New heart valve fix without cutting chest shows promise for High-Risk patients
NCT ID NCT04029363
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study is testing a new device called the HighLife 28mm mitral valve, which is placed through a tube in a vein to replace a leaky heart valve without open-heart surgery. It is for 120 people with moderate-severe or severe mitral regurgitation who are at high risk for surgery. The goal is to see if the device is safe and works well.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HighLife Transcatheter Mitral Valve Replacement device
- What this could lead to
- If successful, this could offer a less invasive treatment option for people with severe mitral regurgitation who are too high-risk for open-heart surgery.
- What could go wrong
- This is an early study with only 120 participants, so results may not apply to everyone. The procedure carries risks like bleeding, infection, or device complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2019
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Age ≥ 18 years 2. Moderate-severe or severe mitral regurgitation (≥ 3+) 3. Patient has New York Heart Association (NYHA) Functional Class II, III or ambulatory IV 4. Patient is under guideline directed medical therapy, as reviewed and confirmed by the local multidisciplinary Heart Team, for at least one month 5. Patient is high-risk for open-heart surgery based on the assessment of the multidisciplinary Heart Team using standard scoring systems and consideration of co-morbidities, frailty, and disability 6. Patient meets the anatomical criteria for HighLife valve 7. Patient is willing to participate in the study and provides signed informed consent Exclusion Criteria: 1. Any stroke/TIA within 30 days 2. Severe symptomatic carotid stenosis (\> 70% by non-invasive imaging) 3. Active infections requiring antibiotic therapy 4. Active ulcer or gastro-intestinal bleeding in the past 3 months 5. History of bleeding diathesis, coagulopathy or refusal of future blood transfusion 6. Patients in whom TEE is not feasible 7. Patients who are pregnant or lactating, or plan to get pregnant in the next 12 months. 8. Patient is unable to comply with the follow-up schedule and assessments 9. Participation in another clinical investigation at the time of inclusion 10. Patient has known allergies to the device components or contrast medium 11. Patient cannot tolerate anticoagulation or antiplatelet therapy 12. Patients with a life expectancy of less than 12 months due to non-cardiac conditions 13. Patient had permanent pacemaker, or similar device with implantable cardiac leads (i.e. resynchronization therapy) within the last 3 months \-
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Get notified about this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
39 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AZ Sint-Jan
RECRUITINGBruges, 8000, Belgium
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Barts Heart Center
TERMINATEDLondon, United Kingdom
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Brighton and Sussex University Hospital
RECRUITINGBrighton, BN2 5BE, United Kingdom
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CHRU Strasbourg
RECRUITINGStrasbourg, France
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CHU Bordeaux
RECRUITINGPessac, 33600, France
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CHU Lille
RECRUITINGLille, France
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CHU de Rennes
RECRUITINGRennes, 35000, France
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Centr Cardiologiqque du Nord
RECRUITINGSaint-Denis, France
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Centre Hospitalo-Universitaire de Nantes
RECRUITINGNantes, France
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Clinque Pasteur
RECRUITINGToulouse, 31076, France
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Deutsches Herzzentrum Munchen
RECRUITINGMunich, Germany
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European Hospital George Pompidou
TERMINATEDParis, 5015, France
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Guy's and St. Thomas' NHS Foundation Trust - St. Thomas Hospital
RECRUITINGLondon, SE1 9RS, United Kingdom
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Heart Center, University Hospital Dresden
RECRUITINGDresden, Germany
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Herzentrum Leipzig
RECRUITINGLeipzig, 04289, Germany
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Hopital Prive - Jacques Cartier
RECRUITINGMassy, France
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Institute of Cardiology
RECRUITINGWarsaw, 04-628, Poland
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John Hunter Hospital
RECRUITINGNewcastle, New South Wales, 2305, Australia
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John Hunter Hospital
RECRUITINGNewcastle, Australia
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John Radcliffe
TERMINATEDOxford, United Kingdom
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Leeds Teaching Hospitals NHS Trust
TERMINATEDLeeds, United Kingdom
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Macquarie University Hospital
WITHDRAWNSydney, New South Wales, 2109, Australia
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Medical University of Gdansk
RECRUITINGGdansk, Poland
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Medical University of Silesia Hospital
RECRUITINGKatowice, 40-635, Poland
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Medical University of Warsaw
RECRUITINGWarsaw, 02-097, Poland
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Mediinisches Versorgungszentrum
RECRUITINGHamburg, Germany
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Medipole Lyon-Villeurbanne
RECRUITINGLyon, France
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Mount Hospital
RECRUITINGPerth, 6150, Australia
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National Heart Center Singapore
RECRUITINGSingapore, Singapore
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North Shore Private Hospital
RECRUITINGSydney, Australia
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Princess Alexandra Hospital
RECRUITINGBrisbane, Australia
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Rangueil University Hospital
RECRUITINGToulouse, Toulouse, 31400, France
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Rangueil University Hospital
RECRUITINGToulouse, France
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Royal Infirmary of Edinburgh
RECRUITINGEdinburgh, United Kingdom
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Royal Victoria Hospital
RECRUITINGBelfast, United Kingdom
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St. Andrew's Hospital
RECRUITINGAdelaide, 5000, Australia
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St. Vincent's Hospital - Sydney
RECRUITINGDarlinghurst, New South Wales, 2010, Australia
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The Alfred Hospital
RECRUITINGMelbourne, 3004, Australia
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The Wesley Hospital
RECRUITINGAuchenflower, Queensland, 4066, Australia
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UZ Leuven
RECRUITINGLeuven, 3000, Belgium
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Universitaetsklinikum Bonn
RECRUITINGBonn, 53127, Germany
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Universitatsklink Hamburg-Eppendorf
RECRUITINGHamburg, 20246, Germany
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University Heart Center Freiburg - Bad Krozingen
TERMINATEDBad Krozingen, 79189, Germany
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University Hospital Heidelberg
TERMINATEDHeidelberg, Germany
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University Hospital Ulm
RECRUITINGUlm, 89081, Germany
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University Hospital of Lord's Transfiguration
TERMINATEDPoznan, 61-848, Poland
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University Hospitals of Leicester NHS Trust
TERMINATEDLeicester, United Kingdom
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University Medicine Dept of Cardiology
TERMINATEDRostock, Germany
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Warringal Hospital
TERMINATEDHeidelberg, 3084, Australia
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ZNA Middelheim
RECRUITINGAntwerp, 2020, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Earlier blood thinner may cut clot risk in heart procedures
- A simple pressure reading may expose hidden mitral valve leakage after keyhole repair
- Can a tiny clip fix a leaky heart valve and spare patients from Open-Heart surgery?
- Can a tiny device fix a leaky heart valve without Open-Heart surgery?
- AI ultrasound could unmask silent heart disease in seniors
- Can a new valve device fix a leaky heart without open surgery?