Actively Recruiting

Age: 18Years +
All Genders
ID02925819

Management and Clinical Outcomes of Patients With Severe Mitral Disease Not Suitable for Surgery: A Prospective Multicenter Observational Study

Led by French Cardiology Society · Updated on 2025-02-13

500

Participants Needed

3

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to collect information on French patients with symptomatic severe mitral valve disease who cannot undergo surgery due to high risk or contraindications. It focuses on those with disease on a native valve or worsening after previous valve repair or replacement. The study will evaluate the risks of illness and death over 24 months for patients not included in other clinical trials, analyzing how various patient characteristics and treatments relate to these outcomes. Patients undergo medical evaluations including physical exams, ECGs, blood tests, and echocardiography. Data on demographics, clinical status, lab results, and treatments are gathered in an electronic form at each participating center. Patient monitoring includes phone calls at 6 months and medical visits with echocardiography at 1 and 2 years to track their condition and treatment effects. Participants will be followed for two years to assess outcomes like all-cause death, heart failure, survival rates, hospitalizations, functional status, and early safety up to hospital discharge. The study collects detailed clinical and imaging data to understand the progression of severe mitral valve disease in patients unsuitable for surgery and how different factors influence their health over time.

CONDITIONS

Brief Title

Management and Clinical Outcomes of Patients With Severe Mitral Valve Disease Not Suitable for Surgery

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged over 18 years
  • Have severe mitral valve stenosis or regurgitation regardless of cause
  • Symptomatic with NYHA functional class II-IV despite optimized medical therapy
  • Judged not eligible for surgical treatment by a specialized heart team
  • Informed about the study and do not oppose use of clinical data
  • Not currently included in a clinical trial
Not Eligible

You will not qualify if you...

  • Asymptomatic patients
  • Do not have severe mitral valve regurgitation or stenosis
  • Judged eligible for surgical treatment by a specialized heart team
  • Pregnant or breastfeeding women
  • Not informed about the study or oppose use of clinical data

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Monitoring

Duration - 2 years

Participants who are not eligible for surgery are observed with clinical evaluations and echocardiography.

Medical visit at 1 year and 2 years, phone call at 6 months

Trial Site Locations

Total: 3 locations

1

CHU Lyon

Lyon, France

Actively Recruiting

2

CHU Nantes

Nantes, France

Actively Recruiting

3

Bichat Hospital

Paris, France

Actively Recruiting

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Research Team

J

Jean-François OBADIA

B

Bernard IUNG

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease.

Bernard Iung, Gabriel Baron, Eric G Butchart...

https://pubmed.ncbi.nlm.nih.gov/12831818

Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS).

Alec Vahanian, Ottavio Alfieri, Felicita Andreotti...

https://pubmed.ncbi.nlm.nih.gov/22922698

Mitral valve repair for functional mitral regurgitation in end-stage dilated cardiomyopathy: role of the "edge-to-edge" technique.

Michele De Bonis, Elisabetta Lapenna, Giovanni La Canna...

https://pubmed.ncbi.nlm.nih.gov/16159854

Acute and 12-month results with catheter-based mitral valve leaflet repair: the EVEREST II (Endovascular Valve Edge-to-Edge Repair) High Risk Study.

Patrick L Whitlow, Ted Feldman, Wes R Pedersen...

https://pubmed.ncbi.nlm.nih.gov/22222076

Percutaneous mitral valve interventions in the real world: early and 1-year results from the ACCESS-EU, a prospective, multicenter, nonrandomized post-approval study of the MitraClip therapy in Europe.

Francesco Maisano, Olaf Franzen, Stephan Baldus...

https://pubmed.ncbi.nlm.nih.gov/23747789

MitraClip therapy in daily clinical practice: initial results from the German transcatheter mitral valve interventions (TRAMI) registry.

Stephan Baldus, Wolfgang Schillinger, Olaf Franzen...

https://pubmed.ncbi.nlm.nih.gov/22685268

Initial French experience of percutaneous mitral valve repair with the MitraClip: a multicentre national registry.

Xavier Armoiry, Eric Brochet, Thierry Lefevre...

https://pubmed.ncbi.nlm.nih.gov/23769403

The MITRA-FR study: design and rationale of a randomised study of percutaneous mitral valve repair compared with optimal medical management alone for severe secondary mitral regurgitation.

Jean-François Obadia, Xavier Armoiry, Bernard Iung...

https://pubmed.ncbi.nlm.nih.gov/25798568