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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04688190
Registration number
NCT04688190
Ethics application status
Date submitted
18/12/2020
Date registered
29/12/2020
Date last updated
17/05/2022
Titles & IDs
Public title
CHoice of OptImal transCatheter trEatment for Mitral Insufficiency Registry
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Scientific title
Choice of Optimal Transcatheter Treatment for Mitral Insufficiency Registry
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Secondary ID [1]
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CHOICE-MI
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Universal Trial Number (UTN)
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Trial acronym
CHOICE-MI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mitral Regurgitation
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Transcatheter Mitral Valve Implantation (TMVI) - Patients with successful TMVI screening, who underwent Transcatheter Mitral Valve Implantation subsequently. All devices may be included.
Interventional mitral valve edge-to-edge repair (E2E) - Patients with TMVI screening failure, who subsequently underwent interventional mitral valve edge-to-edge repair.
Mitral valve surgery (Surgery) - Patients with TMVI screening failure, who subsequently underwent mitral valve surgery (i.e., mitral valve repair or replacement).
Medical therapy (OMT) - Patients with TMVI screening failure, who subsequently underwent conservative or optimal medical therapy (OMT).
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mitral insufficiency grade 2+ or more
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Assessment method [1]
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Mitral insufficiency measured by transthoracic echocardiography. Assessment of MI severity according to current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease.
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Timepoint [1]
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12 months
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Primary outcome [2]
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Freedom from device-related complications
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Assessment method [2]
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Timepoint [2]
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30 days
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Secondary outcome [1]
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Combined all-cause mortality or rehospitalization for congestive heart failure
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Assessment method [1]
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0
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Timepoint [1]
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12 months
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Secondary outcome [2]
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All-cause mortality
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Assessment method [2]
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0
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Timepoint [2]
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12 months
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Secondary outcome [3]
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Cardiovascular mortality
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Assessment method [3]
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0
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Timepoint [3]
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12 months
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Secondary outcome [4]
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Rehospitalization for congestive heart failure
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Assessment method [4]
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Incidence of new-onset or worsening signs and symptoms of heart failure that required urgent therapy and resulted in hospitalization, e.g. as assessed by patient interviews.
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Timepoint [4]
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12 months
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Secondary outcome [5]
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Combined cardiovascular mortality or rehospitalization for congestive heart failure
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Assessment method [5]
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0
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Timepoint [5]
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12 months
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Secondary outcome [6]
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Unplanned mitral valve intervention
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Assessment method [6]
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Incidence of unplanned surgical or transcatheter re-intervention, heart transplantation or left ventricular assist device implantation, e.g. as assessed by patient interviews.
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Timepoint [6]
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12 months
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Secondary outcome [7]
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Combined all-cause mortality, rehospitalization for congestive heart failure or unplanned mitral valve intervention
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Assessment method [7]
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Timepoint [7]
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12 months
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Secondary outcome [8]
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Combined cardiovascular mortality, rehospitalization for congestive heart failure or unplanned mitral valve intervention
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Assessment method [8]
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Timepoint [8]
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12 months
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Secondary outcome [9]
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New York Heart Association (NYHA) stage III or IV
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Assessment method [9]
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Assessment of New York Heart Association (NYHA) classification stage (in- or outpatient) after 12 months follow-up, as assessed by patient interviews.
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Timepoint [9]
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12 months
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Eligibility
Key inclusion criteria
* clinically significant mitral insufficiency
* patient underwent screening for TMVI
* echocardiography data at baseline (and after TMVI, E2E and surgery)
* follow-up of at least 30 days
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- age under 18 years
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Study design
Purpose
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Duration
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Selection
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2030
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Actual
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Sample size
Target
800
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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St Vincent's Hospital - Sydney
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Recruitment postcode(s) [1]
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- Sydney
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Massachusetts
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Country [3]
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United States of America
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State/province [3]
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Texas
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Country [4]
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Canada
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State/province [4]
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Toronto
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Country [5]
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Canada
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State/province [5]
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Vancouver
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Country [6]
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Denmark
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State/province [6]
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Copenhagen
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Country [7]
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France
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State/province [7]
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Bourdeaux
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Country [8]
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France
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State/province [8]
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Lille
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Country [9]
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France
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State/province [9]
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Lyon
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Country [10]
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France
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State/province [10]
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Toulouse
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Country [11]
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Germany
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State/province [11]
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Bad Oeynhausen
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Country [12]
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Germany
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State/province [12]
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Berlin
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Country [13]
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Germany
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State/province [13]
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Bonn
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Country [14]
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Germany
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State/province [14]
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Cologne
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Country [15]
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Germany
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State/province [15]
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Frankfurt
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Country [16]
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Germany
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State/province [16]
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Hamburg
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Country [17]
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Germany
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State/province [17]
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Mainz
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Country [18]
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Germany
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State/province [18]
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Munich
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Country [19]
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Italy
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State/province [19]
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Milan
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Country [20]
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Norway
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State/province [20]
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Oslo
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Country [21]
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Switzerland
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State/province [21]
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Bern
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Country [22]
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Switzerland
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State/province [22]
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Zürich
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Country [23]
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United Kingdom
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State/province [23]
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London
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Funding & Sponsors
Primary sponsor type
Other
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Name
Universitätsklinikum Hamburg-Eppendorf
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Montreal Heart Institute
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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University Hospital, Bordeaux
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
This multinational, investigator-initiated, retrospective study aims to investigate outcomes of patients, who underwent transcatheter mitral valve implantation (TMVI), in comparison to those screened for TMVI but deemed ineligible, who subsequently underwent interventional mitral valve edge-to-edge repair, mitral valve surgery or medical/conservative therapy.
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Trial website
https://clinicaltrials.gov/study/NCT04688190
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Lenard Conradi, MD
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Address
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University Heart and Vascular Center Hamburg
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Sebastian Ludwig, MD
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Address
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Country
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Phone
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+4915222816168
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04688190
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