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Mitral Valve InsufficiencyREDUCE FMRNCT02325830

Carillon Mitral Contour System® for Reducing Functional Mitral Regurgitation

A study testing Carillon Mitral Contour System in people with Mitral Valve Insufficiency and Heart Failure, run by Cardiac Dimensions Pty Ltd at 31 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this prospective, multi-center, randomized, double-blind trial is to assess the safety and efficacy of the Carillon Mitral Contour System in treating functional mitral regurgitation (FMR) associated with heart failure, compared to a randomized Control group which is medically managed according to… Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Mitral Valve Insufficiency, Heart Failure
What is being tested?
Carillon Mitral Contour System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
163 participants
Where
31 sitesin 8 countries
Study dates
22 Aug 2015to 8 Jan 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of dilated ischemic or non-ischemic cardiomyopathy
  • Functional Mitral Regurgitation: 2+ (Moderate), 3+ (Moderate/Severe), or 4+ (Severe)
  • New York Heart Association (NYHA) II, III, or IV
  • Six Minute Walk distance of at least 150 meters and no farther than 450 meters
  • Left Ventricular Ejection Fraction ≤ 50 %
  • LV end diastolic dimension (LVEDD) >55mm or LVEDD/Body Surface Area (BSA) > 3.0cm/m2
  • Stable heart failure medication regimen for at least three (3) months prior to index procedure

Who cannot join

  • Hospitalization in past three (3) months due to myocardial infarction, coronary artery bypass graft surgery, and/or unstable angina
  • Hospitalization in the past 30 days for coronary angioplasty or stent placement
  • Subjects expected to require any cardiac surgery within one (1) year
  • Subjects expected to require any percutaneous coronary intervention within 30 days of enrollment
  • Pre-existing device (e.g., pacing lead) in coronary sinus (CS) / great cardiac vein (GCV), or anticipated need for CRT within twelve (12) months
  • Presence of a coronary artery stent under the CS / GCV in the implant target zone
Show all 10Show fewer
  • Presence of left atrial appendage (LAA) clot.
  • Presence of primary renal dysfunction or significantly compromised renal function as reflected by a serum creatinine > 2.2 mg/dL OR eGFR < 30 ml/min
  • Inability to undertake a six-minute walk test due to physical restrictions/limitations
  • Chronic severe pathology limiting survival to less than 12-months

Trial locations and contacts

31 sites in 8 countries.

31 sites in 8 countries

Germany9 sites
  • Charité Universitätsmedizin Berlin

    Berlin, 12203

  • Augusta Kranken-Anstalt GmbH

    Bochum, 44791

  • Cardio Vascular Center Frankfurt

    Frankfurt

  • Klinikum Frankfurt Höchst GmbH

    Frankfurt

  • University Hospital Frankfurt

    Frankfurt am Main

  • Universitäts-Herzzentrum Freiburg

    Freiburg im Breisgau

  • Sana Kliniken Lübeck

    Lübeck

  • Märkische Kliniken GmbH, Klinikum Lüdenscheid

    Lüdenscheid, North Rhine-Westphalia, 58515

  • Elisabeth Krankenhaus GmbH

    Recklinghausen, 45661

Other trials in Germany

France7 sites
  • Hôpital Privé Saint-Martin

    Caen, 14000

  • Pôle Sante République

    Clermont-Ferrand, Auvergne

  • Clinique du Millénaire

    Montpellier

  • European Hospital Georges Pompidou

    Paris

  • Clinique Saint-Hilaire

    Rouen, 76000

  • Hôpital Charles Nicolle

    Rouen

  • CHU Rangueil

    Toulouse, 31059

Other trials in France

Australia6 sites
  • Flinders Medical Centre

    Adelaide, South Australia, 5042

  • Prince Charles

    Brisbane

  • Monash Health

    Clayton, Victoria, 3168

  • Alfred Health

    Prahran, Victoria, 3181

  • Royal North Shore Hospital

    St Leonards, New South Wales, 2065

  • Royal Prince Alfred

    Sydney, New South Wales

Other trials in Australia

Czechia3 sites
  • Olomouc University Hospital

    Olomouc

  • Institut klinické a experimentální medicíny (IKEM)

    Prague

  • Na Homolce Hospital

    Prague

Other trials in Czechia

United Kingdom3 sites
  • Harefield Hospital

    Harefield, Middlesex, UB9 6JH

  • Leeds Teaching Hospitals NHS Trust

    Leeds, Yorkshire, LS2 9LN

  • Freeman Hospital

    Newcastle upon Tyne

Other trials in United Kingdom

Netherlands1 site
  • Maastricht University Medical Centre

    Maastricht, 6202 AZ

Other trials in Netherlands

New Zealand1 site
  • Auckland City Hospital

    Grafton, 1030

Other trials in New Zealand

Poland1 site
  • Poznan University of Medical Sciences

    Poznan

Other trials in Poland

About this study

Official title: The REDUCE FMR Trial: Safety and Efficacy of the Carillon Mitral Contour System® in Reducing Functional Mitral Regurgitation (FMR) Associated With Heart Failure

The objective of this prospective, multi-center, randomized, double-blind trial is to assess the safety and efficacy of the Carillon Mitral Contour System in treating functional mitral regurgitation (FMR) associated with heart failure, compared to a randomized Control group which is medically managed according to heart failure guidelines.

Read the detailed description

The American Heart Association (AHA) estimates that there are more than 22 million people worldwide with heart failure. Functional mitral regurgitation, defined as the leakage of the mitral valve caused by global or regional changes in left ventricular geometry as well as mitral annular dilation, occurs as a consequence of heart failure. Cardiac Dimensions has developed proprietary technology designed to address functional mitral regurgitation in a minimally invasive manner.

Cardiac Dimensions plans to conduct a clinical trial of the Carillon Mitral Contour System in study subjects with functional mitral regurgitation. This study is a prospective, randomized parallel-group, double-blind, multi-center clinical trial designed to examine the safety and efficacy of the Carillon Mitral Contour System in study subjects with functional mitral regurgitation. The study will consent up to 180 subjects in order to randomize up to 120 subjects at 25 investigational sites in Europe and Australia/New Zealand. Subjects will be randomized into one of two study groups using a 3:1 (Treatment group : Control group) ratio.

Study subjects who are eligible for this clinical study and have consented to participating in the study will undergo multiple assessments prior to randomization to evaluate the eligibility (inclusion/exclusion) criteria. Subjects who meet all eligibility criteria will be randomized into one of two study groups (Treatment or Control).

Study subjects randomized to the Treatment group will undergo a venous angiogram to assess the suitability of the coronary sinus/great cardiac vein (CS/GCV) for placement of the Carillon implant. If the subject meets the anatomic requirements for device placement, the Carillon implant procedure begins. With the distal aspect of the device anchored, incremental tension will be applied to plicate the peri-annular tissue. A transesophageal or transthoracic echocardiogram will be obtained during the procedure to evaluate the effect on functional mitral regurgitation and to evaluate left ventricular function. After the proximal anchor of the implant is locked in place, safety (including assessment of coronary arterial flow) and efficacy will be reconfirmed prior to releasing the Carillon implant from the delivery system.

Subjects randomized to the Control group will experience an index procedure similar to the Treatment group, however, without device placement. To ensure that subjects randomized to the Control group will not be able to deduce the treatment assignment based on the type of intervention or time associated with the procedure, minimal interventional procedures, such as femoral arterial pressure monitoring and a jugular venous drip. If a recent (within the last 3 months for ischemic cardiomyopathy or 12 months for non-ischemic cardiomyopathy) coronary angiogram is available, this assessment may be precluded.

After the study subjects are discharged, the subjects' primary care specialists (cardiologist/heart failure physician) and clinical investigation site staff will coordinate follow-up evaluations. Subjects will be evaluated at one (1), six (6), and twelve (12) months post-implant, to assess long-term safety, and functional and clinical status. (Reference Section 3.8-Study Follow-up Evaluations)

This study will provide for an independent Clinical Events Committee (CEC) and an independent Data Safety Monitoring Board (DSMB). The CEC will be responsible for adjudicating complications reported during the study that are related to study endpoints (objectives), the procedure or the device. The DSMB will review the safety data against the established criteria and in the context of other safety data accumulated to date and the continued validity of the study.

Being tested
Carillon Mitral Contour System
Keywords
Functional mitral regurgitation, Secondary mitral regurgitation, Percutaneous mitral repair
Medical subject headings
Mitral Valve Insufficiency, Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Carillon Mitral Contour SystemDevice

    Percutaneous mitral valve repair

Study groups in NCT02325830
Study groupRoleWhat they receive
Treatment GroupExperimentalImplantation of the Carillon Mitral Contour System
Receives: Device: Carillon Mitral Contour System
Control GroupNo interventionOptimized stable medical therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Baseline Regurgitant Volume Associated With the Carillon Device Relative to the Control Population at 12 Months

    The primary echocardiographic index and primary endpoint of the REDUCE FMR study was Regurgitant Volume (RV) in the ITT population (N=120). RV was analyzed for the ITT patient population calculated as the mean change per randomization group among subjects with evaluable data. Between group comparisons were performed using the Students' t-test.

    Measured: Baseline and 12 months

  2. Difference in the Rate of Major Adverse Events Between Treatment (Carillon) and Control Groups

    Cumulative number of events for Death, Myocardial Infarction, Cardiac Perforation, Device embolization, and surgical or percutaneous intervention related to device.

    Measured: Baseline and 12 months

Secondary outcomes (3)
  1. Rate of Heart Failure Hospitalizations Between Treatment (Carillon) and Control Groups

    A diagnosis of acute decompensated heart failure hospitalization (ADHF) requires an in-hospital stay that includes at least one calendar date change and requires intravenous or mechanical heart failure treatment. The length of hospital stay will be calculated from admission to discharge to home or other disposition.

    The diagnosis of ADHF will be based on:

    • Symptoms of worsening heart failure such as increased shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, fatigue, decreased exercise tolerance or history of weight gain;
    • Physical examination evidence such as neck vein distention, the presence of a third heart sound, bilateral pulmonary rales, worsening ascites or pedal edema, hypotension or signs of worsening end-organ perfusion; and/or
    • Laboratory evidence, which may include pulmonary congestion on chest x-ray, elevated natriuretic peptide level, worsening oxygenation or respiratory acidosis.

    Measured: Baseline and 12 months

  2. Change in Six-minute Walk Distance Between Treatment (Carillon) and Control Groups

    Subjects had 6-MWT conducted at baseline and each follow-up visit. The subject walked as far as they could within a 6-minute period. They were allowed to rest. The distance (in whole meters) was captured at each visit.

    Measured: Baseline and 12 Months

  3. Change in Left Ventricular Volumes Between Treatment (Carillon) and Control Groups

    The volume of the left ventricle will be measured by a blinded echosonographer ajdn submitted to the core lab for blinded analysis. The ventricle will be measured as systole and diastole.

    Measured: Baseline and 12 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Dec 2014 (estimated)
  2. Study start22 Aug 2015
  3. Primary completion1 Jul 2018
  4. Study completion8 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
With crossover for sham procedure patients who are eligible at time of 12 month follow up.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
163 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02325830
Sponsor's protocol ID
CVP 1627-01
Acronym
REDUCE FMR
Status last verified
Feb 2024
First submitted
22 Dec 2014
Last updated
5 Aug 2024
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schofer J, Siminiak T, Haude M, Herrman JP, Vainer J, Wu JC, Levy WC, Mauri L, Feldman T, Kwong RY, Kaye DM, Duffy SJ, Tubler T, Degen H, Brandt MC, Van Bibber R, Goldberg S, Reuter DG, Hoppe UC. Percutaneous mitral annuloplasty for functional mitral regurgitation: results of the CARILLON Mitral Annuloplasty Device European Union Study. Circulation. 2009 Jul 28;120(4):326-33. doi: 10.1161/CIRCULATIONAHA.109.849885. Epub 2009 Jul 13.

    PubMed 19597051
  • Siminiak T, Wu JC, Haude M, Hoppe UC, Sadowski J, Lipiecki J, Fajadet J, Shah AM, Feldman T, Kaye DM, Goldberg SL, Levy WC, Solomon SD, Reuter DG. Treatment of functional mitral regurgitation by percutaneous annuloplasty: results of the TITAN Trial. Eur J Heart Fail. 2012 Aug;14(8):931-8. doi: 10.1093/eurjhf/hfs076. Epub 2012 May 21.

    PubMed 22613584
  • Siminiak T, Hoppe UC, Schofer J, Haude M, Herrman JP, Vainer J, Firek L, Reuter DG, Goldberg SL, Van Bibber R. Effectiveness and safety of percutaneous coronary sinus-based mitral valve repair in patients with dilated cardiomyopathy (from the AMADEUS trial). Am J Cardiol. 2009 Aug 15;104(4):565-70. doi: 10.1016/j.amjcard.2009.04.021. Epub 2009 May 29.

    PubMed 19660613
  • Witte KK, Lipiecki J, Siminiak T, Meredith IT, Malkin CJ, Goldberg SL, Stark MA, von Bardeleben RS, Cremer PC, Jaber WA, Celermajer DS, Kaye DM, Sievert H. The REDUCE FMR Trial: A Randomized Sham-Controlled Study of Percutaneous Mitral Annuloplasty in Functional Mitral Regurgitation. JACC Heart Fail. 2019 Nov;7(11):945-955. doi: 10.1016/j.jchf.2019.06.011. Epub 2019 Sep 11.

    PubMed 31521683

Questions about this trial

What is this clinical trial studying?

A study testing Carillon Mitral Contour System in people with Mitral Valve Insufficiency and Heart Failure, run by Cardiac Dimensions Pty Ltd at 31 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in Germany, France, Australia, Czechia, United Kingdom and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Baseline Regurgitant Volume Associated With the Carillon Device Relative to the Control Population at 12 Months (time frame: Baseline and 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02325830, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2024.

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