participants
n=63 Participants • Data unavailable for 2 patients.
Katz Activities of Daily Living Total Score
5.8 Unit on a scale
STANDARD_DEVIATION 0.48 • n=63 Participants • Data unavailable for 2 patients.
Modified Rankin Scale
No symptoms at all
3 Participants
n=6 Participants • Data unavailable for 59 patients.
Modified Rankin Scale
No significant disability despite symptoms
2 Participants
n=6 Participants • Data unavailable for 59 patients.
Modified Rankin Scale
Moderate disability
1 Participants
n=6 Participants • Data unavailable for 59 patients.

PRIMARY outcome

Timeframe: 30 days

Number and percentage of patients who experienced at least one major adverse event (MAE). Composite of major adverse events (MAE) defined as cardiovascular mortality, myocardial infarction (MI), stroke, renal complications requiring unplanned dialysis or renal replacement therapy, severe bleeding, unplanned or emergency re-intervention related to the device, and major access site and vascular complications requiring intervention at 30 days.

Outcome measures

Outcome measures
Measure
Edwards PASCAL Transcatheter Valve Repair System
n=64 Participants
Repair of the tricuspid valve through a transcatheter approach
Composite Major Adverse Event (MAE) Rate
6 Participants

SECONDARY outcome

Timeframe: Intraprocedural

Population: Per device analysis

Number and percentage of Device Success, definition modified from MVARC criteria. Per device analysis

Outcome measures

Outcome measures
Measure
Edwards PASCAL Transcatheter Valve Repair System
n=103 Device
Repair of the tricuspid valve through a transcatheter approach
Device Success
90 Device

SECONDARY outcome

Timeframe: Discharge (2-7 days)

Population: The outcome is reported where data is available.

Number and percentage of patients who had Procedural Success, definition modified from MVARC criteria. Per patient analysis

Outcome measures

Outcome measures
Measure
Edwards PASCAL Transcatheter Valve Repair System
n=58 Participants
Repair of the tricuspid valve through a transcatheter approach
Procedural Success
51 Participants

SECONDARY outcome

Timeframe: 30 days

Population: The outcome is reported where data is available.

Number and percentage of patients who had procedural success without MAEs at 30 days. Per patient analysis

Outcome measures

Outcome measures
Measure
Edwards PASCAL Transcatheter Valve Repair System
n=58 Participants
Repair of the tricuspid valve through a transcatheter approach
Clinical Success
45 Participants

Adverse Events

Edwards PASCAL Transcatheter Valve Repair System

Serious events: 56 serious events
Other events: 59 other events
Deaths: 29 deaths

Serious adverse events

Serious adverse events
Measure
Edwards PASCAL Transcatheter Valve Repair System
n=65 participants at risk
Repair of the tricuspid valve through a transcatheter approach
Renal and urinary disorders
Renal and Urinary Disorders
23.1%
15/65 • Number of events 19 • Up to 5 Years
Infections and infestations
Infections and Infestations
27.7%
18/65 • Number of events 22 • Up to 5 Years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms Benign, Malignant and Unspecified (Incl Cysts and Polyps)
9.2%
6/65 • Number of events 7 • Up to 5 Years
Nervous system disorders
Nervous System Disorders
23.1%
15/65 • Number of events 16 • Up to 5 Years
Nervous system disorders
Syncope
6.2%
4/65 • Number of events 4 • Up to 5 Years
Blood and lymphatic system disorders
Anaemia
6.2%
4/65 • Number of events 6 • Up to 5 Years
Cardiac disorders
Atrial Fibrillation
10.8%
7/65 • Number of events 9 • Up to 5 Years
Cardiac disorders
Cardiac Failure
12.3%
8/65 • Number of events 13 • Up to 5 Years
Cardiac disorders
Cardiac Failure Congestive
15.4%
10/65 • Number of events 14 • Up to 5 Years
Cardiac disorders
Tricuspid Valve Incompetence
7.7%
5/65 • Number of events 5 • Up to 5 Years
Gastrointestinal disorders
Gastrointestinal Haemorrhage
6.2%
4/65 • Number of events 4 • Up to 5 Years
Infections and infestations
Pneumonia
9.2%
6/65 • Number of events 7 • Up to 5 Years
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications
21.5%
14/65 • Number of events 19 • Up to 5 Years
Metabolism and nutrition disorders
Metabolism and nutrition disorders
15.4%
10/65 • Number of events 13 • Up to 5 Years
Nervous system disorders
Cerebrovascular Accident
6.2%
4/65 • Number of events 4 • Up to 5 Years
Renal and urinary disorders
Acute Kidney Injury
15.4%
10/65 • Number of events 12 • Up to 5 Years
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
9.2%
6/65 • Number of events 7 • Up to 5 Years
Vascular disorders
Vascular Disorders
9.2%
6/65 • Number of events 6 • Up to 5 Years
Cardiac disorders
Cardiac Failure Acute
7.7%
5/65 • Number of events 6 • Up to 5 Years
Injury, poisoning and procedural complications
Fall
6.2%
4/65 • Number of events 4 • Up to 5 Years
Blood and lymphatic system disorders
Blood and Lymphatic System Disorders
12.3%
8/65 • Number of events 10 • Up to 5 Years
Cardiac disorders
Cardiac Disorder
50.8%
33/65 • Number of events 63 • Up to 5 Years
Gastrointestinal disorders
Gastric Disorders
18.5%
12/65 • Number of events 14 • Up to 5 Years
General disorders
General Disorders and Administration Site Conditions
10.8%
7/65 • Number of events 7 • Up to 5 Years
Respiratory, thoracic and mediastinal disorders
Respiratory, Thoracic and Mediastinal Disorders
21.5%
14/65 • Number of events 16 • Up to 5 Years

Other adverse events

Other adverse events
Measure
Edwards PASCAL Transcatheter Valve Repair System
n=65 participants at risk
Repair of the tricuspid valve through a transcatheter approach
Cardiac disorders
Tricuspid Valve Incompetence
26.2%
17/65 • Number of events 17 • Up to 5 Years
Cardiac disorders
Cardiac Failure Congestive
20.0%
13/65 • Number of events 18 • Up to 5 Years
Cardiac disorders
Atrial Fibrillation
15.4%
10/65 • Number of events 13 • Up to 5 Years
Cardiac disorders
Cardiac Failure Acute
12.3%
8/65 • Number of events 9 • Up to 5 Years
Infections and infestations
COVID-19
9.2%
6/65 • Number of events 6 • Up to 5 Years
Infections and infestations
Pneumonia
10.8%
7/65 • Number of events 9 • Up to 5 Years
Infections and infestations
Urinary Tract Infection
13.8%
9/65 • Number of events 11 • Up to 5 Years
Injury, poisoning and procedural complications
Fall
20.0%
13/65 • Number of events 13 • Up to 5 Years
Injury, poisoning and procedural complications
Vascular Access Site Haemorrhage
6.2%
4/65 • Number of events 4 • Up to 5 Years
Nervous system disorders
Syncope
10.8%
7/65 • Number of events 8 • Up to 5 Years
Nervous system disorders
Cerebrovascular Accident
6.2%
4/65 • Number of events 4 • Up to 5 Years
Gastrointestinal disorders
Gastrointestinal Haemorrhage
7.7%
5/65 • Number of events 5 • Up to 5 Years
Renal and urinary disorders
Acute Kidney Injury
26.2%
17/65 • Number of events 23 • Up to 5 Years
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
10.8%
7/65 • Number of events 8 • Up to 5 Years
Metabolism and nutrition disorders
Hyperkalaemia
7.7%
5/65 • Number of events 7 • Up to 5 Years
Vascular disorders
Hypotension
9.2%
6/65 • Number of events 7 • Up to 5 Years
Blood and lymphatic system disorders
Anaemia
10.8%
7/65 • Number of events 9 • Up to 5 Years
Investigations
Investigations
13.8%
9/65 • Number of events 11 • Up to 5 Years
Psychiatric disorders
Psychiatric Disorders
9.2%
6/65 • Number of events 7 • Up to 5 Years
Surgical and medical procedures
Surgical and Medical Procedures
6.2%
4/65 • Number of events 4 • Up to 5 Years
Cardiac disorders
Cardiac Failure
13.8%
9/65 • Number of events 15 • Up to 5 Years
Blood and lymphatic system disorders
Blood and Lymphatic System Disorders
20.0%
13/65 • Number of events 18 • Up to 5 Years
Blood and lymphatic system disorders
Thrombocytopenia
7.7%
5/65 • Number of events 5 • Up to 5 Years
Cardiac disorders
Cardiac Disorders
64.6%
42/65 • Number of events 103 • Up to 5 Years
Gastrointestinal disorders
Gastrointestinal Disorders
30.8%
20/65 • Number of events 26 • Up to 5 Years
General disorders
General Disorders and Administration Site Conditions
20.0%
13/65 • Number of events 14 • Up to 5 Years
Hepatobiliary disorders
Hepatobiliary Disorders
6.2%
4/65 • Number of events 4 • Up to 5 Years
Infections and infestations
Infections and Infestations
50.8%
33/65 • Number of events 54 • Up to 5 Years
Infections and infestations
Cellulitis
6.2%
4/65 • Number of events 5 • Up to 5 Years
Infections and infestations
Sepsis
6.2%
4/65 • Number of events 4 • Up to 5 Years
Injury, poisoning and procedural complications
Injury, Poisoning and Procedural Complications
41.5%
27/65 • Number of events 51 • Up to 5 Years
Metabolism and nutrition disorders
Metabolism and Nutrition Disorders
26.2%
17/65 • Number of events 31 • Up to 5 Years
Musculoskeletal and connective tissue disorders
Musculoskeletal and Connective Tissue Disorders
7.7%
5/65 • Number of events 5 • Up to 5 Years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms Benign, Malignant and Unspecified (Incl Cysts and Polyps)
10.8%
7/65 • Number of events 8 • Up to 5 Years
Nervous system disorders
Nervous System Disorders
35.4%
23/65 • Number of events 27 • Up to 5 Years
Renal and urinary disorders
Renal and Urinary Disorders
36.9%
24/65 • Number of events 35 • Up to 5 Years
Respiratory, thoracic and mediastinal disorders
Respiratory, Thoracic and Mediastinal Disorders
30.8%
20/65 • Number of events 27 • Up to 5 Years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
6.2%
4/65 • Number of events 4 • Up to 5 Years
Vascular disorders
Vascular Disorders
23.1%
15/65 • Number of events 19 • Up to 5 Years

Additional Information

Ted Feldman

Edwards Lifesciences

Phone: 949-250-2500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place