Transcatheter Mitral Valve Replacement in Patients With Severe Symptomatic Mitral Regurgitation - APOLLO-EU Trial

NCT ID: NCT05496998

Last Updated: 2025-12-17

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

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-07

Study Completion Date

2038-12-31

Brief Summary

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Evaluate the safety and efficacy of Medtronic Intrepid™ TMVR TF System in patients with moderate-to-severe or severe symptomatic mitral regurgitation, or moderate symptomatic mitral regurgitation combined with mitral stenosis in the presence of MAC who, by agreement of the local site multidisciplinary heart team experienced in mitral valve therapies, are unsuitable for treatment with approved transcatheter repair or surgical mitral valve intervention.

Detailed Description

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Prospective, single-arm, multi-center, interventional, pre-market trial

Conditions

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Mitral Regurgitation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Subjects with moderate-to-severe or severe symptomatic mitral regurgitation, or moderate symptomatic mitral regurgitation combined with mitral stenosis in the presence of MAC who, by agreement of the local site multidisciplinary heart team experienced in mitral valve therapies, are unsuitable for treatment with approved transcatheter repair or surgical mitral valve intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Medtronic Intrepid™ TMVR TF System

Medtronic Intrepid™ TMVR TF System

Group Type EXPERIMENTAL

Medtronic Intrepid™ TMVR TF System

Intervention Type DEVICE

Patients with moderate-to-severe or severe symptomatic mitral regurgitation, or moderate symptomatic mitral regurgitation combined with mitral stenosis in the presence of MAC will have a Transcatheter Mitral Valve Replacement with the Medtronic Intrepid™ TMVR Transfemoral System

Interventions

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Medtronic Intrepid™ TMVR TF System

Patients with moderate-to-severe or severe symptomatic mitral regurgitation, or moderate symptomatic mitral regurgitation combined with mitral stenosis in the presence of MAC will have a Transcatheter Mitral Valve Replacement with the Medtronic Intrepid™ TMVR Transfemoral System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject has moderate-to-severe or severe symptomatic mitral regurgitation as defined by the American Society of Echocardiography 2017 Guidelines and Standards - Recommendations for Non-invasive Evaluation of Native Valvular Regurgitation, or subject has moderate symptomatic mitral regurgitation combined with mitral stenosis with the presence of MAC
* Local site multidisciplinary heart team experienced in mitral valve therapies agrees that patient is unsuitable for treatment with approved transcatheter repair or conventional mitral valve surgery
* Subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits
* Subject meets the legal minimum age to provide informed consent based on local regulatory requirements
* Subjects anatomically suitable for the Medtronic Intrepid™ TMVR TF System

Exclusion Criteria

* Estimated life expectancy of less than 24 months
* Currently surgically implanted mitral valve
* Prior transcatheter mitral valve procedure with device currently implanted
* Anatomic contraindications
* Anatomically prohibitive mitral annular calcification (MAC)
* Aortic valve disease requiring intervention or previous intervention within 90 days of enrollment
* LVEF \< 25% (measured by resting transthoracic echocardiogram), patients with LVEF 25 - \<30% will be further evaluated by the Screening Committee for approval (Right Ventricular Dysfunction, pulmonary hypertension, and left ventricular function)
* Left ventricular end diastolic diameter (LVEDD) \> 75mm
* Need for emergent or urgent surgery
* Hemodynamic instability
* History of bleeding diathesis or coagulopathy
* End stage renal disease
* Liver failure
* Frailty
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Cardiovascular

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas Modine, Prof.

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Bordeaux

von Bardeleben, Prof.

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Mainz

Locations

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Aarhus University Hospital

Aarhus, , Denmark

Site Status RECRUITING

Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

Odense University Hospital

Odense, , Denmark

Site Status RECRUITING

Clinique Pasteur

Toulouse, Cedex 03, France

Site Status RECRUITING

CHU Bordeaux

Bordeaux, Pessac Cedex, France

Site Status RECRUITING

Henri-Mondor University Hospital

Créteil, , France

Site Status RECRUITING

CHU Timone

Marseille, , France

Site Status RECRUITING

CHU de Nantes

Nantes, , France

Site Status RECRUITING

CHU Rennes - Pontchaillou Hospital

Rennes, , France

Site Status RECRUITING

Centre Cardiologique du Nord (CCN)

Saint-Denis, , France

Site Status RECRUITING

CHRU de Tours

Tours, , France

Site Status RECRUITING

Heart and Diabetes Center NRW

Bad Oeynhausen, , Germany

Site Status RECRUITING

Deutsches Herzzentrum der Charité (DHZC)

Berlin, , Germany

Site Status RECRUITING

Universitätsklinikum Bonn

Bonn, , Germany

Site Status RECRUITING

Universitäres Herz- und Gefäßzentrum Hamburg

Hamburg, , Germany

Site Status RECRUITING

Herzzentrum Leipzig

Leipzig, , Germany

Site Status RECRUITING

University Medical Center Mainz

Mainz, , Germany

Site Status RECRUITING

Deutsches Herzzentrum München

München, , Germany

Site Status RECRUITING

LMU Clinic of University Hospital München

München, , Germany

Site Status RECRUITING

Universitätsklinikum Ulm

Ulm, , Germany

Site Status RECRUITING

Azienda Ospedaliero - Universitaria di Bologna - Policlinico S.Orsola Malpighi

Bologna, , Italy

Site Status RECRUITING

Azienda Ospedaliera Spedali Civili di Brescia

Brescia, , Italy

Site Status RECRUITING

Ospedale San Raffaele

Milan, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

Site Status RECRUITING

IRCCS Policlinico San Donato

San Donato Milanese, , Italy

Site Status RECRUITING

Catharina Hospital

Eindhoven, , Netherlands

Site Status RECRUITING

St. Antonius Hospital

Nieuwegein, , Netherlands

Site Status RECRUITING

Erasmus University Medical Center

Rotterdam, , Netherlands

Site Status RECRUITING

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status RECRUITING

Central University Hospital of Asturias

Oviedo, , Spain

Site Status RECRUITING

University Hospital Alvaro Cunqueiro

Vigo, , Spain

Site Status RECRUITING

Universitätsspital Bern

Bern, , Switzerland

Site Status RECRUITING

University Hospitals Sussex NHS Foundation Trust

Brighton, , United Kingdom

Site Status RECRUITING

Leeds General Infirmary

Leeds, , United Kingdom

Site Status RECRUITING

Guys & St Thomas NHS Foundation Trust - St Thomas Hospital London

London, , United Kingdom

Site Status RECRUITING

Royal Brompton Hospital

London, , United Kingdom

Site Status RECRUITING

Countries

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Denmark France Germany Italy Netherlands Spain Switzerland United Kingdom

Central Contacts

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Hanne Gonnissen, PhD

Role: CONTACT

+31 (0)43 356 6566

Facility Contacts

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Elisa Stilling

Role: primary

+45(0)23323386

Sofie Lund Kuipers

Role: primary

+45(0)35456485

Ellen Nyholm Larsen

Role: primary

+45(0)65413716

Frédéric Petit

Role: primary

+33(0)562213186

Aurélie Vincent

Role: primary

+33(0)556795679

Brigitte Bidaud

Role: primary

+33(0)149812265

Aurélie Blondelon

Role: primary

+33(0)491386015

Marine Renard

Role: primary

+33(0)244768546

Helena Fettre

Role: backup

+33(0)244768573

Pauline Vest

Role: primary

+33(0)299289185

Karima Moussouni

Role: primary

+33(0)149334141

Céleste Verne

Role: primary

+33(0)247476913

Alexandra Bonnet

Role: backup

+33(0)247476913

Alice Huguette Minko-Nnanga

Role: primary

+49(0)5731973367

Anke Tobehn

Role: primary

+49(0)3045932270

Sarah Simon

Role: primary

+49(0)22828714305

Edda Matindas

Role: primary

+49(0)40741052868

Yvonne Wittkowski

Role: backup

+49(0)40741051215

Jospehin Kister

Role: primary

+49(0)3418651584

Lea Frohnweiler

Role: primary

+49(0)6131176813

Therese Pauli

Role: backup

+49(0)6131176813

Sabine Pronnet

Role: primary

+49(0)8912184030

Patricia Lempert

Role: primary

+49(0)89440072361

Uta Dichristin

Role: primary

+49(0)73150045250

Olga Smirnova

Role: backup

+49(0)73150045009

Marco Foroni, Dr.

Role: primary

+39(0)512144475

Cristina Gussago

Role: primary

+39(0)303996927

Davide Schiavi

Role: primary

+39(0)226435316

Chiara Primerano

Role: primary

+39(0)50994954

Federica Rossi

Role: primary

+39(0)252774987

Harold Helmes

Role: primary

+31(0)402398360

Ingrid Aarts

Role: backup

Britt Hopman

Role: primary

+31(0)883201100

Elco van der Heide

Role: primary

+31(0)107032700

Anna Campos

Role: primary

+34(0)932275519

Paz González

Role: primary

+34(0)913368954

Esther Villa Suárez

Role: primary

+34(0)985108000 ext. 36687

Pablo Juan Salvadores

Role: primary

+34(0)986825564

Ana Isabel Ferrero Martinez

Role: backup

+34(0)986825538

Christina Moro

Role: primary

+41(0)316324476

Jessica Parker

Role: primary

+44(0)1273696955 ext. 67950

Shuslim Gurung

Role: primary

+44(0)1135181823

Olivia Fox

Role: primary

+44(0)2071887188 ext. 80998/86271

Stefania Sguera

Role: primary

+44(0)2073528121

Other Identifiers

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MDT22008TMV005

Identifier Type: -

Identifier Source: org_study_id