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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02325830
Registration number
NCT02325830
Ethics application status
Date submitted
22/12/2014
Date registered
25/12/2014
Titles & IDs
Public title
Carillon Mitral Contour System® for Reducing Functional Mitral Regurgitation
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Scientific title
The REDUCE FMR Trial: Safety and Efficacy of the Carillon Mitral Contour System® in Reducing Functional Mitral Regurgitation (FMR) Associated With Heart Failure
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Secondary ID [1]
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CVP 1627-01
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Universal Trial Number (UTN)
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Trial acronym
REDUCE FMR
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mitral Valve Insufficiency
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Heart Failure
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Carillon Mitral Contour System
Experimental: Treatment Group - Implantation of the Carillon Mitral Contour System
No intervention: Control Group - Optimized stable medical therapy
Treatment: Devices: Carillon Mitral Contour System
Percutaneous mitral valve repair
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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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Change in Baseline Regurgitant Volume Associated With the Carillon Device Relative to the Control Population at 12 Months
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Assessment method [1]
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The primary echocardiographic index and primary endpoint of the REDUCE FMR study was Regurgitant Volume (RV) in the ITT population (N=120). RV was analyzed for the ITT patient population calculated as the mean change per randomization group among subjects with evaluable data. Between group comparisons were performed using the Students' t-test.
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Timepoint [1]
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Baseline and 12 months
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Primary outcome [2]
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Difference in the Rate of Major Adverse Events Between Treatment (Carillon) and Control Groups
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Assessment method [2]
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Cumulative number of events for Death, Myocardial Infarction, Cardiac Perforation, Device embolization, and surgical or percutaneous intervention related to device.
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Timepoint [2]
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Baseline and 12 months
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Secondary outcome [1]
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Rate of Heart Failure Hospitalizations Between Treatment (Carillon) and Control Groups
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Assessment method [1]
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A diagnosis of acute decompensated heart failure hospitalization (ADHF) requires an in-hospital stay that includes at least one calendar date change and requires intravenous or mechanical heart failure treatment. The length of hospital stay will be calculated from admission to discharge to home or other disposition.
The diagnosis of ADHF will be based on:
* Symptoms of worsening heart failure such as increased shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, fatigue, decreased exercise tolerance or history of weight gain;
* Physical examination evidence such as neck vein distention, the presence of a third heart sound, bilateral pulmonary rales, worsening ascites or pedal edema, hypotension or signs of worsening end-organ perfusion; and/or
* Laboratory evidence, which may include pulmonary congestion on chest x-ray, elevated natriuretic peptide level, worsening oxygenation or respiratory acidosis.
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Timepoint [1]
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Baseline and 12 months
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Secondary outcome [2]
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Change in Six-minute Walk Distance Between Treatment (Carillon) and Control Groups
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Assessment method [2]
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Subjects had 6-MWT conducted at baseline and each follow-up visit. The subject walked as far as they could within a 6-minute period. They were allowed to rest. The distance (in whole meters) was captured at each visit.
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Timepoint [2]
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Baseline and 12 Months
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Secondary outcome [3]
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Change in Left Ventricular Volumes Between Treatment (Carillon) and Control Groups
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Assessment method [3]
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The volume of the left ventricle will be measured by a blinded echosonographer ajdn submitted to the core lab for blinded analysis. The ventricle will be measured as systole and diastole.
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Timepoint [3]
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Baseline and 12 Months
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Eligibility
Key inclusion criteria
* Diagnosis of dilated ischemic or non-ischemic cardiomyopathy
* Functional Mitral Regurgitation: 2+ (Moderate), 3+ (Moderate/Severe), or 4+ (Severe)
* New York Heart Association (NYHA) II, III, or IV
* Six Minute Walk distance of at least 150 meters and no farther than 450 meters
* Left Ventricular Ejection Fraction = 50 %
* LV end diastolic dimension (LVEDD) >55mm or LVEDD/Body Surface Area (BSA) > 3.0cm/m2
* Stable heart failure medication regimen for at least three (3) months prior to index procedure
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Minimum age
18
Years
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Maximum age
85
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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
* Hospitalization in past three (3) months due to myocardial infarction, coronary artery bypass graft surgery, and/or unstable angina
* Hospitalization in the past 30 days for coronary angioplasty or stent placement
* Subjects expected to require any cardiac surgery within one (1) year
* Subjects expected to require any percutaneous coronary intervention within 30 days of enrollment
* Pre-existing device (e.g., pacing lead) in coronary sinus (CS) / great cardiac vein (GCV), or anticipated need for CRT within twelve (12) months
* Presence of a coronary artery stent under the CS / GCV in the implant target zone
* Presence of left atrial appendage (LAA) clot.
* Presence of primary renal dysfunction or significantly compromised renal function as reflected by a serum creatinine > 2.2 mg/dL OR eGFR < 30 ml/min
* Inability to undertake a six-minute walk test due to physical restrictions/limitations
* Chronic severe pathology limiting survival to less than 12-months
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
22/08/2015
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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
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Actual
8/01/2020
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Sample size
Target
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Accrual to date
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Final
163
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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Royal North Shore Hospital - St. Leonards
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Recruitment hospital [2]
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Royal Prince Alfred - Sydney
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Recruitment hospital [3]
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Flinders Medical Centre - Adelaide
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Recruitment hospital [4]
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Monash Health - Clayton
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Recruitment hospital [5]
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Alfred Health - Prahran
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Recruitment hospital [6]
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Prince Charles - Brisbane
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Recruitment postcode(s) [1]
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2065 - St. Leonards
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Recruitment postcode(s) [2]
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- Sydney
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Recruitment postcode(s) [3]
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5042 - Adelaide
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Recruitment postcode(s) [4]
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3168 - Clayton
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Recruitment postcode(s) [5]
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3181 - Prahran
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Recruitment postcode(s) [6]
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- Brisbane
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Recruitment outside Australia
Country [1]
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Czechia
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State/province [1]
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Olomouc
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Czechia
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Prague
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France
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Auvergne
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France
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Caen
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France
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Montpellier
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France
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Paris
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France
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Rouen
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France
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Toulouse
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Germany
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North Rhine-Westphalia
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Germany
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Berlin
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Germany
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Bochum
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Germany
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Frankfurt am Main
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Germany
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Frankfurt
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Germany
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Freiburg
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Germany
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Lübeck
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Germany
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Recklinghausen
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Netherlands
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Maastricht
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New Zealand
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Grafton
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Poland
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Poznan
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United Kingdom
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Middlesex
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United Kingdom
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Yorkshire
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United Kingdom
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Newcastle upon Tyne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Cardiac Dimensions Pty Ltd
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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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Menzies Institute for Medical Research
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The objective of this prospective, multi-center, randomized, double-blind trial is to assess the safety and efficacy of the Carillon Mitral Contour System in treating functional mitral regurgitation (FMR) associated with heart failure, compared to a randomized Control group which is medically managed according to heart failure guidelines.
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Trial website
https://clinicaltrials.gov/study/NCT02325830
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Trial related presentations / publications
Schofer J, Siminiak T, Haude M, Herrman JP, Vainer J, Wu JC, Levy WC, Mauri L, Feldman T, Kwong RY, Kaye DM, Duffy SJ, Tubler T, Degen H, Brandt MC, Van Bibber R, Goldberg S, Reuter DG, Hoppe UC. Percutaneous mitral annuloplasty for functional mitral regurgitation: results of the CARILLON Mitral Annuloplasty Device European Union Study. Circulation. 2009 Jul 28;120(4):326-33. doi: 10.1161/CIRCULATIONAHA.109.849885. Epub 2009 Jul 13. Siminiak T, Wu JC, Haude M, Hoppe UC, Sadowski J, Lipiecki J, Fajadet J, Shah AM, Feldman T, Kaye DM, Goldberg SL, Levy WC, Solomon SD, Reuter DG. Treatment of functional mitral regurgitation by percutaneous annuloplasty: results of the TITAN Trial. Eur J Heart Fail. 2012 Aug;14(8):931-8. doi: 10.1093/eurjhf/hfs076. Epub 2012 May 21. Siminiak T, Hoppe UC, Schofer J, Haude M, Herrman JP, Vainer J, Firek L, Reuter DG, Goldberg SL, Van Bibber R. Effectiveness and safety of percutaneous coronary sinus-based mitral valve repair in patients with dilated cardiomyopathy (from the AMADEUS trial). Am J Cardiol. 2009 Aug 15;104(4):565-70. doi: 10.1016/j.amjcard.2009.04.021. Epub 2009 May 29. Witte KK, Lipiecki J, Siminiak T, Meredith IT, Malkin CJ, Goldberg SL, Stark MA, von Bardeleben RS, Cremer PC, Jaber WA, Celermajer DS, Kaye DM, Sievert H. The REDUCE FMR Trial: A Randomized Sham-Controlled Study of Percutaneous Mitral Annuloplasty in Functional Mitral Regurgitation. JACC Heart Fail. 2019 Nov;7(11):945-955. doi: 10.1016/j.jchf.2019.06.011. Epub 2019 Sep 11.
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Public notes
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Contacts
Principal investigator
Name
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Horst Sievert, MD
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Address
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Cardio Vascular Center
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/30/NCT02325830/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/30/NCT02325830/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02325830