Multicentre Study of Percutaneous Mitral Valve Repair MitraClip Device in Patients With Severe Secondary Mitral Regurgitation

NCT ID: NCT01920698

Last Updated: 2025-09-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

304 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2019-03-05

Brief Summary

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The objective of this trial is to compare the safety, the efficacy and the cost-effectiveness of 2 therapeutic strategies (optimal standard of care therapy alone versus percutaneous MitraClip procedure and optimal standard of care therapy) in patients with severe secondary mitral regurgitation.

This trial is a French, multicenter and randomized trial. Patients enrolled will be clinically followed for 2 years (phone call at 1 month, clinical visit at 6 months, 12 months and 24 months).

Detailed Description

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Conditions

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Cardiovascular Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MitraClip Device

Subjects randomized to the MitraClip Device group will undergo the MitraClip procedure in addition to optimal standard medical therapy.

Group Type EXPERIMENTAL

Percutaneous MitraClip Device Implantation

Intervention Type DEVICE

MitraClip System includes a MitraClip device, a steerable guide catheter and a MitraClip delivery system

Control

Patients randomized to the Control group will receive optimal therapy alone

Group Type OTHER

control

Intervention Type OTHER

Interventions

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Percutaneous MitraClip Device Implantation

MitraClip System includes a MitraClip device, a steerable guide catheter and a MitraClip delivery system

Intervention Type DEVICE

control

Intervention Type OTHER

Other Intervention Names

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Patients randomized to the Control Group will receive optimal medical therapy alone

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years old
* Severe secondary mitral regurgitation characterised, according to the European guidelines and recommendations, by a regurgitant volume\>30 mL/beat or an effective regurgitant orifice\>20 mm².
* New York heart Association Class≥ II.
* Left ventricular ejection fraction between 15% and 40%
* Minimum of 1 hospitalization for heart failure within 12 months preceding randomization
* Optimal standard of care therapy for heart failure according to investigator.
* Not eligible for a mitral surgery intervention according to the Heart Team.
* Willingness to participate in the study and signed written informed consent
* Affiliation to a health insurance system or a similar system

Exclusion Criteria

* Eligible for a mitral surgery intervention according to the Heart Team.
* Primary mitral regurgitation.
* Myocardial infarction or coronary bypass grafting surgery within three months prior to randomization.
* Cardiac resynchronization therapy within three months prior to randomization.
* Cardioversion within three months prior to randomization
* Transcatheter aortic valve implantation within three months prior to randomization
* Need for any cardiovascular surgery (including registration on cardiac transplant list).
* Coronary angioplasty within one month prior to randomization.
* Previous surgical mitral valve repair.
* Renal replacement therapy.
* Active infection requiring current antibiotic therapy.
* Severe hepatic insufficiency.
* Stroke within three months prior to randomization.
* Concurrent medical condition with a life expectancy of less than 12 months.
* Uncontrolled arterial hypertension.
* Hypersensitivity to nitinol.
* Participation to another trial.
* Pregnancy.
* No affiliation to a health insurance system.
* Legal protection measure (guardianship or curatorship)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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JEAN FRANCOIS OBADIA, MD

Role: PRINCIPAL_INVESTIGATOR

Hospices Civils de Lyon

Locations

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CHU d'Angers

Angers, , France

Site Status

Chu de Besancon

Besançon, , France

Site Status

Chu de Bordeaux

Bordeaux, , France

Site Status

CHRU La Cavale Blanche

Brest, , France

Site Status

Groupement Hospitalier Est

Bron, , France

Site Status

CHU Caen

Caen, , France

Site Status

Hôpital Gabriel Montpied

Clermont-Ferrand, , France

Site Status

APHP Hôpital Henri Mondor

Créteil, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

Hôpital privé de Parly 2

Le Chesnay, , France

Site Status

Centre Chirurgical Marie Lannelongue

Le Plessis-Robinson, , France

Site Status

Chu de Lille

Lille, , France

Site Status

Hôpital privé le Bois

Lille, , France

Site Status

Hôpital Saint-Joseph

Marseille, , France

Site Status

Hopital de La Timone

Marseille, , France

Site Status

Hôpital privé Clairval

Marseille, , France

Site Status

Institut Hospitalier Jacques Cartier

Massy, , France

Site Status

CH Annecy Genevois

Metz-Tessy, , France

Site Status

Chu de Montpellier

Montpellier, , France

Site Status

Clinique Du Millenaire

Montpellier, , France

Site Status

Chu de Nancy

Nancy, , France

Site Status

Chu de Nantes

Nantes, , France

Site Status

Centre chirurgicale Ambroise Paré

Neuilly-sur-Seine, , France

Site Status

Hôpital Pasteur

Nice, , France

Site Status

Groupe Hospitalier La Salpétrière

Paris, , France

Site Status

Institut Mutualiste Montsouris

Paris, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Aphp Hopital Bichat

Paris, , France

Site Status

CHRU La Milétrie

Poitiers, , France

Site Status

Chu de Rennes

Rennes, , France

Site Status

CHU Rouen

Rouen, , France

Site Status

Centre Cardiologique du Nord

Saint-Denis, , France

Site Status

Hôpital Nord

Saint-Etienne, , France

Site Status

Institut Arnault Tzanck

Saint-Laurent-du-Var, , France

Site Status

Chu de Strasbourg

Strasbourg, , France

Site Status

Clinique Pasteur

Toulouse, , France

Site Status

Chu de Toulouse

Toulouse, , France

Site Status

CHRU de Tours

Tours, , France

Site Status

Clinique Cardiologique Saint Gatien

Tours, , France

Site Status

Clinique du Tonkin

Villeurbanne, , France

Site Status

Countries

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France

References

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Obadia JF, Armoiry X, Iung B, Lefevre T, Mewton N, Messika-Zeitoun D, Cormier B, Berthiller J, Maucort-Boulch D, Boutitie F, Vaz B, Trochu JN, Vahanian A. The MITRA-FR study: design and rationale of a randomised study of percutaneous mitral valve repair compared with optimal medical management alone for severe secondary mitral regurgitation. EuroIntervention. 2015 Mar;10(11):1354-60. doi: 10.4244/EIJV10I11A232.

Reference Type BACKGROUND
PMID: 25798568 (View on PubMed)

Iung B, Armoiry X, Vahanian A, Boutitie F, Mewton N, Trochu JN, Lefevre T, Messika-Zeitoun D, Guerin P, Cormier B, Brochet E, Thibault H, Himbert D, Thivolet S, Leurent G, Bonnet G, Donal E, Piriou N, Piot C, Habib G, Rouleau F, Carrie D, Nejjari M, Ohlmann P, Saint Etienne C, Leroux L, Gilard M, Samson G, Rioufol G, Maucort-Boulch D, Obadia JF; MITRA-FR Investigators. Percutaneous repair or medical treatment for secondary mitral regurgitation: outcomes at 2 years. Eur J Heart Fail. 2019 Dec;21(12):1619-1627. doi: 10.1002/ejhf.1616. Epub 2019 Nov 18.

Reference Type BACKGROUND
PMID: 31476260 (View on PubMed)

Obadia JF, Messika-Zeitoun D, Leurent G, Iung B, Bonnet G, Piriou N, Lefevre T, Piot C, Rouleau F, Carrie D, Nejjari M, Ohlmann P, Leclercq F, Saint Etienne C, Teiger E, Leroux L, Karam N, Michel N, Gilard M, Donal E, Trochu JN, Cormier B, Armoiry X, Boutitie F, Maucort-Boulch D, Barnel C, Samson G, Guerin P, Vahanian A, Mewton N; MITRA-FR Investigators. Percutaneous Repair or Medical Treatment for Secondary Mitral Regurgitation. N Engl J Med. 2018 Dec 13;379(24):2297-2306. doi: 10.1056/NEJMoa1805374. Epub 2018 Aug 27.

Reference Type RESULT
PMID: 30145927 (View on PubMed)

Iung B, Messika-Zeitoun D, Boutitie F, Trochu JN, Armoiry X, Maucort-Boulch D, Obadia JF, Vahanian A. Characteristics and Outcome of COAPT-Eligible Patients in the MITRA-FR Trial. Circulation. 2020 Dec 22;142(25):2482-2484. doi: 10.1161/CIRCULATIONAHA.120.049743. Epub 2020 Dec 21. No abstract available.

Reference Type DERIVED
PMID: 33347327 (View on PubMed)

Messika-Zeitoun D, Iung B, Armoiry X, Trochu JN, Donal E, Habib G, Brochet E, Thibault H, Piriou N, Cormier B, Tribouilloy C, Guerin P, Lefevre T, Maucort-Boulch D, Vahanian A, Boutitie F, Obadia JF. Impact of Mitral Regurgitation Severity and Left Ventricular Remodeling on Outcome After MitraClip Implantation: Results From the Mitra-FR Trial. JACC Cardiovasc Imaging. 2021 Apr;14(4):742-752. doi: 10.1016/j.jcmg.2020.07.021. Epub 2020 Sep 16.

Reference Type DERIVED
PMID: 32950444 (View on PubMed)

Other Identifiers

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2013-A00464-41

Identifier Type: OTHER

Identifier Source: secondary_id

2013.798

Identifier Type: -

Identifier Source: org_study_id

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