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Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients With Functional Mitral Regurgitation (The COAPT Trial) and COAPT CAS

A Clinical Evaluation of the Safety and Effectiveness of the MitraClip® System for the Treatment of Functional Mitral Regurgitation in Symptomatic Heart Failure Subjects (COAPT Recruitment Closed). COAPT CAS (Recruitment Closed)

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01626079
Acronym
COAPT
Enrollment
776
Registered
2012-06-22
Start date
2012-08-31
Completion date
2024-07-31
Last updated
2023-11-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart Failure, Mitral Regurgitation, Mitral Valve Regurgitation, Treatment of Functional Mitral Regurgitation in Symptomatic Heart Failure Subjects

Keywords

Functional Mitral Regurgitation, Mitral Valve Regurgitation, Symptomatic Heart Failure, Functional MR, MitraClip, Mitral Valve Insufficiency, Cardiopulmonary exercise testing, COAPT CAS, COAPT Continued Access Study, MitraClip NT

Brief summary

The purpose of the Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation (COAPT) Trial is to confirm the safety and effectiveness of the MitraClip System for the treatment of moderate-to-severe or severe functional mitral regurgitation (FMR) in Symptomatic Heart Failure Subjects who are treated per standard of care and who have been determined by the site's local heart team as not appropriate for mitral valve surgery. This randomized controlled trial will provide the opportunity to strengthen or add labeling claims regarding safety and clinical benefits of the MitraClip System for symptomatic heart failure patients with moderate-to-severe or severe functional mitral regurgitation. Approximately 610 subjects will be randomized at up to 100 investigational sites with approximately 305 subjects targeted to receive the study device. COAPT study completed recruiting subjects in June 2017. As part of the COAPT trial, a subset of patients will be registered in the cardiopulmonary exercise (CPX) sub-study. The objective of this sub-study is to evaluate the exercise responses in a sub-cohort of COAPT subjects who receive MitraClip device (Device group) compared to the Control group who do not receive MitraClip device. (Note: the CPX Sub-study subjects will contribute to the analyses of the COAPT primary and secondary endpoints) As an extension of the COAPT RCT trial, COAPT CAS study will be conducted after COAPT enrollment is complete under the same investigational device exemption (IDE(G120024)). The objective of this study is to evaluate the MitraClip® NT System for the treatment of clinically significant functional mitral regurgitation (FMR) in symptomatic heart failure subjects who are treated per standard of care and who have been determined by the site's local heart team as not appropriate for mitral valve surgery. The anticipated Study Completion Date is July 2024. COAPT CAS completed recruiting subjects in March 2019.

Detailed description

Prospective, randomized, parallel-controlled, multicenter clinical evaluation of the MitraClip device for the treatment of clinically significant functional mitral regurgitation in symptomatic heart failure subjects who are treated per standard of care and who have been determined by the site's local heart team as not appropriate for mitral valve surgery. Eligible subjects will be randomized in a 1:1 ratio to the MitraClip device (Device group) or to no MitraClip device (Control group). As part of the COAPT trial, a subset of patients (at least 50 up to 100 in total) will be registered in the CPX Sub-study, which is designed as a prospective, randomized (1:1 ratio to the MitraClip or no MitraClip device), parallel-controlled, multicenter study registering approximately 50-100 subjects in up to 50 qualified US sites from the COAPT trial. Subjects registered and randomized in the CPX Sub-study will contribute to the total enrollment approximately of 610 subjects in the COAPT trial. Roll-in subjects will not participate in the CPX Sub-study. The COAPT CAS study is designed as a prospective, multicenter, single arm, continued access registry study. A maximum of 800 subjects (anticipated) will be registered from up to 75 sites in the United States. The enrollment will end once pre-market approval (PMA) of the proposed expanded indication of MitraClip System is obtained. Active follow-up of patients will be performed through 12 months with scheduled visits at 30 days and 12 months. The national Trans catheter Valve Therapy Registry (TVT Registry) will be used for data collection through 12 months. Annual follow-up data from 2 years through year 5 post-implant will be obtained by linkage to the Centers for Medicare and Medicaid Services (CMS) Claims database. COAPT CAS data may be used to support the PMA application of the labeling claims for the treatment of moderate to severe or severe FMR in symptomatic heart failure subjects. This single arm registry will provide valuable new information regarding use of the MitraClip® NT System under more real world conditions. COAPT study completed recruiting subjects in June 2017. COAPT CAS completed recruiting subjects in March 2019. A total of 162 subjects were enrolled in the COAPT CAS Group.

Interventions

Percutaneous mitral valve repair using MitraClip System

Sponsors

Abbott Medical Devices
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Masking description

614 in the Randomized Group for COAPT Trial and 162 Subjects in the COAPT CAS Group

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Symptomatic functional MR (≥3+) due to cardiomyopathy of either ischemic or non-ischemic etiology determined by assessment of a qualifying transthoracic echocardiogram (TTE) obtained within 90 days and transesophageal echocardiogram (TEE) obtained within 180 days prior to subject registration, with MR severity based principally on the TTE study, confirmed by the Echocardiography Core Lab (ECL). The ECL may request a transesophageal echocardiogram (TEE) to confirm MR etiology. Note: Functional MR requires the presence of global or regional left ventricular wall motion abnormalities, which are believed to be the primary cause of the MR. If a flail leaflet or other evidence of degenerative MR is present, the subject is not eligible even if global or regional left ventricular systolic dysfunction is present. Note: Qualifying TTE must be obtained after the subject has been stabilized on optimal therapy including Guideline Directed Medical Therapy (GDMT) and at least 30 days after: 1. a greater than 100% increase or greater than 50% decrease in dose of GDMT 2. revascularization and/or implant of Cardiac Resynchronization Therapy device (CRT or CRT-D) or reprogramming of an implanted CRT or CRT-D that results in increased biventricular pacing (from \<92% to ≥92%) 2. In the judgment of the HF specialist investigator at the site, the subject has been adequately treated per applicable standards, including for coronary artery disease, left ventricular dysfunction, mitral regurgitation and heart failure (e.g., with cardiac resynchronization therapy, revascularization, and/or GDMT). The Eligibility Committee must also concur that the subject has been adequately treated. 3. New York Heart Association (NYHA) Functional Class II, III or ambulatory IV. 4. The Local Site Heart Team (CT surgeon and HF specialist investigators) and the Central Eligibility Committee concur that surgery will not be offered as a treatment option and that medical therapy is the intended therapy for the subject, even if the subject is randomized to the Control group. 5. The subject has had at least one hospitalization for heart failure in the 12 months prior to subject registration and/or a corrected brain natriuretic peptide (BNP) ≥300 pg/ml or corrected n-Terminal pro- brain natriuretic peptide NT-proBNP ≥1500 pg/ml measured within 90 days prior to subject registration (corrected refers to a 4% reduction in the BNP or NT-proBNP cutoff for every increase of 1 kg/m2 in BMI above a reference BMI of 20 kg/m2). Note: BNP or NT-proBNP must be obtained after the subject has been stabilized on GDMT and at least 30 days after: 1. a greater than 100% increase or greater than 50% decrease in dose of GDMT 2. revascularization and/or implant of Cardiac Resynchronization Therapy device (CRT or CRT-D) or reprogramming of an implanted CRT or CRT-D that results in increased biventricular pacing (from \<92% to ≥92%). 6. Left Ventricular Ejection Fraction (LVEF) is ≥20% and ≤50% within 90 days prior to subject registration, assessed by the site using any one of the following methods: echocardiography, contrast left ventriculography, gated blood pool scan or cardiac magnetic resonance imaging (MRI). Note: The method must provide a quantitative readout (not a visual assessment). 7. The primary regurgitant jet is non-commissural, and in the opinion of the MitraClip implanting investigator can be successfully be treated by the MitraClip. If a secondary jet exists, it must be considered clinically insignificant. 8. Creatine Kinase-MB (CK-MB) obtained within prior 14 days \< local laboratory Upper Limit of Normal (ULN). 9. Transseptal catheterization and femoral vein access is determined to be feasible by the MitraClip implanting investigator. 10. Age 18 years or older. 11. The subject or the subject's legal representative understands and agrees that should he/she be assigned to the Control group, he/she will be treated with medical therapy and conservative management without surgery and without the MitraClip, either domestically or abroad. If the subject would actively contemplate surgery and/or MitraClip if randomized to Control, he/she should not be registered in this trial. 12. The subject or the subject's legal representative has been informed of the nature of the trial and agrees to its provisions, including the possibility of randomization to the Control group and returning for all required post-procedure follow-up visits, and has provided written informed consent. 13. Left Ventricular End Systolic Dimension (LVESD) is ≤ 70 mm assessed by site based on a transthoracic echocardiographic (TTE) obtained within 90 days prior to subject registration. For the CPX Sub-study: Subjects have to meet the COAPT study eligibility criteria to be registered in the CPX Sub-study. COAPT CAS study Inclusion Criteria: 1\. Subjects must meet all of the above COAPT RCT inclusion criteria, and must have national Medicare coverage by the Centers for Medicare and Medicaid Services (CMS).

Exclusion criteria

1. Chronic Obstructive Pulmonary Disease (COPD) requiring continuous home oxygen therapy or chronic outpatient oral steroid use. 2. Untreated clinically significant coronary artery disease requiring revascularization. 3. Coronary artery bypass grafting (CABG) within 30 days prior to subject registration. 4. Percutaneous coronary intervention within 30 days prior to subject registration. 5. Transcatheter aortic valve replacement (TAVR) within 30 days prior to subject registration. 6. Tricuspid valve disease requiring surgery or transcatheter intervention. 7. Aortic valve disease requiring surgery. 8. Cerebrovascular accident within 30 days prior to subject registration. 9. Severe symptomatic carotid stenosis (\> 70% by ultrasound). 10. Carotid surgery or stenting within 30 days prior to subject registration. 11. American College of Cardiology /American Heart Association (ACC/AHA) Stage D heart failure. 12. Presence of any of the following: * Estimated pulmonary artery systolic pressure (PASP) \> 70 mm Hg assessed by site based on echocardiography or right heart catheterization, unless active vasodilator therapy in the cath lab is able to reduce the pulmonary vascular resistance (PVR) to \< 3 Wood Units or between 3 and 4.5 Wood Units with v wave less than twice the mean of the pulmonary capillary wedge pressure * Hypertrophic cardiomyopathy, restrictive cardiomyopathy, constrictive pericarditis, or any other structural heart disease causing heart failure other than dilated cardiomyopathy of either ischemic or non ischemic etiology * Infiltrative cardiomyopathies (e.g., amyloidosis, hemochromatosis, sarcoidosis) * Hemodynamic instability requiring inotropic support or mechanical heart assistance. 13. Physical evidence of right-sided congestive heart failure with echocardiographic evidence of moderate or severe right ventricular dysfunction as assessed by site. 14. Implant of any Cardiac Resynchronization Therapy (CRT) or Cardiac Resynchronization Therapy with cardioverter-defibrillator (CRT-D) within the last 30days prior to subject registration. 15. Mitral valve orifice area \< 4.0 cm2 assessed by site based on a transthoracic echocardiogram (TTE) within 90 days prior to subject registration. 16. Leaflet anatomy which may preclude MitraClip implantation, proper MitraClip positioning on the leaflets or sufficient reduction in MR by the MitraClip. This evaluation is based on transesophageal echocardiogram (TEE) evaluation of the mitral valve within 180 days prior to subject registration and includes: * Insufficient mobile leaflet available for grasping with the MitraClip device * Evidence of calcification in the grasping area * Presence of a significant cleft in the grasping area * Lack of both primary and secondary chordal support in the grasping area * Leaflet mobility length \< 1 cm 17. Hemodynamic instability defined as systolic pressure \< 90 mmHg with or without afterload reduction, cardiogenic shock or the need for inotropic support or intra-aortic balloon pump or other hemodynamic support device. 18. Need for emergent or urgent surgery for any reason or any planned cardiac surgery within the next 12 months. 19. Life expectancy \< 12 months due to non-cardiac conditions. 20. Modified Rankin Scale ≥ 4 disability. 21. Status 1 heart transplant or prior orthotopic heart transplantation. 22. Prior mitral valve leaflet surgery or any currently implanted prosthetic mitral valve, or any prior transcatheter mitral valve procedure. 23. Echocardiographic evidence of intracardiac mass, thrombus or vegetation. 24. Active endocarditis or active rheumatic heart disease or leaflets degenerated from rheumatic disease (i.e., noncompliant, perforated). 25. Active infections requiring current antibiotic therapy. 26. Subjects in whom transesophageal echocardiography (TEE) is contraindicated or high risk. 27. Known hypersensitivity or contraindication to procedural medications which cannot be adequately managed medically. 28. Pregnant or planning pregnancy within next 12 months. Note: Female patients of childbearing age should be instructed to use safe contraception (e.g. intrauterine devices, hormonal contraceptives: contraceptive pills, implants, transdermal patches hormonal vaginal devices, injections with prolonged release. 29. Currently participating in an investigational drug or another device study that has not reached its primary endpoint. Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials. 30. Subject belongs to a vulnerable population per investigator's judgment or subject has any kind of disorder that compromises his/her ability to give written informed consent and/or to comply with study procedures. For the CPX Sub-study: Subjects who have any contraindications to CPX and are not capable of performing CPX per investigator's assessment should not be registered in the CPX Sub-study. COAPT CAS study

Design outcomes

Primary

MeasureTime frameDescription
Primary Safety Endpoint - Percentage of Participants With Freedom From Device Related Complications at 12 Months12 monthsPercentage of Participants with Freedom from Device related Complications at 12 Months. Composite of Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, and any device related complications requiring non-elective cardiovascular surgery.
Primary Effectiveness Endpoint24 monthsRecurrent HF hospitalizations (HFH) through 24 months, analyzed when the last subject completes 12-month follow-up

Secondary

MeasureTime frameDescription
Quality of Life (QOL) (COAPT CAS Study Analysis) Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)12 monthsThe Kansas City Cardiomyopathy Questionnaire is a 23-item, self administered instrument that quantifies physicalfunction, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possiblesubscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies thefollowing six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical FunctionDomain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQSymptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Scoreincludes total symptom and physical function scores to correspond with NYHA Classification. Overall SummaryScore includes the total symptom, physical function, social limitations and quality of life scores.
Six Minute Walk Test (6MWT Distance or 6MWD) (COAPT CAS Study Analysis)12 monthsThe Six Minute Walk Test (6MWT) is a practical simple test that requires a 100-ft hallway but no exerciseequipment or advanced training for technicians. This test measures the distance that a patient can quickly walk ona flat, hard surface in a period of 6 minutes (the 6MWD). It evaluates the global and integrated responses of allthe systems involved during exercise, including the pulmonary and cardiovascular systems, systemic circulation,peripheral circulation, blood, neuromuscular units, and muscle metabolism. It does not provide specific informationon the function of each of the different organs and systems involved in exercise or the mechanism of exerciselimitation, as is possible with maximal cardiopulmonary exercise testing. The self-paced 6MWT assesses thesubmaximal level of functional capacity.
Mitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)12 monthsMR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2
Major and/or Life Threatening Bleeding (COAPT CAS Study Analysis)12 months
Major Vascular Complications (COAPT CAS Study Analysis)12 months
Renal Complication With Requirement for Dialysis (COAPT CAS Study Analysis)12 months
Transient Ischemic Attack (TIA) (COAPT CAS Study Analysis)12 months
Stroke (COAPT CAS Study Analysis)12 months
Myocardial Infarction (MI) (COAPT CAS Study Analysis)12 months
Death and Primary Cause of Death (COAPT CAS Study Analysis)12 months
Recurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)12 monthsNumber of recurrent Heart Failure hospitalization events at 12 months.
Number of Deaths at 12 Months (All Cause Mortality)12 monthsDeath from any cause mortality at 12months.
Number of Participants With Mitral Regurgitation Severity Grade of 2+ or Lower at 12 Months12 monthsMR severity grade of 2+ or lower at 12 months MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2
Change in Distance Walked on the 6 Minute Walk Test (6MWT Distance or 6MWD)12 months over baselineThe 6MWT is a practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians. This test measures the distance that a patient can quickly walk on a flat, hard surface in a period of 6 minutes (the 6MWD). It evaluates the global and integrated responses of all the systems involved during exercise, including the pulmonary and cardiovascular systems, systemic circulation, peripheral circulation, blood, neuromuscular units, and muscle metabolism. It does not provide specific information on the function of each of the different organs and systems involved in exercise or the mechanism of exercise limitation, as is possible with maximal cardiopulmonary exercise testing. The self-paced 6MWT assesses the submaximal level of functional capacity.
Change in Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)12 months over baselinePaired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 12 month KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.
Change in Left Ventricular End Diastolic Volume (LVEDV)12 months over baselinePaired data comparing the Change in LVEDV at baseline vs 12 months
Number of Participants With New York Heart Association (NYHA) Functional Class I/II12 monthsNEW YORK HEART ASSOCIATION CLASSIFICATION (NYHA CLASS) Class I: Patients with cardiac disease but without resulting limitations of physical activity. Class II: Patients with cardiac disease resulting in slight limitation of physical activity. Patients are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain. Class III: Patients with cardiac disease resulting in marked limitation of physical activity. Patients are comfortable at rest. Less than ordinary physical activity causes fatigue, palpitation dyspnea, or anginal pain. Class IV: Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of cardiac insufficiency or of the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort is increased.
Recurrent Hospitalizations - All Cause24 MonthsNumber of Recurrent Hospitalizations for any cause within 24 months.
Death or HF Hospitalization Within 24 Months (Finkelstein-Schoenfeld Analysis of All-Cause Death or Recurrent HF Hospitalization Through 24 Months)24 monthsThe win ratio is a useful method for providing an estimate of the treatment effect when composite endpoints are analyzed as the analysis accounts for clinical significance of the outcomes of interest. For example, in the composite of death and recurrent HF hospitalizations through 24 months, subjects in the Device and Control groups were formed into matched pairs, where each pair of subjects was classified into 1 of 5 outcomes scenarios: A. Death in Device group first B. Death in Control group first C. More HF hospitalizations in the Device group (or in the case of a tie, the first HF hospitalization in the Device group occurs first) D. More HF hospitalization in the Control group (or in the case of tie, the first HF hospitalization in the Control group occurs first) E. None of the above In this way, the number of Winners in the Device group was NW = NB + ND while the number of Losers in the Device group was NL = NA + NC. The Win Ratio was then calculated as NW/NL.
Kaplan-Meier Freedom From All-cause Mortality24 monthsDeath from any cause within 24 months - no of events
Percentage of Patients Free From the Composite of All-cause Death, Stroke, MI, or Non-elective Cardiovascular Surgery for Device Related Complications in the Device Group30 days post-procedure in the Device groupThe percentage of patients free from the composite endpoint as described above.
New York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)12 monthsThe New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I - No symptoms and no limitation in ordinary physical activity Class II - Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity. Class III - Marked limitation in activity due to symptoms Class IV - Severe limitations.

Other

MeasureTime frameDescription
Kaplan-Meier Freedom From the Primary Safety Composite24 months in Device groupFreedom from the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.
Kaplan-Meier Freedom From All-cause Mortality24 monthsKaplan-Meier survival rate for all cause mortality at 24 months
Kaplan-Meier Freedom From Cardiovascular Mortality12 monthsKaplan-Meier survival rate for Cardiovascular mortality.
Kaplan-Meier Freedom From the First HF Related Hospitalization12 months
Kaplan-Meier Freedom From the First Cardiovascular Hospitalization12 months
Kaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality12 months
NYHA Functional ClassBaselineMeasure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due to symptoms Class IV: Severe limitations
Six-Minute Walk Test Distance (6MWD)BaselineSix-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.
6MWD30 daysSix-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.
Change in 6MWD From BaselineBetween baseline and 30 days
Kansas City Cardiomyopathy Questionnaire (KCCQ) QoL ScoresBaselineThe Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.
New Onset of Permanent Atrial Fibrillation12 months
KCCQ QoL Scores30 daysThe Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.
Change in KCCQ QoL Scores From BaselineBetween baseline and 30 daysPaired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 30 days KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.
SF-36 QoL ScoresBaselineThe 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).
Mitral Stenosis12 monthsDefined as a mitral valve orifice area of less than 1.5 cm2 as measured by the Echocardiography Core Laboratory
Change in SF-36 QoL Scores From BaselineBetween baseline and 30 daysPaired data looking at difference between the baseline SF-36 and 30 days SF-36. The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).
Mitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupThrough 5 years
De Novo MitraClip Device Intervention in Control GroupThrough 5 years
Responder Analysis for 6MWD12 monthsWhere responder is defined as alive and experiencing an improvement of 24 meters and 50 meters (difference in proportion of responders between Device and Control groups)
Responder Analysis for LVEDV Index12 monthsWhere responder is defined as alive and experiencing an improvement of 12 ml/m2 (difference in proportion of responders between Device and Control groups)
Responder Analysis for QoL (KCCQ)12 monthsWhere responder is defined as alive and experiencing an improvement of 5 points (difference in proportion of responders between Device and Control groups)
Each Subscale for QoL (KCCQ)12 monthsdifference in means between Device and Control groups for the Kansas City Cardiomyopathy Questionnaire (KCCQ) for the physical limitation and symptom stability scores.
Length of Index Hospitalization for MitraClip Procedure (Device Group)Before MitraClip procedure on day 0Length of stay in the hospital for the MitraClip Index procedure (device group)
Number of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)12 monthsin each of the Device and Control groups
Number of Days Alive and Out of HospitalFrom the time of randomization to 12 monthsmean no of days alive and out of hospital in both Device and Control groups
Number of Days Hospitalized From the Treatment Visit12 monthsmean Number of days hospitalized from the Treatment visit for the Device and Control groups
Proportion of Alive Time in Hospital12 monthssummarized and compared between Device and Control groups
Proportion of Subjects Living in the Baseline Location12 monthsSubjects living in the baseline location include : home, retirement home, nursing facility and other location.
Device-related Complications in Device Group Subjects and Control Group Subjects Who Undergo the MitraClip ProcedureThrough 5 years
Brain Natriuretic Peptide (BNP) or N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP Levels)Baseline
BNP or NT-proBNP Levels30 days
Modified Rankin Scale ScoreBaselineMODIFIED RANKIN SCALE SCORE DESCRIPTIONS: 0- No symptoms at all; 1- No significant disability despite symptoms; able to carry out all usual duties and activities; 2- Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance; 3- Moderate disability; requiring some help, but able to walk without assistance; 4- Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance; 5- Severe disability; bedridden, incontinent and requiring constant nursing care and attention; 6- Dead
Major Bleeding30 daysMajor bleeding is defined as bleeding ≥ Type 3 based on a modified Bleeding Academic Research Consortium (BARC) definition
Prolonged Ventilation30 daysDefined as pulmonary insufficiency requiring ventilatory support for greater than 48 hours post-catheterization
Average Dosages of Guideline Directed Medical Therapy (GDMT)Baseline
Clinically Significant Atrial Septal Defect (ASD) That Requires Intervention12 months
The Number of Subjects With Changes in GDMT Dosage From BaselineBetween baseline and 30 days
The Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsBetween baseline and 6 months
The Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsBetween baseline and 12 months
The Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsBetween baseline and 24 months
The Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBetween baseline and 3 years
The Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBetween baseline and 30 days
The Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBetween baseline and 6 months
The Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBetween baseline and 3 years
Cardiopulmonary Exercise (CPX) TestingBaselineA substudy endpoint will utilize peak oxygen consumption oxygen uptake (VO2) as a parameter for cardiopulmonary exercise testing on a total of at least 50 and up to 100 subjects. The CPX analysis variables are: * Peak VO2 (ml/kg/min) - CPX Sub-study endpoint, descriptive analysis only, not powered for statistical significance * Exercise duration (min) * Peak workload (watts) * Maximum heart rate during exercise (beats/min) * Peak VE (l/min) * Respiratory Exchange Ratio (RER, VCO2/VO2) * VE/VCO2 slope * Ventilatory Threshold (ml/kg/min) * Borg scale * Exercise termination reason * Type of exercise (treadmill vs cycling)
Cardiopulmonary Exercise (CPX) Testing: Mean Changes in Peak VO2Between baseline and 12 monthsMean changes in peak VO2 (ml/kg/min) will be summarized at 12 months from baseline for the subset of patients who complete a CPX test at baseline and 12 months. A comparison of change from baseline between Device and Control groups will be presented. The CPX analysis variables are: * Peak VO2 (ml/kg/min) - CPX Sub-study endpoint, descriptive analysis only, not powered for statistical significance * Exercise duration (min) * Peak workload (watts) * Maximum heart rate during exercise (beats/min) * Peak VE (l/min) * Respiratory Exchange Ratio (RER, VCO2/VO2) * VE/VCO2 slope * Ventilatory Threshold (ml/kg/min) * Borg scale * Exercise termination reason * Type of exercise (treadmill vs cycling)
Health Economic DataThrough 5 years
Average Dosages of GDMT30 days
Mitral Valve Replacement Rates12 monthsSubjects with mitral valve replacements in the Device and Control groups
Device or Procedure-Related Adverse EventsWithin and after 30 days of the procedureDevice or procedure-related adverse events are defined as adverse events that are adjudicated by the Clinical Events Committee as possibly, probably or definitely device and/or procedure-related, regardless of the temporal relationship to the MitraClip procedure. Device or procedure-related adverse events will be broken down into those that occur within 30 days of the procedure and those that occur after 30 days of the procedure. Examples of device-related adverse events are: myocardial perforation, Single Leaflet Device Attachment, embolization of the MitraClip device or MitraClip System components, iatrogenic atrial septal defect, mitral valve stenosis, need for mitral valve replacement instead of repair due at least in part to the MitraClip procedure or the presence of the MitraClip device.
Implant RateDay 0Defined as the rate of successful delivery and deployment of the MitraClip device(s) with echocardiographic evidence of leaflet approximation and retrieval of the delivery catheter
Device Procedure TimeDay 0Defined as the time elapsed from the start of the transseptal procedure to the time the Steerable Guide Catheter is removed
Total Procedure TimeDay 0Defined as the time elapsed from the first of any of the following: intravascular catheter placement, anesthesia or sedation, or transesophageal echocardiogram (TEE), to the removal of the last catheter and TEE
Device TimeDay 0Defined as the time the Steerable Guide Catheter is placed in the intra-atrial septum until the time the MitraClip Delivery System (CDS) is retracted into the Steerable Guide Catheter
Fluoroscopy DurationDay 0Defined as the duration of exposure to fluoroscopy during the MitraClip procedure
MR Severity GradeBaselineMR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2
Effective Regurgitant Orifice AreaBaselineEffective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity
Regurgitant VolumeBaselineRegurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.
Regurgitant FractionBaselineRegurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.
Left Ventricle End Diastolic Volume (LVEDV)BaselineLeft Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.
Left Ventricular End Systolic Volume (LVESV)BaselineLeft Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.
Left Ventricular End Diastolic Dimension (LVEDD)Baseline
Left Ventricular End Systolic Dimension (LVESD)Baseline
Left Ventricular Ejection Fraction (LVEF)Baseline
Right Ventricular Systolic Pressure (RVSP)Baseline
Mitral Valve AreaBaseline
Mean Mitral Valve GradientBaselineThe normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.
Systolic Anterior Motion of the Mitral Valve (Present or Absent)Baseline
Cardiac OutputBaselineThe amount of blood the heart pumps through the circulatory system in a minute.
Forward Stroke VolumeBaselineStroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.
Kaplan-Meier Freedom From the Components of the Primary Safety Composite12 months in Device groupFreedom from the components of the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Countries

Canada, United States

Participant flow

Recruitment details

In COAPT, 614 subjects were randomized. Enrollment concluded on June 23, 2017. Of the 614 randomized subjects, 302 were in Device group and 312 in the Control group. Subject follow-up is complete in the COAPT IDE study. In COAPT CAS Group, 162 new subjects were enrolled. All 162 subjects received MitraClip device. Enrollment concluded in March 2019. Subject follow-up is on-going in the COAPT CAS study. Total enrollment = 614 (COAPT = 302 MitraClip + 314 Control) + 162 (COAPT CAS) = 776

Pre-assignment details

This section includes the results for the primary safety, primary effectiveness, and the 10 secondary endpoints that are the most essential outcomes of the COAPT trial and also the Primary safety, primary effectiveness and other endpoints for the COAPT CAS Group.

Participants by arm

ArmCount
MitraClip System
Percutaneous mitral valve repair using MitraClip System MitraClip System: Percutaneous mitral valve repair using MitraClip System
302
Control Group
Patients with mitral regurgitation managed non-surgically based on standard hospital clinical practice.
312
COAPT CAS Group
subjects who received Percutaneous mitral valve repair using MitraClip System in the COAPT continued access study (CAS) group.
162
Total776

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath16719239
Overall StudyLost to Follow-up742
Overall StudyMissed Visits146
Overall StudyWithdrawal by Subject23375

Baseline characteristics

CharacteristicMitraClip SystemControl GroupCOAPT CAS GroupTotal
Age, Continuous71.7 years
STANDARD_DEVIATION 11.8
72.8 years
STANDARD_DEVIATION 10.5
74.5 years
STANDARD_DEVIATION 10.3
72.2 years
STANDARD_DEVIATION 11.2
Anemia180 Participants192 Participants0 Participants372 Participants
Body Mass Index (kg/m^2)27.04 Kg/m^2
STANDARD_DEVIATION 5.81
27.05 Kg/m^2
STANDARD_DEVIATION 5.96
26.93 Kg/m^2
STANDARD_DEVIATION 5.63
27.05 Kg/m^2
STANDARD_DEVIATION 5.88
Brain Natriuretic Peptide (Pg/mL)1014.77 Pg/mL
STANDARD_DEVIATION 1085.98
1017.13 Pg/mL
STANDARD_DEVIATION 1212.77
1224.2 Pg/mL
STANDARD_DEVIATION 1270.4
1015.95 Pg/mL
STANDARD_DEVIATION 1149.89
Cardiomyopathy
Ischemic
184 Participants189 Participants73 Participants446 Participants
Cardiomyopathy
Non-Ischemic
118 Participants123 Participants66 Participants307 Participants
Chronic Obstructive Pulmonary Disease71 Participants72 Participants0 Participants143 Participants
Creatinine Clearance <= 60mL/min214 Participants227 Participants0 Participants441 Participants
Creatinine Clearance (mL/min)50.87 mL/min
STANDARD_DEVIATION 28.48
47.76 mL/min
STANDARD_DEVIATION 24.97
0 mL/min
STANDARD_DEVIATION 0
49.31 mL/min
STANDARD_DEVIATION 26.79
Diabetes106 Participants123 Participants51 Participants280 Participants
Effective Regurgitat Orifice Area0.41 Cm2
STANDARD_DEVIATION 0.15
0.40 Cm2
STANDARD_DEVIATION 0.15
0.70 Cm2
STANDARD_DEVIATION 1.16
0.41 Cm2
STANDARD_DEVIATION 0.15
Elevated BNP or NT-BNP prior to Enrollment267 Participants282 Participants0 Participants549 Participants
Extremely High Risk for MV Surgery205 Participants218 Participants0 Participants423 Participants
Height170.84 Cm
STANDARD_DEVIATION 10.35
169.86 Cm
STANDARD_DEVIATION 10.75
171.11 Cm
STANDARD_DEVIATION 10.38
170.34 Cm
STANDARD_DEVIATION 10.56
History of Atrial Fibrillation or Flutter173 Participants166 Participants99 Participants438 Participants
Hospitalization for Heart Failure within Previous 1 yr176 Participants175 Participants105 Participants456 Participants
Hypercholesterolemia166 Participants163 Participants0 Participants329 Participants
Hypertension243 Participants251 Participants137 Participants631 Participants
Left Ventricular Ejection Fraction31.32 %
STANDARD_DEVIATION 9.07
31.30 %
STANDARD_DEVIATION 9.58
32.2 %
STANDARD_DEVIATION 9.9
31.31 %
STANDARD_DEVIATION 9.32
Left Ventricular End-Diastolic Dimension6.17 cm
STANDARD_DEVIATION 0.73
6.19 cm
STANDARD_DEVIATION 0.75
6.23 cm
STANDARD_DEVIATION 0.86
6.18 cm
STANDARD_DEVIATION 0.74
Left Ventricular End-Diastolic Volume194.4 mL
STANDARD_DEVIATION 69.2
191.0 mL
STANDARD_DEVIATION 72.9
185.8 mL
STANDARD_DEVIATION 81.2
192.7 mL
STANDARD_DEVIATION 71
Left Ventricular End Systolic Dimension (Diameter)5.28 cm
STANDARD_DEVIATION 0.86
5.30 cm
STANDARD_DEVIATION 0.89
1.16 cm
STANDARD_DEVIATION 0.95
5.29 cm
STANDARD_DEVIATION 0.87
Left Ventricular End-Systolic Volume135.5 mL
STANDARD_DEVIATION 56.1
134.3 mL
STANDARD_DEVIATION 60.3
132.3 mL
STANDARD_DEVIATION 65.4
134.9 mL
STANDARD_DEVIATION 58.2
LVEF >= 40%231 Participants241 Participants28 Participants500 Participants
New York Heart Association (NYHA) Classification
NYHA Class I
1 Participants0 Participants0 Participants1 Participants
New York Heart Association (NYHA) Classification
NYHA Class II
129 Participants110 Participants30 Participants269 Participants
New York Heart Association (NYHA) Classification
NYHA Class III
154 Participants168 Participants111 Participants433 Participants
New York Heart Association (NYHA) Classification
NYHA Class IVa, ambulatory
18 Participants33 Participants21 Participants72 Participants
NT-proBNP (pg/mL)5174.33 pg/mL
STANDARD_DEVIATION 6566.61
5943.86 pg/mL
STANDARD_DEVIATION 8437.61
6885.3 pg/mL
STANDARD_DEVIATION 8287
5585.71 pg/mL
STANDARD_DEVIATION 7610.56
Peripheral Vascular Disease52 Participants57 Participants34 Participants143 Participants
Previous Cardiac Resynchronization Therapy115 Participants109 Participants25 Participants249 Participants
Previous Coronary Artery Bypass Grafting121 Participants126 Participants51 Participants298 Participants
Previous Implantation of Defibrillator91 Participants101 Participants95 Participants287 Participants
Previous Myocardial Infarction156 Participants160 Participants65 Participants381 Participants
Previous Percutaneous Coronary Intervention130 Participants153 Participants63 Participants346 Participants
Previous Stroke or Transient Ischemic Attack56 Participants49 Participants9 Participants114 Participants
Race/Ethnicity, Customized
Race/Ethnicity
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Asian
6 Participants12 Participants5 Participants23 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Black or African American
44 Participants44 Participants28 Participants116 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Hispanic or Latino
20 Participants20 Participants0 Participants40 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Other
6 Participants4 Participants0 Participants10 Participants
Race/Ethnicity, Customized
Race/Ethnicity
White or Caucasian
225 Participants232 Participants129 Participants586 Participants
Region of Enrollment
Canada
12 participants14 participants0 participants26 participants
Region of Enrollment
United States
290 participants298 participants162 participants588 participants
Right Ventricular Systolic Pressure43.95 mmHg
STANDARD_DEVIATION 13.44
44.56 mmHg
STANDARD_DEVIATION 13.96
0 mmHg
STANDARD_DEVIATION 0
44.26 mmHg
STANDARD_DEVIATION 13.7
Risk of Surgery-related complications or death
High
205 Participants218 Participants0 Participants423 Participants
Risk of Surgery-related complications or death
Not High
94 Participants94 Participants0 Participants188 Participants
Serum Creatinine (mg/dL)1.77 (mg/dL)
STANDARD_DEVIATION 1.22
1.80 (mg/dL)
STANDARD_DEVIATION 1.42
1.93 (mg/dL)
STANDARD_DEVIATION 1.54
1.79 (mg/dL)
STANDARD_DEVIATION 1.32
Severity of Mitral Regurgitation
Moderate-to-severe, grade 3+
148 Participants172 Participants54 Participants374 Participants
Severity of Mitral Regurgitation
Severe, grade 4+
154 Participants139 Participants99 Participants392 Participants
Sex: Female, Male
Female
101 Participants120 Participants57 Participants278 Participants
Sex: Female, Male
Male
201 Participants192 Participants105 Participants498 Participants
STS Risk Score7.83 percentage of expected mortality
STANDARD_DEVIATION 5.53
8.5 percentage of expected mortality
STANDARD_DEVIATION 6.15
9.26 percentage of expected mortality
STANDARD_DEVIATION 6.39
8.17 percentage of expected mortality
STANDARD_DEVIATION 5.86
STS Risk Score >= 8%126 Participants136 Participants78 Participants340 Participants
Weight78.79 Kg
STANDARD_DEVIATION 17.23
78.40 Kg
STANDARD_DEVIATION 20.06
79.08 Kg
STANDARD_DEVIATION 18.76
78.59 Kg
STANDARD_DEVIATION 18.7

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
167 / 302192 / 31246 / 162
other
Total, other adverse events
239 / 302234 / 31286 / 162
serious
Total, serious adverse events
281 / 302291 / 3120 / 0

Outcome results

Primary

Primary Effectiveness Endpoint

Recurrent HF hospitalizations (HFH) through 24 months, analyzed when the last subject completes 12-month follow-up

Time frame: 24 months

Population: 302 subjects from device group and 312 subjects from the control group were analyzed for Recurrent HF hospitalizations through 24 months

ArmMeasureValue (NUMBER)
MitraClip SystemPrimary Effectiveness Endpoint160 events
Control GroupPrimary Effectiveness Endpoint283 events
Primary

Primary Effectiveness Endpoint

Recurrent HF hospitalizations (HFH) through 24 months, analyzed when the last subject completes 12-month follow-up

Time frame: 24 months

Population: 302 subjects from device group and 312 subjects from the control group were analyzed for Recurrent HF hospitalizations through 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemPrimary Effectiveness Endpoint92 Participants
Control GroupPrimary Effectiveness Endpoint151 Participants
Primary

Primary Safety Endpoint - Percentage of Participants With Freedom From Device Related Complications at 12 Months

Percentage of Participants with Freedom from Device related Complications at 12 Months. Composite of Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, and any device related complications requiring non-elective cardiovascular surgery.

Time frame: 12 months

Population: Subjects who were randomized with attempted procedure to the device group with available data. Performance goal was 88%.

ArmMeasureValue (NUMBER)
MitraClip SystemPrimary Safety Endpoint - Percentage of Participants With Freedom From Device Related Complications at 12 Months0.966 percentage of participants
p-value: <0.0001Z test Using Kaplan Meier Survival
Secondary

Change in Distance Walked on the 6 Minute Walk Test (6MWT Distance or 6MWD)

The 6MWT is a practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians. This test measures the distance that a patient can quickly walk on a flat, hard surface in a period of 6 minutes (the 6MWD). It evaluates the global and integrated responses of all the systems involved during exercise, including the pulmonary and cardiovascular systems, systemic circulation, peripheral circulation, blood, neuromuscular units, and muscle metabolism. It does not provide specific information on the function of each of the different organs and systems involved in exercise or the mechanism of exercise limitation, as is possible with maximal cardiopulmonary exercise testing. The self-paced 6MWT assesses the submaximal level of functional capacity.

Time frame: 12 months over baseline

Population: Analysis population includes subjects still active and with paired available compared to baseline.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in Distance Walked on the 6 Minute Walk Test (6MWT Distance or 6MWD)-2.17 metersStandard Deviation 9.12
Control GroupChange in Distance Walked on the 6 Minute Walk Test (6MWT Distance or 6MWD)-60.2 metersStandard Deviation 8.99
Secondary

Change in Left Ventricular End Diastolic Volume (LVEDV)

Paired data comparing the Change in LVEDV at baseline vs 12 months

Time frame: 12 months over baseline

Population: Analysis population includes subjects with echocardiography paired data available

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in Left Ventricular End Diastolic Volume (LVEDV)-3.71 mLStandard Deviation 5.08
Control GroupChange in Left Ventricular End Diastolic Volume (LVEDV)17.06 mLStandard Deviation 5.1
Secondary

Change in Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)

Paired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 12 month KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 12 months over baseline

Population: Analysis population includes subjects still active and with paired available compared to baseline.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)12.5 KCCQ Score on a points scaleStandard Deviation 1.8
Control GroupChange in Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)-3.6 KCCQ Score on a points scaleStandard Deviation 1.9
Secondary

Death and Primary Cause of Death (COAPT CAS Study Analysis)

Time frame: 3 years

Secondary

Death and Primary Cause of Death (COAPT CAS Study Analysis)

The COAPT study is still on-going. Only the Primary and major secondary endpoints have been entered. Rest of the results will be entered when the study ends in July 2024.

Time frame: 2 years

Secondary

Death and Primary Cause of Death (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Valvular0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Cardiac13 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Neurologic2 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Renal0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Vascular0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Infection1 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Unknown24 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Other1 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Not Available1 Participants
Secondary

Death and Primary Cause of Death (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Cardiac2 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Neurologic0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Renal0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Vascular0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Infection0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Valvular0 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Unknown1 Participants
MitraClip SystemDeath and Primary Cause of Death (COAPT CAS Study Analysis)Other0 Participants
Secondary

Death and Primary Cause of Death (COAPT CAS Study Analysis)

Time frame: 5 years

Secondary

Death and Primary Cause of Death (COAPT CAS Study Analysis)

Time frame: 4 years

Secondary

Death or HF Hospitalization Within 24 Months (Finkelstein-Schoenfeld Analysis of All-Cause Death or Recurrent HF Hospitalization Through 24 Months)

The win ratio is a useful method for providing an estimate of the treatment effect when composite endpoints are analyzed as the analysis accounts for clinical significance of the outcomes of interest. For example, in the composite of death and recurrent HF hospitalizations through 24 months, subjects in the Device and Control groups were formed into matched pairs, where each pair of subjects was classified into 1 of 5 outcomes scenarios: A. Death in Device group first B. Death in Control group first C. More HF hospitalizations in the Device group (or in the case of a tie, the first HF hospitalization in the Device group occurs first) D. More HF hospitalization in the Control group (or in the case of tie, the first HF hospitalization in the Control group occurs first) E. None of the above In this way, the number of Winners in the Device group was NW = NB + ND while the number of Losers in the Device group was NL = NA + NC. The Win Ratio was then calculated as NW/NL.

Time frame: 24 months

ArmMeasureValue (NUMBER)
MitraClip SystemDeath or HF Hospitalization Within 24 Months (Finkelstein-Schoenfeld Analysis of All-Cause Death or Recurrent HF Hospitalization Through 24 Months)1.61 Win Ratio
p-value: <0.000195% CI: [1.29, 2.04]Finkelstein-Schoenfeld Analysis
Secondary

Kaplan-Meier Freedom From All-cause Mortality

Death from any cause within 24 months - no of events

Time frame: 24 months

Population: Total number of subjects randomized in the Device and Control group

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From All-cause Mortality83 no of events
Control GroupKaplan-Meier Freedom From All-cause Mortality125 no of events
Secondary

Major and/or Life Threatening Bleeding (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMajor and/or Life Threatening Bleeding (COAPT CAS Study Analysis)1 Participants
Secondary

Major and/or Life Threatening Bleeding (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMajor and/or Life Threatening Bleeding (COAPT CAS Study Analysis)4 Participants
Secondary

Major Vascular Complications (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMajor Vascular Complications (COAPT CAS Study Analysis)1 Participants
Secondary

Major Vascular Complications (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMajor Vascular Complications (COAPT CAS Study Analysis)0 Participants
Secondary

Mitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 12 months

Population: Echocardiogram data was available for 98 subjects at 12 months.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)None or Trace/Trivial9 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Mild (1+)53 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Moderate (2+)27 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Moderate - Severe (3+)6 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Severe (4+)3 Participants
Secondary

Mitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 30 days

Population: Echocardiogram data was available for 149 subjects at 30 days.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)None or Trace/Trivial11 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Mild (1+)85 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Moderate (2+)40 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Moderate - Severe (3+)9 Participants
MitraClip SystemMitral Regurgitation (MR) Severity (COAPT CAS Study Analysis)Severe (4+)4 Participants
Secondary

Myocardial Infarction (MI) (COAPT CAS Study Analysis)

Time frame: 2 years

Secondary

Myocardial Infarction (MI) (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMyocardial Infarction (MI) (COAPT CAS Study Analysis)0 Participants
Secondary

Myocardial Infarction (MI) (COAPT CAS Study Analysis)

Time frame: 5 years

Secondary

Myocardial Infarction (MI) (COAPT CAS Study Analysis)

Time frame: 4 years

Secondary

Myocardial Infarction (MI) (COAPT CAS Study Analysis)

Time frame: 3 years

Secondary

Myocardial Infarction (MI) (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMyocardial Infarction (MI) (COAPT CAS Study Analysis)0 Participants
Secondary

New York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)

The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I - No symptoms and no limitation in ordinary physical activity Class II - Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity. Class III - Marked limitation in activity due to symptoms Class IV - Severe limitations.

Time frame: 30 days

Population: A total of 162 subjects were enrolled in the COAPT CAS study. Of them NYHA data was available for a total of 142 subjects at 30 days.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class I30 Participants
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class II66 Participants
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class III43 Participants
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class IV3 Participants
Secondary

New York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)

The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I - No symptoms and no limitation in ordinary physical activity Class II - Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity. Class III - Marked limitation in activity due to symptoms Class IV - Severe limitations.

Time frame: 12 months

Population: A total of 162 subjects were enrolled in the COAPT CAS study. Of them NYHA data was available for a total of 93 subjects at 12 months.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class I21 Participants
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class II44 Participants
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class III23 Participants
MitraClip SystemNew York Heart Association (NYHA) Functional Class (COAPT CAS Study Analysis)NYHA Class IV5 Participants
Secondary

Number of Deaths at 12 Months (All Cause Mortality)

Death from any cause mortality at 12months.

Time frame: 12 months

Population: All device and control group subjects were included in the analysis.

ArmMeasureValue (NUMBER)
MitraClip SystemNumber of Deaths at 12 Months (All Cause Mortality)57 participants
Control GroupNumber of Deaths at 12 Months (All Cause Mortality)70 participants
Secondary

Number of Participants With Mitral Regurgitation Severity Grade of 2+ or Lower at 12 Months

MR severity grade of 2+ or lower at 12 months MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 12 months

Population: Echocardiography data was available for 210 subjects in Device group and 175 subjects in Control group

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNumber of Participants With Mitral Regurgitation Severity Grade of 2+ or Lower at 12 Months199 Participants
Control GroupNumber of Participants With Mitral Regurgitation Severity Grade of 2+ or Lower at 12 Months82 Participants
Secondary

Number of Participants With New York Heart Association (NYHA) Functional Class I/II

NEW YORK HEART ASSOCIATION CLASSIFICATION (NYHA CLASS) Class I: Patients with cardiac disease but without resulting limitations of physical activity. Class II: Patients with cardiac disease resulting in slight limitation of physical activity. Patients are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain. Class III: Patients with cardiac disease resulting in marked limitation of physical activity. Patients are comfortable at rest. Less than ordinary physical activity causes fatigue, palpitation dyspnea, or anginal pain. Class IV: Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of cardiac insufficiency or of the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort is increased.

Time frame: 12 months

Population: Analysis population includes subjects with available NYHA class data at 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNumber of Participants With New York Heart Association (NYHA) Functional Class I/II171 Participants
Control GroupNumber of Participants With New York Heart Association (NYHA) Functional Class I/II115 Participants
Secondary

Percentage of Patients Free From the Composite of All-cause Death, Stroke, MI, or Non-elective Cardiovascular Surgery for Device Related Complications in the Device Group

The percentage of patients free from the composite endpoint as described above.

Time frame: 30 days post-procedure in the Device group

Population: All device subjects

ArmMeasureValue (NUMBER)
MitraClip SystemPercentage of Patients Free From the Composite of All-cause Death, Stroke, MI, or Non-elective Cardiovascular Surgery for Device Related Complications in the Device Group96.9 Percentage of Participants
Secondary

Quality of Life (QOL) (COAPT CAS Study Analysis) Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self administered instrument that quantifies physicalfunction, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possiblesubscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies thefollowing six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical FunctionDomain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQSymptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Scoreincludes total symptom and physical function scores to correspond with NYHA Classification. Overall SummaryScore includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 12 months

Population: A total of 162 subjects were enrolled in the COAPT CAS study. Data was available for 93 subjects at 12 months.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemQuality of Life (QOL) (COAPT CAS Study Analysis) Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)65.93 KCCQ Score on a points scaleStandard Deviation 23.8
Secondary

Quality of Life (QOL) (COAPT CAS Study Analysis) Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 30 days

Population: A total of 162 subjects were enrolled in the COAPT CAS study. Data was available for 143 subjects at 30 days.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemQuality of Life (QOL) (COAPT CAS Study Analysis) Quality of Life (QoL) as Measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ)61.36 KCCQ score on a points scaleStandard Deviation 25
Secondary

Recurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)

Time frame: 5 years

Secondary

Recurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)

Time frame: 3 years

Secondary

Recurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)

Time frame: 2 years

Secondary

Recurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)

Number of recurrent Heart Failure hospitalization events at 12 months.

Time frame: 12 months

Population: A total of 162 subjects were enrolled in the COAPT CAS study.

ArmMeasureValue (NUMBER)
MitraClip SystemRecurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)52 Events
Secondary

Recurrent Heart Failure (HF) Hospitalization (COAPT CAS Study Analysis)

Time frame: 4 years

Secondary

Recurrent Hospitalizations - All Cause

Number of Recurrent Hospitalizations for any cause within 24 months.

Time frame: 24 Months

Population: All randomized subjects in Device and Control Group

ArmMeasureValue (NUMBER)
MitraClip SystemRecurrent Hospitalizations - All Cause474 Number of Events
Control GroupRecurrent Hospitalizations - All Cause610 Number of Events
p-value: <0.0295% CI: [0.6, 0.96]Joint Fraility Model
Secondary

Renal Complication With Requirement for Dialysis (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemRenal Complication With Requirement for Dialysis (COAPT CAS Study Analysis)4 Participants
Secondary

Renal Complication With Requirement for Dialysis (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemRenal Complication With Requirement for Dialysis (COAPT CAS Study Analysis)2 Participants
Secondary

Six Minute Walk Test (6MWT Distance or 6MWD) (COAPT CAS Study Analysis)

The Six Minute Walk Test (6MWT) is a practical simple test that requires a 100-ft hallway but no exerciseequipment or advanced training for technicians. This test measures the distance that a patient can quickly walk ona flat, hard surface in a period of 6 minutes (the 6MWD). It evaluates the global and integrated responses of allthe systems involved during exercise, including the pulmonary and cardiovascular systems, systemic circulation,peripheral circulation, blood, neuromuscular units, and muscle metabolism. It does not provide specific informationon the function of each of the different organs and systems involved in exercise or the mechanism of exerciselimitation, as is possible with maximal cardiopulmonary exercise testing. The self-paced 6MWT assesses thesubmaximal level of functional capacity.

Time frame: 12 months

Population: A total of 162 subjects were enrolled in the COAPT CAS study. 6MWT data was available for 72 subjects at 12 months.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemSix Minute Walk Test (6MWT Distance or 6MWD) (COAPT CAS Study Analysis)219.87 metersStandard Deviation 124.82
Secondary

Six Minute Walk Test (6MWT Distance or 6MWD) (COAPT CAS Study Analysis)

The Six Minute Walk Test (6MWT) is a practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians. This test measures the distance that a patient can quickly walk on a flat, hard surface in a period of 6 minutes (the 6MWD). It evaluates the global and integrated responses of all the systems involved during exercise, including the pulmonary and cardiovascular systems, systemic circulation, peripheral circulation, blood, neuromuscular units, and muscle metabolism. It does not provide specific information on the function of each of the different organs and systems involved in exercise or the mechanism of exercise limitation, as is possible with maximal cardiopulmonary exercise testing. The self-paced 6MWT assesses the submaximal level of functional capacity.

Time frame: 30 days

Population: A total of 162 subjects were enrolled in the COAPT CAS study. 6MWT data was available for 117 subjects at 30 days..

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemSix Minute Walk Test (6MWT Distance or 6MWD) (COAPT CAS Study Analysis)231.24 metersStandard Deviation 145.98
Secondary

Stroke (COAPT CAS Study Analysis)

Time frame: 5 years

Secondary

Stroke (COAPT CAS Study Analysis)

Time frame: 3 years

Secondary

Stroke (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemStroke (COAPT CAS Study Analysis)1 Participants
Secondary

Stroke (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemStroke (COAPT CAS Study Analysis)1 Participants
Secondary

Stroke (COAPT CAS Study Analysis)

Time frame: 2 years

Secondary

Stroke (COAPT CAS Study Analysis)

Time frame: 4 years

Secondary

Transient Ischemic Attack (TIA) (COAPT CAS Study Analysis)

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemTransient Ischemic Attack (TIA) (COAPT CAS Study Analysis)0 Participants
Secondary

Transient Ischemic Attack (TIA) (COAPT CAS Study Analysis)

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemTransient Ischemic Attack (TIA) (COAPT CAS Study Analysis)0 Participants
Other Pre-specified

6MWD

Six-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

Time frame: 30 days

ArmMeasureValue (MEAN)Dispersion
MitraClip System6MWD290.1 metersStandard Deviation 122.8
Control Group6MWD243.0 metersStandard Deviation 121
Other Pre-specified

6MWD

Six-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

Time frame: 12 months

Population: All available 6MWD has been reported

ArmMeasureValue (MEAN)Dispersion
MitraClip System6MWD308.4 metersStandard Deviation 116.7
Control Group6MWD269.7 metersStandard Deviation 133.2
Other Pre-specified

6MWD

Six-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

Time frame: 24 months

Population: All available 6MWD has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip System6MWD294.2 metersStandard Deviation 131.2
Control Group6MWD273.8 metersStandard Deviation 142.7
Other Pre-specified

6MWD

Six-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

Time frame: 6 months

Population: All available 6MWD has been reported

ArmMeasureValue (MEAN)Dispersion
MitraClip System6MWD288.6 metersStandard Deviation 128
Control Group6MWD253.9 metersStandard Deviation 126.2
Other Pre-specified

Average Dosages of GDMT

Time frame: 6 months

Population: All available data has been reported and includes subjects on the drugs mentioned below. Not all subjects were on all the drugs.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTACE I13.22 mgStandard Deviation 14.59
MitraClip SystemAverage Dosages of GDMTARB13.73 mgStandard Deviation 8.93
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonists24.16 mgStandard Deviation 11.19
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.01 mgStandard Deviation 24.94
MitraClip SystemAverage Dosages of GDMTVasodilators (Nitrate)55.48 mgStandard Deviation 41.64
MitraClip SystemAverage Dosages of GDMTVasodilators (Hydralazine)133.82 mgStandard Deviation 104.93
MitraClip SystemAverage Dosages of GDMTARNI10.13 mgStandard Deviation 8.15
Control GroupAverage Dosages of GDMTBeta Blockers28.53 mgStandard Deviation 25.13
Control GroupAverage Dosages of GDMTACE I12.90 mgStandard Deviation 12.96
Control GroupAverage Dosages of GDMTVasodilators (Hydralazine)109.01 mgStandard Deviation 87.22
Control GroupAverage Dosages of GDMTARB12.02 mgStandard Deviation 8.63
Control GroupAverage Dosages of GDMTVasodilators (Nitrate)48.59 mgStandard Deviation 34.9
Control GroupAverage Dosages of GDMTAldosterone Antagonists29.42 mgStandard Deviation 32.68
Control GroupAverage Dosages of GDMTARNI7.68 mgStandard Deviation 4.71
Other Pre-specified

Average Dosages of GDMT

Time frame: 4 years

Population: All available data has been reported

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonist24.37 mgStandard Deviation 11.84
MitraClip SystemAverage Dosages of GDMTVasodilators (Nitrate)51.63 mgStandard Deviation 40.59
MitraClip SystemAverage Dosages of GDMTARBs13.28 mgStandard Deviation 8.85
MitraClip SystemAverage Dosages of GDMTVasodilators129.51 mgStandard Deviation 93.77
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.59 mgStandard Deviation 24.26
MitraClip SystemAverage Dosages of GDMTARN Inhibitors11.04 mgStandard Deviation 7.29
MitraClip SystemAverage Dosages of GDMTACE Inhibitors12.10 mgStandard Deviation 13.08
Control GroupAverage Dosages of GDMTARN Inhibitors9.54 mgStandard Deviation 5.77
Control GroupAverage Dosages of GDMTACE Inhibitors12.37 mgStandard Deviation 12.89
Control GroupAverage Dosages of GDMTARBs11.03 mgStandard Deviation 7.83
Control GroupAverage Dosages of GDMTAldosterone Antagonist29.06 mgStandard Deviation 31.39
Control GroupAverage Dosages of GDMTBeta Blockers27.78 mgStandard Deviation 23.8
Control GroupAverage Dosages of GDMTVasodilators (Nitrate)44.59 mgStandard Deviation 32.55
Control GroupAverage Dosages of GDMTVasodilators100.74 mgStandard Deviation 85.36
Other Pre-specified

Average Dosages of GDMT

Time frame: 30 days

Population: All available data has been reported and includes subjects on the drugs mentioned below. Not all subjects were on all the drugs.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTARN Inhibitors13.17 mgStandard Deviation 11.15
MitraClip SystemAverage Dosages of GDMTACE Inhibitors13.61 mgStandard Deviation 15.01
MitraClip SystemAverage Dosages of GDMTAngiotensin Receptor Blockers (ARBs)13.68 mgStandard Deviation 9.34
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonists24.21 mgStandard Deviation 11.56
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.12 mgStandard Deviation 24.81
MitraClip SystemAverage Dosages of GDMTVasodilators (Nitrate)56.38 mgStandard Deviation 42.76
MitraClip SystemAverage Dosages of GDMTVasodilators (Hydralazine)133.41 mgStandard Deviation 108.29
Control GroupAverage Dosages of GDMTARN Inhibitors8.85 mgStandard Deviation 5.98
Control GroupAverage Dosages of GDMTBeta Blockers29.25 mgStandard Deviation 25.26
Control GroupAverage Dosages of GDMTACE Inhibitors13.53 mgStandard Deviation 13.68
Control GroupAverage Dosages of GDMTVasodilators (Hydralazine)110.53 mgStandard Deviation 87.72
Control GroupAverage Dosages of GDMTAngiotensin Receptor Blockers (ARBs)11.89 mgStandard Deviation 8.76
Control GroupAverage Dosages of GDMTVasodilators (Nitrate)43.79 mgStandard Deviation 27.15
Control GroupAverage Dosages of GDMTAldosterone Antagonists29.48 mgStandard Deviation 34.36
Other Pre-specified

Average Dosages of GDMT

Time frame: 12 months

Population: All available data has been reported and includes subjects on the drugs mentioned below. Not all subjects were on all the drugs.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonists24.33 mgStandard Deviation 12.17
MitraClip SystemAverage Dosages of GDMTVasodilators (Nitrate)56.85 mgStandard Deviation 41.5
MitraClip SystemAverage Dosages of GDMTARBs13.76 mgStandard Deviation 9.21
MitraClip SystemAverage Dosages of GDMTVasodilators (Hydralazine)136.51 mgStandard Deviation 99.05
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.10 mgStandard Deviation 24.99
MitraClip SystemAverage Dosages of GDMTARN Inhibitors10.36 mgStandard Deviation 7.57
MitraClip SystemAverage Dosages of GDMTACE Inhibitors12.73 mgStandard Deviation 13.56
Control GroupAverage Dosages of GDMTARN Inhibitors7.99 mgStandard Deviation 4.51
Control GroupAverage Dosages of GDMTACE Inhibitors12.41 mgStandard Deviation 12.82
Control GroupAverage Dosages of GDMTARBs11.90 mgStandard Deviation 8.45
Control GroupAverage Dosages of GDMTAldosterone Antagonists29.45 mgStandard Deviation 32.58
Control GroupAverage Dosages of GDMTBeta Blockers28.19 mgStandard Deviation 24.65
Control GroupAverage Dosages of GDMTVasodilators (Nitrate)48.56 mgStandard Deviation 34.95
Control GroupAverage Dosages of GDMTVasodilators (Hydralazine)108.74 mgStandard Deviation 87.89
Other Pre-specified

Average Dosages of GDMT

Time frame: 24 months

Population: All available data has been reported and includes subjects on the drugs mentioned below. Not all subjects were on all the drugs.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonists24.36 mgStandard Deviation 12.3
MitraClip SystemAverage Dosages of GDMTVasodilators (Nitrate)54.81 mgStandard Deviation 41.5
MitraClip SystemAverage Dosages of GDMTARBs13.86 mgStandard Deviation 9.1
MitraClip SystemAverage Dosages of GDMTVasodilators (Hydralazine)135.20 mgStandard Deviation 97.01
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.50 mgStandard Deviation 25.15
MitraClip SystemAverage Dosages of GDMTARN Inhibitors10.41 mgStandard Deviation 7.34
MitraClip SystemAverage Dosages of GDMTACe Inhibitors12.35 mgStandard Deviation 13.36
Control GroupAverage Dosages of GDMTARN Inhibitors8.52 mgStandard Deviation 5.4
Control GroupAverage Dosages of GDMTACe Inhibitors12.32 mgStandard Deviation 12.91
Control GroupAverage Dosages of GDMTARBs11.67 mgStandard Deviation 8.09
Control GroupAverage Dosages of GDMTAldosterone Antagonists28.98 mgStandard Deviation 32
Control GroupAverage Dosages of GDMTBeta Blockers27.66 mgStandard Deviation 23.7
Control GroupAverage Dosages of GDMTVasodilators (Nitrate)45.53 mgStandard Deviation 33.3
Control GroupAverage Dosages of GDMTVasodilators (Hydralazine)102.29 mgStandard Deviation 85.28
Other Pre-specified

Average Dosages of GDMT

Time frame: 5 years

Population: All available data has been reported

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTARN Inhibitors11.53 mgStandard Deviation 7.34
MitraClip SystemAverage Dosages of GDMTARBs13.29 mgStandard Deviation 8.78
MitraClip SystemAverage Dosages of GDMTVasodilators130.83 mgStandard Deviation 93.29
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonist24.30 mgStandard Deviation 11.84
MitraClip SystemAverage Dosages of GDMTACE Inhibitors12.02 mgStandard Deviation 13.03
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.60 mgStandard Deviation 24.16
MitraClip SystemAverage Dosages of GDMTVasodilators Nitrate52.41 mgStandard Deviation 40.35
Control GroupAverage Dosages of GDMTBeta Blockers27.78 mgStandard Deviation 23.8
Control GroupAverage Dosages of GDMTVasodilators Nitrate44.28 mgStandard Deviation 32.27
Control GroupAverage Dosages of GDMTVasodilators100.07 mgStandard Deviation 84.45
Control GroupAverage Dosages of GDMTARN Inhibitors9.41 mgStandard Deviation 5.81
Control GroupAverage Dosages of GDMTACE Inhibitors12.35 mgStandard Deviation 12.88
Control GroupAverage Dosages of GDMTARBs11.02 mgStandard Deviation 7.82
Control GroupAverage Dosages of GDMTAldosterone Antagonist28.99 mgStandard Deviation 31.13
Other Pre-specified

Average Dosages of GDMT

Time frame: 3 years

Population: All available data has been reported and includes subjects on the drugs mentioned below. Not all subjects were on all thedrugs.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of GDMTAldosterone Antagonists24.24 mgStandard Deviation 11.91
MitraClip SystemAverage Dosages of GDMTVasodilators (Nitrate)53.37 mgStandard Deviation 41.58
MitraClip SystemAverage Dosages of GDMTARBs13.42 mgStandard Deviation 8.88
MitraClip SystemAverage Dosages of GDMTVasodilators (Hydralazine)132.54 mgStandard Deviation 93.88
MitraClip SystemAverage Dosages of GDMTBeta Blockers30.70 mgStandard Deviation 24.66
MitraClip SystemAverage Dosages of GDMTARN Inhibitors11.03 mgStandard Deviation 7.25
MitraClip SystemAverage Dosages of GDMTACE Inhibitors12.23 mgStandard Deviation 13.29
Control GroupAverage Dosages of GDMTARN Inhibitors9.68 mgStandard Deviation 5.89
Control GroupAverage Dosages of GDMTACE Inhibitors12.28 mgStandard Deviation 12.87
Control GroupAverage Dosages of GDMTARBs11.13 mgStandard Deviation 7.87
Control GroupAverage Dosages of GDMTAldosterone Antagonists28.97 mgStandard Deviation 31.5
Control GroupAverage Dosages of GDMTBeta Blockers27.83 mgStandard Deviation 23.79
Control GroupAverage Dosages of GDMTVasodilators (Nitrate)44.53 mgStandard Deviation 32.5
Control GroupAverage Dosages of GDMTVasodilators (Hydralazine)101.92 mgStandard Deviation 86.3
Other Pre-specified

Average Dosages of Guideline Directed Medical Therapy (GDMT)

Time frame: Baseline

Population: All available data has been reported and includes subjects on the drugs mentioned below. Not all subjects were on all the drugs.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)Aldosterone Antagonists24.51 mgStandard Deviation 11.62
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)Vasodilators (Nitrate)59.61 mgStandard Deviation 43.81
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)Angiotensin-Receptor Blockers (ARB)14.21 mgStandard Deviation 9.37
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)Vasodilators (Hydralazine)139.85 mgStandard Deviation 108.46
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)Beta Blockers31.91 mgStandard Deviation 24.9
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)ARN Inhibitors12.64 mgStandard Deviation 9.31
MitraClip SystemAverage Dosages of Guideline Directed Medical Therapy (GDMT)ACE Inhibitors14.18 mgStandard Deviation 15.19
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)ARN Inhibitors9.65 mgStandard Deviation 6.8
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)ACE Inhibitors13.44 mgStandard Deviation 13.56
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)Angiotensin-Receptor Blockers (ARB)12.35 mgStandard Deviation 8.69
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)Aldosterone Antagonists28.96 mgStandard Deviation 34.12
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)Beta Blockers29.92 mgStandard Deviation 25.79
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)Vasodilators (Nitrate)42.80 mgStandard Deviation 26.97
Control GroupAverage Dosages of Guideline Directed Medical Therapy (GDMT)Vasodilators (Hydralazine)109.27 mgStandard Deviation 86.45
Other Pre-specified

BNP or NT-proBNP Levels

Time frame: 12 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemBNP or NT-proBNP LevelsBNP621.45 pg/mlStandard Deviation 606.99
MitraClip SystemBNP or NT-proBNP LevelsNT-proBNP3362.49 pg/mlStandard Deviation 4332.12
Control GroupBNP or NT-proBNP LevelsBNP808.26 pg/mlStandard Deviation 1711.71
Control GroupBNP or NT-proBNP LevelsNT-proBNP3977.80 pg/mlStandard Deviation 5689.7
Other Pre-specified

BNP or NT-proBNP Levels

Time frame: 30 days

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemBNP or NT-proBNP LevelsBNP875.91 pg/mlStandard Deviation 931.18
MitraClip SystemBNP or NT-proBNP LevelsNT-proBNP4907.58 pg/mlStandard Deviation 7483.72
Control GroupBNP or NT-proBNP LevelsBNP1065.55 pg/mlStandard Deviation 1206.34
Control GroupBNP or NT-proBNP LevelsNT-proBNP5244.16 pg/mlStandard Deviation 7851.05
Other Pre-specified

Brain Natriuretic Peptide (BNP) or N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP Levels)

Time frame: Baseline

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemBrain Natriuretic Peptide (BNP) or N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP Levels)BNP1014.77 pg/mlStandard Deviation 1085.98
MitraClip SystemBrain Natriuretic Peptide (BNP) or N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP Levels)NT-proBNP5174.33 pg/mlStandard Deviation 6566.61
Control GroupBrain Natriuretic Peptide (BNP) or N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP Levels)BNP1017.13 pg/mlStandard Deviation 1212.77
Control GroupBrain Natriuretic Peptide (BNP) or N-terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP Levels)NT-proBNP5943.86 pg/mlStandard Deviation 8437.61
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.41 Liters/minuteStandard Deviation 0.96
Control GroupCardiac Output3.38 Liters/minuteStandard Deviation 1.01
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.43 liters/minuteStandard Deviation 1.02
Control GroupCardiac Output3.41 liters/minuteStandard Deviation 1.1
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: 4 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.49 liters/minuteStandard Deviation 0.99
Control GroupCardiac Output3.42 liters/minuteStandard Deviation 1.27
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: 3 years

Population: All available data has been entered.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.39 L/minStandard Deviation 1.01
Control GroupCardiac Output3.36 L/minStandard Deviation 1.08
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.59 Liters/minuteStandard Deviation 1.07
Control GroupCardiac Output3.66 Liters/minuteStandard Deviation 1.2
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: 6 months

Population: All available echocardiogram has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.53 Liters/minuteStandard Deviation 1.06
Control GroupCardiac Output3.53 Liters/minuteStandard Deviation 1.16
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.79 Liters/minuteStandard Deviation 1.17
Control GroupCardiac Output3.61 Liters/minuteStandard Deviation 1.18
Other Pre-specified

Cardiac Output

The amount of blood the heart pumps through the circulatory system in a minute.

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiac Output3.61 Liters/minuteStandard Deviation 1.09
Control GroupCardiac Output3.49 Liters/minuteStandard Deviation 1.08
Other Pre-specified

Cardiopulmonary Exercise (CPX) Testing

A substudy endpoint will utilize peak oxygen consumption oxygen uptake (VO2) as a parameter for cardiopulmonary exercise testing on a total of at least 50 and up to 100 subjects. The CPX analysis variables are: * Peak VO2 (ml/kg/min) - CPX Sub-study endpoint, descriptive analysis only, not powered for statistical significance * Exercise duration (min) * Peak workload (watts) * Maximum heart rate during exercise (beats/min) * Peak VE (l/min) * Respiratory Exchange Ratio (RER, VCO2/VO2) * VE/VCO2 slope * Ventilatory Threshold (ml/kg/min) * Borg scale * Exercise termination reason * Type of exercise (treadmill vs cycling)

Time frame: Baseline

Population: A total of 14 subjects were enrolled in the CPA sub study. However CPX data was available for only 2 subjects in the device group and 1 subject in the control group.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiopulmonary Exercise (CPX) Testing12.85 ml/kg/minStandard Deviation 0.78
Control GroupCardiopulmonary Exercise (CPX) Testing6.00 ml/kg/min
Other Pre-specified

Cardiopulmonary Exercise (CPX) Testing

A substudy endpoint will utilize peak oxygen consumption oxygen uptake (VO2) as a parameter for cardiopulmonary exercise testing on a total of at least 50 and up to 100 subjects. The CPX analysis variables are: * Peak VO2 (ml/kg/min) - CPX Sub-study endpoint, descriptive analysis only, not powered for statistical significance * Exercise duration (min) * Peak workload (watts) * Maximum heart rate during exercise (beats/min) * Peak VE (l/min) * Respiratory Exchange Ratio (RER, VCO2/VO2) * VE/VCO2 slope * Ventilatory Threshold (ml/kg/min) * Borg scale * Exercise termination reason * Type of exercise (treadmill vs cycling)

Time frame: 12 months

Population: A total of 14 subjects participated in the CPX sub-study. CPX test data was available in 2 subjects in the device group and 1 subject in the control group.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiopulmonary Exercise (CPX) Testing14.50 ml/kg/minStandard Deviation 6.36
Control GroupCardiopulmonary Exercise (CPX) Testing6.80 ml/kg/min
Other Pre-specified

Cardiopulmonary Exercise (CPX) Testing: Mean Changes in Peak VO2

Mean changes in peak VO2 (ml/kg/min) will be summarized at 12 months from baseline for the subset of patients who complete a CPX test at baseline and 12 months. A comparison of change from baseline between Device and Control groups will be presented. The CPX analysis variables are: * Peak VO2 (ml/kg/min) - CPX Sub-study endpoint, descriptive analysis only, not powered for statistical significance * Exercise duration (min) * Peak workload (watts) * Maximum heart rate during exercise (beats/min) * Peak VE (l/min) * Respiratory Exchange Ratio (RER, VCO2/VO2) * VE/VCO2 slope * Ventilatory Threshold (ml/kg/min) * Borg scale * Exercise termination reason * Type of exercise (treadmill vs cycling)

Time frame: Between baseline and 12 months

Population: A total of 14 subjects participated in the CPX sub-study. CPX test data was available in 2 subjects in the device group and 1 subject in the control group.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemCardiopulmonary Exercise (CPX) Testing: Mean Changes in Peak VO21.65 ml/kg/minStandard Deviation 5.59
Control GroupCardiopulmonary Exercise (CPX) Testing: Mean Changes in Peak VO20.80 ml/kg/min
Other Pre-specified

Change in 6MWD From Baseline

Time frame: Between baseline and 30 days

Population: All available data has been reported

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in 6MWD From Baseline31.6 metersStandard Deviation 106.4
Control GroupChange in 6MWD From Baseline-0.9 metersStandard Deviation 83.5
Other Pre-specified

Change in 6MWD From Baseline

Time frame: Between baseline and 24 months

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in 6MWD From Baseline12.5 metersStandard Deviation 103
Control GroupChange in 6MWD From Baseline1.1 metersStandard Deviation 133.6
Other Pre-specified

Change in 6MWD From Baseline

Time frame: Between baseline and 12 months

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in 6MWD From Baseline33.9 metersStandard Deviation 99.6
Control GroupChange in 6MWD From Baseline5.5 metersStandard Deviation 115
Other Pre-specified

Change in 6MWD From Baseline

Time frame: Between baseline and 6 months

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in 6MWD From Baseline25.9 metersStandard Deviation 100.6
Control GroupChange in 6MWD From Baseline0.66 metersStandard Deviation 99.9
Other Pre-specified

Change in KCCQ QoL Scores From Baseline

Paired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 12 months KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: Between baseline and 12 months

Population: All available paired data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in KCCQ QoL Scores From Baseline17.0 KCCQ score on a points scaleStandard Deviation 25.4
Control GroupChange in KCCQ QoL Scores From Baseline5.1 KCCQ score on a points scaleStandard Deviation 24.5
Other Pre-specified

Change in KCCQ QoL Scores From Baseline

Paired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 30 days KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: Between baseline and 30 days

Population: All available paired data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in KCCQ QoL Scores From Baseline16.9 KCCQ score on a points scaleStandard Deviation 22.8
Control GroupChange in KCCQ QoL Scores From Baseline2.1 KCCQ score on a points scaleStandard Deviation 18.6
Other Pre-specified

Change in KCCQ QoL Scores From Baseline

Paired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 6 months KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: Between baseline and 6 months

Population: All available paired data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in KCCQ QoL Scores From Baseline18.5 KCCQ score on a points scaleStandard Deviation 24.9
Control GroupChange in KCCQ QoL Scores From Baseline5.3 KCCQ score on a points scaleStandard Deviation 23
Other Pre-specified

Change in KCCQ QoL Scores From Baseline

Paired data looking at difference between the baseline Kansas City Cardiomyopathy Questionnaire (KCCQ) and 24 months KCCQ score. The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: Between baseline and 24 months

Population: All available paired data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemChange in KCCQ QoL Scores From Baseline17.4 KCCQ score on a points scaleStandard Deviation 25.8
Control GroupChange in KCCQ QoL Scores From Baseline3.4 KCCQ score on a points scaleStandard Deviation 26.5
Other Pre-specified

Change in SF-36 QoL Scores From Baseline

Paired data looking at difference between the baseline SF-36 and 6 months days SF-36. The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: Between baseline and 6 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 PCS5.5 SF-36 score on a points scaleStandard Deviation 10.2
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 MCS4.6 SF-36 score on a points scaleStandard Deviation 12.2
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 PCS1.0 SF-36 score on a points scaleStandard Deviation 8.7
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 MCS1.1 SF-36 score on a points scaleStandard Deviation 10.7
Other Pre-specified

Change in SF-36 QoL Scores From Baseline

Paired data looking at difference between the baseline SF-36 and 24 months SF-36. The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: Between baseline and 24 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 PCS5.0 SF-36 score on a points scaleStandard Deviation 10.4
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 MCS3.8 SF-36 score on a points scaleStandard Deviation 14.2
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 PCS0.7 SF-36 score on a points scaleStandard Deviation 10.6
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 MCS-0.3 SF-36 score on a points scaleStandard Deviation 12.9
Other Pre-specified

Change in SF-36 QoL Scores From Baseline

Paired data looking at difference between the baseline SF-36 and 30 days SF-36. The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: Between baseline and 30 days

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 PCS6.0 SF-36 score on a points scaleStandard Deviation 8.9
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF_36 MCS4.2 SF-36 score on a points scaleStandard Deviation 12.2
Control GroupChange in SF-36 QoL Scores From BaselineSF_36 MCS0.4 SF-36 score on a points scaleStandard Deviation 12
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 PCS0.6 SF-36 score on a points scaleStandard Deviation 8.1
Other Pre-specified

Change in SF-36 QoL Scores From Baseline

Paired data looking at difference between the baseline SF-36 and 12 month SF-36. The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: Between baseline and 12 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 PCS5.0 SF-36 score on a points scaleStandard Deviation 10.4
MitraClip SystemChange in SF-36 QoL Scores From BaselineSF-36 MCS4.3 SF-36 score on a points scaleStandard Deviation 13.2
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 PCS0.8 SF-36 score on a points scaleStandard Deviation 9.8
Control GroupChange in SF-36 QoL Scores From BaselineSF-36 MCS1.9 SF-36 score on a points scaleStandard Deviation 13.4
Other Pre-specified

Clinically Significant Atrial Septal Defect (ASD) That Requires Intervention

Time frame: 4 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemClinically Significant Atrial Septal Defect (ASD) That Requires Intervention2 Participants
Control GroupClinically Significant Atrial Septal Defect (ASD) That Requires Intervention0 Participants
Other Pre-specified

Clinically Significant Atrial Septal Defect (ASD) That Requires Intervention

Time frame: 3 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemClinically Significant Atrial Septal Defect (ASD) That Requires Intervention2 Participants
Control GroupClinically Significant Atrial Septal Defect (ASD) That Requires Intervention0 Participants
Other Pre-specified

Clinically Significant Atrial Septal Defect (ASD) That Requires Intervention

Time frame: 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemClinically Significant Atrial Septal Defect (ASD) That Requires Intervention2 Participants
Control GroupClinically Significant Atrial Septal Defect (ASD) That Requires Intervention0 Participants
Other Pre-specified

Clinically Significant Atrial Septal Defect (ASD) That Requires Intervention

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemClinically Significant Atrial Septal Defect (ASD) That Requires Intervention2 Participants
Control GroupClinically Significant Atrial Septal Defect (ASD) That Requires Intervention0 Participants
Other Pre-specified

Clinically Significant Atrial Septal Defect (ASD) That Requires Intervention

Time frame: 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemClinically Significant Atrial Septal Defect (ASD) That Requires Intervention2 Participants
Control GroupClinically Significant Atrial Septal Defect (ASD) That Requires Intervention0 Participants
Other Pre-specified

De Novo MitraClip Device Intervention in Control Group

Time frame: Through 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemDe Novo MitraClip Device Intervention in Control GroupNA Participants
Control GroupDe Novo MitraClip Device Intervention in Control Group67 Participants
Other Pre-specified

Device or Procedure-Related Adverse Events

Device or procedure-related adverse events are defined as adverse events that are adjudicated by the Clinical Events Committee as possibly, probably or definitely device and/or procedure-related, regardless of the temporal relationship to the MitraClip procedure. Device or procedure-related adverse events will be broken down into those that occur within 30 days of the procedure and those that occur after 30 days of the procedure. Examples of device-related adverse events are: myocardial perforation, Single Leaflet Device Attachment, embolization of the MitraClip device or MitraClip System components, iatrogenic atrial septal defect, mitral valve stenosis, need for mitral valve replacement instead of repair due at least in part to the MitraClip procedure or the presence of the MitraClip device.

Time frame: Within and after 30 days of the procedure

Population: All available data has been reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemDevice or Procedure-Related Adverse EventsOccurred within 30 days17 Participants
MitraClip SystemDevice or Procedure-Related Adverse EventsOccurred between 31 days and 365 days4 Participants
Other Pre-specified

Device Procedure Time

Defined as the time elapsed from the start of the transseptal procedure to the time the Steerable Guide Catheter is removed

Time frame: Day 0

Population: Device procedure time was not available for all implanted subjects. Data was available for 282 subjects from 302 randomized subjects in device arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemDevice Procedure Time118.9 minutesStandard Deviation 63.5
Other Pre-specified

Device-related Complications in Device Group Subjects and Control Group Subjects Who Undergo the MitraClip Procedure

Time frame: Through 5 years

Other Pre-specified

Device Time

Defined as the time the Steerable Guide Catheter is placed in the intra-atrial septum until the time the MitraClip Delivery System (CDS) is retracted into the Steerable Guide Catheter

Time frame: Day 0

Population: Device time available for all 287 subjects implanted with MitraClip.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemDevice Time82.7 minutesStandard Deviation 80.8
Other Pre-specified

Each Subscale for QoL (KCCQ)

difference in means between Device and Control groups for the Kansas City Cardiomyopathy Questionnaire (KCCQ) for the physical limitation and symptom stability scores.

Time frame: 12 months

Population: 219 subjects from device group and 189 subjects from control group analyzed.

ArmMeasureValue (NUMBER)
MitraClip SystemEach Subscale for QoL (KCCQ)9.90 KCCQ score on a points scale
Other Pre-specified

Each Subscale for QoL (KCCQ)

difference in means between Device and Control groups for the Kansas City Cardiomyopathy Questionnaire (KCCQ) for the physical limitation and symptom stability scores.

Time frame: 24 months

Population: 128 subjects in the device group and 90 subjects in the control group were analyzed.

ArmMeasureValue (NUMBER)
MitraClip SystemEach Subscale for QoL (KCCQ)8.01 KCCQ score on a points scale
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: Baseline

Population: Echocardiogram data was available for the 289 subjects in the device arm and 302 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.41 cm^2Standard Deviation 0.15
Control GroupEffective Regurgitant Orifice Area0.40 cm^2Standard Deviation 0.15
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: 24 months

Population: Echocardiogram data was available for 18 subjects in the device arm and 25 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.15 cm^2Standard Deviation 0.09
Control GroupEffective Regurgitant Orifice Area0.25 cm^2Standard Deviation 0.12
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: 6 months

Population: Echocardiogram data was available for 39 subjects in the device arm and 54 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.22 cm^2Standard Deviation 0.19
Control GroupEffective Regurgitant Orifice Area0.25 cm^2Standard Deviation 0.14
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: Echocardiogram data was available for 75 subjects in the device arm and 73 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.14 cm^2Standard Deviation 0.08
Control GroupEffective Regurgitant Orifice Area0.23 cm^2Standard Deviation 0.16
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: 12 months

Population: Echocardiogram data was available for 39 subjects in the device arm and 46 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.18 cm^2Standard Deviation 0.12
Control GroupEffective Regurgitant Orifice Area0.26 cm^2Standard Deviation 0.19
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: 4 years

Population: Echocardiogram data was available for the 8 subjects in the device arm and 6 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.14 cm^2Standard Deviation 0.05
Control GroupEffective Regurgitant Orifice Area0.19 cm^2Standard Deviation 0.12
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: 5 years

Population: Echocardiogram data was available for the 7 subjects in the device arm and 7 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.15 cm^2Standard Deviation 0.05
Control GroupEffective Regurgitant Orifice Area0.15 cm^2Standard Deviation 0.05
Other Pre-specified

Effective Regurgitant Orifice Area

Effective Regurgitant Orifice area is defined as = Regurgitant flow / Regurgitant velocity

Time frame: 3 years

Population: Echocardiogram data was available for 16 subjects in the device arm and 13 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemEffective Regurgitant Orifice Area0.18 cm^2Standard Deviation 0.2
Control GroupEffective Regurgitant Orifice Area0.18 cm^2Standard Deviation 0.1
Other Pre-specified

Fluoroscopy Duration

Defined as the duration of exposure to fluoroscopy during the MitraClip procedure

Time frame: Day 0

Population: Fluoroscopy duration for all available subjects with MitraClip device

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemFluoroscopy Duration33.9 minutesStandard Deviation 23.2
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: 3 years

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume49.19 mLStandard Deviation 15.83
Control GroupForward Stroke Volume49.42 mLStandard Deviation 15.29
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume52.33 mLStandard Deviation 16.46
Control GroupForward Stroke Volume53.49 mLStandard Deviation 17.73
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume50.23 mLStandard Deviation 16.02
Control GroupForward Stroke Volume49.22 mLStandard Deviation 15.7
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume50.47 mLStandard Deviation 16.52
Control GroupForward Stroke Volume50.72 mLStandard Deviation 16.91
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume52.41 mLStandard Deviation 17.06
Control GroupForward Stroke Volume50.75 mLStandard Deviation 17.69
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume52.13 mLStandard Deviation 16.6
Control GroupForward Stroke Volume49.89 mLStandard Deviation 16.8
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume49.70 mLStandard Deviation 18.41
Control GroupForward Stroke Volume47.63 mLStandard Deviation 16.75
Other Pre-specified

Forward Stroke Volume

Stroke volume is the amount of blood ejected from the ventricle with each cardiac cycle. It can be readily calculated by subtracting the end-systolic volume from the end-diastolic volume.

Time frame: 4 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemForward Stroke Volume50.95 mLStandard Deviation 16.46
Control GroupForward Stroke Volume48.32 mLStandard Deviation 14.36
Other Pre-specified

Health Economic Data

Time frame: Through 5 years

Other Pre-specified

Implant Rate

Defined as the rate of successful delivery and deployment of the MitraClip device(s) with echocardiographic evidence of leaflet approximation and retrieval of the delivery catheter

Time frame: Day 0

Population: Subjects randomized to the device arm

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemImplant Rate287 Participants
Other Pre-specified

Kansas City Cardiomyopathy Questionnaire (KCCQ) QoL Scores

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: Baseline

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemKansas City Cardiomyopathy Questionnaire (KCCQ) QoL Scores53.2 KCCQ score on a points scaleStandard Deviation 22.8
Control GroupKansas City Cardiomyopathy Questionnaire (KCCQ) QoL Scores51.6 KCCQ score on a points scaleStandard Deviation 23.3
Other Pre-specified

Kaplan-Meier Freedom From All-cause Mortality

Kaplan-Meier survival rate for all cause mortality at 48 months

Time frame: 4 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From All-cause Mortality51.3 percentage
Control GroupKaplan-Meier Freedom From All-cause Mortality37.3 percentage
Other Pre-specified

Kaplan-Meier Freedom From All-cause Mortality

Kaplan-Meier survival rate for all cause mortality at 24 months

Time frame: 24 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From All-cause Mortality71.9 percentage
Control GroupKaplan-Meier Freedom From All-cause Mortality57.3 percentage
Other Pre-specified

Kaplan-Meier Freedom From All-cause Mortality

Kaplan-Meier survival rate for all cause mortality at 36 months

Time frame: 3 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From All-cause Mortality59.7 Percentage
Control GroupKaplan-Meier Freedom From All-cause Mortality45.9 Percentage
Other Pre-specified

Kaplan-Meier Freedom From All-cause Mortality

Kaplan-Meier survival rate for all cause mortality at 60 months

Time frame: 5 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From All-cause Mortality42.7 percentage
Control GroupKaplan-Meier Freedom From All-cause Mortality32.8 percentage
Other Pre-specified

Kaplan-Meier Freedom From Cardiovascular Mortality

Kaplan-Meier survival rate for Cardiovascular mortality.

Time frame: 24 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From Cardiovascular Mortality77.6 percentage
Control GroupKaplan-Meier Freedom From Cardiovascular Mortality64.5 percentage
Other Pre-specified

Kaplan-Meier Freedom From Cardiovascular Mortality

Kaplan-Meier survival rate for Cardiovascular mortality.

Time frame: 12 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From Cardiovascular Mortality86.2 percentage
Control GroupKaplan-Meier Freedom From Cardiovascular Mortality80.7 percentage
Other Pre-specified

Kaplan-Meier Freedom From Cardiovascular Mortality

Kaplan-Meier survival rate for Cardiovascular mortality.

Time frame: 3 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From Cardiovascular Mortality66.7 Percentage
Control GroupKaplan-Meier Freedom From Cardiovascular Mortality54.6 Percentage
Other Pre-specified

Kaplan-Meier Freedom From Cardiovascular Mortality

Time frame: 4 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From Cardiovascular Mortality58.8 percentage
Control GroupKaplan-Meier Freedom From Cardiovascular Mortality47.0 percentage
Other Pre-specified

Kaplan-Meier Freedom From Cardiovascular Mortality

Time frame: 5 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From Cardiovascular Mortality51.2 percentage
Control GroupKaplan-Meier Freedom From Cardiovascular Mortality42.8 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Components of the Primary Safety Composite

Freedom from the components of the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 3 years in Device group

Population: All available subjects within the 36 month (1096 days) window.

ArmMeasureGroupValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeHeart Transplant96.6 Percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeSingle Leaflet DeviceAttachment (SLDA)99.3 Percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeEmbolization99.7 Percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeLeft Ventricular AssistDevice (LVAD)94.9 Percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeNon-electivecardiovascular surgery99.7 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the Components of the Primary Safety Composite

Freedom from the components of the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 12 months in Device group

Population: All eligible subjects with MitraClip until the 365 day window.

ArmMeasureGroupValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeHeart Transplant99.2 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeNon-elective Cardiovascular surgery99.7 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeSingle Leaflet Device Attachment (SLDA)99.3 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeEmbolization99.7 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeLeft Ventricular Assist Device (LVAD)98.8 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Components of the Primary Safety Composite

Freedom from the components of the primary safety composite of device relatedcomplications including Single Leaflet Device Attachment (SLDA), deviceembolizations, endocarditis requiring surgery, Echocardiography Core Laboratoryconfirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at12 months will be the primary measure of safety.

Time frame: 4 years in Device group

Population: All subjects within the 4 year (1461 days) window.

ArmMeasureGroupValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeLeft Ventricular Assist Device (LVAD)94.2 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeSingle Leaflet Device Attachment (SLDA)99.3 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeEmbolization99.7 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeHeart Transplant95.3 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeNon-elective Cardiovascular Surgery99.7 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Components of the Primary Safety Composite

Freedom from the components of the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 24 months in Device group

Population: All available subjects with data within the 2 year (731 days) window

ArmMeasureGroupValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeSingle Leaflet Device Attachment (SLDA)99.3 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeEmbolization99.7 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeLeft Ventricular Assist Device (LVAD)97.4 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeHeart Transplant98.7 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeNon-elective cardiovascular surgery99.7 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Components of the Primary Safety Composite

Freedom from the components of the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at12 months will be the primary measure of safety.

Time frame: 5 years in Device group

Population: All available subjects within 5 year (1826 days) window.

ArmMeasureGroupValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeEmbolization99.7 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeLeft VentricularAssistDevice (LVAD)93.5 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeSingle LeafletDeviceAttachment(SLDA)99.3 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeHeart Transplant95.3 percentage
MitraClip SystemKaplan-Meier Freedom From the Components of the Primary Safety CompositeNon-electivecardiovascularsurgery99.7 percentage
Other Pre-specified

Kaplan-Meier Freedom From the First Cardiovascular Hospitalization

Time frame: 12 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First Cardiovascular Hospitalization61.7 Percentage
Control GroupKaplan-Meier Freedom From the First Cardiovascular Hospitalization51.3 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First Cardiovascular Hospitalization

Time frame: 24 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First Cardiovascular Hospitalization49.5 Percentage
Control GroupKaplan-Meier Freedom From the First Cardiovascular Hospitalization33.5 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First Cardiovascular Hospitalization

Time frame: 5 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First Cardiovascular Hospitalization23.0 Percentage
Control GroupKaplan-Meier Freedom From the First Cardiovascular Hospitalization10.8 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First Cardiovascular Hospitalization

Time frame: 4 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First Cardiovascular Hospitalization28.5 Percentage
Control GroupKaplan-Meier Freedom From the First Cardiovascular Hospitalization14.8 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First Cardiovascular Hospitalization

Time frame: 3 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First Cardiovascular Hospitalization37.3 Percentage
Control GroupKaplan-Meier Freedom From the First Cardiovascular Hospitalization17.5 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization

Time frame: 5 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization39.0 percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization17.0 percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization

Time frame: 24 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization64.5 Percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization43.9 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization

Time frame: 3 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization53.2 Percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization23.6 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization

Time frame: 4 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization45.7 percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization22.3 percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization

Time frame: 12 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization74.4 Percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization60.4 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality

Time frame: 12 months

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality66.5 Percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality53.8 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality

Survival rate from the first HF related hospitalization or all-cause mortality.

Time frame: 24 months

Population: All available data has been reported.

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality54.8 percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality33.8 percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality

Time frame: 3 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality41.5 Percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality15.5 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality

Time frame: 4 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality34.0 percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality12.8 percentage
Other Pre-specified

Kaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality

Time frame: 5 years

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality26.4 percentage
Control GroupKaplan-Meier Freedom From the First HF Related Hospitalization or All-cause Mortality8.5 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Primary Safety Composite

Freedom from the primary safety composite of device related complications including Single Leaflet DeviceAttachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratoryconfirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complicationsrequiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 3 years in Device group

Population: All available subjects with data within the 36 months (1096 days) window.

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Primary Safety Composite91.2 Percentage
Other Pre-specified

Kaplan-Meier Freedom From the Primary Safety Composite

Freedom from the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 24 months in Device group

Population: All available subjects with data within the 24 months (731 days) window.

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Primary Safety Composite94.8 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Primary Safety Composite

Freedom from the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 4 years in Device group

Population: All available echocardiogram data has been presented.

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Primary Safety Composite89.9 percentage
Other Pre-specified

Kaplan-Meier Freedom From the Primary Safety Composite

Freedom from the primary safety composite of device related complications including Single Leaflet Device Attachment (SLDA), device embolizations, endocarditis requiring surgery, Echocardiography Core Laboratory confirmed mitral stenosis requiring surgery, LVAD implant, heart transplant, or any device related complications requiring non-elective cardiovascular surgery at 12 months will be the primary measure of safety.

Time frame: 5 years in Device group

Population: All available electrocardiogram has been presented.

ArmMeasureValue (NUMBER)
MitraClip SystemKaplan-Meier Freedom From the Primary Safety Composite89.2 percentage
Other Pre-specified

KCCQ QoL Scores

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 6 months

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemKCCQ QoL Scores73.0 KCCQ score on a points scaleStandard Deviation 21.3
Control GroupKCCQ QoL Scores59.0 KCCQ score on a points scaleStandard Deviation 24.7
Other Pre-specified

KCCQ QoL Scores

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 30 days

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemKCCQ QoL Scores70.9 KCCQ score on a points scaleStandard Deviation 21.1
Control GroupKCCQ QoL Scores54.6 KCCQ score on a points scaleStandard Deviation 24.7
Other Pre-specified

KCCQ QoL Scores

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 24 months

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemKCCQ QoL Scores71.3 KCCQ score on a points scaleStandard Deviation 23.3
Control GroupKCCQ QoL Scores58.9 KCCQ score on a points scaleStandard Deviation 25.2
Other Pre-specified

KCCQ QoL Scores

The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. The KCCQ tool quantifies the following six (6) distinct domains and two (2) summary scores: KCCQ Symptom Domain, KCCQ Physical Function Domain, KCCQ Quality of Life Domain, KCCQ Social Limitation Domain, KCCQ Self-efficacy Domain, KCCQ Symptom Stability Domain, Clinical Summary Score and Overall Summary Score. Clinical Summary Score includes total symptom and physical function scores to correspond with NYHA Classification. Overall Summary Score includes the total symptom, physical function, social limitations and quality of life scores.

Time frame: 12 months

Population: All available data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemKCCQ QoL Scores71.8 KCCQ score on a points scaleStandard Deviation 22.2
Control GroupKCCQ QoL Scores60.2 KCCQ score on a points scaleStandard Deviation 24.5
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: 24 months

Population: All available echocardiogram data has been presented

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)174.5 mLStandard Deviation 60.9
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)184.6 mLStandard Deviation 73.5
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: 12 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)179.4 mLStandard Deviation 66.2
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)176.3 mLStandard Deviation 65.1
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: 6 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)181.4 mLStandard Deviation 65.1
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)182.6 mLStandard Deviation 72.4
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: Baseline

Population: All available echocardiogram data used for analysis.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)194.4 mLStandard Deviation 69.2
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)191.0 mLStandard Deviation 72.9
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)176.0 mLStandard Deviation 64.6
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)179.1 mLStandard Deviation 68.4
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: 5 years

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)174.0 mlStandard Deviation 67.1
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)166.6 mlStandard Deviation 77
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: 4 years

Population: All available electrocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)166.0 mLStandard Deviation 58.4
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)161.6 mLStandard Deviation 64.7
Other Pre-specified

Left Ventricle End Diastolic Volume (LVEDV)

Left Ventricle End-diastolic volume is the amount of blood that is in the left ventricle before the heart contracts.

Time frame: 3 years

Population: All available echocardiogram data has been presented

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricle End Diastolic Volume (LVEDV)169.6 mLStandard Deviation 60.5
Control GroupLeft Ventricle End Diastolic Volume (LVEDV)172.2 mLStandard Deviation 67.1
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: 4 years

Population: All available electrocardiogram has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)30.87 percentageStandard Deviation 11.37
Control GroupLeft Ventricular Ejection Fraction (LVEF)33.39 percentageStandard Deviation 13.09
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: 5 years

Population: All electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)28.73 percentageStandard Deviation 11.26
Control GroupLeft Ventricular Ejection Fraction (LVEF)32.22 percentageStandard Deviation 13.95
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)31.32 percentageStandard Deviation 9.07
Control GroupLeft Ventricular Ejection Fraction (LVEF)31.30 percentageStandard Deviation 9.58
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)27.88 percentageStandard Deviation 8.84
Control GroupLeft Ventricular Ejection Fraction (LVEF)31.11 percentageStandard Deviation 10.45
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)28.38 percentageStandard Deviation 10.45
Control GroupLeft Ventricular Ejection Fraction (LVEF)30.44 percentageStandard Deviation 10.15
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)27.74 percentageStandard Deviation 11.31
Control GroupLeft Ventricular Ejection Fraction (LVEF)29.72 percentageStandard Deviation 10.06
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)27.95 percentageStandard Deviation 9.2
Control GroupLeft Ventricular Ejection Fraction (LVEF)30.68 percentageStandard Deviation 12.38
Other Pre-specified

Left Ventricular Ejection Fraction (LVEF)

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular Ejection Fraction (LVEF)29.28 percentageStandard Deviation 12.41
Control GroupLeft Ventricular Ejection Fraction (LVEF)31.67 percentageStandard Deviation 12.76
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: 5 years

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.09 cmStandard Deviation 0.9
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)5.97 cmStandard Deviation 0.91
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: 3 years

Population: All Available echocardiogram data has been entered

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.12 cmStandard Deviation 0.78
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)6.11 cmStandard Deviation 0.97
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: 24 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.07 cmStandard Deviation 0.92
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)6.18 cmStandard Deviation 0.88
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: 12 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.08 cmStandard Deviation 0.77
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)6.10 cmStandard Deviation 0.83
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: 6 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.12 cmStandard Deviation 0.77
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)6.15 cmStandard Deviation 0.81
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.10 cmStandard Deviation 0.75
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)7.41 cmStandard Deviation 19.58
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: 4 years

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.04 cmStandard Deviation 0.81
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)6.07 cmStandard Deviation 0.91
Other Pre-specified

Left Ventricular End Diastolic Dimension (LVEDD)

Time frame: Baseline

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Diastolic Dimension (LVEDD)6.17 cmStandard Deviation 0.73
Control GroupLeft Ventricular End Diastolic Dimension (LVEDD)6.19 cmStandard Deviation 0.75
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.31 cmStandard Deviation 1.02
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.15 cmStandard Deviation 1.02
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.24 cmStandard Deviation 1.07
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.26 cmStandard Deviation 1.02
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.30 cmStandard Deviation 0.96
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.19 cmStandard Deviation 1.16
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: 4 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.17 cmStandard Deviation 0.95
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.01 cmStandard Deviation 1.12
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.28 cmStandard Deviation 0.86
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.30 cmStandard Deviation 0.89
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.31 cmStandard Deviation 0.89
Control GroupLeft Ventricular End Systolic Dimension (LVESD)6.12 cmStandard Deviation 12.64
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.34 cmStandard Deviation 0.91
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.28 cmStandard Deviation 0.96
Other Pre-specified

Left Ventricular End Systolic Dimension (LVESD)

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Dimension (LVESD)5.26 cmStandard Deviation 0.95
Control GroupLeft Ventricular End Systolic Dimension (LVESD)5.25 cmStandard Deviation 0.99
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: 5 years

Population: All available electrocardiogram has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)129.0 mlStandard Deviation 65.4
Control GroupLeft Ventricular End Systolic Volume (LVESV)119.3 mlStandard Deviation 70.6
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: 4 years

Population: All available electrocardiogram has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)118.7 mlStandard Deviation 53.1
Control GroupLeft Ventricular End Systolic Volume (LVESV)112.7 mlStandard Deviation 59.4
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: Baseline

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)135.5 mLStandard Deviation 56.1
Control GroupLeft Ventricular End Systolic Volume (LVESV)134.3 mLStandard Deviation 60.3
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)129.3 mLStandard Deviation 56.5
Control GroupLeft Ventricular End Systolic Volume (LVESV)125.7 mLStandard Deviation 57.1
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: 6 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)133.1 mLStandard Deviation 59.2
Control GroupLeft Ventricular End Systolic Volume (LVESV)129.1 mLStandard Deviation 59.2
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: 12 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)133.0 mLStandard Deviation 60.9
Control GroupLeft Ventricular End Systolic Volume (LVESV)125.9 mLStandard Deviation 54.8
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction, or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at any point in the cardiac cycle.

Time frame: 24 months

Population: All available echocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)127.4 mLStandard Deviation 52.6
Control GroupLeft Ventricular End Systolic Volume (LVESV)132.2 mLStandard Deviation 64.7
Other Pre-specified

Left Ventricular End Systolic Volume (LVESV)

Left Ventricular End-systolic volume (LVESV) is the volume of blood in the left ventricle at the end of contraction,or systole, and the beginning of filling, or diastole. LVESV is the lowest volume of blood in the left ventricle at anypoint in the cardiac cycle.

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLeft Ventricular End Systolic Volume (LVESV)124.3 mLStandard Deviation 58.3
Control GroupLeft Ventricular End Systolic Volume (LVESV)122.9 mLStandard Deviation 61.1
Other Pre-specified

Length of Index Hospitalization for MitraClip Procedure (Device Group)

Length of stay in the hospital for the MitraClip Index procedure (device group)

Time frame: Before MitraClip procedure on day 0

Population: Data was available for 293 subjects out of 302 subjects in the device group.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemLength of Index Hospitalization for MitraClip Procedure (Device Group)2.5 DaysStandard Deviation 2.3
Other Pre-specified

Major Bleeding

Major bleeding is defined as bleeding ≥ Type 3 based on a modified Bleeding Academic Research Consortium (BARC) definition

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMajor Bleeding15 Participants
Control GroupMajor Bleeding3 Participants
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, thevalve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valvegradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient3.45 mmHgStandard Deviation 1.8
Control GroupMean Mitral Valve Gradient2.62 mmHgStandard Deviation 1.99
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient2.46 mmHgStandard Deviation 1.05
Control GroupMean Mitral Valve Gradient2.28 mmHgStandard Deviation 0.97
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient4.10 mmHgStandard Deviation 2.18
Control GroupMean Mitral Valve Gradient2.28 mmHgStandard Deviation 1.28
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient4.00 mmHgStandard Deviation 1.98
Control GroupMean Mitral Valve Gradient2.28 mmHgStandard Deviation 1.28
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient3.88 mmHgStandard Deviation 2.17
Control GroupMean Mitral Valve Gradient2.15 mmHgStandard Deviation 1.3
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient3.69 mmHgStandard Deviation 1.76
Control GroupMean Mitral Valve Gradient2.25 mmHgStandard Deviation 1.71
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: 4 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient3.69 mmHgStandard Deviation 1.85
Control GroupMean Mitral Valve Gradient2.56 mmHgStandard Deviation 1.41
Other Pre-specified

Mean Mitral Valve Gradient

The normal area of the mitral valve orifice is about 4-6 cm2 when the mitral valve area goes below 2 cm2, the valve causes an impediment to the flow of blood into the left ventricle, creating a pressure gradient (mitral valve gradient) across the mitral valve. This gradient may increase by the rise in heart rate or cardiac output.

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMean Mitral Valve Gradient4.07 mmHgStandard Deviation 2.31
Control GroupMean Mitral Valve Gradient3.54 mmHgStandard Deviation 4.27
Other Pre-specified

Mitral Stenosis

Defined as a mitral valve orifice area of less than 1.5 cm2 as measured by the Echocardiography Core Laboratory

Time frame: 4 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Stenosis23 Participants
Control GroupMitral Stenosis2 Participants
Other Pre-specified

Mitral Stenosis

Defined as a mitral valve orifice area of less than 1.5 cm2 as measured by the Echocardiography Core Laboratory

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Stenosis18 Participants
Control GroupMitral Stenosis1 Participants
Other Pre-specified

Mitral Stenosis

Defined as a mitral valve orifice area of less than 1.5 cm2 as measured by the Echocardiography Core Laboratory

Time frame: 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Stenosis23 Participants
Control GroupMitral Stenosis0 Participants
Other Pre-specified

Mitral Stenosis

Defined as a mitral valve orifice area of less than 1.5 cm2 as measured by the Echocardiography Core Laboratory

Time frame: 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Stenosis25 Participants
Control GroupMitral Stenosis0 Participants
Other Pre-specified

Mitral Stenosis

Defined as a mitral valve orifice area of less than 1.5 cm2 as measured by the Echocardiography Core Laboratory

Time frame: 3 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Stenosis22 Participants
Control GroupMitral Stenosis1 Participants
Other Pre-specified

Mitral Valve Area

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area3.76 cm^2Standard Deviation 1.11
Control GroupMitral Valve Area4.33 cm^2Standard Deviation 1.31
Other Pre-specified

Mitral Valve Area

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area2.85 cm^2Standard Deviation 1.01
Control GroupMitral Valve Area4.98 cm^2Standard Deviation 1.14
Other Pre-specified

Mitral Valve Area

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area2.84 cm^2Standard Deviation 1.1
Control GroupMitral Valve Area4.94 cm^2Standard Deviation 1
Other Pre-specified

Mitral Valve Area

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area2.67 cm^2Standard Deviation 0.86
Control GroupMitral Valve Area4.88 cm^2Standard Deviation 0.95
Other Pre-specified

Mitral Valve Area

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area2.68 cm^2Standard Deviation 0.92
Control GroupMitral Valve Area4.81 cm^2Standard Deviation 1
Other Pre-specified

Mitral Valve Area

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area5.17 cm^2Standard Deviation 1.26
Control GroupMitral Valve Area5.16 cm^2Standard Deviation 1.16
Other Pre-specified

Mitral Valve Area

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area3.06 cm^2Standard Deviation 0.9
Control GroupMitral Valve Area4.47 cm^2Standard Deviation 1.58
Other Pre-specified

Mitral Valve Area

Time frame: 4 years

Population: All electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemMitral Valve Area3.27 cm^2Standard Deviation 0.79
Control GroupMitral Valve Area4.39 cm^2Standard Deviation 1.41
Other Pre-specified

Mitral Valve Replacement Rates

summarized and compared between Device and Control groups

Time frame: 4 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Valve Replacement Rates1 Participants
Control GroupMitral Valve Replacement Rates5 Participants
Other Pre-specified

Mitral Valve Replacement Rates

Subjects with mitral valve replacements in the Device and Control groups

Time frame: 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Valve Replacement Rates1 Participants
Control GroupMitral Valve Replacement Rates5 Participants
Other Pre-specified

Mitral Valve Replacement Rates

summarized and compared between Device and Control groups

Time frame: 3 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Valve Replacement Rates1 Participants
Control GroupMitral Valve Replacement Rates5 Participants
Other Pre-specified

Mitral Valve Replacement Rates

summarized and compared between Device and Control groups

Time frame: 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Valve Replacement Rates1 Participants
Control GroupMitral Valve Replacement Rates5 Participants
Other Pre-specified

Mitral Valve Replacement Rates

Subjects with mitral valve replacements in the Device and Control groups

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Valve Replacement Rates1 Participants
Control GroupMitral Valve Replacement Rates5 Participants
Other Pre-specified

Mitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device Group

Time frame: Through 5 years

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupAdditional MitraClip Device Intervention10 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupNew use of single or dual chamber Pacemaker10 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Elective - Repair0 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupNew Use of CRT8 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Elective - Replacement1 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupPermanent LVAD Implant16 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Non Elective - Repair0 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupHeart Transplant9 Participants
MitraClip SystemMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Non Elective - Replacement0 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupHeart Transplant11 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Non Elective - Replacement0 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupNew Use of CRT11 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupNew use of single or dual chamber Pacemaker10 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupPermanent LVAD Implant18 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupAdditional MitraClip Device InterventionNA Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Elective - Repair3 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Elective - Replacement5 Participants
Control GroupMitral Valve Surgery (Including Type of Surgery), New Use of CRT, New Use of Single or Dual Chamber Pacemaker, Permanent LVAD Implant, Heart Transplant, Additional MitraClip Device Intervention in Device GroupMitral Valve Surgery Non Elective - Repair0 Participants
Other Pre-specified

Modified Rankin Scale Score

MODIFIED RANKIN SCALE SCORE DESCRIPTIONS: 0- No symptoms at all; 1- No significant disability despite symptoms; able to carry out all usual duties and activities; 2- Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance; 3- Moderate disability; requiring some help, but able to walk without assistance; 4- Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance; 5- Severe disability; bedridden, incontinent and requiring constant nursing care and attention; 6- Dead

Time frame: 6 months

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemModified Rankin Scale Score0145 Participants
MitraClip SystemModified Rankin Scale Score160 Participants
MitraClip SystemModified Rankin Scale Score230 Participants
MitraClip SystemModified Rankin Scale Score313 Participants
MitraClip SystemModified Rankin Scale Score42 Participants
MitraClip SystemModified Rankin Scale Score50 Participants
Control GroupModified Rankin Scale Score48 Participants
Control GroupModified Rankin Scale Score0120 Participants
Control GroupModified Rankin Scale Score320 Participants
Control GroupModified Rankin Scale Score148 Participants
Control GroupModified Rankin Scale Score50 Participants
Control GroupModified Rankin Scale Score238 Participants
Other Pre-specified

Modified Rankin Scale Score

MODIFIED RANKIN SCALE SCORE DESCRIPTIONS: 0- No symptoms at all; 1- No significant disability despite symptoms; able to carry out all usual duties and activities; 2- Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance; 3- Moderate disability; requiring some help, but able to walk without assistance; 4- Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance; 5- Severe disability; bedridden, incontinent and requiring constant nursing care and attention; 6- Dead

Time frame: 12 months

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemModified Rankin Scale Score234 Participants
MitraClip SystemModified Rankin Scale Score142 Participants
MitraClip SystemModified Rankin Scale Score0134 Participants
MitraClip SystemModified Rankin Scale Score39 Participants
MitraClip SystemModified Rankin Scale Score40 Participants
MitraClip SystemModified Rankin Scale Score50 Participants
Control GroupModified Rankin Scale Score47 Participants
Control GroupModified Rankin Scale Score314 Participants
Control GroupModified Rankin Scale Score140 Participants
Control GroupModified Rankin Scale Score51 Participants
Control GroupModified Rankin Scale Score0100 Participants
Control GroupModified Rankin Scale Score227 Participants
Other Pre-specified

Modified Rankin Scale Score

MODIFIED RANKIN SCALE SCORE DESCRIPTIONS: 0- No symptoms at all; 1- No significant disability despite symptoms; able to carry out all usual duties and activities; 2- Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance; 3- Moderate disability; requiring some help, but able to walk without assistance; 4- Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance; 5- Severe disability; bedridden, incontinent and requiring constant nursing care and attention; 6- Dead

Time frame: 30 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemModified Rankin Scale Score0169 Participants
MitraClip SystemModified Rankin Scale Score156 Participants
MitraClip SystemModified Rankin Scale Score240 Participants
MitraClip SystemModified Rankin Scale Score313 Participants
MitraClip SystemModified Rankin Scale Score40 Participants
MitraClip SystemModified Rankin Scale Score50 Participants
Control GroupModified Rankin Scale Score48 Participants
Control GroupModified Rankin Scale Score0129 Participants
Control GroupModified Rankin Scale Score334 Participants
Control GroupModified Rankin Scale Score154 Participants
Control GroupModified Rankin Scale Score52 Participants
Control GroupModified Rankin Scale Score249 Participants
Other Pre-specified

Modified Rankin Scale Score

MODIFIED RANKIN SCALE SCORE DESCRIPTIONS: 0- No symptoms at all; 1- No significant disability despite symptoms; able to carry out all usual duties and activities; 2- Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance; 3- Moderate disability; requiring some help, but able to walk without assistance; 4- Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance; 5- Severe disability; bedridden, incontinent and requiring constant nursing care and attention; 6- Dead

Time frame: Baseline

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemModified Rankin Scale Score323 Participants
MitraClip SystemModified Rankin Scale Score50 Participants
MitraClip SystemModified Rankin Scale Score255 Participants
MitraClip SystemModified Rankin Scale Score0170 Participants
MitraClip SystemModified Rankin Scale Score42 Participants
MitraClip SystemModified Rankin Scale Score152 Participants
Control GroupModified Rankin Scale Score42 Participants
Control GroupModified Rankin Scale Score258 Participants
Control GroupModified Rankin Scale Score335 Participants
Control GroupModified Rankin Scale Score155 Participants
Control GroupModified Rankin Scale Score50 Participants
Control GroupModified Rankin Scale Score0158 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ -Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 4 years

Population: Echocardiogram data was available for 80 subjects in the device arm and 49 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR 3+2 Participants
MitraClip SystemMR Severity GradeMR 2+14 Participants
MitraClip SystemMR Severity GradeMR 4+0 Participants
MitraClip SystemMR Severity GradeMR None or 1+64 Participants
Control GroupMR Severity GradeMR 4+4 Participants
Control GroupMR Severity GradeMR 2+9 Participants
Control GroupMR Severity GradeMR 3+6 Participants
Control GroupMR Severity GradeMR None or 1+30 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 3 years

Population: Echocardiogram data was available for 120 subjects in the device arm and 74 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR None or 1+100 Participants
MitraClip SystemMR Severity GradeMR 2+18 Participants
MitraClip SystemMR Severity GradeMR 3+2 Participants
MitraClip SystemMR Severity GradeMR 4+0 Participants
Control GroupMR Severity GradeMR 4+3 Participants
Control GroupMR Severity GradeMR None or 1+48 Participants
Control GroupMR Severity GradeMR 3+8 Participants
Control GroupMR Severity GradeMR 2+15 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 24 months

Population: Echocardiogram data was available for 167 subjects in the device arm and 126 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR None or 1+131 Participants
MitraClip SystemMR Severity GradeMR 2+35 Participants
MitraClip SystemMR Severity GradeMR 3+0 Participants
MitraClip SystemMR Severity GradeMR 4+1 Participants
Control GroupMR Severity GradeMR 4+24 Participants
Control GroupMR Severity GradeMR None or 1+23 Participants
Control GroupMR Severity GradeMR 3+43 Participants
Control GroupMR Severity GradeMR 2+36 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: Baseline

Population: echocardiogram data was available for 302 subjects in the device arm and 311 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR 3+148 Participants
MitraClip SystemMR Severity GradeMR 4+154 Participants
Control GroupMR Severity GradeMR 3+172 Participants
Control GroupMR Severity GradeMR 4+139 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 12 months

Population: Echocardiogram data was available for 210 subjects in the device arm and 175 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR None or 1+145 Participants
MitraClip SystemMR Severity GradeMR 2+54 Participants
MitraClip SystemMR Severity GradeMR 3+9 Participants
MitraClip SystemMR Severity GradeMR 4+2 Participants
Control GroupMR Severity GradeMR 4+33 Participants
Control GroupMR Severity GradeMR None or 1+20 Participants
Control GroupMR Severity GradeMR 3+60 Participants
Control GroupMR Severity GradeMR 2+62 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography andsubjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effectiveregurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Rightventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ -Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitantorifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricularEF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 5 years

Population: Echocardiogram data was available for 57 subjects in the device arm and 46 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR None or 1+51 Participants
MitraClip SystemMR Severity GradeMR 3+3 Participants
MitraClip SystemMR Severity GradeMR 4+0 Participants
MitraClip SystemMR Severity GradeMR 2+3 Participants
Control GroupMR Severity GradeMR 4+2 Participants
Control GroupMR Severity GradeMR None or 1+36 Participants
Control GroupMR Severity GradeMR 2+6 Participants
Control GroupMR Severity GradeMR 3+2 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: Echocardiogram data was available for 286 subjects in the device arm and 257 subjects in the control arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR None or 1+230 Participants
MitraClip SystemMR Severity GradeMR 2+39 Participants
MitraClip SystemMR Severity GradeMR 3+13 Participants
MitraClip SystemMR Severity GradeMR 4+4 Participants
Control GroupMR Severity GradeMR 4+73 Participants
Control GroupMR Severity GradeMR None or 1+21 Participants
Control GroupMR Severity GradeMR 3+96 Participants
Control GroupMR Severity GradeMR 2+67 Participants
Other Pre-specified

MR Severity Grade

MR Severity Grading was done by Quantitative Doppler Echocardiography and subjects were graded as below MR 1+ - Regurgitant Volume \< 30 ml, Right ventricular EF \<30%, Effective regurgitant orifice area \< 20 mm\^2 MR 2+ - Regurgitant Volume 30-44 ml, Right ventricular EF 30-39%, Effective regurgitant orifice area 20-29 mm\^2 MR 3+ - Regurgitant Volume 45-59 ml, Right ventricular EF 40-49 %, Effective regurgitant orifice area 30-39 mm\^2 MR 4+ - Regurgitant Volume \>= 60 ml, Right ventricular EF \>=50%, Effective regurgitant orifice area \>=40 mm\^2

Time frame: 6 months

Population: Echocardiogram data was available for only 240 subjects in the device group and 218 subjects in the control group

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemMR Severity GradeMR none or 1+160 Participants
MitraClip SystemMR Severity GradeMR 2+65 Participants
MitraClip SystemMR Severity GradeMR 3+11 Participants
MitraClip SystemMR Severity GradeMR 4+4 Participants
Control GroupMR Severity GradeMR 4+43 Participants
Control GroupMR Severity GradeMR none or 1+20 Participants
Control GroupMR Severity GradeMR 3+92 Participants
Control GroupMR Severity GradeMR 2+63 Participants
Other Pre-specified

New Onset of Permanent Atrial Fibrillation

Time frame: 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew Onset of Permanent Atrial Fibrillation23 Participants
Control GroupNew Onset of Permanent Atrial Fibrillation23 Participants
Other Pre-specified

New Onset of Permanent Atrial Fibrillation

Time frame: 4 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew Onset of Permanent Atrial Fibrillation23 Participants
Control GroupNew Onset of Permanent Atrial Fibrillation20 Participants
Other Pre-specified

New Onset of Permanent Atrial Fibrillation

Time frame: 3 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew Onset of Permanent Atrial Fibrillation22 Participants
Control GroupNew Onset of Permanent Atrial Fibrillation20 Participants
Other Pre-specified

New Onset of Permanent Atrial Fibrillation

Time frame: 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew Onset of Permanent Atrial Fibrillation18 Participants
Control GroupNew Onset of Permanent Atrial Fibrillation15 Participants
Other Pre-specified

New Onset of Permanent Atrial Fibrillation

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNew Onset of Permanent Atrial Fibrillation14 Participants
Control GroupNew Onset of Permanent Atrial Fibrillation13 Participants
Other Pre-specified

Number of Days Alive and Out of Hospital

difference in medians between Device and Control groups

Time frame: From the time of randomization to 5 Years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Alive and Out of Hospital1123.5 Number of DaysStandard Deviation 664.8
Control GroupNumber of Days Alive and Out of Hospital894.8 Number of DaysStandard Deviation 655.1
Other Pre-specified

Number of Days Alive and Out of Hospital

Mean Number of days alive and out of hospital for the Device and Control groups

Time frame: From the time of randomization to 3 Years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Alive and Out of Hospital799.0 Number of DaysStandard Deviation 380.9
Control GroupNumber of Days Alive and Out of Hospital676.6 Number of DaysStandard Deviation 389.9
Other Pre-specified

Number of Days Alive and Out of Hospital

mean Number of days alive and out of hospital for the Device and Control groups

Time frame: From the time of randomization to 24 months

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Alive and Out of Hospital579.4 Number of DaysStandard Deviation 234
Control GroupNumber of Days Alive and Out of Hospital521.1 Number of DaysStandard Deviation 245
Other Pre-specified

Number of Days Alive and Out of Hospital

mean no of days alive and out of hospital in both Device and Control groups

Time frame: From the time of randomization to 12 months

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Alive and Out of Hospital316.6 Number of daysStandard Deviation 93.9
Control GroupNumber of Days Alive and Out of Hospital305.4 Number of daysStandard Deviation 98.6
Other Pre-specified

Number of Days Alive and Out of Hospital

difference in medians between Device and Control groups

Time frame: From the time of randomization to 4 Years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Alive and Out of Hospital979.3 Number of DaysStandard Deviation 527.4
Control GroupNumber of Days Alive and Out of Hospital797.5 Number of DaysStandard Deviation 527.4
Other Pre-specified

Number of Days Hospitalized From the Treatment Visit

mean Number of days hospitalized from the Treatment visit for the Device and Control groups

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Hospitalized From the Treatment Visit13.0 Number of DaysStandard Deviation 20
Control GroupNumber of Days Hospitalized From the Treatment Visit13.9 Number of DaysStandard Deviation 19.8
Other Pre-specified

Number of Days Hospitalized From the Treatment Visit

mean Number of days hospitalized from the Treatment visit for the Device and Control groups

Time frame: 3 Years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Hospitalized From the Treatment Visit18.4 Number of DaysStandard Deviation 28.3
Control GroupNumber of Days Hospitalized From the Treatment Visit17.5 Number of DaysStandard Deviation 22.7
Other Pre-specified

Number of Days Hospitalized From the Treatment Visit

mean Number of days hospitalized from the Treatment visit for the Device and Control groups

Time frame: 12 months

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Hospitalized From the Treatment Visit9.2 Number of DaysStandard Deviation 14.7
Control GroupNumber of Days Hospitalized From the Treatment Visit9.6 Number of DaysStandard Deviation 16.9
Other Pre-specified

Number of Days Hospitalized From the Treatment Visit

difference in medians between Device and Control groups

Time frame: 5 Years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Hospitalized From the Treatment Visit23.8 Number of DaysStandard Deviation 33.7
Control GroupNumber of Days Hospitalized From the Treatment Visit19.8 Number of DaysStandard Deviation 24.1
Other Pre-specified

Number of Days Hospitalized From the Treatment Visit

difference in medians between Device and Control groups

Time frame: 4 Years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemNumber of Days Hospitalized From the Treatment Visit21.3 Number of DaysStandard Deviation 31.1
Control GroupNumber of Days Hospitalized From the Treatment Visit19.0 Number of DaysStandard Deviation 23.9
Other Pre-specified

Number of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)

in each of the Device and Control groups

Time frame: 12 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Heart Failure70 Participants
MitraClip SystemNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Cardiovascular52 Participants
MitraClip SystemNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Non-Cardiovascular95 Participants
Control GroupNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Heart Failure118 Participants
Control GroupNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Cardiovascular54 Participants
Control GroupNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Non-Cardiovascular97 Participants
Other Pre-specified

Number of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)

in each of the Device and Control groups

Time frame: 24 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Heart Failure92 Participants
MitraClip SystemNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Cardiovascular72 Participants
MitraClip SystemNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Non-Cardiovascular124 Participants
Control GroupNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Heart Failure151 Participants
Control GroupNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Cardiovascular72 Participants
Control GroupNumber of Hospitalizations and Reason for Hospitalization (i.e. Heart Failure, Cardiovascular, Non-cardiovascular)Non-Cardiovascular128 Participants
Other Pre-specified

NYHA Functional Class

Measure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due to symptoms Class IV: Severe limitations

Time frame: 6 months

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class I51 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II139 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III56 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV7 Participants
Control GroupNYHA Functional ClassNYHA Class IV7 Participants
Control GroupNYHA Functional ClassNYHA Class I14 Participants
Control GroupNYHA Functional ClassNYHA Class III100 Participants
Control GroupNYHA Functional ClassNYHA Class II117 Participants
Other Pre-specified

NYHA Functional Class

Measure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due to symptoms Class IV: Severe limitations

Time frame: Baseline

Population: NYHA Class data available for only 311 subjects

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class I1 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II129 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III154 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV18 Participants
Control GroupNYHA Functional ClassNYHA Class IV33 Participants
Control GroupNYHA Functional ClassNYHA Class I0 Participants
Control GroupNYHA Functional ClassNYHA Class III168 Participants
Control GroupNYHA Functional ClassNYHA Class II110 Participants
Other Pre-specified

NYHA Functional Class

Measure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due to symptoms Class IV: Severe limitations

Time frame: 30 days

Population: All available data at 30 day follow-up

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class I44 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III55 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II172 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV10 Participants
Control GroupNYHA Functional ClassNYHA Class IV27 Participants
Control GroupNYHA Functional ClassNYHA Class I14 Participants
Control GroupNYHA Functional ClassNYHA Class II120 Participants
Control GroupNYHA Functional ClassNYHA Class III117 Participants
Other Pre-specified

NYHA Functional Class

Measure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due to symptoms Class IV: Severe limitations

Time frame: 12 months

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class III42 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II131 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV6 Participants
MitraClip SystemNYHA Functional ClassNYHA Class I40 Participants
Control GroupNYHA Functional ClassNYHA Class IV11 Participants
Control GroupNYHA Functional ClassNYHA Class II97 Participants
Control GroupNYHA Functional ClassNYHA Class III65 Participants
Control GroupNYHA Functional ClassNYHA Class I18 Participants
Other Pre-specified

NYHA Functional Class

Measure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due to symptoms Class IV: Severe limitations

Time frame: 24 months

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class II91 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III44 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV10 Participants
MitraClip SystemNYHA Functional ClassNYHA Class I31 Participants
Control GroupNYHA Functional ClassNYHA Class IV8 Participants
Control GroupNYHA Functional ClassNYHA Class I12 Participants
Control GroupNYHA Functional ClassNYHA Class III54 Participants
Control GroupNYHA Functional ClassNYHA Class II69 Participants
Other Pre-specified

NYHA Functional Class

Measure Description: The New York Heart Association (NYHA) Classification provides a simple way of classifyingthe extent of heart failure. It classifies patients in one of four categories based on their limitations during physicalactivity: Class I: No symptoms and no limitation in ordinary physical activity Class II: Mild symptoms (mild shortness ofbreath and/or angina) and slight limitation during ordinary activity Class III: Marked limitation in activity due tosymptoms Class IV: Severe limitations

Time frame: 3 years

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class I25 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II85 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III32 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV4 Participants
Control GroupNYHA Functional ClassNYHA Class IV6 Participants
Control GroupNYHA Functional ClassNYHA Class I16 Participants
Control GroupNYHA Functional ClassNYHA Class III32 Participants
Control GroupNYHA Functional ClassNYHA Class II48 Participants
Other Pre-specified

NYHA Functional Class

Time frame: 4 years

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class I21 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II70 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III29 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV5 Participants
Control GroupNYHA Functional ClassNYHA Class IV5 Participants
Control GroupNYHA Functional ClassNYHA Class I10 Participants
Control GroupNYHA Functional ClassNYHA Class III25 Participants
Control GroupNYHA Functional ClassNYHA Class II36 Participants
Other Pre-specified

NYHA Functional Class

Time frame: 5 years

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemNYHA Functional ClassNYHA Class I17 Participants
MitraClip SystemNYHA Functional ClassNYHA Class II45 Participants
MitraClip SystemNYHA Functional ClassNYHA Class III28 Participants
MitraClip SystemNYHA Functional ClassNYHA Class IV4 Participants
Control GroupNYHA Functional ClassNYHA Class IV0 Participants
Control GroupNYHA Functional ClassNYHA Class I12 Participants
Control GroupNYHA Functional ClassNYHA Class III26 Participants
Control GroupNYHA Functional ClassNYHA Class II27 Participants
Other Pre-specified

Prolonged Ventilation

Defined as pulmonary insufficiency requiring ventilatory support for greater than 48 hours post-catheterization

Time frame: 30 days

Other Pre-specified

Proportion of Alive Time in Hospital

summarized and compared between Device and Control groups

Time frame: 5 years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.1
Control GroupProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.08
Other Pre-specified

Proportion of Alive Time in Hospital

summarized and compared between Device and Control groups

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemProportion of Alive Time in Hospital0.04 Number of DaysStandard Deviation 0.1
Control GroupProportion of Alive Time in Hospital0.04 Number of DaysStandard Deviation 0.08
Other Pre-specified

Proportion of Alive Time in Hospital

summarized and compared between Device and Control groups

Time frame: 12 months

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.1
Control GroupProportion of Alive Time in Hospital0.04 Number of DaysStandard Deviation 0.09
Other Pre-specified

Proportion of Alive Time in Hospital

summarized and compared between Device and Control groups

Time frame: 3 years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.1
Control GroupProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.08
Other Pre-specified

Proportion of Alive Time in Hospital

summarized and compared between Device and Control groups

Time frame: 4 years

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.1
Control GroupProportion of Alive Time in Hospital0.05 Number of DaysStandard Deviation 0.08
Other Pre-specified

Proportion of Subjects Living in the Baseline Location

Subjects living in the baseline location include : home, retirement home, nursing facility and other location.

Time frame: 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemProportion of Subjects Living in the Baseline Location217 Participants
Control GroupProportion of Subjects Living in the Baseline Location198 Participants
Other Pre-specified

Proportion of Subjects Living in the Baseline Location

Time frame: 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemProportion of Subjects Living in the Baseline Location98 Participants
Control GroupProportion of Subjects Living in the Baseline Location72 Participants
Other Pre-specified

Proportion of Subjects Living in the Baseline Location

Time frame: 3 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemProportion of Subjects Living in the Baseline Location150 Participants
Control GroupProportion of Subjects Living in the Baseline Location108 Participants
Other Pre-specified

Proportion of Subjects Living in the Baseline Location

Time frame: 4 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemProportion of Subjects Living in the Baseline Location129 Participants
Control GroupProportion of Subjects Living in the Baseline Location86 Participants
Other Pre-specified

Proportion of Subjects Living in the Baseline Location

Subjects living in the baseline location include : home, retirement home, nursing facility and other location.

Time frame: 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemProportion of Subjects Living in the Baseline Location130 Participants
Control GroupProportion of Subjects Living in the Baseline Location87 Participants
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: 6 months

Population: Echocardiogram data was available for 45 subjects in the device arm and 54 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction34.14 percentageStandard Deviation 15.89
Control GroupRegurgitant Fraction42.20 percentageStandard Deviation 14.49
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: 4 years

Population: Echocardiogram data was available for 11 subjects in the device arm and 5 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction32.00 percentageStandard Deviation 7.72
Control GroupRegurgitant Fraction38.80 percentageStandard Deviation 21.51
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: Echocardiogram data was available for 85 subjects in the device arm and 70 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction31.00 percentageStandard Deviation 14.53
Control GroupRegurgitant Fraction35.29 percentageStandard Deviation 15.32
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: Baseline

Population: Echocardiogram data was available for 123 subjects in the device group and 136 subjects in the control group.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction38.24 percentageStandard Deviation 13.81
Control GroupRegurgitant Fraction34.81 percentageStandard Deviation 14.94
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricledue to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: 3 years

Population: Echocardiogram data is available for 20 subjects in the device arm and 17 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction31.00 percentageStandard Deviation 12.38
Control GroupRegurgitant Fraction38.71 percentageStandard Deviation 10.21
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: 24 months

Population: Echocardiogram data is available for 21 subjects in the device arm and 28 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction34.29 percentageStandard Deviation 14.52
Control GroupRegurgitant Fraction41.79 percentageStandard Deviation 14.93
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency.

Time frame: 12 months

Population: Echocardiogram data was available for 33 subjects in the device arm and 45 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction32.15 percentageStandard Deviation 13.06
Control GroupRegurgitant Fraction37.80 percentageStandard Deviation 15.49
Other Pre-specified

Regurgitant Fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the aortic valve to the left ventricle due to aortic insufficiency, or through the mitral valve to the atrium due to mitral insufficiency

Time frame: 5 years

Population: Echocardiogram data is available for 9 subjects in the device arm and 9 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Fraction37.78 percentageStandard Deviation 12.77
Control GroupRegurgitant Fraction32.78 percentageStandard Deviation 9.2
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: 24 months

Population: Echocardiogram data was available for 21 subjects in the device arm and 28 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume21.48 ml/beatStandard Deviation 11.34
Control GroupRegurgitant Volume32.96 ml/beatStandard Deviation 16.04
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: 12 months

Population: Echocardiogram data was available for 33 subjects in the device arm and 45 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume21.61 ml/beatStandard Deviation 12.12
Control GroupRegurgitant Volume27.76 ml/beatStandard Deviation 14.35
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from theLeft Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: 3 years

Population: Echocardiogram data was available for 20 subjects in the device arm and 17 subjects in the control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume18.80 ml/beatStandard Deviation 9.61
Control GroupRegurgitant Volume24.65 ml/beatStandard Deviation 12.26
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: 4 years

Population: Echocardiogram data was available for 11 subjects in the device arm and 5 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume18.36 ml/beatStandard Deviation 6.27
Control GroupRegurgitant Volume23.00 ml/beatStandard Deviation 14.47
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: 5 years

Population: Echocardiogram data was available for 9 subjects in the device arm and 9 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume21.11 ml/beatStandard Deviation 10.11
Control GroupRegurgitant Volume18.78 ml/beatStandard Deviation 5.95
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: Baseline

Population: Echocardiogram data was available for 124 subjects in the device arm and 136 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume28.80 ml/beatStandard Deviation 16.99
Control GroupRegurgitant Volume25.01 ml/beatStandard Deviation 15.31
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: Echocardiogram data was available for 85 subjects in device arm and 70 subjects in control arm

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume20.04 ml/beatStandard Deviation 11.86
Control GroupRegurgitant Volume25.97 ml/beatStandard Deviation 15.68
Other Pre-specified

Regurgitant Volume

Regurgitant Volume is calculated by subtracting the inflow volume across the mitral valve during diastole from the Left Ventricular Outflow Tract (LVOT) stroke volume during systole.

Time frame: 6 months

Population: Echocardiogram data was available for 45 subjects in the device arm and 54 subjects in the control arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRegurgitant Volume23.60 ml/beatStandard Deviation 16
Control GroupRegurgitant Volume32.59 ml/beatStandard Deviation 15.82
Other Pre-specified

Responder Analysis for 6MWD

Where responder is defined as alive and experiencing an improvement of 24 meters and 50 meters (difference in proportion of responders between Device and Control groups)

Time frame: 24 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for 6MWDExperiencing Improvement >= 24 meters44 Participants
MitraClip SystemResponder Analysis for 6MWDExperiencing Improvement >= 50 meters34 Participants
Control GroupResponder Analysis for 6MWDExperiencing Improvement >= 24 meters34 Participants
Control GroupResponder Analysis for 6MWDExperiencing Improvement >= 50 meters23 Participants
Other Pre-specified

Responder Analysis for 6MWD

Where responder is defined as alive and experiencing an improvement of 24 meters and 50 meters (difference in proportion of responders between Device and Control groups)

Time frame: 12 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for 6MWDExperiencing Improvement >= 24 meters100 Participants
MitraClip SystemResponder Analysis for 6MWDExperiencing Improvement >= 50 meters75 Participants
Control GroupResponder Analysis for 6MWDExperiencing Improvement >= 24 meters66 Participants
Control GroupResponder Analysis for 6MWDExperiencing Improvement >= 50 meters42 Participants
Other Pre-specified

Responder Analysis for LVEDV Index

Where responder is defined as alive and experiencing an improvement of 12 ml/m2 (difference in proportion of responders between Device and Control groups)

Time frame: 4 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for LVEDV Index13 Participants
Control GroupResponder Analysis for LVEDV Index6 Participants
Other Pre-specified

Responder Analysis for LVEDV Index

Where responder is defined as alive and experiencing an improvement of 12 ml/m2 (difference in proportion of responders between Device and Control groups)

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for LVEDV Index20 Participants
Control GroupResponder Analysis for LVEDV Index8 Participants
Other Pre-specified

Responder Analysis for LVEDV Index

Where responder is defined as alive and experiencing an improvement of 12 ml/m2 (difference in proportion of responders between Device and Control groups)

Time frame: 5 years

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for LVEDV Index9 Participants
Control GroupResponder Analysis for LVEDV Index3 Participants
Other Pre-specified

Responder Analysis for LVEDV Index

Where responder is defined as alive and experiencing an improvement of 12 ml/m2 (difference in proportion of responders between Device and Control groups)

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for LVEDV Index35 Participants
Control GroupResponder Analysis for LVEDV Index32 Participants
Other Pre-specified

Responder Analysis for LVEDV Index

Where responder is defined as alive and experiencing an improvement of 12 ml/m2 (difference in proportion of responders between Device and Control groups)

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for LVEDV Index26 Participants
Control GroupResponder Analysis for LVEDV Index20 Participants
Other Pre-specified

Responder Analysis for QoL (KCCQ)

Where responder is defined as alive and experiencing an improvement of 5 points (difference in proportion of responders between Device and Control groups)

Time frame: 24 months

Population: All available data has been reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for QoL (KCCQ)88 Participants
Control GroupResponder Analysis for QoL (KCCQ)46 Participants
Other Pre-specified

Responder Analysis for QoL (KCCQ)

Where responder is defined as alive and experiencing an improvement of 5 points (difference in proportion of responders between Device and Control groups)

Time frame: 12 months

Population: All available data has been reported.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemResponder Analysis for QoL (KCCQ)151 Participants
Control GroupResponder Analysis for QoL (KCCQ)103 Participants
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)41.41 mmHgStandard Deviation 11.63
Control GroupRight Ventricular Systolic Pressure (RVSP)43.81 mmHgStandard Deviation 14.24
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: 3 years

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)37.73 mmHgStandard Deviation 11.56
Control GroupRight Ventricular Systolic Pressure (RVSP)37.57 mmHgStandard Deviation 13.61
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)34.85 mmHgStandard Deviation 12.92
Control GroupRight Ventricular Systolic Pressure (RVSP)35.41 mmHgStandard Deviation 12.12
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)39.46 mmHgStandard Deviation 12.9
Control GroupRight Ventricular Systolic Pressure (RVSP)40.27 mmHgStandard Deviation 14.92
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: 4 years

Population: All available electrocardiogram data has been presented.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)37.37 mmHgStandard Deviation 13.04
Control GroupRight Ventricular Systolic Pressure (RVSP)39.76 mmHgStandard Deviation 14.54
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: 12 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)38.63 mmHgStandard Deviation 13
Control GroupRight Ventricular Systolic Pressure (RVSP)39.31 mmHgStandard Deviation 13.24
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)40.96 mmHgStandard Deviation 13.06
Control GroupRight Ventricular Systolic Pressure (RVSP)42.21 mmHgStandard Deviation 14.19
Other Pre-specified

Right Ventricular Systolic Pressure (RVSP)

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemRight Ventricular Systolic Pressure (RVSP)43.95 mmHgStandard Deviation 13.44
Control GroupRight Ventricular Systolic Pressure (RVSP)44.56 mmHgStandard Deviation 13.96
Other Pre-specified

SF-36 QoL Scores

The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: 12 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemSF-36 QoL ScoresSF-36 PCS38.7 SF-36 scores on a points scaleStandard Deviation 10.2
MitraClip SystemSF-36 QoL ScoresSF-36 MCS51.3 SF-36 scores on a points scaleStandard Deviation 10.8
Control GroupSF-36 QoL ScoresSF-36 PCS34.6 SF-36 scores on a points scaleStandard Deviation 10.8
Control GroupSF-36 QoL ScoresSF-36 MCS48.2 SF-36 scores on a points scaleStandard Deviation 13.8
Other Pre-specified

SF-36 QoL Scores

The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: Baseline

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemSF-36 QoL ScoresSF-36 PCS33.0 SF-36 score on a points scaleStandard Deviation 9.1
MitraClip SystemSF-36 QoL ScoresSF-36 MCS46.7 SF-36 score on a points scaleStandard Deviation 12.7
Control GroupSF-36 QoL ScoresSF-36 PCS32.6 SF-36 score on a points scaleStandard Deviation 10
Control GroupSF-36 QoL ScoresSF-36 MCS13.0 SF-36 score on a points scaleStandard Deviation 12
Other Pre-specified

SF-36 QoL Scores

The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: 30 days

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemSF-36 QoL ScoresSF-36 PCS39.2 SF-36 score on a points scaleStandard Deviation 9.2
MitraClip SystemSF-36 QoL ScoresSF-36 MCS51.4 SF-36 score on a points scaleStandard Deviation 11.5
Control GroupSF-36 QoL ScoresSF-36 PCS33.6 SF-36 score on a points scaleStandard Deviation 9.9
Control GroupSF-36 QoL ScoresSF-36 MCS46.1 SF-36 score on a points scaleStandard Deviation 13.4
Other Pre-specified

SF-36 QoL Scores

The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: 24 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemSF-36 QoL ScoresSF-36 PCS38.7 SF-36 scores on a points scaleStandard Deviation 10.4
MitraClip SystemSF-36 QoL ScoresSF-36 MCS50.6 SF-36 scores on a points scaleStandard Deviation 12.1
Control GroupSF-36 QoL ScoresSF-36 PCS33.7 SF-36 scores on a points scaleStandard Deviation 9.8
Control GroupSF-36 QoL ScoresSF-36 MCS47.2 SF-36 scores on a points scaleStandard Deviation 12.1
Other Pre-specified

SF-36 QoL Scores

The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. with a range of possible subscale scores from 0 to 100, with 100 representing the least burden of symptoms. There are two distinct concepts measured by the SF-36: a physical dimension, represented by the Physical Component Summary (PCS), and a mental dimension, represented by the Mental Component Summary (MCS).

Time frame: 6 months

Population: All available data has been reported.

ArmMeasureGroupValue (MEAN)Dispersion
MitraClip SystemSF-36 QoL ScoresSF-36 PCS39.0 SF-36 scores on a points scaleStandard Deviation 10.3
MitraClip SystemSF-36 QoL ScoresSF-36 MCS52.1 SF-36 scores on a points scaleStandard Deviation 10.3
Control GroupSF-36 QoL ScoresSF-36 PCS34.2 SF-36 scores on a points scaleStandard Deviation 9.9
Control GroupSF-36 QoL ScoresSF-36 MCS47.0 SF-36 scores on a points scaleStandard Deviation 12.9
Other Pre-specified

Six-Minute Walk Test Distance (6MWD)

Six-Minute Walk Test is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6-minute walk test distance (6 MWD) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

Time frame: Baseline

Population: All available 6MWD has been reported.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemSix-Minute Walk Test Distance (6MWD)249.6 metersStandard Deviation 123.8
Control GroupSix-Minute Walk Test Distance (6MWD)234.5 metersStandard Deviation 123.5
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: Baseline

Population: All available echocardiogram data has been reported.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present1 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent299 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present1 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent309 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: At discharge (or 30 days if discharge echocardiogram is not available)

Population: All available echocardiogram data has been reported.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present1 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent288 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present1 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent257 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: 12 months

Population: All available echocardiogram has been reported.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent210 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent177 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: 24 months

Population: All available echocardiogram data has been reported.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent164 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent126 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: 3 years

Population: All available data has been reported.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent120 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent78 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: 4 years

Population: All electrocardiogram data has been presented.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent81 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent50 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: 5 years

Population: All available electrocardiogram data has been presented.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent58 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent46 Participants
Other Pre-specified

Systolic Anterior Motion of the Mitral Valve (Present or Absent)

Time frame: 6 months

Population: All available echocardiogram data has been reported.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present0 Participants
MitraClip SystemSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent239 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Present1 Participants
Control GroupSystolic Anterior Motion of the Mitral Valve (Present or Absent)Absent218 Participants
Other Pre-specified

The Number and Reasons for Any Changes in GDMT and GDMT Dosage From Baseline

Time frame: Between baseline and 5 years

Population: All available data has been reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAldosterone Antagonist27 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineACE Inhibitors25 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineARBs28 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBeta Blocker40 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators Nitrate9 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators6 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators Nitrate8 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBeta Blocker33 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineACE Inhibitors18 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators13 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineARBs23 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAldosterone Antagonist15 Participants
Other Pre-specified

The Number and Reasons for Any Changes in GDMT and GDMT Dosage From Baseline

Time frame: Between baseline and 3 years

Population: Not all subjects were on all the drugs.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineACE-Inhibitors44 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAngiotensin-ReceptorBlockers (ARBs)40 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAldosteroneAntagonists33 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBeta Blockers52 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators (Nitrate)20 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators(Hydralazine)17 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators (Nitrate)9 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineACE-Inhibitors25 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBeta Blockers44 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAngiotensin-ReceptorBlockers (ARBs)26 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators(Hydralazine)12 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAldosteroneAntagonists32 Participants
Other Pre-specified

The Number and Reasons for Any Changes in GDMT and GDMT Dosage From Baseline

Time frame: Between baseline and 4 years

Population: All available data has been reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineACE Inhibitors31 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineARBS39 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAldosterone Antagonist29 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBeta Blocker50 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators Nitrate13 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators10 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators Nitrate12 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineACE Inhibitors21 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineBeta Blocker35 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineARBS27 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineVasodilators12 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT and GDMT Dosage From BaselineAldosterone Antagonist31 Participants
Other Pre-specified

The Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 5 years

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% orStop20 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone AntagonistsIncrease>100% or New Class33 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100%orNew Class22 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% orNew Class62 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% orNew Class18 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop5 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or NewClass26 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease> 50% or Stop4 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% orStop30 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% orNew Class35 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease >50% or Stop0 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase >100% or New Class9 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease> 50% or Stop8 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% orStop1 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease >50% or Stop1 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% orStop7 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease> 50% or Stop5 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone AntagonistsIncrease>100% or New Class16 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease> 50% or Stop3 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100%orNew Class27 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% orStop0 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% orStop34 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase >100% or New Class15 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% orNew Class14 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% orNew Class27 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop3 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% orNew Class34 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or NewClass22 Participants
Other Pre-specified

The Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 4 years

Population: All available data has been reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone AntagonistsIncrease>100% or New Class32 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% orStop29 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% orNew Class35 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease >50% or Stop0 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase >100% or New Class7 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100%orNew Class21 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% orStop0 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% orNew Class57 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% orStop20 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% orNew Class18 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop5 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or NewClass25 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease> 50% or Stop3 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease> 50% or Stop7 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% orStop0 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone AntagonistsIncrease>100% or New Class15 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or NewClass21 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% orStop32 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% orNew Class33 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% orNew Class26 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop3 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease >50% or Stop1 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% orStop7 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase >100% or New Class14 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease> 50% or Stop3 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease> 50% or Stop5 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100%orNew Class26 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% orNew Class12 Participants
Other Pre-specified

The Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 3 years

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease >50% or Stop0 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% orStop25 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% orNew Class15 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% orNew Class32 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase >100% or New Class6 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% orStop19 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease> 50% or Stop7 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or NewClass22 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100%orNew Class19 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease> 50% or Stop3 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% orStop0 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop4 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% orNew Class45 Participants
MitraClip SystemThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone AntagonistsIncrease>100% or New Class27 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% orNew Class29 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% orNew Class12 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop3 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% orNew Class26 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease >50% or Stop1 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or NewClass19 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease> 50% or Stop5 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone AntagonistsIncrease>100% or New Class14 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% orStop29 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase >100% or New Class13 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease> 50% or Stop1 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100%orNew Class24 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% orStop0 Participants
Control GroupThe Number and Reasons for Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% orStop7 Participants
Other Pre-specified

The Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 12 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease >50% or Stop3 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% or Stop16 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase > 100% or New Class3 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% or New Class26 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or New Class13 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease > 50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine) Decrease > 50% or Stop3 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Increase > 100% or New Class9 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine) Increase>100%orNewClass13 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease > 50% or Stop2 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% or Stop13 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN inhibitors Increase > 100% or New Class13 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Increase>100% or New Class16 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN inhibitors Increase > 100% or New Class20 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase > 100% or New Class6 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% or Stop5 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Increase > 100% or New Class8 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease >50% or Stop2 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or New Class12 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease > 50% or Stop2 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Increase>100% or New Class8 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% or Stop16 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% or New Class12 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine) Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine) Increase>100%orNewClass12 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease > 50% or Stop0 Participants
Other Pre-specified

The Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 24 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or New Class19 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% or New Class26 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% or Stop17 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% or New Class14 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop3 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease > 50% or Stop2 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Increase>100% or New Class21 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% or Stop20 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% or New Class29 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease > 50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase > 100% or New Class5 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease > 50% or Stop6 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine) Increase>100%orNew Class14 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Increase > 100% or New Class11 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Decrease > 50% or Stop26 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% or New Class24 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine) Increase>100%orNew Class20 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors Decrease > 50% or Stop6 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers Increase > 100% or New Class19 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE Inhibitors Increase > 100% or New Class11 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Decrease > 50% or Stop1 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Decrease > 50% or Stop2 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARBs Increase > 100% or New Class16 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Nitrate) Decrease > 50% or Stop1 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Decrease > 50% or Stop3 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists Increase>100% or New Class10 Participants
Other Pre-specified

The Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 6 months

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Increase > 100% or New Class)7 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Decrease > 50% or Stop)1 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Increase > 100% or NewCl)11 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Decrease > 50% or Stop)14 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Increase > 100% or New Class)19 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Decrease > 50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Increase > 100% or NewClass1 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Hydralazine) Decrease > 50% or Stop1 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100% orNewClass7 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-I (Decrease > 50% or Stop)8 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-I (Increase > 100% or New Class)6 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Decrease > 50% or Stop)2 Participants
MitraClip SystemThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% or New Class6 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-I (Decrease > 50% or Stop)4 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Increase > 100% or New Class)9 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Hydralazine) Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Decrease > 50% or Stop)1 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Decrease > 50% or Stop)1 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Increase > 100% or NewCl)7 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase>100% orNewClass6 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Decrease > 50% or Stop)10 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-I (Increase > 100% or New Class)4 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Increase > 100% or New Class)9 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Decrease > 50% or Stop0 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors Increase > 100% or New Class12 Participants
Control GroupThe Number of Subjects With Any Changes in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Increase > 100% or NewClass5 Participants
Other Pre-specified

The Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in Dose

Time frame: Between baseline and 30 days

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Increase>100%orNewClass)2 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Increase >100% or New Class)2 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Decrease>50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Decrease > 50% or Stop)1 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Increase > 100% or NewClass1 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors (Decrease > 50% or Stop)0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Hydralazine) Decrease>50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Increase > 100% or New Class)0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase >100% orNewClass1 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Decrease > 50% or Stop)2 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors - Decrease>50% or Stop0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Decrease > 50% or stop)0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors - Increase > 100% or NewClass0 Participants
MitraClip SystemThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors (Increase > 100% or New Class)1 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors - Increase > 100% or NewClass0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Decrease > 50% or Stop)0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors (Decrease > 50% or Stop)0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseACE-Inhibitors (Increase > 100% or New Class)1 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Decrease > 50% or Stop)0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARB (Increase > 100% or New Class)1 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Decrease > 50% or stop)0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseBeta Blockers (Increase >100% or New Class)2 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Decrease>50% or Stop0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Nitrate) Increase > 100% or NewClass0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators (Hydralazine) Decrease>50% or Stop0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseVasodilators(Hydralazine)Increase >100% orNewClass1 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseARN Inhibitors - Decrease>50% or Stop0 Participants
Control GroupThe Number of Subjects With Change in GDMT From Baseline That Result in a Greater Than 100% Increase or Greater Than 50% Decrease in DoseAldosterone Antagonists (Increase>100%orNewClass)2 Participants
Other Pre-specified

The Number of Subjects With Changes in GDMT Dosage From Baseline

Time frame: Between baseline and 30 days

Population: Not all subjects were on all the drugs.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From BaselineAngiotensin-Receptor Blocker (ARBs)20 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From BaselineACE-Inhibitors44 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From BaselineVasodilators (Nitrate)10 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From BaselineAldosterone Antagonists29 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From BaselineVasodilators (Hydralazine)11 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From BaselineBeta Blocker60 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From BaselineVasodilators (Hydralazine)13 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From BaselineACE-Inhibitors23 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From BaselineAngiotensin-Receptor Blocker (ARBs)20 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From BaselineAldosterone Antagonists25 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From BaselineBeta Blocker48 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From BaselineVasodilators (Nitrate)12 Participants
Other Pre-specified

The Number of Subjects With Changes in GDMT Dosage From Baseline and 12 Months

Time frame: Between baseline and 12 months

Population: Not all subjects were on all the drugs.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsACE-Inhibitors61 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsAngiotension-Receptor Blockers (ARBs)14 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsAldosterone Antagonists44 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsBeta Blocker76 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsVasodilators (Nitrate)14 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsVasodilators (Hydralazine)14 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsVasodilators (Nitrate)19 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsACE-Inhibitors37 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsBeta Blocker66 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsAngiotension-Receptor Blockers (ARBs)38 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsVasodilators (Hydralazine)14 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 12 MonthsAldosterone Antagonists44 Participants
Other Pre-specified

The Number of Subjects With Changes in GDMT Dosage From Baseline and 24 Months

Time frame: Between baseline and 24 months

Population: Not all subjects were on all the drugs.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsACE-Inhibitors36 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsAngiotensin-Receptor Blockers (ARBs)29 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsAldosterone Antagonists28 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsBeta Blockers43 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsVasodilators (Nitrate)7 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsVasodilators (Hydralazine)10 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsVasodilators (Nitrate)11 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsACE-Inhibitors24 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsBeta Blockers34 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsAngiotensin-Receptor Blockers (ARBs)21 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsVasodilators (Hydralazine)14 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline and 24 MonthsAldosterone Antagonists21 Participants
Other Pre-specified

The Number of Subjects With Changes in GDMT Dosage From Baseline to 6 Months

Time frame: Between baseline and 6 months

Population: Not all subjects were on all the drugs.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsAngiotensin-Receptor Blockers (ARBs)35 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsBeta Blocker74 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsACE-Inhibitors53 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsVasodilators (Nitrate)14 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsAldosterone Antagonists44 Participants
MitraClip SystemThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsVasodilators (Hydralazine)15 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsAldosterone Antagonists35 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsACE-Inhibitors41 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsAngiotensin-Receptor Blockers (ARBs)27 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsVasodilators (Hydralazine)20 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsBeta Blocker60 Participants
Control GroupThe Number of Subjects With Changes in GDMT Dosage From Baseline to 6 MonthsVasodilators (Nitrate)18 Participants
Other Pre-specified

Total Procedure Time

Defined as the time elapsed from the first of any of the following: intravascular catheter placement, anesthesia or sedation, or transesophageal echocardiogram (TEE), to the removal of the last catheter and TEE

Time frame: Day 0

Population: Total procedure time was available for 293 subjects from the 302 subjects randomized to device arm.

ArmMeasureValue (MEAN)Dispersion
MitraClip SystemTotal Procedure Time162.9 minutesStandard Deviation 118.1

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026