New catheter procedure tightens leaky heart valves without surgery
NCT ID NCT03929913
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early study tested a new, less invasive procedure to treat functional mitral regurgitation, a condition where a leaky heart valve causes heart failure symptoms like shortness of breath and fatigue. Nineteen adults with this condition received a permanently implanted device that tightens the valve like a purse-string, using catheters guided by X-ray and ultrasound, avoiding open-heart surgery. The goal was to see if the procedure could be done safely and effectively, with success measured immediately and at 30 days.
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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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19 people
The number who actually took part.
- Started
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May 2019
- Finished
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Feb 2026
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
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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21 to 99 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
* INCLUSION CRITERIA: 1. Adults age \>=21 years 2. Symptomatic functional mitral valve regurgitation 1. Mild or greater mitral valve regurgitation, LVEF \<= 0.50, and NYHA class III - IV heart failure 2. Moderate or greater mitral valve regurgitation and NYHA II - IV heart failure, irrespective of LV systolic function 3. On optimal medical therapy for at least one month 4. Left ventricular ejection fraction \>=0.20 assessed by echocardiography, CT, or CMR 5. Suitable coronary venous anatomy for Transcatheter Mitral Cerclage Annuloplasty based on pre-procedural cardiac CT or coronary venogram 6. Concordance of the Study Eligibility Committee 7. If present, a MitraClip was implanted at least 30 days previously EXCLUSION CRITERIA: 1. Subjects unable to consent to participate 2. Subjects unwilling to participate or unwilling to return for study follow-up activities. 3. Prior cardiac implanted electronic devices (CIED) likely to be entrapped by cerclage. \-- Candidates with coronary sinus or left ventricular pacing or defibrillation leads that are not likely to be entrapped by cerclage, evident on baseline CT or angiogram, are eligible to participate. 4. TAVR within 6 weeks 5. Intended concurrent structural heart procedure, such as aortic or tricuspid valve intervention 6. Aortic stenosis more than mild in severity 7. Single-leaflet MitraClip detachment, if present 8. Pregnancy or intent to become pregnant prior to completion of all protocol follow-up procedures
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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.
Contacts and locations
Locations
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Carilion Medical Center
Roanoke, Virginia, 24014, United States
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Emory University
Atlanta, Georgia, 30322-1102, United States
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MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a tiny implant fix a leaky heart valve without open surgery?
- Heart rhythm fix may also repair leaky valve: scientists build prediction model
- New study aims to uncover why some heart valves leak in AFib patients
- Heart failure drug combo may improve valve function
- New heart valve fix device takes on market leader in major trial
- MRI scans may predict who benefits from MitraClip heart valve repair