Magna Mitral - 23mm
Primary Purpose
Mitral Heart Valve Disease
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Implantation of CEP Magna Mitral Model 7000TFX
Sponsored by
About this trial
This is an interventional treatment trial for Mitral Heart Valve Disease focused on measuring Mitral Valve Replacement, 23mm CEP, Magna
Eligibility Criteria
Inclusion Criteria:
- Patient has mitral valve disease requiring surgical replacement
- Patient has provided written informed consent prior to mitral valve surgery
- Patient is expected to survive surgery and be discharged
- Patient is willing to comply with specified follow-up evaluations
- Patient is 13 years of age or older
Exclusion Criteria:
- Patient has life expectancy < 12 months due to non-cardiac co-morbid conditions;
- Patient has/had active endocarditis within the last 3 months
- Patient requires replacement of a native or previously implanted prosthetic, tricuspid, pulmonic or aortic valve;
- Patient was previously enrolled and implanted in the study
- Patient has/had prior aortic, tricuspid and/ or pulmonary valve surgery, which included implantation of a bioprosthetic valve or mechanical valve that will remain in situ
- Patient has a body surface area (BSA) > 1.9m2
- Female patients who are pregnant, planning to become pregnant, or lactating
- Patient has a documented history of substance ( drug or alcohol) abuse
- Patient is currently a prison inmate
- Patient is currently participating in an investigational drug or another device study
- Patient is undergoing renal dialysis for chronic renal failure or has hyperparathyroidism
- Patient has active myocarditis
- Patient has had an acute preoperative neurological deficit, myocardial infarction, or cardiac event and has not returned to baseline or stabilized > 30 days prior to the planned v alve implant surgery
- Patient has an abnormality such as an aortic aneurysm (e.g. due to cystic medial necrosis or Marfan's syndrome), aortic dissection, or ventricular aneurysm that might place
Sites / Locations
- Florida Hospital
- Northwestern Hospital
- University of Iowa Hospitals & Clinics
- Washington University
- Cooper University Hospital
- The John Paul II Hospital in Krakow
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
All subjects receive implant
Arm Description
Subjects serve as own control
Outcomes
Primary Outcome Measures
Percent of Early Adverse Events Divided
Number of early adverse events occurring within 30 days of procedure divided by the number of enrolled subjects times 100.
Percent of Late Adverse Events
Number of late events divided by the total number of late patient years times 100. Late patient years are calculated from 31 days post-implant to the date of the last contact (follow up or adverse event).
Percentage of Subjects With Freedom From Serious Adverse Events (SAE) Post-implant > 30 Days
Subject's freedom from Serious Adverse Events at > 30 days post-implant. Time to events were estimated by Kaplan-Meier method.
Subject's Average Effective Orifice Area (EOA) Measurement
Effective orifice area represents the cross-sectional area of the blood flow downstream of the mitral valve. Effective orifice area is evaluated by echocardiography over time.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01312779
Brief Title
Magna Mitral - 23mm
Official Title
Clinical Evaluation of the Size 23mm Carpentier-Edwards PERIMOUNT Magna Mitral Bioprosthesis, Model 7000TFX
Study Type
Interventional
2. Study Status
Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
March 2011 (Actual)
Primary Completion Date
November 2018 (Actual)
Study Completion Date
November 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Edwards Lifesciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this clinical study is to obtain human clinical data that demonstrates that the size 23mm Carpentier-Edwards PERIMOUNT Magna mitral pericardial valve, model 7000TFX, is a safe and effective replacement heart valve.
Detailed Description
This is a prospective, non-randomized, multi-site, descriptive study. A minimum of 15 and up to 20 subjects will be implanted at a minimum of 2 and up to 8 participating investigational sites within the US and internationally.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mitral Heart Valve Disease
Keywords
Mitral Valve Replacement, 23mm CEP, Magna
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
39 (Actual)
8. Arms, Groups, and Interventions
Arm Title
All subjects receive implant
Arm Type
Other
Arm Description
Subjects serve as own control
Intervention Type
Device
Intervention Name(s)
Implantation of CEP Magna Mitral Model 7000TFX
Intervention Description
Heart valve surgery: CEP Magna Mitral Model 7000 TFX
Primary Outcome Measure Information:
Title
Percent of Early Adverse Events Divided
Description
Number of early adverse events occurring within 30 days of procedure divided by the number of enrolled subjects times 100.
Time Frame
Events occuring within 30 days of procedure
Title
Percent of Late Adverse Events
Description
Number of late events divided by the total number of late patient years times 100. Late patient years are calculated from 31 days post-implant to the date of the last contact (follow up or adverse event).
Time Frame
Events occurring >= 31 days and up through 5 years post-implant
Title
Percentage of Subjects With Freedom From Serious Adverse Events (SAE) Post-implant > 30 Days
Description
Subject's freedom from Serious Adverse Events at > 30 days post-implant. Time to events were estimated by Kaplan-Meier method.
Time Frame
>30 Days, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average Effective Orifice Area (EOA) Measurement
Description
Effective orifice area represents the cross-sectional area of the blood flow downstream of the mitral valve. Effective orifice area is evaluated by echocardiography over time.
Time Frame
Pre-procedure and 1 Year post-Implant
Other Pre-specified Outcome Measures:
Title
Subject's Average Mean Gradient Measurement
Description
Mean gradient is the average flow of blood through the mitral valve measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. Mean gradient values depend on the size and type of valve.
Time Frame
Pre-procedure and 1 Year post-implant
Title
Subject's Average Peak Gradient Measurement
Description
Peak gradient is the maximum value measured of flow of blood through the mitral valve as measured in millimeters of mercury. Gradients are evaluated by echocardiography over time.
Time Frame
Pre-procedure and 1 Year post-implant
Title
Subject's Average Effective Orifice Area Index (EOAI) Measurement
Description
Effective orifice area index represents the minimal cross-sectional area of the blood flow downstream of the mitral valve divided by the person's body surface area. Effective orifice area index is evaluated by echocardiography over time.
Time Frame
Pre-procedure and 1 Year post-implant
Title
Subject's Average Performance Index Measurement
Description
Performance index is defined as the subject's effective orifice area (the cross sectional area of the blood flow downstream of the mitral valve) divided by the subject's native orifice area. Effective orifice area is evaluated by echocardiography over time.
Time Frame
Pre-procedure and 1 Year post-Implant
Title
Subject's Average Cardiac Output
Description
The amount of blood the heart pumps through the circulatory system in a minute.
Time Frame
Pre-procedure and 1 Year post-implant
Title
Subject's Average Cardiac Index
Description
Cardiac index is an assessment that divides the cardiac output from the left ventricle in one minute by the person's body surface area (BSA), thus relating heart performance to the size of the individual.
Time Frame
Pre-procedure and 1 Year post-implant
Title
Subject's Average Left Ventricular Mass Regression
Description
Patients can experience an enlargement of the left ventricle (chamber) of their heart because it works harder with a defective heart valve. Left ventricular mass regression evaluates if the patient experiences a decrease in the size of the left ventricle (chamber) after the repair or replacement of their heart valve.
Time Frame
Pre-procedure and 1 Year post-implant
Title
Subject's Severity of Central Mitral Regurgitation at 1 Year Post-implant.
Description
Mitral valvular regurgitation occurs when the mitral valve in the heart does not close tightly allowing some of the blood that was pumped out of the heart to leak back into it. Mitral valvular regurgitation is evaluated by echocardiography over time. It is assessed on a scale from 0 to 4, where 0 represents no regurgitation and 4 represents severe regurgitation.
Time Frame
1 Year post-implant
Title
Subject's Average Red Blood Cells Count
Description
Laboratory Analysis of Red Blood Cell (RBC) Count on blood drawn from subjects; RBC carry oxygen.
Time Frame
Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average White Blood Cell Count
Description
Laboratory analysis of White Blood Cell (WBC) Count on blood drawn from subject; WBC fight infection.
Time Frame
Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average Hematocrit Percentage
Description
Laboratory Analysis of Hematocrit Percentage on blood drawn from subjects. Hematocrit is the proportion of red blood cells to the plasma (liquid portion of the blood).
Time Frame
Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average Plasma Free Hemoglobin
Description
Laboratory Analysis of Plasma Free Hemoglobin on blood drawn from subjects. This blood test measures the level of free hemoglobin in the plasma (liquid portion of the blood).
Time Frame
Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average Hemoglobin Count
Description
Laboratory Analysis of Hemoglobin Count on blood drawn from subjects. Hemoglobin is an oxygen-carrying protein in red blood cells.
Time Frame
Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average Platelet Count
Description
Laboratory Analysis of Platelet Count on blood drawn from subjects; platelets help with blood clotting.
Time Frame
Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Number and Percentage of Subjects in NYHA Functional Class I or II at 1 Year Post-Implant.
Description
The New York Heart Association (NYHA) functional classification system relates symptoms to everyday activities and the patient's quality of life.
Class I. No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
Class II. Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).
Time Frame
Baseline and 1 Year post-implant
Title
Subject's New York Heart Association (NYHA) Functional Class Compared to Baseline
Description
The New York Heart Association (NYHA) functional classification system relates symptoms to everyday activities and the patient's quality of life.
Class I. No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
Class II. Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).
Class III. Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.
Class IV. Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.
Time Frame
6 Months, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant
Title
Subject's Average Score on the EQ-5D- Quality of Life Questionnaire Over Time
Description
The EQ-5D is a standardized questionnaire that asks subjects to rate themselves (no problems, some problems, extreme problems) on mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The scale is indexed and ranges from a minimum of 0.275 and a maximum of 1.000. A lower number indicates the participants experiences more problems and a higher number indicates the participants experiences fewer problems.
Time Frame
6 Months and 1 Year post-implant
10. Eligibility
Sex
All
Minimum Age & Unit of Time
13 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient has mitral valve disease requiring surgical replacement
Patient has provided written informed consent prior to mitral valve surgery
Patient is expected to survive surgery and be discharged
Patient is willing to comply with specified follow-up evaluations
Patient is 13 years of age or older
Exclusion Criteria:
Patient has life expectancy < 12 months due to non-cardiac co-morbid conditions;
Patient has/had active endocarditis within the last 3 months
Patient requires replacement of a native or previously implanted prosthetic, tricuspid, pulmonic or aortic valve;
Patient was previously enrolled and implanted in the study
Patient has/had prior aortic, tricuspid and/ or pulmonary valve surgery, which included implantation of a bioprosthetic valve or mechanical valve that will remain in situ
Patient has a body surface area (BSA) > 1.9m2
Female patients who are pregnant, planning to become pregnant, or lactating
Patient has a documented history of substance ( drug or alcohol) abuse
Patient is currently a prison inmate
Patient is currently participating in an investigational drug or another device study
Patient is undergoing renal dialysis for chronic renal failure or has hyperparathyroidism
Patient has active myocarditis
Patient has had an acute preoperative neurological deficit, myocardial infarction, or cardiac event and has not returned to baseline or stabilized > 30 days prior to the planned v alve implant surgery
Patient has an abnormality such as an aortic aneurysm (e.g. due to cystic medial necrosis or Marfan's syndrome), aortic dissection, or ventricular aneurysm that might place
Facility Information:
Facility Name
Florida Hospital
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Northwestern Hospital
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
University of Iowa Hospitals & Clinics
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Washington University
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Cooper University Hospital
City
Camden
State/Province
New Jersey
ZIP/Postal Code
08103
Country
United States
Facility Name
The John Paul II Hospital in Krakow
City
Krakow
ZIP/Postal Code
31-202
Country
Poland
12. IPD Sharing Statement
Links:
URL
https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure/classes-of-heart-failure
Description
New York Heart Association Classification
URL
https://euroqol.org/eq-5d-instruments/
Description
EuroQol Standardized Instrument (EQ-5D) developed to measure of health-related quality of life
Learn more about this trial
Magna Mitral - 23mm
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