The PALMETTO Study
PALMETTO
Palmetto vAlve for Lifelong Management of patiEnts With miTral Valve regurgiTatiOn
1 other identifier
interventional
10
1 country
1
Brief Summary
Prospective, single-arm, multicenter, non-randomized early feasibility study
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2026
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 2, 2026
CompletedFirst Posted
Study publicly available on registry
October 21, 2026
CompletedStudy Start
First participant enrolled
November 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2031
Study Completion
Last participant's last visit for all outcomes
February 1, 2032
October 21, 2026
October 1, 2026
5 years
October 2, 2026
October 13, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Primary Efficacy Endpoint
Procedural Success according to MVARC criteria All of the following must be present: Device Success: Absence of procedural mortality or stroke; proper placement and positioning of the device; freedom from unplanned surgical/interventional procedures related to device/access; and continued intended safety and performance. Absence of major device or procedure related serious adverse events: Death; stroke; life-threatening bleeding (MVARC scale); major vascular complications; major cardiac structural complications; Stage 2 or 3 acute kidney injury (includes new dialysis); myocardial infarction or coronary ischemia requiring PCI or CABG; severe hypotension, heart failure, or respiratory failure requiring IV pressors, mechanical heart failure treatments, or intubation ≥48 h; or any study valve dysfunction, migration, or thrombosis requiring surgery or repeat intervention.
30 Days
Study Arms (1)
TMVR with the ReValve System. Subjects will undergo transcatheter mitral valve replacement.
EXPERIMENTALInterventions
ReValve System Mitral Valve Replacement Procedure
Eligibility Criteria
You may qualify if:
- Age greater than 18 years
- Mitral regurgitation ≥ 3+ documented by echo
- Symptomatic New York Heart Association (NYHA) Functional Class II-IVa despite optimal medical therapy for at least 30 days
You may not qualify if:
- Severe tricuspid valve pathology with \> moderate tricuspid regurgitation.
- Greater than moderate RV dysfunction
- Significant aortic valve regurgitation greater than moderate and or stenosis greater than moderate
- Prior cardiac surgery or intervention, within 6 months that would prohibit the implant of the Palmetto Valve as determined by the screening committee
- Need for emergent or urgent surgery for any reason or any planned cardiac surgery within the next 12 months
- Pregnant or planning pregnancy within next 12 months
- Currently participating in an investigational drug or another device study
- Known hypersensitivity or contraindication to iodinated contrast media, aspirin, heparin, bivalirudin, or warfarin, where no adequate alternative therapy is available to support the required intraprocedural anticoagulation and the minimum six-month post-procedural anticoagulation regimen
- Pre-existing hemodynamically significant pericardial effusion requiring intervention at the discretion of the multidisciplinary heart team
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Piedmont Hospital
Atlanta, Georgia, 30309, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
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
October 2, 2026
First Posted
October 21, 2026
Study Start (Estimated)
November 1, 2026
Primary Completion (Estimated)
November 1, 2031
Study Completion (Estimated)
February 1, 2032
Last Updated
October 21, 2026
Record last verified: 2026-10
Data Sharing
- IPD Sharing
- Will not share