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CardiAQ-Edwards™ Transcatheter Mitral Valve Replacement (TMVR) Study (RELIEF)

Primary Purpose

Mitral Valve Regurgitation

Status
Withdrawn
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Transcatheter Mitral Valve Re-placement (TMVR) with the CardiAQ-Edwards™ Transcatheter Mitral Valve
Sponsored by
Edwards Lifesciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mitral Valve Regurgitation focused on measuring Mitral, Regurgitation, Insufficiency, Degenerative, Functional, Primary, Secondary, Organic, Transcatheter, TMVR, TMVI, Heart valve, Mitral valve, Transapical, Transfemoral, Transeptal, Severe

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • NYHA ≥ II
  • Moderate/severe or severe mitral regurgitation
  • Prohibitive risk for open-heart surgery
  • Meets anatomical criteria

Exclusion Criteria:

  • Unsuitable anatomy
  • Need for emergent or urgent surgery
  • Prior mechanical aortic valve replacement
  • Any prior surgical or transcatheter repair (excluding balloon valvuloplasty) or replacement of the mitral valve
  • Preexisting device in the left ventricular apex
  • Clinically significant, untreated coronary artery disease
  • Limited life expectancy (< 12 months)
  • Active infection

Sites / Locations

  • St. Paul's Hospital, University of British Columbia
  • St. Michael's Hospital
  • Centre Toronto General Hospital
  • Centre de recherche Institut Universitaire de Cardiologie et de Pneumologie de Québec (CRIUCPQ)
  • Rigshospitalet
  • Centre Hospitalier Régional Universitaire de Lille
  • Kerckhoff-Klinik GmbH
  • Deutsche Herzzentrum Berlin
  • University Heart Centre
  • Herzzentrum der UniKlinik Köln
  • Leipzig Herzzentrum
  • Ospedale San Raffaele
  • Universita di Roma Tor Vergata
  • Erasmus Medical Centre
  • InselSpital Bern

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment

Arm Description

Treatment with the CardiAQ-Edwards™ Transcatheter Mitral Valve (transapical or transseptal delivery)

Outcomes

Primary Outcome Measures

Freedom from major adverse cardiac and cerebrovascular events
MACCE; all-cause mortality, myocardial infarction, stroke, renal failure, and conversion to surgery per MVARC definitions
Freedom from individual adverse events
% Freedom from individual adverse events

Secondary Outcome Measures

New York Heart Association (NYHA) functional class
Number of patients with improvement in NYHA class
Six minute walk test:
Increase in distance (m) from baseline
Reduction in mitral regurgitation (MR) grade:
Number of patients with reduction in MR grade from baseline
Technical success
Technical success per MVARC criteria (%)
Device success
Device success per MVARC criteria (%)
Procedure success
Procedure success per MVARC criteria (%)
Patient success
Patient success per MVARC criteria (%)

Full Information

First Posted
March 1, 2016
Last Updated
January 5, 2018
Sponsor
Edwards Lifesciences
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1. Study Identification

Unique Protocol Identification Number
NCT02722551
Brief Title
CardiAQ-Edwards™ Transcatheter Mitral Valve Replacement (TMVR) Study
Acronym
RELIEF
Official Title
The RELIEF Trial: REduction or eLimination of mItral rEgurgitation in Degenerative or Functional Mitral Regurgitation With the CardiAQ-Edwards™ Transcatheter Mitral Valve
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Withdrawn
Study Start Date
November 2016 (undefined)
Primary Completion Date
October 2019 (Anticipated)
Study Completion Date
October 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Edwards Lifesciences

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Clinical study to evaluate the safety and performance of the CardiAQ-Edwards™ Transcatheter Mitral Valve
Detailed Description
The study is a multi-center, prospective, single-arm, and non-randomized study designed to evaluate the safety and performance of the CardiAQ-Edwards™ Transcatheter Mitral Valve with transapical and transseptal delivery systems in patients with degenerative or functional/ischemic mitral regurgitation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mitral Valve Regurgitation
Keywords
Mitral, Regurgitation, Insufficiency, Degenerative, Functional, Primary, Secondary, Organic, Transcatheter, TMVR, TMVI, Heart valve, Mitral valve, Transapical, Transfemoral, Transeptal, Severe

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment
Arm Type
Experimental
Arm Description
Treatment with the CardiAQ-Edwards™ Transcatheter Mitral Valve (transapical or transseptal delivery)
Intervention Type
Device
Intervention Name(s)
Transcatheter Mitral Valve Re-placement (TMVR) with the CardiAQ-Edwards™ Transcatheter Mitral Valve
Intervention Description
Replacement of the mitral valve through a transcatheter approach
Primary Outcome Measure Information:
Title
Freedom from major adverse cardiac and cerebrovascular events
Description
MACCE; all-cause mortality, myocardial infarction, stroke, renal failure, and conversion to surgery per MVARC definitions
Time Frame
30 days
Title
Freedom from individual adverse events
Description
% Freedom from individual adverse events
Time Frame
30 days
Secondary Outcome Measure Information:
Title
New York Heart Association (NYHA) functional class
Description
Number of patients with improvement in NYHA class
Time Frame
30 days, 3 months, 6 months, 12 months
Title
Six minute walk test:
Description
Increase in distance (m) from baseline
Time Frame
30 days, 3 months, 6 months, 12 months
Title
Reduction in mitral regurgitation (MR) grade:
Description
Number of patients with reduction in MR grade from baseline
Time Frame
30 days, 3 months, 6 months, 12 months
Title
Technical success
Description
Technical success per MVARC criteria (%)
Time Frame
30 days, 3 months, 6 months, 12 months
Title
Device success
Description
Device success per MVARC criteria (%)
Time Frame
30 days, 3 months, 6 months, 12 months
Title
Procedure success
Description
Procedure success per MVARC criteria (%)
Time Frame
30 days, 3 months, 6 months, 12 months
Title
Patient success
Description
Patient success per MVARC criteria (%)
Time Frame
30 days, 3 months, 6 months, 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: NYHA ≥ II Moderate/severe or severe mitral regurgitation Prohibitive risk for open-heart surgery Meets anatomical criteria Exclusion Criteria: Unsuitable anatomy Need for emergent or urgent surgery Prior mechanical aortic valve replacement Any prior surgical or transcatheter repair (excluding balloon valvuloplasty) or replacement of the mitral valve Preexisting device in the left ventricular apex Clinically significant, untreated coronary artery disease Limited life expectancy (< 12 months) Active infection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lars Sondergaard
Organizational Affiliation
The Rigshospitalet, Copenhagen, Denmark
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Paul's Hospital, University of British Columbia
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6Z 1Y6
Country
Canada
Facility Name
St. Michael's Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5B 1W8
Country
Canada
Facility Name
Centre Toronto General Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2C4
Country
Canada
Facility Name
Centre de recherche Institut Universitaire de Cardiologie et de Pneumologie de Québec (CRIUCPQ)
City
Quebec
ZIP/Postal Code
G1V 4G5
Country
Canada
Facility Name
Rigshospitalet
City
Copenhagen
ZIP/Postal Code
2100
Country
Denmark
Facility Name
Centre Hospitalier Régional Universitaire de Lille
City
Lille
ZIP/Postal Code
59000
Country
France
Facility Name
Kerckhoff-Klinik GmbH
City
Bad Nauheim
ZIP/Postal Code
61231
Country
Germany
Facility Name
Deutsche Herzzentrum Berlin
City
Berlin
ZIP/Postal Code
13353
Country
Germany
Facility Name
University Heart Centre
City
Hamburg
ZIP/Postal Code
20146
Country
Germany
Facility Name
Herzzentrum der UniKlinik Köln
City
Köln
ZIP/Postal Code
50937
Country
Germany
Facility Name
Leipzig Herzzentrum
City
Leipzig
ZIP/Postal Code
04289
Country
Germany
Facility Name
Ospedale San Raffaele
City
Milano
ZIP/Postal Code
20132
Country
Italy
Facility Name
Universita di Roma Tor Vergata
City
Roma
ZIP/Postal Code
00133
Country
Italy
Facility Name
Erasmus Medical Centre
City
Rotterdam
ZIP/Postal Code
3015 CE
Country
Netherlands
Facility Name
InselSpital Bern
City
Bern
ZIP/Postal Code
3010
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
No

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CardiAQ-Edwards™ Transcatheter Mitral Valve Replacement (TMVR) Study

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