Trial Outcomes & Findings for REPAIR - transcatheteR rEPair of mitrAl Insufficiency With caRdioband System (NCT NCT02703311)

NCT ID: NCT02703311

Last Updated: 2020-11-09

Results Overview

Percentage of Patients with Reduction in MR Severity of at least one grade at 30 days compared to baseline

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

11 participants

Primary outcome timeframe

30 days

Results posted on

2020-11-09

Participant Flow

Participant milestones

Participant milestones
Measure
Cardioband
Patients who were enrolled and had the Cardioband procedure attempted
Overall Study
STARTED
11
Overall Study
Implanted
11
Overall Study
30 Day Follow-Up Completed
9
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Cardioband
Patients who were enrolled and had the Cardioband procedure attempted
Overall Study
Death
5
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cardioband
n=11 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Age, Continuous
73.9 years
STANDARD_DEVIATION 9.0 • n=11 Participants
Sex: Female, Male
Female
5 Participants
n=11 Participants
Sex: Female, Male
Male
6 Participants
n=11 Participants
EuroScore II
7.1 units on a scale
STANDARD_DEVIATION 5.3 • n=11 Participants
NYHA Functional Class III or IV
11 Participants
n=11 Participants
Ischemic Etiology of Regurgitation
4 Participants
n=11 Participants
Dilated Cardiomyopathy
5 Participants
n=11 Participants
Previous Coronary Artery Bypass Graft
4 Participants
n=11 Participants
Chronic Renal Disease
8 Participants
n=11 Participants
Paroxysmal, Persistent, Chronic Atrial Flutter/Fibrillation
10 Participants
n=11 Participants

PRIMARY outcome

Timeframe: 30 days

Population: Intra-subject comparison of patients with paired data at baseline and 30 days

Percentage of Patients with Reduction in MR Severity of at least one grade at 30 days compared to baseline

Outcome measures

Outcome measures
Measure
Cardioband
n=7 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Reduction in Severity of MR at 30 Days of at Least One Category on a 0-4 Scale.
4 Participants

SECONDARY outcome

Timeframe: 6 months over Baseline

Population: Intra-subject comparison of patients with paired data at baseline and 6 months

Median distance in meters walked during 6 Minute Walk Test (6MWT) at 6 months compared to baseline

Outcome measures

Outcome measures
Measure
Cardioband
n=6 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Change in Distance Walked on 6 Minute Walk Test
30.7 Meters
Standard Deviation 60.4

SECONDARY outcome

Timeframe: 6, 12, and 24 months over baseline

Population: This planned endpoint of change mitral regurgitation severity in was unable to be analyzed due to the small sample size that was achieved in this study. Data available at each time point were reported as number of patients with MR grades None/Trace, Mild, Moderate, Severe.

Mitral Regurgitation at 6, 12, and 24 months compared to baseline

Outcome measures

Outcome measures
Measure
Cardioband
n=9 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Change in Mitral Regurgitation Severity
Baseline · None/Trace
0 Participants
Change in Mitral Regurgitation Severity
Baseline · Mild
2 Participants
Change in Mitral Regurgitation Severity
Baseline · Moderate
4 Participants
Change in Mitral Regurgitation Severity
Baseline · Severe
3 Participants
Change in Mitral Regurgitation Severity
6 Months · None/Trace
1 Participants
Change in Mitral Regurgitation Severity
6 Months · Mild
3 Participants
Change in Mitral Regurgitation Severity
6 Months · Moderate
1 Participants
Change in Mitral Regurgitation Severity
6 Months · Severe
0 Participants
Change in Mitral Regurgitation Severity
12 Months · None/Trace
0 Participants
Change in Mitral Regurgitation Severity
12 Months · Mild
3 Participants
Change in Mitral Regurgitation Severity
12 Months · Moderate
0 Participants
Change in Mitral Regurgitation Severity
12 Months · Severe
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 12, and 24 months over baseline

Population: This planned endpoint was unable to be analyzed due to the small sample size that was achieved in this study

Median distance in meters walked during 6 Minute Walk Test (6MWT) at 12 and 24 months compared to baseline

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, and 24 months over baseline

Population: This planned endpoint was unable to be analyzed due to the small sample size that was achieved in this study

Median KCCQ Score. The KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. Scores range from 0-100, in which higher scores reflect better health status.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, and 24 months over baseline

Population: This planned endpoint was unable to be analyzed due to the small sample size that was achieved in this study

NYHA Class at 6, 12, and 24 months compared to baseline

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, and 24 months over baseline

Population: This planned endpoint was unable to be analyzed due to the small sample size that was achieved in this study

Median LVEDV data, as measured by TTE at 6, 12, and 24 months compared to baseline

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, and 24 months over baselines

Population: This planned endpoint was unable to be analyzed due to the small sample size that was achieved in this study

Median LVESV data, as measured by TTE at 6, 12, and 24 months compared to baseline

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Discharge

Population: The outcome is reported for subjects where data is available. Subjects with missing data are excluded from the analysis.

Device success is defined as deployment of the Cardioband, with MR reduction at hospital discharge.

Outcome measures

Outcome measures
Measure
Cardioband
n=8 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Number of Participants With Device Success
7 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 and 12 months

Population: The outcome is reported for subjects where data is available. Subjects with missing data are excluded from the analysis.

Individual patient success (measured at 6 months and 1 year) defined as device success and the following: * Discharged from index hospitalization * NYHA class improvement by at least 1 level from baseline

Outcome measures

Outcome measures
Measure
Cardioband
n=5 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Number of Participants With Patient Success
6 Months
3 Participants
Number of Participants With Patient Success
12 Months
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 12 months

Population: This planned endpoint was unable to be analyzed due to the small sample size that was achieved in this study

Days alive and out of hospital due to major cardiovascular events at 1 year

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days from implant procedure or hospital discharge, whichever is later.

Freedom from all-cause mortality and major AE is defined as disabling stroke, myocardial infarction (MI) (peri-procedural or spontaneous), renal failure requiring dialysis, life-threatening bleeding, cardiac tamponade and device related cardiac surgical intervention at 30 days from the implant procedure or hospital discharge, whichever is later.

Outcome measures

Outcome measures
Measure
Cardioband
n=11 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Freedom From All-cause Mortality and Major Adverse Events (AE)
10 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 24 months

Number of patients who undergo urgent/emergent surgical intervention post procedure

Outcome measures

Outcome measures
Measure
Cardioband
n=11 Participants
Patients who were enrolled and had the Cardioband procedure attempted
Need for Urgent/Emergent Surgical Intervention
0 Participants

Adverse Events

Cardioband

Serious events: 9 serious events
Other events: 9 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Cardioband
n=11 participants at risk
Patients who were enrolled and had the Cardioband procedure attempted
Cardiac disorders
Arrhythmia
9.1%
1/11 • Number of events 1 • 2 years
Cardiac disorders
Atrial Fibrillation
9.1%
1/11 • Number of events 1 • 2 years
Cardiac disorders
Cardiac Failure
54.5%
6/11 • Number of events 11 • 2 years
Cardiac disorders
Cardiac Failure Acute
9.1%
1/11 • Number of events 1 • 2 years
Cardiac disorders
Ventricular Tachycardia
18.2%
2/11 • Number of events 2 • 2 years
Ear and labyrinth disorders
Vertigo
9.1%
1/11 • Number of events 1 • 2 years
Gastrointestinal disorders
Enteritis
9.1%
1/11 • Number of events 1 • 2 years
Gastrointestinal disorders
Large Intestine Polyp
9.1%
1/11 • Number of events 1 • 2 years
Gastrointestinal disorders
Mechanical Ileus
9.1%
1/11 • Number of events 1 • 2 years
General disorders
General Physical Health Deterioration
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Bacterial Infection
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Dermohypodermitis
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Gastroenteritis
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Pneumonia
18.2%
2/11 • Number of events 2 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute Myeloid Leukaemia
9.1%
1/11 • Number of events 1 • 2 years
Nervous system disorders
IIIrd Nerve Disorder
9.1%
1/11 • Number of events 1 • 2 years
Product Issues
Device Malfunction
9.1%
1/11 • Number of events 1 • 2 years
Psychiatric disorders
Completed Suicide
9.1%
1/11 • Number of events 1 • 2 years
Renal and urinary disorders
Haemorrhage Urinary Tract
9.1%
1/11 • Number of events 1 • 2 years
Renal and urinary disorders
Oliguria
9.1%
1/11 • Number of events 1 • 2 years
Renal and urinary disorders
Renal Failure
9.1%
1/11 • Number of events 1 • 2 years
Renal and urinary disorders
Urinary Retention
9.1%
1/11 • Number of events 1 • 2 years
Reproductive system and breast disorders
Cervix Oedema
9.1%
1/11 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
9.1%
1/11 • Number of events 1 • 2 years
Vascular disorders
Circulatory Collapse
9.1%
1/11 • Number of events 1 • 2 years
Vascular disorders
Embolism
9.1%
1/11 • Number of events 1 • 2 years
Vascular disorders
Hypotension
9.1%
1/11 • Number of events 1 • 2 years
Metabolism and nutrition disorders
Metabolic Disorder
9.1%
1/11 • Number of events 1 • 2 years

Other adverse events

Other adverse events
Measure
Cardioband
n=11 participants at risk
Patients who were enrolled and had the Cardioband procedure attempted
Blood and lymphatic system disorders
Anaemia
9.1%
1/11 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Heparin Induced Thrombocytopenia
9.1%
1/11 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Iron Deficiency Anaemia
9.1%
1/11 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Leukocytosis
9.1%
1/11 • Number of events 1 • 2 years
Cardiac disorders
Atrial Fibrillation
18.2%
2/11 • Number of events 2 • 2 years
Cardiac disorders
Supraventricular Tachycardia
9.1%
1/11 • Number of events 1 • 2 years
Endocrine disorders
Hyperthyroidism
18.2%
2/11 • Number of events 2 • 2 years
Gastrointestinal disorders
Abdominal Pain Upper
9.1%
1/11 • Number of events 1 • 2 years
Gastrointestinal disorders
Diarrhoea
18.2%
2/11 • Number of events 2 • 2 years
Gastrointestinal disorders
Haemorrhoids
9.1%
1/11 • Number of events 1 • 2 years
General disorders
Pyrexia
9.1%
1/11 • Number of events 1 • 2 years
Injury, poisoning and procedural complications
Contusion
9.1%
1/11 • Number of events 1 • 2 years
Injury, poisoning and procedural complications
Fall
18.2%
2/11 • Number of events 2 • 2 years
Investigations
Creactive Protein Increased
9.1%
1/11 • Number of events 1 • 2 years
Investigations
Haemoglobin Decreased
18.2%
2/11 • Number of events 2 • 2 years
Investigations
Weight Increased
9.1%
1/11 • Number of events 1 • 2 years
Metabolism and nutrition disorders
Gout
9.1%
1/11 • Number of events 1 • 2 years
Metabolism and nutrition disorders
Hypokalaemia
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Nasopharyngitis
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Puncture Site Infection
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Sepsis
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Tooth Infection
9.1%
1/11 • Number of events 1 • 2 years
Infections and infestations
Urinary Tract Infection
36.4%
4/11 • Number of events 4 • 2 years
Infections and infestations
Viral Upper Respiratory Tract Infection
9.1%
1/11 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Joint Swelling
9.1%
1/11 • Number of events 1 • 2 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
9.1%
1/11 • Number of events 1 • 2 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal Cell Carcinoma
9.1%
1/11 • Number of events 1 • 2 years
Nervous system disorders
Depressed Level of Conciousness
9.1%
1/11 • Number of events 1 • 2 years
Product Issues
Device Pacing Issue
9.1%
1/11 • Number of events 1 • 2 years
Psychiatric disorders
Depression
9.1%
1/11 • Number of events 1 • 2 years
Renal and urinary disorders
Renal Failure
27.3%
3/11 • Number of events 3 • 2 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
9.1%
1/11 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Obstructive Airways Disorder
9.1%
1/11 • Number of events 1 • 2 years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
27.3%
3/11 • Number of events 3 • 2 years
Skin and subcutaneous tissue disorders
Pruritus
9.1%
1/11 • Number of events 1 • 2 years
Vascular disorders
Hypotension
9.1%
1/11 • Number of events 1 • 2 years
Blood and lymphatic system disorders
Hypochromic Anaemia
9.1%
1/11 • Number of events 1 • 2 years

Additional Information

Ted Feldman

Edwards Lifesciences

Phone: 949-250-2500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place