Oct. 28, 2024 — Cardiawave SA, developer of Valvosoft Non-Invasive Ultrasound Therapy (NIUT) device for treating severe symptomatic calcific aortic stenosis (CAS), announced that the device met the primary endpoint in its pivotal study and improved or stabilized heart failure symptoms for 80.5 percent of patients, substantially improving hemodynamics and patient quality of life six months after treatment. These outcomes were presented at the Transcatheter Cardiovascular Therapeutics (TCT) conference by Professor Hélène Eltchaninoff, Head of the Cardiology Department at Rouen University Hospital, France.
Valvosoft is designed to non-invasively restore leaflet mobility in a stenotic aortic valve and widen the valve opening to relieve patient heart failure symptoms. High-intensity focused ultrasound waves micro-fracture calcification embedded in aortic valve leaflets without damaging tissue. The treatment is designed to be repeatable over time, as needed, to manage disease progression.
“Aortic stenosis is progressive and threatens the lives of many millions of people each year. With the disease on the rise due to a rapidly aging population, new alternatives are needed for patients who cannot or do not want to undergo current valve replacement techniques. The Valvosoft technology holds the possibility to be an important and unique addition to our armamentarium to address progression of this deadly disease,” said Professor Christian Spaulding, Interventional Cardiologist, Professor of Cardiology at European Hospital Georges Pompidou AP-HP in Paris, France, and coordinating investigator of the Valvosoft Pivotal Study.
Six-Month Study Results
In the study, 91.7 percent of patients were free of Major Adverse Cardiac Events (MACE) at 30 days, thus achieving the primary endpoint objective of <25 percent. There were no incidences of stroke through six months. Valvosoft demonstrated the ability to reverse or slow disease progression, improving or stabilizing New York Heart Association (NYHA) class for 80.5 percent of patients compared to baseline at six months. Quality of life also consistently improved over that time, with patients showing an average Kansas City Cardiomyopathy Questionnaire (KCCQ) score improvement of 8.7 points over baseline.
Patient hemodynamics also improved. Aortic Valve Area (AVA) increased 12 percent over baseline by six months post-procedure, in a patient population where 40% of patients were classified with very severe aortic stenosis and 31% were aged 90 or older. Although the study did not include a control group, when the AVA measures were compared to the expected AVA among untreated patients based on natural disease progression [1], the AVA improvement was shown to be 21.4%. The mean pressure gradient decreased by 6% compared to baseline at six months; when compared to natural disease progression [1], that improvement reached -13.2 percent.
The Valvosoft Pivotal Study is a prospective, multicenter, single-arm study encompassing 60 patients with severe symptomatic CAS treated with Valvosoft NIUT at 11 European centers.
Valvosoft is considered an investigational device in the U.S. and is limited by U.S. law to investigational use only. It is not approved for commercial sale in any region.
[1] G. Prosperi-Porta, N. Willner, and D. Messika-Zeitoun, “Aortic stenosis progression: Still a long way to go,” Arch Cardiovasc Dis, vol. 116, no. 3, pp. 113–116, Mar. 2023, doi: 10.1016/j.acvd.2023.01.002.
June 27, 2023 
