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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02321514
Registration number
NCT02321514
Ethics application status
Date submitted
10/12/2014
Date registered
22/12/2014
Date last updated
8/05/2024
Titles & IDs
Public title
Expanded Clinical Study of the Tendyne Mitral Valve System
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Scientific title
Expanded Clinical Study of the Tendyne Mitral Valve System
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Secondary ID [1]
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CS-03
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mitral Valve Regurgitation
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Tendyne Mitral Valve System
Experimental: Tendyne Mitral Valve System - Patients will undergo transcatheter mitral valve replacement
Treatment: Devices: Tendyne Mitral Valve System
Patients will undergo transcatheter mitral valve replacement using Tendyne Mitral Valve system
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Intervention code [1]
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Treatment: Devices
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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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Safety Endpoint: Number of Participants With Composite of Device Success and Freedom From Device or Procedure Related Serious Adverse Events (SAEs)
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Assessment method [1]
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Device success and freedom from the following device- or procedure-related serious adverse events (SAEs) at 30 days post the index procedure, will be classified by the Clinical Events Committee (CEC):
* Cardiovascular death
* Reintervention caused by valve-related dysfunction
* Disabling stroke
* Myocardial infarction (MI)
* Life-threatening bleeding (BARC Type 2, 3, and 5)
* Major Vascular Complications
* Renal failure requiring dialysis
* Other device-related SAEs
* Other procedure-related SAEs
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Timepoint [1]
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30 days post-index procedure
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Primary outcome [2]
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Performance Endpoint: Number of Participants With MR Grade = 2
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Assessment method [2]
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Proportion of subjects with mitral regurgitation (MR) grade = 2, per echocardiography core laboratory will be assessed.
MR severity is graded on a scale of 0+ to 4+ where 0+ means absence of mitral regurgitation, 1+ is mild, 2+ is moderate, 3+ is moderate-to-severe and 4+ is severe.
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Timepoint [2]
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30 days post-index procedure
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Eligibility
Key inclusion criteria
1. Severe mitral regurgitation of primary or secondary etiology according to MVARC (Mitral Valve Academic Research Consortium) 2015 defined as:
* For Degenerative MR: EROA = 40 mm^2 or regurgitant volume = 60ml
* For Secondary MR: EROA = 20 mm^2 or regurgitant volume = 30ml
2. New York Heart Association (NYHA) functional Class = II while on guideline directed medical therapy (GMDT), including device therapy (CRT) if indicated.
3. Heart team determines patient is not a suitable candidate for traditional surgical treatment according to valid guidelines.
4. Age 18 years or older.
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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
1. Severe mitral annular calcification, severe mitral stenosis, valvular vegetation or mass.
2. Left Ventricle (LV) or Left Atrium (LA) thrombus.
3. Patient has a chest condition that prevents transapical access.
4. Left ventricular ejection fraction (LVEF) less than 30% by echocardiogram.
5. Left Ventricular End Diastolic Diameter (LVEDD) > 7.0 cm.
6. Prior surgical or interventional treatment of mitral or aortic valves (e.g. valve repair or replacement, MitraClip, edge to edge repair, aortic balloon valvuloplasty, etc.).
7. Any planned surgery or interventional procedure within the period of 30 days prior to 30 days following the implant procedure. This includes any planned concomitant cardiovascular procedure such as PCI, pulmonary vein ablation, left atrial appendage occlusion, septal defect repair, etc.
8. Cardiac resynchronization therapy device or implantable pulse generator implanted within three months of planned implant procedure.
9. Myocardial Infarction (MI) within 30 days of the planned implant procedure.
10. Symptomatic, unresolved multi-vessel coronary artery disease (CAD) or unprotected left main coronary artery disease requiring stenting or Coronary Artery Bypass Grafting (CABG).
11. Cerebrovascular accident (CVA) within six months of planned implant procedure.
12. Unresolved severe symptomatic carotid stenosis (> 70% by ultrasound).
13. Cardiogenic shock or hemodynamic instability requiring inotropes or mechanical support devices at the time of planned implant procedure.
14. Severe tricuspid regurgitation, tricuspid valve disease requiring surgery or severe right ventricular dysfunction.
15. Hypertrophic or restrictive cardiomyopathy, constrictive pericarditis or any other structural heart disease causing heart failure other than dilated cardiomyopathy of either ischemic or non-ischemic etiology.
16. Any of the following: leukopenia, acute anemia, thrombocytopenia, history of bleeding diathesis, or coagulopathy if cannot be adequately treated.
17. History of endocarditis within six months of planned implant procedure.
18. Active systemic infection requiring antibiotic therapy.
19. Known hypersensitivity or contraindication to procedural or post-procedural medications (e.g., contrast solution, anti-coagulation therapy) which cannot be adequately managed medically or hypersensitivity to nickel or titanium.
20. Patient is undergoing hemodialysis due to chronic renal failure.
21. Patient has pulmonary arterial hypertension (fixed PAS >70mmHg).
22. Patient has COPD and is on home oxygen.
23. Patient refuses blood transfusions.
24. Pregnant, lactating, or planning pregnancy within next 12 months.
25. Participating or planning participation in an investigational drug or another device study.
26. Patient or legal guardian unable or unwilling to give informed consent.
27. Patient unable or unwilling to comply with study required testing and follow-up visits.
28. Patients with non-cardiac co-morbidities that are likely to result in a life expectancy of less than one year.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not 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
1/11/2014
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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
1/12/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
191
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Flinders Medical Center - Bedford Park
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Prince Charles Hospital - Chermside
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St. Vincent's Hospital - Sydney
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5042 - Bedford Park
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Recruitment postcode(s) [2]
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- Chermside
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Recruitment postcode(s) [3]
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- Sydney
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Recruitment outside Australia
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Arizona
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Illinois
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West Virginia
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France
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Bordeaux
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France
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Lille
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France
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Lyon
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France
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Rennes
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France
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Toulouse
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Germany
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Berlin
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Germany
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Bonn
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Germany
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Dresden
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Germany
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Frankfurt
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Germany
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Hamburg
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Germany
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Leipzig
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Germany
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Munich
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Italy
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Catania
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Italy
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Milan
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Italy
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Pisa
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Italy
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Rozzano
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Italy
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San Donato Milanese
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Nieuwegein
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Norway
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Oslo
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Sweden
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Solna
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Switzerland
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Zürich
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Abbott Medical Devices
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and performance of the Tendyne Mitral Valve System in the treatment of severe mitral regurgitation in patents with functional disability greater than or equal to NYHA Class II, who are not suitable candidates for surgical replacement with otherwise available devices. Follow-up evaluations will be conducted through 5 years post implantation.
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Trial website
https://clinicaltrials.gov/study/NCT02321514
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Trial related presentations / publications
Muller DWM, Sorajja P, Duncan A, Bethea B, Dahle G, Grayburn P, Babaliaros V, Guerrero M, Thourani VH, Bedogni F, Denti P, Dumonteil N, Modine T, Jansz P, Chuang ML, Blanke P, Leipsic J, Badhwar V. 2-Year Outcomes of Transcatheter Mitral Valve Replacement in Patients With Severe Symptomatic Mitral Regurgitation. J Am Coll Cardiol. 2021 Nov 9;78(19):1847-1859. doi: 10.1016/j.jacc.2021.08.060. Muller DWM, Farivar RS, Jansz P, Bae R, Walters D, Clarke A, Grayburn PA, Stoler RC, Dahle G, Rein KA, Shaw M, Scalia GM, Guerrero M, Pearson P, Kapadia S, Gillinov M, Pichard A, Corso P, Popma J, Chuang M, Blanke P, Leipsic J, Sorajja P; Tendyne Global Feasibility Trial Investigators. Transcatheter Mitral Valve Replacement for Patients With Symptomatic Mitral Regurgitation: A Global Feasibility Trial. J Am Coll Cardiol. 2017 Jan 31;69(4):381-391. doi: 10.1016/j.jacc.2016.10.068. Epub 2016 Dec 28. Erratum In: J Am Coll Cardiol. 2017 Mar 7;69(9):1213. doi: 10.1016/j.jacc.2017.01.020.
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Public notes
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Contacts
Principal investigator
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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
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/14/NCT02321514/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/14/NCT02321514/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02321514
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