New heart valve repair technique could rival open surgery
NCT ID NCT05090540
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares a less invasive procedure (TEER) to standard open-heart surgery for people with severe mitral regurgitation, a condition where a heart valve doesn't close properly. About 600 adults will be randomly assigned to one of the two treatments. The main goal is to see which approach better helps the heart recover and improve survival.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2017
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults with severe secondary mitral regurgitation with or without multivessel coronary artery disease who were symptomatic for congestive heart failure and unresponsive to medical therapy were eligible for surgical repair or replacement combined or not to coronary artery bypass graft (CABG). The severity of SMR was evaluated by transthoracic echocardiography, which was performed using European Society of Echocardiography criteria. Severe MR was defined as an effective regurgitant orifice area (EROA) of at least 0.4 cm2 or by a combination of adjunctive echocardiographic quantification methods according to guidelines. MR grade was defined according to EROA.
- Ages
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18 to 90 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.
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: * Adult * Ischemic NoIschemic cardiomyopathy * EROA\> 0,2 cm2 or Regurgitant Volume \> 30 ml (ESC guidelines). * EROA ≥ 0.4 cm2 with tethering (ACC/AHA) * MR Grade 3/4 * Eligible for TEE, surgical repair and replacement of mitral valve * Coronary artery disease with or without the need for coronary revascularization * Average value LVEDD 62 mm LVEF 42% Exclusion Criteria: * Pediatric * Any echocardiographic evidence of structural (chordal or leaflet) mitral-valve disease * ruptured papillary
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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
2 sites. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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Centre Cardiologique Du Nord
Saint-Denis, France
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Francesco Nappi
Saint-Denis, 93200, France
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