Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06465745

AltaValve Pivotal Trial for Treatment of Moderate-to-Severe or Severe Mitral Regurgitation Using the AltaValve System

Led by 4C Medical Technologies, Inc. · Updated on 2025-05-02

450

Participants Needed

29

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and performance of the AltaValve System to treat moderate-to-severe or severe mitral regurgitation (MR) in patients who are not suitable for surgery or other transcatheter repair options. This clinical trial focuses on adults with symptoms classified in New York Heart Association (NYHA) class II-IV, aiming to address mitral valve incompetence in targeted patient groups, including those with and without moderate to severe mitral annular calcification (MAC). The trial uses the AltaValve System, a transcatheter device designed for mitral valve replacement. Participants receive treatment through one of two groups: those without moderate mitral annular calcification and those with moderate to severe MAC. The study is non-randomized and open-label, with the device implanted to assess its safety and effectiveness in these specific populations. Participants will be monitored for at least 12 months, with key outcomes including all-cause mortality and heart failure hospitalizations. Additional assessments involve stroke, kidney injury, bleeding events, mitral valve re-intervention, technical success on the day of the procedure, changes in heart failure symptoms, walking ability, and pacemaker rates. Follow-up visits occur at various intervals up to five years, ensuring comprehensive evaluation of safety and performance over time.

CONDITIONS

Brief Title

AltaValve Pivotal Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age �3E= 18 years
  • Symptomatic New York Heart Association (NYHA) class II-IV
  • Moderate-to-severe or severe mitral regurgitation despite optimal guideline-directed medical therapy
  • Unsuitable for surgery and Transcatheter Edge-toEdge Repair as determined by the local Heart Team
Not Eligible

You will not qualify if you...

  • Inability to understand the trial or non-compliance with medical advice
  • Unable to provide signed informed consent
  • History of cognitive or mental health issues interfering with trial participation
  • Enrolled in another pre-approval investigational trial that may interfere
  • Female subjects pregnant or planning pregnancy during the trial
  • Hypersensitivity or contraindication to heparin, warfarin without alternatives
  • Hypersensitivity to nitinol (nickel allergy) not manageable with medication
  • Hypersensitivity to contrast media not manageable with medication
  • Left ventricular ejection fraction �3C= 25%
  • Medical condition with life expectancy less than 12 months
  • Transcatheter aortic repair or replacement within 90 days prior to procedure
  • Percutaneous coronary intervention within 90 days prior to procedure

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Day 0

Participants undergo transcatheter mitral valve replacement using the AltaValve System.

1 procedure visit (in-person)

Post-operative Follow-up

Duration - 30 days or hospital discharge (whichever is longer)

Participants are monitored for safety and valve performance after the procedure.

Approximately 1 to 2 visits

Follow-up

Duration - Up to 12 months and annually thereafter for up to 5 years

Participants are followed for clinical outcomes including mortality, heart failure hospitalization, valve re-intervention, and functional assessments.

Visits at 1 month, 6 months, 12 months, and annually up to 5 years

Trial Site Locations

Total: 29 locations

1

Abrazo Arizona Heart Hospital

Phoenix, Arizona, United States, 85016

Actively Recruiting

2

Dignity Health; St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States, 85032

Actively Recruiting

3

TMC Healthcare

Tucson, Arizona, United States, 85712

Actively Recruiting

4

Sutter Bay Hospitals

San Francisco, California, United States, 94107

Actively Recruiting

5

Los Robles Hospital & Medical Center

Thousand Oaks, California, United States, 91360

Actively Recruiting

6

Cardiovascular Institute of the South

Houma, Louisiana, United States, 70360

Actively Recruiting

7

MedStar Health Research Institute, Inc.

Columbia, Maryland, United States, 21044

Actively Recruiting

8

William Beaumont Hospital

Royal Oak, Michigan, United States, 48073

Actively Recruiting

9

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, United States, 55407

Actively Recruiting

10

Mayo Clinic

Rochester, Minnesota, United States, 55905

Actively Recruiting

11

Washington University

St Louis, Missouri, United States, 63110

Actively Recruiting

12

AHS Hospital Corp.

Morristown, New Jersey, United States, 07960

Actively Recruiting

13

New York Presbyterian Hospital-Columbia University Medical Center

New York, New York, United States, 10032

Not Yet Recruiting

14

Montefiore Medical Center

The Bronx, New York, United States, 10467

Actively Recruiting

15

The Charlotte-Mecklenburg Hospital; Atrium Health

Charlotte, North Carolina, United States, 28203

Actively Recruiting

16

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States, 44106

Actively Recruiting

17

South Oklahoma Heart Research, LLC.

Oklahoma City, Oklahoma, United States, 73135

Actively Recruiting

18

Oregon Health & Science University

Portland, Oregon, United States, 97239

Actively Recruiting

19

The University of Texas Health Science Center at Houston

Houston, Texas, United States, 77030

Actively Recruiting

20

University of Virginia

Charlottesville, Virginia, United States, 22903

Actively Recruiting

21

Universitatsklinikum Bonn

Bonn, Germany

Actively Recruiting

22

University Hospital Cologne - Heart Center

Cologne, Germany

Actively Recruiting

23

Cardiac Research GmbH; St.-Johannes-Hospital Dortmund

Dortmund, Germany

Actively Recruiting

24

Heart Center Trier

Trier, Germany

Actively Recruiting

25

Onassis Cardiac Surgery Center

Athens, Greece

Actively Recruiting

26

Interbalkan Medical Center of Thessaloniki

Thessaloniki, Greece

Actively Recruiting

27

Hospital Clinic de Barcelona

Barcelona, Spain

Actively Recruiting

28

Fundación para la investigación biomédica del hospital clínico San Carlos

Madrid, Spain

Actively Recruiting

29

Hospital Álvaro Cunqueiro

Vigo, Spain

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

2

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