Mitral Valve Regurgitation
Conditions
Keywords
Mitral, Regurgitation, Insufficiency, Degenerative, Functional, Primary, Secondary, Organic, Transcatheter, TMVR, TMVI, Heart valve, Mitral valve, Transapical, Transfemoral, Transeptal, Severe
Brief summary
Clinical study to evaluate the safety and performance of the CardiAQ-Edwards™ Transcatheter Mitral Valve
Detailed description
The study is a multi-center, prospective, single-arm, and non-randomized study designed to evaluate the safety and performance of the CardiAQ-Edwards™ Transcatheter Mitral Valve with transapical and transseptal delivery systems in patients with degenerative or functional/ischemic mitral regurgitation.
Interventions
Replacement of the mitral valve through a transcatheter approach
Sponsors
Study design
Eligibility
Inclusion criteria
* NYHA ≥ II * Moderate/severe or severe mitral regurgitation * Prohibitive risk for open-heart surgery * Meets anatomical criteria
Exclusion criteria
* Unsuitable anatomy * Need for emergent or urgent surgery * Prior mechanical aortic valve replacement * Any prior surgical or transcatheter repair (excluding balloon valvuloplasty) or replacement of the mitral valve * Preexisting device in the left ventricular apex * Clinically significant, untreated coronary artery disease * Limited life expectancy (\< 12 months) * Active infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Freedom from major adverse cardiac and cerebrovascular events | 30 days | MACCE; all-cause mortality, myocardial infarction, stroke, renal failure, and conversion to surgery per MVARC definitions |
| Freedom from individual adverse events | 30 days | % Freedom from individual adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in mitral regurgitation (MR) grade: | 30 days, 3 months, 6 months, 12 months | Number of patients with reduction in MR grade from baseline |
| Technical success | 30 days, 3 months, 6 months, 12 months | Technical success per MVARC criteria (%) |
| New York Heart Association (NYHA) functional class | 30 days, 3 months, 6 months, 12 months | Number of patients with improvement in NYHA class |
| Procedure success | 30 days, 3 months, 6 months, 12 months | Procedure success per MVARC criteria (%) |
| Patient success | 30 days, 3 months, 6 months, 12 months | Patient success per MVARC criteria (%) |
| Device success | 30 days, 3 months, 6 months, 12 months | Device success per MVARC criteria (%) |
| Six minute walk test: | 30 days, 3 months, 6 months, 12 months | Increase in distance (m) from baseline |
Countries
Canada, Denmark, France, Germany, Italy, Netherlands, Switzerland