Study of Transcatheter Tricuspid Annular Repair

NCT ID: NCT03692598

Last Updated: 2024-10-23

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2026-12-31

Brief Summary

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The purpose of the study is to evaluate the safety and performance of the MIA Minimally Invasive Annuloplasty Device in patients with chronic functional tricuspid regurgitation.

Detailed Description

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The purpose of the study is to evaluate the safety and performance of the MIA Minimally Invasive Annuloplasty Device in patients with chronic functional tricuspid regurgitation. The study is a prospective, multi-center safety and performance study. Enrolled subjects will be assessed for clinical follow-up at 1 month, 6 months, and 1 year post implant procedure.

Conditions

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Tricuspid Regurgitation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MIA Surgical

Eligible patients will receive implantation of MIA implants deployed using the MIA, Minimally Invasive Annuloplasty Device - Surgical from an open surgical approach

Group Type EXPERIMENTAL

MIA, Minimally Invasive Annuloplasty Device - Surgical

Intervention Type DEVICE

Eligible patients will receive implantation of MIA implants deployed using the MIA, Minimally Invasive Annuloplasty Device from an open surgical approach

MIA Percutaneous

Eligible patients will receive implantation of MIA implants deployed using the MIA, Minimally Invasive Annuloplasty Device - Percutaneous from a transcatheter approach

Group Type EXPERIMENTAL

MIA, Minimally Invasive Annuloplasty Device - Percutaneous

Intervention Type DEVICE

Eligible patients will receive implantation of MIA implants deployed using the MIA, Minimally Invasive Annuloplasty Device from a percutaneous approach

Interventions

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MIA, Minimally Invasive Annuloplasty Device - Surgical

Eligible patients will receive implantation of MIA implants deployed using the MIA, Minimally Invasive Annuloplasty Device from an open surgical approach

Intervention Type DEVICE

MIA, Minimally Invasive Annuloplasty Device - Percutaneous

Eligible patients will receive implantation of MIA implants deployed using the MIA, Minimally Invasive Annuloplasty Device from a percutaneous approach

Intervention Type DEVICE

Other Intervention Names

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MIA-S MIA

Eligibility Criteria

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Inclusion Criteria

1. Chronic functional tricuspid regurgitation (FTR) with a minimum of moderate tricuspid regurgitation (2-4)
2. Age≥18 and ≤85 years old
3. New York Heart Association (NYHA) Class II, III or ambulatory IV
4. Left ventricular ejection fraction (LVEF) ≥30%
5. Undergoing cardiac surgical procedure with the planned use of cardiopulmonary bypass (surgical arm only)
6. Functional tricuspid valve regurgitation pathology with a structurally normal valve; and tricuspid valve annular diameter ≥ 40 mm (or 21 mm/m2) and ≤55 mm (or 29 mm/m2) or 2-4 + FTR
7. Patient provides written Informed Consent before any study-specific tests or procedures are performed
8. Patient is willing and able to comply with all specified study evaluations

Exclusion Criteria

1. Pregnant or lactating female
2. Severe uncontrolled hypertension (SBP ≥ 180 mmHg and/or DBP ≥ 110 mmHg)
3. Previous tricuspid valve repair or replacement
4. Myocardial Infarction or known unstable angina within the 30-days prior to the index procedure
5. Any PCI within 30 days prior to the index procedure or planned 3 months post the index procedure
6. Life expectancy of less than 12-months
7. Severe right heart dysfunction
8. Pulmonary hypertension with PA mean 2/3 rd MAP
9. Active systemic infection
10. Pericardial infection
11. Any clinical evidence that the investigator feels would place the patient at increased risk with the deployment of the device
12. Co-morbid conditions that place the subject at an unacceptable surgical risk (e.g. severe chronic obstructive pulmonary disease, hepatic failure, cardiac disease, autoimmune disorders or conditions of severe immunosuppression)
13. Untreated coronary artery disease (CAD) requiring revascularisation unless CABG procedure is concomitant with MIA tricuspid annular repair (surgical arm only)
14. Haemodynamic instability: systolic blood pressure \<90mmHg without reduction of afterload, shock, need for inotropic medication or IABP
15. Active peptic ulcer or gastrointestinal (GI) bleeding in the past 3 months
16. Cerebrovascular event within the past 6 months
17. History of mitral/tricuspid endocarditis within the last 12 months
18. Organic tricuspid disease
19. Contraindication or known allergy to device's components, aspirin, anti-coagulation therapy or contrast media that cannot be adequately premeditated
20. Known alcohol or drug abuser
21. Currently participating in the study of an investigational drug or device
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Micro Interventional Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kestutis Rucinskas, MD

Role: PRINCIPAL_INVESTIGATOR

Vilnius University Hospital, Santariskiu Klinikos

Locations

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Aarhus University Hospital

Aarhus, , Denmark

Site Status NOT_YET_RECRUITING

Semmelweis University, Heart and Vascular Center

Budapest, , Hungary

Site Status NOT_YET_RECRUITING

Centre of Cardiology, Pauls Stradins Clinical University Hospital

Riga, , Latvia

Site Status RECRUITING

Lithuanian University of Health Sciences

Kaunas, , Lithuania

Site Status RECRUITING

Vilnius University Hospital Santariskiu Klinikos

Vilnius, , Lithuania

Site Status RECRUITING

The Cardinal Stefan Wyszyński Institute of Cardiology

Warsaw, , Poland

Site Status NOT_YET_RECRUITING

Countries

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Denmark Hungary Latvia Lithuania Poland

Central Contacts

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Angie Swenson

Role: CONTACT

Facility Contacts

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Steen H Poulsen

Role: primary

Bela Merkely

Role: primary

Andrejs Erglis

Role: primary

Rimantas Benetis

Role: primary

Kestutis Rucinskas, MD

Role: primary

Vilius Janusauskus, MD

Role: backup

Marcin Demkow

Role: primary

Other Identifiers

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MID-002

Identifier Type: -

Identifier Source: org_study_id

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