StrokeREDUCE PASNCT03821129
GORE® CARDIOFORM Septal Occluder and Antiplatelet Medical Management for Reduction of Recurrent Stroke in Patients With Patent Foramen Ovale (PFO): the REDUCE Post Approval Study
A study testing PFO closure with GORE® CARDIOFORM Septal Occluder in people with Stroke and PFO - Patent Foramen Ovale, run by W.L.Gore & Associates at 45 sites in United States.
Trial summary
This study will assess the safety and effectiveness of GORE® CARDIOFORM Septal Occluder in a post approval setting and evaluate the quality of operator education and training and transferability of trial experience to a post-market setting. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Stroke, PFO - Patent Foramen Ovale
- What is being tested?
- PFO closure with GORE® CARDIOFORM Septal Occluder
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 636 participants
- Where
- 45 sitesUnited States
- Study dates
- 25 Jul 2019to Oct 2031
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosed with an ischemic stroke presumed to be an embolic stroke of undetermined source (ESUS) verified by a neurologist within the last 365 days prior to enrollment.
- Presence of Patent Foramen Ovale (PFO), as determined initially by positive bubble study utilizing transesophageal echocardiography (TEE) and/or transcranial Doppler (TCD), demonstrating spontaneous right-to-left shunting or right-to-left shunting during Valsalva maneuver.
- Patient is able to tolerate antiplatelet therapy
- Note: Additional Inclusion Criteria may apply
Who cannot join
- History of or ongoing atrial fibrillation/flutter
- Other co-morbidities including, but not limited to, mural thrombus, dilated cardiomyopathy, cardiac prosthetics (valves), severe native valve disease (including mitral valve stenosis), severe ventricular wall motion abnormalities, aortic dissection, significant atherosclerosis, vasculitis, pre-existing non-vascular neurologic disorders, pulmonary arteriovenous malformations, prior intracranial hemorrhage, severe disability related to prior stroke, autoimmune disorders that would increase the risk of stroke or thromboembolism, or associated with increased risk of infection or procedural complications, in the opinion of the investigator, left ventricular ejection fraction of <40%, coexistent cause or intra-cardiac shunting (e.g. VSD or ASD)
- Previous Myocardial Infarction
- Rankin Scale sore greater than or equal to 3 at the time of procedure
- Active infection that cannot be treated successfully prior to enrollment
- Neurological deficits not due to stroke that may affect the patient's neurologic assessments
Show all 13Show fewer
- Evidence of hypercoagulable state, Uncontrolled diabetes mellitus, uncontrolled systemic hypertension or pulmonary hypertension at the time of screening or procedure
- Sensitivity or contraindication to all proposed medical treatments or any device components
- Pregnant, lactating, or intent on becoming pregnant through 24 months after enrollment.
- Indications outside the parameters accepted for placement of GSO, including extensive congenital cardiac anomalies and defect diameters considered too large for closure with the device.
- Atrial septal anatomy that is expected to necessitate placement of more than one GORE® CARDIOFORM Septal Occluder
- Need for concomitant procedure(s) that may confound detection of adverse events related to device placement
- Note: Additional Exclusion Criteria may apply
Trial locations and contacts
45 sites in 1 country. Contact the study team or a site near you to ask about taking part.
45 sites in 1 country
United States45 sites, 31 recruiting
- Recruiting
Lehigh Valley Hospital
Allentown, Pennsylvania, 18103
Francesca Sanchez, 610-402-1626, francesca.sanchez@lvhn.org
Paul Hermany, MD
- Recruiting
University of Michigan
Ann Arbor, Michigan, 48109
Sweta Naik, 734-232-4277, swetan@med.umich.edu
Stanley Chetcuti, MD
- Active, not recruiting
Emory University
Atlanta, Georgia, 30322
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
Sidney Searles, 617-643-9617, ssearles@mgh.harvard.edu
Ignacio Inglessis-Azuaje, MD
- Recruiting
Research Foundation SUNY Buffalo
Buffalo, New York, 14203
Cassandra Davern, 716-982-6115, cadavern@buffalo.edu
Vijay Iyer, MD
- Withdrawn
Medical University of South Carolina
Charleston, South Carolina, 29425
- Recruiting
Charleston Area Medical Center (CAMC)
Charleston, West Virginia, 25302
Richard Han, MD
- Recruiting
Atrium Health
Charlotte, North Carolina, 28203
Krystal Winkler, 704-355-4794, krystal.winkler@atriumhealth.org
Matthew Schwartz, MD
- Recruiting
University of Virginia
Charlottesville, Virginia, 22908
Annika King, 434-982-1058, ake5rq@uvahealth.org
John Thomas Saxon, MD
- Recruiting
Rush University Medical Center
Chicago, Illinois, 60612
Abby Mason, 312-947-2997, abby_mason@rush.edu
Hussam Suradi, MD
- Withdrawn
University of Minnesota
Edina, Minnesota, 55435
- Withdrawn
Alexian Brothers Medical Center
Elk Grove Village, Illinois, 60007
- Recruiting
Northwestern University
Evanston, Illinois, 60208
Leonie Mbouguen, 312-926-0840, leonieluciano.mbouguen@nm.org
Keith Benzuly, MD
- Withdrawn
Jersey Shore University / Hackensack UMC
Freehold, New Jersey, 07728
- Recruiting
Baylor College of Medicine-Houston
Houston, Texas, 77030
Araceli Boan, 713-798-5670, araceli.boan@bcm.edu
Dhaval Parekh, MD
- Recruiting
The Methodist Hospital - Houston
Houston, Texas, 77030
Bora Yskollari, 713-441-3552, byskollari@houstonmethodist.org
Chun Huie Lin, MD
- Recruiting
University of Iowa Hospitals & Clinic
Iowa City, Iowa, 52242
Amy Ollinger, 319-353-6675, amy-ollinger@uiowa.edu
Phillip Horwitz, MD
- Recruiting
Baptist Health Jacksonville
Jacksonville, Florida, 32207
Siddharth Wayanganker, MD
- Withdrawn
Tennova Healthcare
Knoxville, Tennessee, 37934
- Recruiting
Scripps Health La Jolla
La Jolla, California, 92037
Stefania Marzano, 858-824-5456, marzano.stefania@scrippshealth.org
Matthew Price, MD
- Recruiting
South Denver Cardiology Associates
Littleton, Colorado, 80120
Rebecca Wimmer, 303-715-2275, rwimmer@southdenver.com
Lee MacDonald, MD
- Recruiting
Loma Linda University Health
Loma Linda, California, 92354
Shane Robbins, 909-651-9887, srobbins@llu.edu
Jason Hoff, MD
- Recruiting
Medical Center of the Rockies
Loveland, Colorado, 80538
Scott Kaczkowski, 970-624-1685, scott.kaczkowski@uchealth.org
Justin Strote, MD
- Recruiting
Aurora Health Care, Metro Inc.
Milwaukee, Wisconsin, 53215
Donald Lobacz, 414-649-3438, donald.lobacz@aah.org
Tanvir Bajwa, MD
- Recruiting
Medical College of Wisconsin, Inc.
Milwaukee, Wisconsin, 53226
Michael Cinquegrani
- Recruiting
Minneapolis Heart Institute Foundation - Abbott Northwestern Hospital
Minneapolis, Minnesota, 55407
John Meriwether, 612-863-6288, john.meriwether@allina.com
Mario Goessl, MD
- Recruiting
Naples Community Hospital
Naples, Florida, 34102
Linda Pastorius, 239-624-8393, linda.pastorius@nchmd.org
Roberto Cubeddu, MD
- Terminated
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
- Recruiting
Yale University School of Medicine
New Haven, Connecticut, 06510
Amanda Catucci, 203-785-6947, amanda.catucci@yale.edu
Jeremy Asnes, MD
- Terminated
Columbia University Medical Center/NYPH
New York, New York, 10032
- Terminated
Sentara Cardiovascular Research Institute
Norfolk, Virginia, 23455
- Recruiting
Providence Heart & Vascular Institute
Portland, Oregon, 97225
Sarah Jackson, 503-216-7370, sarah.jackson3@providence.org
Brandon Jones, MD
- Withdrawn
William Beaumont Hospital
Royal Oak, Michigan, 48073
- Terminated
Covenant Medical Center, Inc.
Saginaw, Michigan, 48602
- Recruiting
St. Marks Hospital
Salt Lake City, Utah, 84124
Megan Miller, 801-268-7883, megan.miller@mountainstarhealth.com
Vamsee Yaganti, MD
- Recruiting
University of Utah
Salt Lake City, Utah, 84132
Jaymee Sanderson, 801-585-2975, jaymee.sanderson@hsc.utah.edu
Anwar Tandar, MD
- Active, not recruiting
Methodist Healthcare Systems of San Antonio d/b/a Methodist Hospital
San Antonio, Texas, 78229
- Recruiting
University of California - San Francisco
San Francisco, California, 94143
Kaye Reambonanza, 415-514-6147
Sammy Elmariah, MD
- Recruiting
Santa Barbara Cottage Hospital
Santa Barbara, California, 93105
Carmen Carbajal, 805-698-2432, ccarbaja@sbch.org
Joseph Aragon, MD
- Recruiting
Multicare Health Tacoma-Multicare Institute for Research & Innovation
Tacoma, Washington, 98405
Tonya Stigger, 253-403-1208, tonya.stigger@multicare.org
Kurt Kinney, MD
- Recruiting
University of SF (Tampa General Hospital)
Tampa, Florida, 33606
Bibhu Mohanty, MD, 813-396-2617, bmohanty@usf.edu
Bibhu Mohanty, MD
- Recruiting
Baylor Scott & White Memorial Hospital
Temple, Texas, 76508
Rohini Bagewadi, 254-724-1083, rohini.bagewadi@bswhealth.org
Robert Widmer, MD
- Withdrawn
St. Mary's Hospital
Tucson, Arizona, 85745
- Recruiting
Catholic Health Initiatives- Iowa Corp dba Iowa Heart
West Des Moines, Iowa, 50266
Kendra Tuttle, 515-235-5102, kendra.tuttle@mercyoneiowa.org
Mark Tannenbaum, MD
- Active, not recruiting
Cleveland Clinic Florida
Weston, Florida, 33331
About this study
This study will assess the safety and effectiveness of GORE® CARDIOFORM Septal Occluder in a post approval setting and evaluate the quality of operator education and training and transferability of trial experience to a post-market setting.
Read the detailed description
A maximum of 636 adult subjects will be enrolled at up to 40 U.S. centers. Subjects will have follow-up at 1 month, 6 months, 12 months and annually thereafter through 5 years post implant.
- Conditions
- Stroke, PFO - Patent Foramen Ovale
- Being tested
- PFO closure with GORE® CARDIOFORM Septal Occluder
- Keywords
- Occluder, Patent Foramen Ovale, PFO, Stroke, Gore Septal Occluder
- Medical subject headings
- Stroke, Foramen Ovale, Patent
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PFO closure with GORE® CARDIOFORM Septal OccluderDevice
PFO closure with GORE® CARDIOFORM Septal Occluder in patients with ischemic stroke
| Study group | Role | What they receive |
|---|---|---|
| GORE® CARDIOFORM Septal Occluder | Other | Single Arm Commercially available GORE® CARDIOFORM Septal Occluder Receives: Device: PFO closure with GORE® CARDIOFORM Septal Occluder |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of subjects with recurrent ischemic stroke post study device implant (Primary Effectiveness Outcome)
Proportion of subjects with recurrent ischemic stroke post study device implant
Measured: 24 months
Proportion of subjects with device- or procedure-related serious adverse events at 30 days (Primary Safety Endpoint)
Device- or procedure- related serious adverse events post study device implant
Measured: 30 days
Secondary outcomes (6)
Effective PFO Closure defined as complete PFO closure or a trivial or small residual shunt by Echocardiographic assessment
Complete PFO closure or a trivial or small residual shunt
Proportion of subjects with complete PFO closure or a trivial or small residual shunt
Measured: 12 months
Clinically Significant New Atrial Arrhythmia
Any new atrial fibrillation or flutter
Measured: 60 months
Clinically Significant New Atrial Arrhythmia by Age
Any new atrial fibrillation or flutter in patients greater and less than 60 years of age
Measured: 60 months
Residual Shunt Characterization via assessment of shunt in patients by Echo
Assessment of shunt in patients by Echo
Measured: 24 months
Technical Success defined as successful delivery and retention of the GSO device based on physician reporting
Successful delivery and retention of the GSO device
Measured: Index procedure
Procedural Success defined as successful implantation of the GSO device with no reported in-hospital Serious Adverse Events (SAEs)
Successful implantation of the GSO device with no reported in-hospital SAEs
Measured: Enrollment through discharge, approximately 1 day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jan 2019
- Study start25 Jul 2019
- Primary completionOct 2028 (estimated)
- Study completionOct 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- More trials run by W.L.Gore & AssociatesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 636 participants (estimated)
Sponsor and investigators
- Lead sponsor
- W.L.Gore & Associates
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03821129
- Sponsor's protocol ID
- GSO 18-01
- Acronym
- REDUCE PAS
- Status last verified
- Jul 2026
- First submitted
- 15 Jan 2019
- Last updated
- 30 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- GORE® CARDIOFORM Septal Occluder and Antiplatelet Medical Management for Reduction of Recurrent Stroke in Patients With Patent Foramen Ovale (PFO): the REDUCE Post Approval Study
- ClinicalTrials.gov ID
- NCT03821129
- Acronym / sponsor ID
- REDUCE PAS / GSO 18-01
- Conditions
- Stroke, PFO - Patent Foramen Ovale
- Keywords
- Occluder, Patent Foramen Ovale, PFO, Stroke, Gore Septal Occluder
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 636 participants (estimated)
- Lead sponsor
- W.L.Gore & AssociatesIndustry (pharma, biotech, devices)
- Study start
- 25 Jul 2019 (actual)
- Primary completion
- Oct 2028 (estimated)
- Study completion
- Oct 2031 (estimated)
- First posted
- 29 Jan 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the safety and effectiveness of GORE® CARDIOFORM Septal Occluder in a post approval setting and evaluate the quality of operator education and training and transferability of trial experience to a post-market setting.
Detailed description
A maximum of 636 adult subjects will be enrolled at up to 40 U.S. centers. Subjects will have follow-up at 1 month, 6 months, 12 months and annually thereafter through 5 years post implant.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| GORE® CARDIOFORM Septal Occluder | Other | Device: PFO closure with GORE® CARDIOFORM Septal OccluderSingle Arm Commercially available GORE® CARDIOFORM Septal Occluder |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Diagnosed with an ischemic stroke presumed to be an embolic stroke of undetermined source (ESUS) verified by a neurologist within the last 365 days prior to enrollment.
- Presence of Patent Foramen Ovale (PFO), as determined initially by positive bubble study utilizing transesophageal echocardiography (TEE) and/or transcranial Doppler (TCD), demonstrating spontaneous right-to-left shunting or right-to-left shunting during Valsalva maneuver.
- Patient is able to tolerate antiplatelet therapy
- Note: Additional Inclusion Criteria may apply
Key exclusion criteria (13 listed)
- History of or ongoing atrial fibrillation/flutter
- Other co-morbidities including, but not limited to, mural thrombus, dilated cardiomyopathy, cardiac prosthetics (valves), severe native valve disease (including mitral valve stenosis), severe ventricular wall motion abnormalities, aortic dissection, significant atherosclerosis, vasculitis, pre-existing non-vascular neurologic disorders, pulmonary arteriovenous malformations, prior intracranial hemorrhage, severe disability related to prior stroke, autoimmune disorders that would increase the risk of stroke or thromboembolism, or associated with increased risk of infection or procedural complications, in the opinion of the investigator, left ventricular ejection fraction of <40%, coexistent cause or intra-cardiac shunting (e.g. VSD or ASD)
- Previous Myocardial Infarction
- Rankin Scale sore greater than or equal to 3 at the time of procedure
- Active infection that cannot be treated successfully prior to enrollment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PFO closure with GORE® CARDIOFORM Septal OccluderPFO closure with GORE® CARDIOFORM Septal Occluder in patients with ischemic stroke | Device | GORE® CARDIOFORM Septal Occluder |
Primary outcome
Proportion of subjects with recurrent ischemic stroke post study device implant (Primary Effectiveness Outcome)
Time frame: 24 months
Proportion of subjects with recurrent ischemic stroke post study device implant
Proportion of subjects with device- or procedure-related serious adverse events at 30 days (Primary Safety Endpoint)
Time frame: 30 days
Device- or procedure- related serious adverse events post study device implant
6 secondary outcomes
Effective PFO Closure defined as complete PFO closure or a trivial or small residual shunt by Echocardiographic assessment
Time frame: 12 months
Clinically Significant New Atrial Arrhythmia
Time frame: 60 months
Clinically Significant New Atrial Arrhythmia by Age
Time frame: 60 months
Residual Shunt Characterization via assessment of shunt in patients by Echo
Time frame: 24 months
Technical Success defined as successful delivery and retention of the GSO device based on physician reporting
Time frame: Index procedure
Procedural Success defined as successful implantation of the GSO device with no reported in-hospital Serious Adverse Events (SAEs)
Time frame: Enrollment through discharge, approximately 1 day
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jul 2026.
- Individual participant dataSharing planned: No
Related trials for Stroke
Not yet recruiting
Temporal Interference Stimulation for Upper-Limb Motor Recovery in Early Subacute Stroke
Acute Ischemic Stroke
RecruitingObservational study
ELATE Study: Evaluating Large-vessel Acute Thrombectomy in Extended Time Window
Acute Ichemic Stroke
Recruiting
Web-Based Tele-Rehabilitation Using Action Observation and Mirror Therapy for Subacute Stroke: A Randomized Controlled Trial
Stroke, Upper Extremity Paresis
Recruiting
Early Motor-Cognitive Integrative Training on Cognitive and Motor Performance in Patients With Aneurysmal Subarachnoid Hemorrhage
Subarachnoid Aneurysm Hemorrhage
Not yet recruiting
Selective Intra-Arterial Hypothermia After Endovascular Treatment for Acute Basilar Artery Occlusion
Acute Ischemic Stroke, Basilar Artery Occlusion
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
45 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing PFO closure with GORE® CARDIOFORM Septal Occluder in people with Stroke and PFO - Patent Foramen Ovale, run by W.L.Gore & Associates at 45 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 30 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 45 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Tammy DeLozier (800-437-8181, GSO1801@wlgore.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of subjects with recurrent ischemic stroke post study device implant (Primary Effectiveness Outcome) (time frame: 24 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jul 2026.