NCT03813524

Brief Summary

This study is to evaluate the safety and technical performance of the Cardiovalve Transfemoral Mitral Valve System with its associated procedure, to minimize mitral regurgitation. Data collected in this clinical study will include 30-day safety and performance of the device and delivery system, and long-term clinical outcomes over a follow-up of 5 years.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2019

Geographic Reach
1 country

2 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 16, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

January 23, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

March 26, 2019

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2020

Completed
6.2 years until next milestone

Results Posted

Study results publicly available

June 2, 2026

Completed
Last Updated

June 25, 2026

Status Verified

June 1, 2026

Enrollment Period

1 year

First QC Date

January 16, 2019

Results QC Date

April 16, 2025

Last Update Submit

June 1, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Number of Participants With Cardiovalve Technical Success

    1. Successful access, delivery and retrieval of the delivery system; and 2. Successful deployment and correct positioning of the first intended implant; and 3. Freedom from emergency surgery or reintervention related to the device or access procedure Without any procedural mortality, stroke, and device dysfunction (Central MR grade \> 1 or paravalvular leak moderate or severe, mean mitral gradient \> 6 mm Hg, LVOT obstruction (gradient increase ≥10 mm Hg)) at 30-day follow up.

    30 Days

  • Number of Participants With Major Device Related Adverse Events Through 30 Days

    1. Death (Cardiovascular mortality vs non-cardiovascular); 2. Reintervention (operative or transcatheter) due to progressive or recurrent MR or device related complications; 3. Disabling Stroke; 4. Myocardial infarction (MVARC definition); 5. Major access site and vascular complications 6. Fatal or Life-threatening bleeding (MVARC Type III- V) 7. Life-threatening arrhythmia; 8. Renal Failure requiring dialysis;

    30 Days

Study Arms (1)

Cardiovalve Transfemoral Mitral Valve

EXPERIMENTAL

Replacement valve delivered through a transfemoral access and transseptal approach

Device: Cardiovalve Transfemoral Mitral Valve

Interventions

The Cardiovalve Transfemoral Mitral Valve System is intended for use symptomatic patients with severe mitral regurgitation who are at elevated risk for surgical mitral valve repair or replacement and who are anatomically eligible for transfemoral mitral valve replacement with transseptal access to the left atrium.

Cardiovalve Transfemoral Mitral Valve

Eligibility Criteria

Age18 Years - 84 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • \>Age ≥ 18 years
  • Symptomatic (Stage D) severe MR confirmed by the echo core lab
  • Cardiac Index \> 2.0
  • Left Ventricular Ejection Fraction (LVEF) is ≥ 30% (within 90 days prior to subject enrollment based upon TTE)
  • New York Heart Association (NYHA) Functional Class II, III or ambulatory IVa
  • Prior treatment with Guideline Directed Medical Therapy (GDMT) for heart failure for at least 30 days prior to index procedure
  • Patient deemed a high surgical risk per MVARC definition by the site's Heart Team (as a minimum, one MV cardiac surgeon and one interventional cardiologist, and a cardiac imaging expert).

You may not qualify if:

  • MR etiology that is exclusively Primary (degenerative)
  • Echocardiographic or angiographic evidence of severe mitral annular calcification
  • Echocardiographic evidence of EROA \< 0.3cm2
  • Untreated clinically significant coronary artery disease requiring revascularization.
  • Hypertrophic/restrictive cardiomyopathy, constrictive pericarditis, or other structural heart disease causing heart failure other than other than cardiomyopathy of either ischemic or non-ischemic etiology
  • Hypotension (systolic pressure \< 90 mm Hg)/Cardiogenic shock or other hemodynamic instability requiring the need for inotropic
  • Fixed pulmonary artery systolic pressure \> 2/3 of systemic systolic blood pressure
  • LVEDD \>75 mm
  • Severe tricuspid regurgitation or evidence of severe right ventricular dysfunction.
  • Anatomy deemed not suitable for the Cardiovalve
  • Elevated Creatine Kinase-MB (CK-MB)
  • UNOS Status 1 heart transplant or prior orthotropic heart transplantation.
  • Life Expectancy \< 1 year due to non-cardiac conditions
  • NYHA functional class IVb
  • Chronic Kidney Disease with Creatinine clearance \<30 ml/min/1.73m2
  • +17 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Piedmont Heart Institute

Atlanta, Georgia, 30309, United States

Location

Columbia University Medical Center/NYPH

New York, New York, 10032, United States

Location

MeSH Terms

Conditions

Mitral Valve Insufficiency

Condition Hierarchy (Ancestors)

Heart Valve DiseasesHeart DiseasesCardiovascular Diseases

Limitations and Caveats

Early termination due to COVID leading to small numbers of subjects analyzed and decision to close the trial.

Results Point of Contact

Title
Lauren Baker
Organization
Insight Medical

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 16, 2019

First Posted

January 23, 2019

Study Start

March 26, 2019

Primary Completion

March 31, 2020

Study Completion

March 31, 2020

Last Updated

June 25, 2026

Results First Posted

June 2, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will not share

Locations