The EMPOWER Trial - The Carillon Mitral Contour System® in Treating Heart Failure With at Least Mild FMR

NCT ID: NCT03142152

Last Updated: 2025-11-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-01

Study Completion Date

2030-12-31

Brief Summary

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The objective of this prospective, randomized, blinded clinical trial is to assess the safety and efficacy of the Carillon Mitral Contour System in treating heart failure with functional regurgitation (FMR).

Detailed Description

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A total of 300 subjects will be randomized at up to 75 investigational sites in the United States, Canada, and Europe. Subjects will be randomized into one of two study groups using a 1:1 (Intervention : Control) ratio.

Study subjects who are eligible for this clinical study will undergo a transthoracic echocardiographic examination prior to randomization to evaluate the inclusion criteria associated with the severity of mitral regurgitation. A coronary angiogram will be performed to evaluate the coronary artery anatomy and a venogram to assess the suitability of the coronary sinus/great cardiac vein (CS/GCV) for placement of the Carillon implant.

If the subject meets the anatomic requirements for device placement, the subject will be randomized. Subjects who meet all eligibility criteria will be randomized into one of two study groups (Intervention or Control).

Subjects randomized to the Intervention group will undergo the Carillon implant procedure.

Subjects randomized to the Control group will experience an index procedure similar to the Intervention group (without device placement) to ensure they will not be able to deduce the group assignment based on the type of intervention or time associated with the procedure.

After the study subjects are discharged, the subjects' primary care specialists (cardiologist/heart failure physician) and clinical investigation site staff will coordinate follow-up evaluations. Subjects will be evaluated at one (1), six (6), twelve (12), eighteen (18) and twenty-four (24) months post-randomization, to assess long-term safety, and functional and clinical status.

After the 24-month evaluation, all subjects will be unblinded. All Intervention and Control subjects will be followed with an abbreviated annual contact and echocardiogram for an additional three (3) years, for a total of five (5) years.

Conditions

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Functional Mitral Regurgitation Heart Failure Mitral Valve Insufficiency Heart Diseases Cardiovascular Diseases Heart Valve Diseases

Keywords

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Functional Mitral Regurgitation Percutaneous Mitral Valve Repair Percutaneous Mitral Valve Annuloplasty Coronary Sinus Annuloplasty Secondary Mitral Regurgitation Functional MR FMR

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Intervention Group

Carillon Mitral Contour System and Guideline Directed Heart Failure Medication

Group Type EXPERIMENTAL

Carillon Mitral Contour System

Intervention Type DEVICE

The Carillon implant is designed to be deployed, tensioned, and locked in the coronary vein in order to reshape the mitral annulus and thus reduce mitral annular dilation and mitral regurgitation.

Guideline Directed Heart Failure Medication

Intervention Type OTHER

Heart failure medication per ACC/AHA guidelines

Control Group

Guideline Directed Heart Failure Medication

Group Type ACTIVE_COMPARATOR

Guideline Directed Heart Failure Medication

Intervention Type OTHER

Heart failure medication per ACC/AHA guidelines

Interventions

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Carillon Mitral Contour System

The Carillon implant is designed to be deployed, tensioned, and locked in the coronary vein in order to reshape the mitral annulus and thus reduce mitral annular dilation and mitral regurgitation.

Intervention Type DEVICE

Guideline Directed Heart Failure Medication

Heart failure medication per ACC/AHA guidelines

Intervention Type OTHER

Other Intervention Names

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Carillon Percutaneous mitral valve repair

Eligibility Criteria

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Inclusion Criteria

1. Symptomatic heart failure with functional (secondary) mitral regurgitation of at least 1+ (mild) severity
2. NYHA II, III, or IV
3. Six Minute Walk distance ≥ 100 meters and ≤ 600 meters
4. Left Ventricular Ejection Fraction ≤ 50%
5. LVEDD ≥ 57 mm and LVESD ≤ 75 mm
6. Corrected BNP of \> 300 pg/ml, or corrected NT-proBNP \> 1200 pg/ml, or one or more heart failure hospitalizations within one year prior to consent
7. Guideline directed heart failure medication regimen
8. Age 18 years old
9. Carillon implant can be sized and placed in accordance with the IFU
10. The subject has been informed of the nature of the trial and agrees to its provisions, including the possibility of randomization to the Control group and returning for all required post-procedure follow-up visits, and has provided written informed consent

Exclusion Criteria

1. Pre-existing device (e.g., pacing lead) in coronary sinus (CS) / great cardiac vein (GCV) or Class I indication for cardiac resynchronization therapy (CRT)
2. Presence of a mechanical or bio-prosthetic mitral valve or, mitral valve annuloplasty, or leaflet repair device
3. Significant organic mitral valve pathology (e.g., moderate or severe myxomatous degeneration, with or without mitral leaflet prolapse, rheumatic disease, full or partial chordal rupture)
4. Severe tricuspid regurgitation associated with right ventricular dysfunction and enlargement
5. Severe mitral annular calcification
6. Severe aortic stenosis
7. Expected to require any cardiac surgery, including surgery for coronary artery disease (CAD) or valve disease within one (1) year
8. Chronic, severe, medical conditions or pathology, other than heart failure, that will prevent likely survival beyond twelve (12) months or any other medical condition that, in the judgment of the Investigator, makes the patient a poor candidate for this study

* An entire list of eligibility is available in the clinical investigational plan
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardiac Dimensions, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Samir Kapadia, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Randall Starling, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Dignity Health Research Institute at Mercy Gilbert and Chandler Regional Medical Centers

Gilbert, Arizona, United States

Site Status RECRUITING

Banner Health - Phoenix

Phoenix, Arizona, United States

Site Status RECRUITING

Tucson Medical Center Health

Tucson, Arizona, United States

Site Status RECRUITING

Banner University Tuscon

Tucson, Arizona, United States

Site Status RECRUITING

Memorial Care Hospital

Long Beach, California, United States

Site Status RECRUITING

Keck School of Medicine of USC

Los Angeles, California, United States

Site Status RECRUITING

UCLA Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Stanford University

Redwood City, California, United States

Site Status RECRUITING

Scripps Health

San Diego, California, United States

Site Status RECRUITING

University of California- San Francisco

San Francisco, California, United States

Site Status RECRUITING

South Denver Cardiology

Littleton, Colorado, United States

Site Status RECRUITING

Medstar

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Delray Medical Center

Delray Beach, Florida, United States

Site Status RECRUITING

University of Miami

Miami, Florida, United States

Site Status TERMINATED

Advent Health Hospital

Orlando, Florida, United States

Site Status RECRUITING

Palm Beach Gardens Medical

Palm Beach, Florida, United States

Site Status RECRUITING

Tallahassee Research Institute

Tallahassee, Florida, United States

Site Status RECRUITING

Tampa General Hospital

Tampa, Florida, United States

Site Status RECRUITING

Augusta University Research Institute

Augusta, Georgia, United States

Site Status TERMINATED

Wellstar Health System,

Marietta, Georgia, United States

Site Status RECRUITING

Advocate Good Samaritan

Downers Grove, Illinois, United States

Site Status RECRUITING

Midwest Cardiovascular Institute (MCI)

Naperville, Illinois, United States

Site Status RECRUITING

Prairie Heart Institute

Springfield, Illinois, United States

Site Status TERMINATED

Community Health Network

Indianapolis, Indiana, United States

Site Status RECRUITING

Cardiovascular Institute South

Houma, Louisiana, United States

Site Status RECRUITING

Ochsner Health System

New Orleans, Louisiana, United States

Site Status RECRUITING

Johns Hopkins

Baltimore, Maryland, United States

Site Status RECRUITING

St Elizabeth's Medical Center

Boston, Massachusetts, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Beth Israel Deaconess

Boston, Massachusetts, United States

Site Status RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status WITHDRAWN

Ascension St. Marys Research Institute

Saginaw, Michigan, United States

Site Status RECRUITING

CentraCare Heart and Vascular

Saint Cloud, Minnesota, United States

Site Status RECRUITING

St. Louis Heart and Vascular

St Louis, Missouri, United States

Site Status RECRUITING

Deborah Heart & Lung

Browns Mills, New Jersey, United States

Site Status RECRUITING

Hackensack University Medical Center

Edison, New Jersey, United States

Site Status RECRUITING

Albany Medical College,

Albany, New York, United States

Site Status WITHDRAWN

University at Buffalo

Buffalo, New York, United States

Site Status RECRUITING

Vassar Brothers- Hudson Valley Cardiovascular Practice

Poughkeepsie, New York, United States

Site Status RECRUITING

Lindner Research Center at the Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

Harrington Vascular

Cleveland, Ohio, United States

Site Status TERMINATED

Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

The Ohio State University

Columbus, Ohio, United States

Site Status RECRUITING

Kettering Health Research Institute

Dayton, Ohio, United States

Site Status RECRUITING

Oklahoma Heart Institute Hospital

Tulsa, Oklahoma, United States

Site Status RECRUITING

Saint Francis Hospital,

Tulsa, Oklahoma, United States

Site Status RECRUITING

Oregon Health & Science University (OHSU)

Portland, Oregon, United States

Site Status RECRUITING

Providence Heart Institute

Portland, Oregon, United States

Site Status RECRUITING

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status RECRUITING

Penn Medicine Lancaster General Health

Lancaster, Pennsylvania, United States

Site Status RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status WITHDRAWN

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Lankenau Institute of Medical Research

Wynnewood, Pennsylvania, United States

Site Status RECRUITING

North Central Heart-Avera

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Centennial Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Houston Healthcare Medical Center

Houston, Texas, United States

Site Status RECRUITING

University of Virginia Health System

Charlottesville, Virginia, United States

Site Status RECRUITING

Henrico Doctors Hospital

Henrico, Virginia, United States

Site Status RECRUITING

HCA Chippenham Medical Center

Richmond, Virginia, United States

Site Status RECRUITING

Carilion Hospital

Roanoke, Virginia, United States

Site Status RECRUITING

Advocate Aurora Research Institute

Milwaukee, Wisconsin, United States

Site Status RECRUITING

University of Alberta

Edmonton, Alberta, Canada

Site Status RECRUITING

St Boniface Hospital - University of Manitoba

Winnipeg, Manitoba, Canada

Site Status RECRUITING

Toronto General Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Unity Health Toronto, St Michael's Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Pole Sante Republique

Clermont-Ferrand, , France

Site Status RECRUITING

Centre Hospitalier Universitaire De Lille

Lille, , France

Site Status RECRUITING

Hôpital Cardiologique Louis Pradel

Lyon, , France

Site Status RECRUITING

Clinique du Millènaire Montpelier

Montpellier, , France

Site Status RECRUITING

Hôpital Européen Georges-Pompidou

Paris, , France

Site Status WITHDRAWN

European Interbalkan Medical Center

Thessaloniki, , Greece

Site Status RECRUITING

Poznan University of Medical Sciences

Poznan, , Poland

Site Status ACTIVE_NOT_RECRUITING

St James University Hospital

Leeds, , United Kingdom

Site Status RECRUITING

Countries

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Czechia United States Canada France Greece Poland United Kingdom

Central Contacts

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Hank Hauser

Role: CONTACT

Phone: (310) 228-0016

Email: [email protected]

Facility Contacts

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Natalie Leon

Role: primary

Theresa Jorgensen

Role: primary

Adriana Olivares

Role: primary

Karina Carrillo

Role: primary

Karina Vargas Gonzalez

Role: primary

Silvia Perez

Role: primary

Ladda Douangvila

Role: primary

Josephine Widjaja

Role: primary

Alison Walton

Role: primary

Kaye Reambonanza

Role: primary

Andrea Kupser

Role: primary

Megan Fuller

Role: primary

Jordan Sprechman

Role: primary

Zoe Banchilhon

Role: primary

Ana Nelson

Role: primary

Andrea Tunnicliff

Role: primary

Alecia Sorrells

Role: primary

Jennifer Cuvo

Role: primary

Lynn McLennan

Role: primary

Josilyn Klimek

Role: primary

Brenda Newman

Role: primary

Vaidehi Patel

Role: primary

Angel Penning

Role: primary

Zyriah Robinson

Role: primary

Rina Vaquerano

Role: primary

Ella Claire Cook

Role: primary

Jacob Luetje

Role: primary

Kristin Levasseur

Role: primary

Nathan Warnert

Role: primary

Paige Brown

Role: primary

Andrew McElvarr, BS

Role: primary

Maria Manzo

Role: primary

Cassandra Davern

Role: primary

Tricia Landi

Role: primary

Wendy Parker

Role: primary

Emily Tylicki

Role: primary

Annie Kellum

Role: primary

Chris Seger

Role: primary

Tamara Morton

Role: primary

Jeremy Earnest

Role: primary

John Halvorson

Role: primary

Marcia Macsisak

Role: primary

Susan Kilbride

Role: primary

Andy Hershey

Role: primary

Elizabeth Madenilla

Role: primary

Miranda Nadeo

Role: primary

Hannah Epps

Role: primary

Patty Eisenbraun

Role: primary

Abigail Bentley

Role: primary

Swathi Potla

Role: primary

Melanie Dean

Role: primary

Michelle Egbujor

Role: primary

Michelle Egbujor

Role: primary

Brittny O'Toole

Role: primary

Dena Burke

Role: primary

Suzanne Welsch

Role: primary

Wendy Janz

Role: primary

Tania Jain

Role: primary

Ivana Kandic

Role: primary

Sandrine Duband

Role: primary

Marie Ghesquiere

Role: primary

Dominique Brun

Role: primary

Lisa Crespy

Role: primary

Sosanna Konstantinidou

Role: primary

Oi YI Lam

Role: primary

References

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Schofer J, Siminiak T, Haude M, Herrman JP, Vainer J, Wu JC, Levy WC, Mauri L, Feldman T, Kwong RY, Kaye DM, Duffy SJ, Tubler T, Degen H, Brandt MC, Van Bibber R, Goldberg S, Reuter DG, Hoppe UC. Percutaneous mitral annuloplasty for functional mitral regurgitation: results of the CARILLON Mitral Annuloplasty Device European Union Study. Circulation. 2009 Jul 28;120(4):326-33. doi: 10.1161/CIRCULATIONAHA.109.849885. Epub 2009 Jul 13.

Reference Type BACKGROUND
PMID: 19597051 (View on PubMed)

Siminiak T, Wu JC, Haude M, Hoppe UC, Sadowski J, Lipiecki J, Fajadet J, Shah AM, Feldman T, Kaye DM, Goldberg SL, Levy WC, Solomon SD, Reuter DG. Treatment of functional mitral regurgitation by percutaneous annuloplasty: results of the TITAN Trial. Eur J Heart Fail. 2012 Aug;14(8):931-8. doi: 10.1093/eurjhf/hfs076. Epub 2012 May 21.

Reference Type BACKGROUND
PMID: 22613584 (View on PubMed)

Lipiecki J, Siminiak T, Sievert H, Muller-Ehmsen J, Degen H, Wu JC, Schandrin C, Kalmucki P, Hofmann I, Reuter D, Goldberg SL, Haude M. Coronary sinus-based percutaneous annuloplasty as treatment for functional mitral regurgitation: the TITAN II trial. Open Heart. 2016 Jul 8;3(2):e000411. doi: 10.1136/openhrt-2016-000411. eCollection 2016.

Reference Type BACKGROUND
PMID: 27493761 (View on PubMed)

Other Identifiers

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CVP 1670-01

Identifier Type: -

Identifier Source: org_study_id