NCT04218578

Brief Summary

The aim of this study is i) to evaluate left ventricular global longitudinal strain and myocardial work in patients with heart failure and severe functional mitral regurgitation one year after MitraClip implantation and compare these variables with patients treated with optimal medical treatment and ii) to find echocardiographic predictors of clinical response and reverse left ventricular remodeling at one-year follow up.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started May 2018

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

May 10, 2018

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2019

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 10, 2019

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

December 30, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

January 6, 2020

Completed
Last Updated

January 6, 2020

Status Verified

January 1, 2020

Enrollment Period

9 months

First QC Date

December 30, 2019

Last Update Submit

January 2, 2020

Conditions

Keywords

MitraClipFunctional mitral regurgitationReverse remodeling

Outcome Measures

Primary Outcomes (2)

  • Changes of LV volumes

    change of left ventricular end-diastolic and end-systolic volumes during one-year follow up of the patients

    one year

  • Changes of NYHA class status

    measurement of NYHA class status at baseline and one-year follow uo

    one year

Secondary Outcomes (1)

  • Changes of myocardial work of the LV

    one year

Study Arms (2)

Device group

patients with heart failure and concomitant severe functional mitral regurgitation that were treated with MitraClip

Diagnostic Test: speckle tracking analysis of transthoracic echocardiogram

Control group

patients with heart failure and concomitant severe functional mitral regurgitation that were treated with optimal medical treatment

Diagnostic Test: speckle tracking analysis of transthoracic echocardiogram

Interventions

analysis at workstation with 2D strain-Speckle tracking echocardiography of transthoracic cardiac echo at baseline and one-year follow up examination

Control groupDevice group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

heart failure patients with severe functional mitral regurgitation that are treated either with MitraClip or with optimal medical treatment

You may qualify if:

  • patients with EF more than 15% and below 45%
  • Heart failure symptoms with NYHA class \>2
  • Moderate-to-severe and severe functional Mitral regurgitation

You may not qualify if:

  • degenerative mitral regurgitation
  • asymptomatic patients
  • NYHA class IV patients not able to perform 6MWT
  • EF\>45%
  • poor echocardiographic acoustic window patients

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Attikon University Hospital of Athens

Athens, Greece

Location

Related Publications (1)

  • Papadopoulos K, Ikonomidis I, Chrissoheris M, Chalapas A, Kourkoveli P, Parissis J, Spargias K. MitraClip and left ventricular reverse remodelling: a strain imaging study. ESC Heart Fail. 2020 Aug;7(4):1409-1418. doi: 10.1002/ehf2.12750. Epub 2020 May 20.

MeSH Terms

Conditions

Mitral Valve InsufficiencyHeart Failure

Condition Hierarchy (Ancestors)

Heart Valve DiseasesHeart DiseasesCardiovascular Diseases

Study Officials

  • Ignatios Ikonomidis, Professor

    Attikon University Hospital of Athens

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
associate professor

Study Record Dates

First Submitted

December 30, 2019

First Posted

January 6, 2020

Study Start

May 10, 2018

Primary Completion

February 10, 2019

Study Completion

May 10, 2019

Last Updated

January 6, 2020

Record last verified: 2020-01

Locations