Study backs biopolymer used in Foldax’s Tria valve

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Tria surgical aortic heart valve

Foldax has today announced publication of a research paper in Advanced NanoBiomed Research that concluded that its LifePolymer biopolymer “exhibits ideal biomaterial properties for the flexible leaflets of a totally synthetic valve replacement”. 

LifePolymer is a proprietary biopolymer that was engineered at the molecular level to solve problems commonly experienced by prosthetic heart valves, including earlier heart valves attempting to use polymeric leaflets, such as material degradation, thrombosis and calcification.

The LifePolymer material is used in the company’s portfolio of Tria biopolymer heart valves that reimagine the heart valve and are intended to resist calcification, withstand stresses and strains of the heart, and restore patient quality of life without lifelong use of anticoagulants.

“Replacement of traditional xenogeneic pericardial tissue leaflets with high-performance SiPUU (siloxane-based polyurethane-urea, or LifePolymer) provides the advantages of a highly controlled leaflet design, ideal and tailored mechanical properties, a robust supply chain, and lower manufacturing costs,” state the authors. “Together with the earlier reported work on this new SiPUU copolymer, an exhaustive data set now confirms LifePolymer’s suitability for use as a leaflet in a replacement heart valve.”

Data that was cited in the article included that previous publications demonstrate generally outstanding in vitro and in vivo resistance of LifePolymer to aggressive oxidative attack, using an accelerated model with a level of strain >10 times the strain expected to be seen in an aortic valve leaflet. The strained LifePolymer devices showed no signs of degradation (e.g. pitting or cracking) even after six months under these accelerated conditions.

Additionaly the article states that the Tria valve with LifePolymer leaflets has shown exceptional haemocompatibility, while adding that an ex-vivo thrombosis assay using the LifePolymer-based device supported low coagulation activation,  producing nearly undetectable levels of platelet attachment and fibrin deposition in situ, both key markers of thrombosis.

Finally, the article notes, the Tria valve with LifePolymer leaflets passed all standard biocompatibility and biostability testing.

The first of the company’s products—an aortic surgical heart valve—is currently enrolling a US clinical study as a result of FDA approval of an expanded study last October. Its second device, a mitral surgical valve, was approved by the FDA for a US clinical study last month, with the first human case expected to take place within the next several weeks. The third valve product is a transcatheter aortic valve implant (TAVI), which is in the pre-clinical testing phase.

The Tria valves are the first and only heart valves to be robotically manufactured, reducing variability and enabling high precision, repeatability and quality, while substantially improving the economics of heart valve manufacturing, the company said in a press release.


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