Bio Refine for Functional Mitral Regurgitation - a Safety & Feasibility Study

September 29, 2026 updated by: Bio Refine Ltd.

The purpose of this study is to evaluate the safety and feasibility of the Bio Refine Coriofix System and determine if it might help in treatment of functional mitral regurgitation.

The study will include patients with symptomatic secondary mitral regurgitation in whom mitral surgery cannot and/or will not be offered as a treatment option (the risk is prohibitive).

Potential patients will be screened to confirm that all inclusion/exclusion criteria are met, with final eligibility confirmation on day of procedure.

All enrolled subjects who went through the procedure will be followed during the procedure to hospital discharge.

Additional follow up time points are scheduled at 30 days, 6 months and 12 months post procedure.

Study Overview

Status

Recruiting

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

15

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Budapest, Hungary
        • Recruiting
        • Gottsegen National Cardiovascular Center
        • Contact:
      • Debrecen, Hungary
        • Recruiting
        • University of Debrecen
        • Contact:
        • Principal Investigator:
          • Attila Kertész, MD
      • Petah Tikva, Israel
        • Recruiting
        • Rabin Medical Center
        • Contact:
      • Katowice, Poland
        • Recruiting
        • Górnośląskie Centrum Medyczne im. prof. Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach
        • Contact:
      • Poznan, Poland
        • Recruiting
        • Uniwersytecki Szpital Kliniczny w Poznaniu
        • Contact:
      • Warsaw, Poland
        • Not yet recruiting
        • Wojskowy Instytut Medyczny
        • Contact:
      • Belgrade, Serbia
        • Terminated
        • Institute for Cardiovascular Diseases "Dedinje"
      • Kragujevac, Serbia
        • Withdrawn
        • University Clinical Center Kragujevac

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Local heart team has determined that mitral valve surgery will not be offered as a treatment option
  • Symptomatic secondary mitral regurgitation (3+ or 4+)
  • Adequately treated in compliance with optimal guideline-directed medical therapy for heart failure for at least 90 days
  • NYHA functional class II, III or ambulatory IV
  • LVEF ≥30%.
  • Written informed consent has been obtained

Exclusion Criteria:

  • Untreated clinically significant coronary artery disease requiring revascularization.
  • CABG, PCI or TAVR within the prior 90 days.
  • Aortic or tricuspid valve disease requiring surgery or transcatheter intervention or severe tricuspid regurgitation.
  • COPD requiring continuous home oxygen therapy or chronic outpatient oral steroid use.
  • CVA or TIA within prior 180 days.
  • Hypotension
  • Any history of ventricular arrythmia
  • Patients implanted with any kind of CIED
  • Life expectancy <12 months due to non-cardiac conditions
  • Prior mitral valve leaflet surgery or any currently implanted prosthetic mitral valve, or any prior transcatheter mitral valve procedure
  • TEE is contraindicated or high risk
  • Pregnant or planning pregnancy within next 12 months
  • Currently participating in an investigational drug or another device study that has not reached its primary endpoint

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Coriofix treatment

Treatment of functional mitral regurgitation by reducing the mitral valve annular area through ablation of the posterior annulus.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Coriofix System Safety
Time Frame: 30 days

Absence of Major Device- or Procedure-Related Serious Adverse Events

30 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Coriofix System Safety
Time Frame: 6 and 12 months

Absence of Major Device- or Procedure-Related Serious Adverse Events

6 and 12 months
Device technical success
Time Frame: Procedure

Successful system operation with no related emergency surgery or reintervention

Procedure
Treatment success
Time Frame: 30 days

Change of MR grade

30 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 3, 2024

Primary Completion (Estimated)

April 1, 2027

Study Completion (Estimated)

April 1, 2028

Study Registration Dates

First Submitted

September 2, 2024

First Submitted That Met QC Criteria

September 2, 2024

First Posted (Actual)

September 4, 2024

Study Record Updates

Last Update Posted (Actual)

October 2, 2026

Last Update Submitted That Met QC Criteria

September 29, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • DMS-6470

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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