- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03230747
SAPIEN M3 EFS: Early Feasibility Study of the Edwards SAPIEN M3 System for the Treatment of Mitral Regurgitation (SAPIEN M3 EFS)
Early Feasibility Study of the Edwards SAPIEN M3 System for the Treatment of Mitral Regurgitation
This study will evaluate the safety and functionality of the SAPIEN M3 System in patients with symptomatic, severe MR and will provide guidance for future clinical study designs utilizing the SAPIEN M3 System.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Prospective, single-arm, multicenter early feasibility study
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V62146
- St. Paul's Hospital
-
-
-
-
California
-
Los Angeles, California, United States, 90048
- Cedars-Sinai Medical Center Heart Institute
-
San Francisco, California, United States, 94109
- California Pacific Medical Center
-
-
Georgia
-
Atlanta, Georgia, United States, 30308
- Emory University
-
-
Illinois
-
Evanston, Illinois, United States, 60201
- Evanston/ Northshore University
-
-
Michigan
-
Detroit, Michigan, United States, 48202
- Henry Ford Hospital
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Mayo Clinic
-
-
Utah
-
Murray, Utah, United States, 84107
- Intermountain Medical Center
-
-
Virginia
-
Norfolk, Virginia, United States, 23507
- Sentara Cardiovascular Research Institution
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years of age or older
- MR ≥ 3+
- NYHA functional class ≥ II
- High risk of cardiovascular surgery
- Hemodynamically stable while on heart failure medication for at least 2 weeks before the procedure
- The study patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.
Exclusion Criteria:
- Mitral anatomy that would preclude appropriate delivery and deployment of the dock or valve
- Cardiac imaging evidence of intracardiac mass, thrombus or vegetation
- Significant risk of LVOT obstruction
- Severe right ventricular dysfunction
- LV Ejection Fraction <30%
- Patient is inoperable
- Prior surgical or interventional treatment of mitral valve preventing appropriate device access and deployment
- Need for aortic, tricuspid or pulmonic valve replacement
- Presence of mechanical aortic valve prosthesis
- History of cardiac transplantation
- History of recurrent and/or unprovoked deep vein thrombosis or pulmonary embolism
- Clinically significant untreated coronary artery disease requiring revascularization
- Any percutaneous cardiovascular intervention, cardiovascular surgery, or carotid surgery within 30 days.
- Stroke or transient ischemic attack within 90 days of the procedure
- Myocardial infarction within 30 days of the procedure
- Active bacterial endocarditis within 180 days of the procedure
- Inability to tolerate or a medical condition precluding treatment with anti-thrombotic therapy
- Leukopenia, anemia, thrombocytopenia, history of bleeding diathesis or coagulopathy, or hypercoagulable states
- Hospitalization for CHF or hemodynamic instability requiring inotropic support or intra-aortic balloon pump within 30 days.
- Irreversible, severe pulmonary hypertension
- Patients with renal insufficiency or receiving renal replacement therapy
- Liver disease or significantly abnormal liver function test results
- Refusal of blood products
- Female who is pregnant or lactating
- Estimated life expectancy < 12 months
- Participating in another investigational drug or device study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: TMVR
Subjects will undergo transcatheter mitral valve replacement |
SAPIEN M3 System includes the SAPIEN M3 valve and the SAPIEN M3 dock |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Technical Success
Time Frame: At the end of the procedure
|
Defined as meeting all the following:
|
At the end of the procedure
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Reduction in mitral regurgitation (MR)
Time Frame: 30 Days
|
Reduction in MR to 0 or 1+ |
30 Days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017-03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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