Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients With Functional MR

NCT ID: NCT07227675

Last Updated: 2025-11-13

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

Clinical Phase

NA

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-23

Study Completion Date

2024-03-31

Brief Summary

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The COAPT Continued Access Study (CAS) is an extension of the COAPT RCT under the same IDE (G120024). COAPT CAS was a single-arm, prospective, multicenter continued access registry that enrolled heart failure patients with secondary mitral regurgitation who remained symptomatic despite optimal guideline-directed medical therapy (GDMT). The objective of the COAPT CAS is to continue the evaluation of safety and effectiveness of the MitraClip NT System under more "real world" conditions in patients who meet the COAPT inclusion/exclusion criteria and who have national Medicare coverage by the Centers for Medicare and Medicaid Services (CMS).

Detailed Description

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Conditions

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Mitral Regurgitation Mitral Valve Regurgitation

Keywords

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Functional Mitral Regurgitation Mitral Valve Regurgitation Symptomatic Heart Failure COAPT CAS

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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The MitraClip NT Device

The MitraClip NT System comprises the MitraClip NT Clip Delivery System

Group Type EXPERIMENTAL

MitraClip® NT System

Intervention Type DEVICE

The MitraClip NT System is intended to treat heart failure patients with symptomatic ischemic or non-ischemic functional MR

Interventions

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MitraClip® NT System

The MitraClip NT System is intended to treat heart failure patients with symptomatic ischemic or non-ischemic functional MR

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects who have national Medicare coverage by CMS
* Symptomatic functional MR (≥3+) due to cardiomyopathy of either ischemic or non-ischemic etiology
* Subject has been adequately treated per applicable standards, including for coronary artery disease, left ventricular dysfunction, mitral regurgitation and heart failure
* Subject has had at least one hospitalization for heart failure in the 12 months prior to subject registration and/or a corrected BNP ≥300 pg/ml or corrected NT-proBNP ≥1500 pg/ml
* New York Heart Association (NYHA) Functional Class II, III or ambulatory IV
* Surgery will not be offered as a treatment option and medical therapy is the intended therapy for the subject
* Left Ventricular Ejection Fraction (LVEF) is ≥20% and ≤50%
* Left Ventricular End Systolic Dimension (LVESD) is ≤70 mm

Exclusion Criteria

* Untreated clinically significant coronary artery disease requiring revascularization
* Coronary artery bypass grafting (CABG) within prior 30 days
* Percutaneous coronary intervention within prior 30 days
* Tricuspid valve disease requiring surgery
* Aortic valve disease requiring surgery
* Chronic Obstructive Pulmonary Disease (COPD) requiring continuous home oxygen therapy or chronic outpatient oral steroid use
* Cerebrovascular accident within prior 30 days
* Severe symptomatic carotid stenosis (\> 70% by ultrasound)
* Carotid surgery within prior 30 days
* Mitral valve orifice area \< 4.0 cm2
* Leaflet anatomy which may preclude MitraClip implantation, proper MitraClip positioning on the leaflets or sufficient reduction in MR by the MitraClip
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott Medical Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Mack, MD

Role: PRINCIPAL_INVESTIGATOR

Baylor Health Care System

William T Abraham, MD

Role: PRINCIPAL_INVESTIGATOR

The Ohio State University Heart Center

JoAnn Lindenfeld, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Gregg W Stone,, MD

Role: PRINCIPAL_INVESTIGATOR

MOUNT SINAI HOSPITAL

Locations

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Scripps Green Hospital

La Jolla, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

El Camino Hospital

Mountain View, California, United States

Site Status

Stanford Hospital and Clinics

Stanford, California, United States

Site Status

University of Colorado Hospital

Denver, Colorado, United States

Site Status

Mount Sinai Medical Center

Miami, Florida, United States

Site Status

Tallahassee Memorial Hospital

Tallahassee, Florida, United States

Site Status

Piedmont Hospital Atlanta

Atlanta, Georgia, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status

Barnes Jewish Hospital

St Louis, Missouri, United States

Site Status

Morristown Medical Center

Morristown, New Jersey, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

Columbia University Medical Center / New York Presbyterian Hospital

New York, New York, United States

Site Status

St. Francis Hospital

Roslyn, New York, United States

Site Status

Atrium Health Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

The Christ Hospital

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, United States

Site Status

Providence St. Vincent Medical Center

Portland, Oregon, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

UPMC Presbyterian

Pittsburgh, Pennsylvania, United States

Site Status

UPMC Shadyside Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Seton Medical Center Austin

Austin, Texas, United States

Site Status

Baylor Heart and Vascular Hospital

Dallas, Texas, United States

Site Status

The heart hospital baylor plano

Plano, Texas, United States

Site Status

Intermountain Medical Center

Murray, Utah, United States

Site Status

Virginia Commonwealth University Medical Center

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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11- 512

Identifier Type: -

Identifier Source: org_study_id