Study of Safety and Efficacy of the Percutaneous Reduction of Mitral Valve Regurgitation in Heart Failure Patients (PTOLEMY-2)
A Multi-center Study of the Safety and Efficacy of the Percutaneous Transvenous Mitral Annuloplasty System to Reduce Mitral Valve Regurgitation in Patients With Heart Failure
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Aalst, Belgium, B-9300
- Onze Lieve Vrouw Ziekenhuis Cardiovasculair Ondrezoek Aalst
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Liège, Belgium, B-4000
- Centre Hospitalier Universitaire de Liege
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Prague, Czech Republic, 1958/9
- Institut klinicke a experimentalni mediciny
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Aachen, Germany, D-52074
- Rheinisch-Westfalische Technische Hochschule Universitaetsklinikum Aachen
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Bad Oeynhausen, Germany, D-32545
- Herz-und Diabeteszentrum Nordrhein-Westfalen / Ruhr University of Bochum
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Essen, Germany, D-45122
- Universitaet Duisburg-Essen Westdeutsches Herzzentrum Universitaetsklinikum Essen
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Frankfurt, Germany, D-60389
- Cardiovascular Center Frankfurt Sankt katharinen
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Freiburg im Breisgau, Germany, D-79095
- Albert-Ludwigs-Universitat Freiburg Mediziniche Universitätsklinikum Freiburg
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Karlsruhe, Germany, D-76133
- Städtische Klinikum Karlsruhe GmbH
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München, Germany, D-80804
- Klinikum Schwabing Städtisches Klinikum München GmbH
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Rotterdam, Netherlands, N-3015
- Thoraxcentrum Erasmus Medisch Centrum
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Utrecht, Netherlands, N-3584
- Universitair Medisch Centrum Utrecht
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Geneva, Switzerland, 1211
- Hôpital Universitaire de Genève
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Functional MR 2+ - 4+
- Symptomatic heart failure, NYHA Class II to IV
- LVEF > 25% or < 50% OR dilated mitral annulus > 30mm
Exclusion Criteria:
- MR of organic origin
- Severe mitral leaflet tethering
- History of MI or PCI within 60 days of study procedure
- Inability to walk a minimum of 100 meters in 6 minutes
- Significant left main stenosis or proximal circumflex stent
- Indication of non-patent CSO or discontinuous CS-GCV-AIV
- Bi-ventricular with leads in CS or other devices impeding device placement
- Severe aortic valvular disease
- Chronic corticosteroid use other than < 20mg prednisone for arthritis
- Significant co-morbidities
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: 1
Patient is screened for study and given baseline assessments.
Pending fulfillment of study eligibility criteria, patient is implanted with PTMA system.
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Percutaneous assessment from right or left subclavian vein, with PTMA implant in the coronary sinus, great cardiac vein, anterior interventricular vein.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Freedom from MACE at 30 days post-procedure and quantitative MR reduction at 6 months
Time Frame: 30 days to 6 months
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30 days to 6 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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% of patients experiencing procedure or device-related adverse events
Time Frame: 30 days to 6 months
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30 days to 6 months
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Technical procedural success: % of patients maintaining a reduction of mitral annulus A/P dimension, sustained MR reduction, and decrease in left ventricular dimensions to specified degrees
Time Frame: 6 months
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6 months
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Clinical status: % of treated patients exhibiting improvements in defined QoL parameters
Time Frame: 6 months
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6 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Stefan Sack, Md, PhD, Klinikum Schwabing, Staedtisches Klinikum Muenchen GmbH
- Principal Investigator: Rainer Hoffmann, MD, R-WTH Universitätsklinikum Aachen
Publications and helpful links
General Publications
- Fukuda S, Gillinov AM, Liddicoat JR, Saracino G, Hayase M, Cohn WE, Schneider CW, Shiota T. Maintenance of geometric alterations associated with percutaneous mitral valve repair: real-time three-dimensional echocardiographic assessment in an ovine model. J Heart Valve Dis. 2008 May;17(3):276-82.
- Daimon M, Gillinov AM, Liddicoat JR, Saracino G, Fukuda S, Koyama Y, Hayase M, Cohn WE, Ellis SG, Thomas JD, Shiota T. Dynamic change in mitral annular area and motion during percutaneous mitral annuloplasty for ischemic mitral regurgitation: preliminary animal study with real-time 3-dimensional echocardiography. J Am Soc Echocardiogr. 2007 Apr;20(4):381-8. doi: 10.1016/j.echo.2006.08.029.
- Dubreuil O, Basmadjian A, Ducharme A, Thibault B, Crepeau J, Lam JY, Bilodeau L. Percutaneous mitral valve annuloplasty for ischemic mitral regurgitation: first in man experience with a temporary implant. Catheter Cardiovasc Interv. 2007 Jun 1;69(7):1053-61. doi: 10.1002/ccd.21186.
- Daimon M, Shiota T, Gillinov AM, Hayase M, Ruel M, Cohn WE, Blacker SJ, Liddicoat JR. Percutaneous mitral valve repair for chronic ischemic mitral regurgitation: a real-time three-dimensional echocardiographic study in an ovine model. Circulation. 2005 May 3;111(17):2183-9. doi: 10.1161/01.CIR.0000163547.03188.AC. Epub 2005 Apr 25.
- Liddicoat JR, Mac Neill BD, Gillinov AM, Cohn WE, Chin CH, Prado AD, Pandian NG, Oesterle SN. Percutaneous mitral valve repair: a feasibility study in an ovine model of acute ischemic mitral regurgitation. Catheter Cardiovasc Interv. 2003 Nov;60(3):410-6. doi: 10.1002/ccd.10662.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 08-010P
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