PASCAL vs. MitralClip for Mitral Valve Transchatheter Edge-to-Edge Repair

NCT ID: NCT05865938

Last Updated: 2023-05-19

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

Total Enrollment

214 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-01

Study Completion Date

2022-08-31

Brief Summary

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Comparsion of the current two available TEER systems, the MitraClip with the PASCAL repair system in terms of their effectiveness and safety in patients with degenerative mitral regurgitation (DMR) and in patients with functional regurgitation (FMR), who were referred for an interventional therapy by the heart team due to a high surgical risk profile.

Detailed Description

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A prospective single-center, open-label study to evaluate the safety and effectiveness of transcatheter mitral valve repair of the mitral valve (M-TEER) using the Edwards PASCAL Transcatheter Valve Repair System compared to using the Abbott MitraClip in patients with severe and symptomatic degenerative or functional mitral regurgitation (FMR). The type of device system used was not randomized but was determined by the operational structuring of our mitral valve program such that patients were scheduled for the next available implantation date with weekly alternating time slots for MitraClip device and PASCAL device. Treating physicians had no influence on scheduling or system selection.

Follow-up examinations will be performed one month and one year after the procedure with assessment of echocardiographic and functional status based on the New York Heart Association (NYHA) grade. Patient characteristics, baseline data, and data related to the procedure were assessed using a registry, medical records and the procedure protocols.

This study is a subproject of the MitraClip® Registry (NCT02033811)

Conditions

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Mitral Regurgitation Functional Mitral Regurgitation Degenerative Mitral Valve Regurgitation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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PASCAL-Group

M-TEER using MitraClip

PASCAL vs. MitraClip

Intervention Type DEVICE

transcatheter mitral valve repair of the mitral valve (M-TEER) using the Edwards PASCAL Transcatheter Valve Repair System or the Abbott MitraClip in patients with severe and symptomatic degenerative or functional mitral regurgitation (FMR).

The type of device system used was not randomized but was determined by the operational structuring of the mitral valve program such that patients were scheduled for the next available implantation date with weekly alternating time slots for MitraClip device and PASCAL device.

MitraClip-Group

M-TEER using PASCAL

PASCAL vs. MitraClip

Intervention Type DEVICE

transcatheter mitral valve repair of the mitral valve (M-TEER) using the Edwards PASCAL Transcatheter Valve Repair System or the Abbott MitraClip in patients with severe and symptomatic degenerative or functional mitral regurgitation (FMR).

The type of device system used was not randomized but was determined by the operational structuring of the mitral valve program such that patients were scheduled for the next available implantation date with weekly alternating time slots for MitraClip device and PASCAL device.

Interventions

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PASCAL vs. MitraClip

transcatheter mitral valve repair of the mitral valve (M-TEER) using the Edwards PASCAL Transcatheter Valve Repair System or the Abbott MitraClip in patients with severe and symptomatic degenerative or functional mitral regurgitation (FMR).

The type of device system used was not randomized but was determined by the operational structuring of the mitral valve program such that patients were scheduled for the next available implantation date with weekly alternating time slots for MitraClip device and PASCAL device.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* Severe Mitral Regurgitation (3+ to 4+)
* Symptom status: NYHA functional class ≥ II
* Patients with FMR or DMR, who were referred for M-TEER by the heart team decision due to a high

Exclusion Criteria

* Life expectancy \< 1 year
* Anatomy of the mitral valve that may not be suitable for the MitraClip or PASCAL device
* Contraindication for transoesophageal echocardiography
* Active endocarditis
* Pregnant or planning pregnancy within next 12 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heinrich-Heine University, Duesseldorf

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Malte Kelm, Prof.

Role: STUDY_CHAIR

Clinic for Cardiology, Pneumology and Angiology at University Hospital Düsseldorf

Patrick Horn, MD

Role: PRINCIPAL_INVESTIGATOR

Clinic for Cardiology, Pneumology and Angiology at University Hospital Düsseldorf

Jafer Haschemi, MD

Role: PRINCIPAL_INVESTIGATOR

Clinic for Cardiology, Pneumology and Angiology at University Hospital Düsseldorf

Locations

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Division of Cardiology, Pulmonary Disease and Vascular Medicine

Düsseldorf, , Germany

Site Status

Countries

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Germany

Other Identifiers

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PASCAL vs. MitralClip

Identifier Type: -

Identifier Source: org_study_id

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