Trial Search Results

MitraClip REPAIR MR Study

The objective of this randomized controlled trial (RCT) is to compare the clinical outcome of MitraClip™ device versus surgical repair in patients with severe primary MR who are at moderate surgical risk and whose mitral valve has been determined to be suitable for correction by MV repair surgery by the cardiac surgeon on the local site heart team.

Stanford is currently accepting patients for this trial.

Lead Sponsor:

Abbott Medical Devices

Intervention(s):

  • Device: MitraClip™ device implantation
  • Procedure: Mitral Valve Repair Surgery

Phase:

N/A

Eligibility


Inclusion Criteria:

   - Subject has severe (Grade III or greater per the ASE criteria, which includes severity
   grades of 3+ and 4+) primary MR (mixed etiology is acceptable provided the principal
   mechanism of action is a degenerative mitral valve) as assessed by the ECL.

   - The cardiac surgeon of the Site Heart Team (consisting of at least one
   interventionalist, and one cardiac surgeon) has confirmed that the subject is a
   candidate for mitral valve surgery and the EC have confirmed that the subject's mitral
   valve anatomy is suitable for percutaneous repair with the MitraClip™ device with high
   certainty of achieving MR ≤ mild

   - Subject is symptomatic (NYHA Class II/III/IV) or asymptomatic with LVEF ≤ 60%,
   pulmonary artery pressure systolic pressure > 50 mmHg, or LVESD > 40 mm.

   - Subject is at moderate surgical risk defined as being at least 75 years of age, OR if
   younger than 75 years, then has: (1) Society of Thoracic Surgeons (STS) Predicted Risk
   of Mortality (PROM) Repair Score ≥ 2%, OR (2) Presence of other comorbidities which
   may introduce a potential surgery-specific impediment.

   - Subject provides written informed consent.

   - Subject is ≥ 18 years of age.

Exclusion Criteria:

   - Subject is currently participating in another clinical investigation

   - Presence of other anatomic or comorbid conditions, or other medical, social, or
   psychological conditions that, in the investigator's opinion, could limit the
   subject's ability to participate in the clinical investigation or to comply with
   follow-up requirements, or impact the scientific soundness of the clinical
   investigation results.

   - Subject has ischemic or non-ischemic secondary MR

   - Concomitant severe tricuspid valve regurgitation

   - Ejection fraction <30%

   - Severe mitral annular calcification

   - Acute myocardial infarction in the past 12 weeks

   - Need for cardiac surgery to correct pulmonary valve disease, aortic valve disease, or
   tricuspid valve disease

   - Subjects who have concurrent coronary artery disease may be included provided the
   subjects are eligible for both percutaneous coronary intervention (PCI) and coronary
   artery bypass surgery. Subjects randomized to the device group, must undergo PCI
   before the MitraClipTM device procedure. Subjects randomized to the surgical (control)
   arm may undergo coronary artery revascularization during mitral valve repair surgery

   - Surgical procedure performed in the past 30 days

   - Femoral vein cannot accommodate a 24 F catheter or presence of IVC filter would
   interfere with the catheter or ipsilateral DVT

   - Transesophageal echocardiography (TEE) is contraindicated.

   - Hemodynamic instability: systolic pressure ≤ 90 mmHg without afterload reduction,
   cardiogenic shock or the need for inotropic support or IABP

   - Need for emergency surgery for any reason

   - Prior mitral valve surgery, valvuloplasty, mechanical prosthetic valve or VAD

   - Systolic anterior motion of the mitral valve

   - Hypertrophic cardiomyopathy

   - Renal insufficiency requiring dialysis

   - Active infections requiring current antibiotic therapy

   - Subjects who are pregnant or planning to be pregnant

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Now accepting new patients

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Tiffany Flores
650-725-8718
Recruiting