Functional Mitral RegurgitationNCT03142152
The EMPOWER Trial - The Carillon Mitral Contour System® in Treating Heart Failure With FMR
A study testing Carillon Mitral Contour System and Guideline Directed Heart Failure Medication in people with Functional Mitral Regurgitation and Heart Failure, run by Cardiac Dimensions, Inc. at 92 sites in 8 countries.
Trial summary
The objective of this prospective, randomized, double- blinded (patient and assessors), sham-controlled clinical trial is to assess the safety and efficacy of the CMCS in treating heart failure with functional regurgitation (FMR). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Functional Mitral Regurgitation, Heart Failure, Mitral Valve Insufficiency
- What is being tested?
- Carillon Mitral Contour System and Guideline Directed Heart Failure Medication
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 92 sitesin 8 countries
- Study dates
- 1 Jan 2018to 31 Dec 2030
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Symptomatic heart failure with functional (secondary) mitral regurgitation of at least 1+ (mild) severity
- NYHA II, III, or IV
- Six Minute Walk distance ≥ 100 meters and ≤ 600 meters
- Left Ventricular Ejection Fraction ≤ 50%
- LVEDD:
- ≥ 55 mm (women)
Show all 13Show fewer
- ≥ 57 mm (men)
- LVESD ≤ 75 mm
- Corrected NT-proBNP > 1200 pg/ml measured within 60 days of randomization, and/or one or more heart failure hospitalizations within one year prior to consent or one or more outpatient visits for intensification of heart failure therapy within one year prior to consent.
- Optimal Guideline directed heart failure medical therapy assessed by the Central Review Committee
- Age ≥ 18 years old
- Carillon implant can be sized and placed in accordance with the IFU
- The subject has been informed of the nature of the trial and agrees to its provisions, including the possibility of randomization to the Control group and returning for all required post-procedure follow-up visits, and has provided written informed consent
Who cannot join
- Presence of a mechanical or bio-prosthetic mitral valve or, mitral valve annuloplasty, or leaflet repair device
- Significant organic mitral valve pathology (e.g., moderate or severe myxomatous degeneration, with or without mitral leaflet prolapse, rheumatic disease, full or partial chordal rupture)
- Severe tricuspid regurgitation associated with right ventricular dysfunction and enlargement
- Severe mitral annular calcification
- Severe aortic stenosis
- Expected to require any cardiac surgery, including surgery for coronary artery disease (CAD) or valve disease within one (1) year
- Chronic, severe, medical conditions or pathology, other than heart failure, that will prevent likely survival beyond twelve (12) months or any other medical condition that, in the judgement of the Investigator or Central Review Committee, makes the patient a poor candidate for this study
- An entire list of eligibility is available in the clinical investigational plan
Trial locations and contacts
92 sites in 8 countries. Contact the study team or a site near you to ask about taking part.
92 sites in 8 countries
United States75 sites, 51 recruiting
- Terminated
Albany Medical College,
Albany, New York, 12208
- Terminated
University of Michigan
Ann Arbor, Michigan, 48859
- Terminated
Augusta University Research Institute
Augusta, Georgia, 30912
- Recruiting
Johns Hopkins
Baltimore, Maryland, 21287
Zyriah Robinson, 443-927-3984, Zyriah.Robinson@jhmi.com
Rani Hasan, MD
- Recruiting
St Elizabeth's Medical Center
Boston, Massachusetts, 02135
Rina Vaquerano, rina.vaquerano@steward.org
Richard Patten, MD
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02145
Ella Claire Cook, 617-643-1374, ecook12@mgh.harvard.edu
Rahul Sakhuja, MD
- Recruiting
Beth Israel Deaconess
Boston, Massachusetts, 02215
Jacob Luetje, 617-632-7484, jluetje@bidmc.harvard.edu
Arthur Garan, MD
- Recruiting
Deborah Heart & Lung
Browns Mills, New Jersey, 08015
Andrew McElvarr, BS, mcelvarra@deborah.org
Richard Kovach, MD
- Recruiting
University at Buffalo
Buffalo, New York, 14203
Cassandra Davern, 716-881-8299, Cdavern@buffalo.edu
Vijay Iyer, MD
- Withdrawn
University of Virginia Health System
Charlottesville, Virginia, 22903
- Terminated
Rush University Medical Center
Chicago, Illinois, 60612
- Recruiting
Lindner Research Center at the Christ Hospital
Cincinnati, Ohio, 45219
Wendy Parker, 513-585-1777, wendy.parker@thechristhospital.com
Sitaramesh Emani, MD
- Terminated
Harrington Vascular
Cleveland, Ohio, 44106
- Recruiting
Cleveland Clinic
Cleveland, Ohio, 44195
Emily Tylicki, tylicke@ccf.org
Amar Krishnaswamy, MD
- Recruiting
The Ohio State University
Columbus, Ohio, 43210
Annie Kellum, Annie.Kellum@osumc.edu
Vaiibhav Patel, MD
- Active, not recruiting
Geisinger Medical Center
Danville, Pennsylvania, 17822
- Recruiting
Kettering Health Research Institute
Dayton, Ohio, 45459
Chris Seger, chris.seger@ketteringhealth.org
Brian Schwartz, MD
- Terminated
Delray Medical Center
Delray Beach, Florida, 33484
- Recruiting
Advocate Good Samaritan
Downers Grove, Illinois, 60515
Lynn McLennan, lynn.mclennan@aah.org
Mahesh Raju, MD
- Recruiting
Hackensack University Medical Center
Edison, New Jersey, 07601
Maria Manzo, maria.manzo@hmhn.org
Ryan Kaple, MD
- Recruiting
Dignity Health Research Institute at Mercy Gilbert and Chandler Regional Medical Centers
Gilbert, Arizona, 85297
Natalie Leon, natalie.leon@dignityhealth.org
Nabil Dib, MD
- Recruiting
Henrico Doctors Hospital
Henrico, Virginia, 23229
Michelle Egbujor, Michelle.Egbujor@hcahealthcare.com
Robert Levitt, MD
- Recruiting
Cardiovascular Institute South
Houma, Louisiana, 70360
Vaidehi Patel, aidehi.Patel@cardio.com
Peter Fail, MN
- Recruiting
Houston Healthcare Medical Center
Houston, Texas, 77004
Swathi Potla, 832-574-1713, swathi.potla@HCAhealthcare.com
Pranav Loyalka, MD
- Recruiting
Community Health Network
Indianapolis, Indiana, 46256
Brenda Newman, bnewman@ecommunity.com
Sandeep Dube, MD
- Recruiting
Penn Medicine Lancaster General Health
Lancaster, Pennsylvania, 17602
Andy Hershey, andrew.hershey@pennmedicine.upenn.edu
Rupal Dumasia, MD
- Recruiting
South Denver Cardiology
Littleton, Colorado, 80210
Andrea Kupser, 303-703-2069, akupser@southdenver.com
Ira Dauber, MD
- Terminated
Memorial Care Hospital
Long Beach, California, 90806
- Recruiting
Keck School of Medicine of USC
Los Angeles, California, 90033
Silvia Perez, 323-276-2225, Silvia.Perez@med.usc.edu
Ray Matthews, MD
- Recruiting
UCLA Medical Center
Los Angeles, California, 90095
Ladda Douangvila, LDouangvila@mednet.ucla.edu
Olcay Aksoy, MD
- Terminated
Wellstar Health System,
Marietta, Georgia, 30062
- Recruiting
UPMC Pinnacle Hospitals
Mechanicsburg, Pennsylvania, 17050
Brittany Mashuda, 717-731-0101, mashudabd@upmc.edu
Aashay Patel, MD
- Withdrawn
Methodist Le Bonheur Healthcare
Memphis, Tennessee, 38104
- Terminated
University of Miami
Miami, Florida, 33136
- Terminated
Baptist Hospital of Miami
Miami, Florida, 33176
- Recruiting
Advocate Aurora Research Institute
Milwaukee, Wisconsin, 53215
Dena Burke, dena.burke@aah.org
Tanvir Bajwa, MD
- Recruiting
Midwest Cardiovascular Institute (MCI)
Naperville, Illinois, 60540
Josilyn Klimek, Josilyn.klimek@cardio.com
Mark Goodwin, MD
- Recruiting
Centennial Medical Center
Nashville, Tennessee, 37203
Abigail Bentley, Abigail.Bentley@SarahCannon.com
Andrew Goodman, MD
- Recruiting
Ochsner Health System
New Orleans, Louisiana, 70121
Angel Penning, angela.penning@ochsner.org
Stephen Jenkins, MD
- Recruiting
Northwell Staten Island
New York, New York, 11030
Melissa McCarthy, 718-226-6438, mmccarthy22@northwell.edu
Marcin Kowalski, MD
- Recruiting
St Michael/Prime Healthcare Services
Newark, New Jersey, 07102
Raymond Monel, 973-877-2764, rmonel@primehealthcare.com
Addi Suleiman, MD
- Withdrawn
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507
- Recruiting
Advent Health Hospital
Orlando, Florida, 32803
Zoe Banchilhon, zoe.bancilhon@adventhealth.com
Naveen Bellam, MD
- Recruiting
Palm Beach Gardens Medical
Palm Beach, Florida, 33410
Ana Nelson, 561-694-7109, ana.nelson@tenenthealth.com
Augusto Villa, MD
- Recruiting
University of Pennsylvania
Philadelphia, Pennsylvania, 19014
Elizabeth Madenilla, 215-662-9019, elizabeth.medenilla@pennmedicine.upenn.edu
Gene Chang, MD
- Withdrawn
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
- Recruiting
Banner Health - Phoenix
Phoenix, Arizona, 85006
Theresa Jorgensen, 520-230-5644, theresa.jorgensen@bannerhealth.com
Siddarth Singh, MD
- Withdrawn
AZ Heart Rhythm
Phoenix, Arizona, 85016
- Recruiting
Allegheny Health Network
Pittsburgh, Pennsylvania, 15212
Miranda Nadeo, 412-359-3293, Miranda.Nadeo@AHN.ORG
Mithun Chakravarthy, MD
- Withdrawn
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
- Recruiting
Oregon Health & Science University (OHSU)
Portland, Oregon, 97225
John Halvorson, halvorsj@ohsu.edu
Johannes Steiner, MD
- Recruiting
Providence Heart Institute
Portland, Oregon, 97225
Marcia Macsisak, 503-216-7195, marcia.macsisak@providence.org
Brandon Jones, MD
- Recruiting
Vassar Brothers- Hudson Valley Cardiovascular Practice
Poughkeepsie, New York, 12601
Tricia Landi, tricia.landi@nuvancehealth.org
Rajeev Narayan, MD
- Recruiting
Stanford University
Redwood City, California, 94063
Josephine Widjaja, jowid@stanford.edu
Rahul Sharma, MD
- Recruiting
HCA Chippenham Medical Center
Richmond, Virginia, 23225
Michelle Egbujor, 804-461-7314, Michelle.Egbujor@hcahealthcare.com
Hamza Lodhi, MD
- Recruiting
Carilion Hospital
Roanoke, Virginia, 24014
Brittny O'Toole, bmotoole@carilionclinic.org
Jason Foerst, MD
- Recruiting
Rochester Regional Hospital
Rochester, New York, 14621
Julie Mooney, 585-922-3536, Julie.Mooney@rochesterregional.org
Scott Feitell, MD
- Withdrawn
William Beaumont Hospital
Royal Oak, Michigan, 48073
- Terminated
Ascension St. Marys Research Institute
Saginaw, Michigan, 48601
- Recruiting
CentraCare Heart and Vascular
Saint Cloud, Minnesota, 57584
Nathan Warnert, 320-493-7217, nathan.warnert@centracare.com
Thom Dhale, MD
- Terminated
Intermountain Medical Center
Salt Lake City, Utah, 84111
- Recruiting
Scripps Health
San Diego, California, 92037
Alison Walton, walton.alison@scrippshealth.org
Rola Khedraki, MD
- Recruiting
University of California- San Francisco
San Francisco, California, 94143
Kaye Reambonanza, kaye.reambonanza@ucsf.edu
Pooja Prasad, MD
- Recruiting
North Central Heart-Avera
Sioux Falls, South Dakota, 57108
Patty Eisenbraun, 605-977-5336, peisenbraun@ncheart.com
John Wagener, MD
- Terminated
Prairie Heart Institute
Springfield, Illinois, 62701
- Recruiting
St. Louis Heart and Vascular
St Louis, Missouri, 63044
Paige Brown, 314-741-0911 ext. 4044, pbrown@slhv.com
Gil Vardi, MD
- Active, not recruiting
Tallahassee Research Institute
Tallahassee, Florida, 32308
- Recruiting
Tampa General Hospital
Tampa, Florida, 33606
Alecia Sorrells, 813.844.5495, asorrells@tgh.org
Jason Feliberti, MD
- Recruiting
Tucson Medical Center Health
Tucson, Arizona, 85712
Adriana Olivares, Adriana.Olivares@tmcaz.com
Tom Waggoner, MD
- Recruiting
Banner University Tuscon
Tucson, Arizona, 85724
Karina Carrillo, kmcarrillo@arizona.edu
Arka Chatterjee, MD
- Recruiting
Oklahoma Heart Institute Hospital
Tulsa, Oklahoma, 74104
Tamara Morton, 918-574-9223, tamara.morton@hillcrest.com
Kamran Muhammad, MD
- Recruiting
Saint Francis Hospital,
Tulsa, Oklahoma, 74136
Jeremy Earnest, jbearnest@saintfrancis.com
Douglas Ensley, MD
- Terminated
Carle Foundation Hospital
Urbana, Illinois, 61801
- Terminated
Medstar
Washington D.C., District of Columbia, 20010
- Recruiting
Lankenau Institute of Medical Research
Wynnewood, Pennsylvania, 19096
Hannah Epps, 484.476.8581, EppsH@mlhs.org
Christopher Droogan, MD
France5 sites, 3 recruiting
- Recruiting
Pole Sante Republique
Clermont-Ferrand
Sandrine Duband, +4 73994377, sduband@polesanterepublique.com
Janusz Lipiecki, MD
- Withdrawn
Centre Hospitalier Universitaire De Lille
Lille
- Recruiting
Hôpital Cardiologique Louis Pradel
Lyon
Dominique Brun, 04 27 85 66 96, dominique.brun01@chu-lyon.fr
Nathan Mewton, Prof
- Recruiting
Clinique du Millènaire Montpelier
Montpellier
Lisa Crespy, 04 99 53 66 49 /66 11, lisacrespy09@gmail.com
Christopher Piot, Prof
- Withdrawn
Hôpital Européen Georges-Pompidou
Paris
Canada4 sites, 3 recruiting
- Withdrawn
University of Alberta
Edmonton, Alberta
- Recruiting
Toronto General Hospital
Toronto, Ontario
Tania Jain, +1 416-557-7768, Tania.Jain@uhn.ca
Eric Horlick, MD
- Recruiting
Unity Health Toronto, St Michael's Hospital
Toronto, Ontario
Ivana Kandic, 416-360-4000, Ivana.Kandic@unityhealth.to
Neil Fam, MD
- Recruiting
St Boniface Hospital - University of Manitoba
Winnipeg, Manitoba
Wendy Janz, +1 204 237 2793, WJanz@hsc.mb.ca
Shelley Zieroth, MD
Spain3 sites, 3 recruiting
- Not yet recruiting
Hospital Clinic de Barcelona
Barcelona
Anna Campos, (+34)93 451 87 46, ACAMPOS@clinic.cat
Omar Abdul-Jawad
- Not yet recruiting
Hospital 12 de Octubre
Madrid
Sofia Barbado, (+34) 647 396 886, sofia.barbado.imas12@h12o.es
Jorge Nuche
- Not yet recruiting
University Clinical Hospital of Valladolid
Valladolid
Silvia Hernández, (+34)983420000 ext. Ext. 8602, silviavallinash@gmail.com
Ignacio Amat-Santos
Italy2 sites, 2 recruiting
- Recruiting
Università Federico Naples
Naples
Alessandra Spinelli, +3498452868, aless.spinelli@gmail.com
Giovanni Esposito
- Not yet recruiting
Policinico Umbeto I
Roma
Riccardo Improta, (+39) 3381616158, riccardo.improta@uniroma1.it
Massimo Mancone
Greece1 site, 1 recruiting
- Recruiting
European Interbalkan Medical Center
Thessaloniki
Sosanna Konstantinidou, konstantinidousosanna@gmail.com
Vlasios Ninios, MD
Poland1 site, 1 recruiting
- Recruiting
Poznan University of Medical Sciences
Poznan, Poland, 61-485
Tomasz Siminiak, MD, tsiminia@ump.edu.pl
United Kingdom1 site, 1 recruiting
- Recruiting
St James University Hospital
Leeds
Oi YI Lam, +44 0113 39 (25472), emma.grant26@nhs.net
Klaus Witte, Prof
About this study
Official title: Assessment of the Carillon Mitral Contour System® in Treating Heart Failure With Functional Mitral Regurgitation
The objective of this prospective, randomized, double- blinded (patient and assessors), sham-controlled clinical trial is to assess the safety and efficacy of the CMCS in treating heart failure with functional regurgitation (FMR).
Read the detailed description
A total of 300 subjects will be randomized at up to 100 investigational sites in the United States, Canada, and Europe. Subjects will be randomized into one of two study groups using a 1:1 (Intervention : Control) ratio.
Study subjects who are eligible for this clinical study will undergo a transthoracic echocardiographic examination prior to randomization to evaluate the inclusion criteria associated with the severity of mitral regurgitation. A coronary angiogram will be performed to evaluate the coronary artery anatomy and a venogram 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 the Carillon implant placement, the subject will be randomized. Subjects who meet all eligibility criteria will be randomized into one of two study groups (Intervention or Control).
Subjects randomized to the Intervention group will undergo the Carillon implant procedure.
Subjects randomized to the Control group will experience an index procedure similar to the Intervention group (without implant placement) to ensure they will not be able to deduce the group assignment based on the type of intervention or time associated with the procedure.
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), twelve (12), eighteen (18) and twenty-four (24) months post-randomization, to assess long-term safety, and functional and clinical status.
After the 24-month evaluation, all subjects will be unblinded. All Intervention and Control subjects will be followed with an abbreviated annual contact and echocardiogram for an additional three (3) years, for a total of five (5) years.
- Conditions
- Functional Mitral Regurgitation, Heart Failure, Mitral Valve Insufficiency, Heart Diseases, Cardiovascular Diseases, Heart Valve Diseases
- Being tested
- Carillon Mitral Contour System, Guideline Directed Heart Failure Medication
- Keywords
- Functional Mitral Regurgitation, Percutaneous Mitral Valve Repair, Percutaneous Mitral Valve Annuloplasty, Coronary Sinus Annuloplasty, Secondary Mitral Regurgitation, Functional MR, FMR
- Medical subject headings
- Heart Failure, Mitral Valve Insufficiency, Heart Diseases, Cardiovascular Diseases, Heart Valve Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Carillon Mitral Contour SystemDevice
Also called Carillon, Percutaneous mitral valve repair
The Carillon implant is designed to be deployed, tensioned, and locked in the coronary vein in order to reshape the mitral annulus and thus reduce mitral annular dilation and mitral regurgitation.
Guideline Directed Heart Failure MedicationOther
Heart failure medication per ACC/AHA guidelines
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group | Experimental | Carillon Mitral Contour System and Guideline Directed Heart Failure Medication Receives: Device: Carillon Mitral Contour System; Other: Guideline Directed Heart Failure Medication |
| Control Group | Active comparator | Guideline Directed Heart Failure Medication Receives: Other: Guideline Directed Heart Failure Medication |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary Safety Objective - Freedom from Major Adverse Events
Freedom from a composite of major adverse events (defined as Device Embolization, Vessel Erosion, Cardiac Perforation, and occurrence of cardiac surgery or percutaneous coronary intervention) in the Intervention group is greater than performance goal of 90%.
Measured: 12 months
Primary Efficacy Objective 1 - Hierarchical Clinical Composite
To demonstrate that the CMCS (Intervention) group is superior to the Control group on the hierarchical composite endpoint of death, Cardiac transplantation or LVAD implantation, unplanned percutaneous or surgical mitral valve intervention, unplanned heart failure hospitalization, change in KCCQ overall summary score, and change in six-minute walk distance at 24 months (analyzed when the last subject completes 12 months of follow-up.)
Measured: 24 months
Secondary outcomes (10)
Secondary Efficacy Objective 1- Regurgitant Volume
To compare regurgitant volume change relative to control from baseline through 12 months of follow up in patients with at least MR grade 2+ at baseline
Measured: 12 months
Secondary Efficacy Objective 2 - Change in LV End-diastolic Volume
To compare the change from baseline left ventricular end-diastolic volume (LVEDV) relative to the Control group.
Measured: 12 months
Secondary Efficacy Objective 3 - Change in NYHA
To compare the change from baseline in New York Heart Association (NYHA) Classification, relative to Control, at twelve (12) months
Measured: 12 months
Secondary Efficacy Objective 4 - Hierarchical Clinical Composite
To compare the first four components of the hierarchical primary efficacy endpoint, relative to Control, analyzed when the last subject completes 12 months of follow up and use all available data up to twenty-four (24) months
Measured: 12 months
Secondary Efficacy Objective 5 - Heart Failure Hospitalizations
To compare total number of HFH, relative to Control, analyzed when the last subject completes 12 months of follow-up and use all available data up to 24 months
Measured: 12 months of follow-up, and any available data up to 24 months
Exploratory Secondary Endpoint 1 - Change in Six-Minute Walk Distance
To compare the change improvement from baseline in six-minute walk distance (6MWD), relative to Control, at twelve (12) months
Measured: 12 months
Exploratory Secondary Endpoint 2 - Change in KCCQ
To compare the change from baseline, relative to the Control group, in the Overall Summary Score (OSS) of the Kansas City Cardiomyopathy Questionnaire (KCCQ), at twelve (12) months
Measured: 12 months
Exploratory Secondary Endpoint 3 - Change in LV End-systolic Volume
To compare the change from baseline in left ventricular end-systolic volume (LVESV), relative to Control, at twelve (12) months
Measured: 12 months
Exploratory Secondary Endpoint 4 - days lost due to HFH and CV death
To compare percent days lost due to HFH and CV death relative to Control, analyzed when the last subject completes 12 months of follow-up and use all available data up to 24 months
Measured: 12 months of follow-up, and any available data up to 24 months
Exploratory Secondary Endpoint 5 - Alternative Therapies
To compare the incidence of need for alternative therapy and all-cause mortality (superiority test if HR < 1), relative to Control, analyzed when the last subject completes 12 months of follow-up and use all available data up to 24 months
Measured: 12 months of follow-up, and any available data up to 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2017
- Study start1 Jan 2018
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Functional Mitral RegurgitationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cardiac Dimensions, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Samir Kapadia, MD, Principal investigator, The Cleveland ClinicRandall Starling, MD, Principal investigator, The Cleveland Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03142152
- Sponsor's protocol ID
- CVP 1670-01
- Status last verified
- Apr 2026
- First submitted
- 2 May 2017
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- 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 19597051Siminiak 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 22613584Lipiecki J, Siminiak T, Sievert H, Muller-Ehmsen J, Degen H, Wu JC, Schandrin C, Kalmucki P, Hofmann I, Reuter D, Goldberg SL, Haude M. Coronary sinus-based percutaneous annuloplasty as treatment for functional mitral regurgitation: the TITAN II trial. Open Heart. 2016 Jul 8;3(2):e000411. doi: 10.1136/openhrt-2016-000411. eCollection 2016.
PubMed 27493761
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessment of the Carillon Mitral Contour System® in Treating Heart Failure With Functional Mitral Regurgitation
- ClinicalTrials.gov ID
- NCT03142152
- Acronym / sponsor ID
- CVP 1670-01
- Conditions
- Functional Mitral Regurgitation, Heart Failure, Mitral Valve Insufficiency, Heart Diseases, Cardiovascular Diseases, Heart Valve Diseases
- Keywords
- Functional Mitral Regurgitation, Percutaneous Mitral Valve Repair, Percutaneous Mitral Valve Annuloplasty, Coronary Sinus Annuloplasty, Secondary Mitral Regurgitation, Functional MR, FMR
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- Cardiac Dimensions, Inc.Industry (pharma, biotech, devices)
- Study start
- 1 Jan 2018 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2030 (estimated)
- First posted
- 5 May 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this prospective, randomized, double- blinded (patient and assessors), sham-controlled clinical trial is to assess the safety and efficacy of the CMCS in treating heart failure with functional regurgitation (FMR).
Detailed description
A total of 300 subjects will be randomized at up to 100 investigational sites in the United States, Canada, and Europe. Subjects will be randomized into one of two study groups using a 1:1 (Intervention : Control) ratio.
Study subjects who are eligible for this clinical study will undergo a transthoracic echocardiographic examination prior to randomization to evaluate the inclusion criteria associated with the severity of mitral regurgitation. A coronary angiogram will be performed to evaluate the coronary artery anatomy and a venogram 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 the Carillon implant placement, the subject will be randomized. Subjects who meet all eligibility criteria will be randomized into one of two study groups (Intervention or Control).
Subjects randomized to the Intervention group will undergo the Carillon implant procedure.
Subjects randomized to the Control group will experience an index procedure similar to the Intervention group (without implant placement) to ensure they will not be able to deduce the group assignment based on the type of intervention or time associated with the procedure.
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), twelve (12), eighteen (18) and twenty-four (24) months post-randomization, to assess long-term safety, and functional and clinical status.
After the 24-month evaluation, all subjects will be unblinded. All Intervention and Control subjects will be followed with an abbreviated annual contact and echocardiogram for an additional three (3) years, for a total of five (5) years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention Group | Experimental | Device: Carillon Mitral Contour System, Other: Guideline Directed Heart Failure MedicationCarillon Mitral Contour System and Guideline Directed Heart Failure Medication |
| Control Group | Active comparator | Other: Guideline Directed Heart Failure MedicationGuideline Directed Heart Failure Medication |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Symptomatic heart failure with functional (secondary) mitral regurgitation of at least 1+ (mild) severity
- NYHA II, III, or IV
- Six Minute Walk distance ≥ 100 meters and ≤ 600 meters
- Left Ventricular Ejection Fraction ≤ 50%
- LVEDD:
Key exclusion criteria (8 listed)
- Presence of a mechanical or bio-prosthetic mitral valve or, mitral valve annuloplasty, or leaflet repair device
- Significant organic mitral valve pathology (e.g., moderate or severe myxomatous degeneration, with or without mitral leaflet prolapse, rheumatic disease, full or partial chordal rupture)
- Severe tricuspid regurgitation associated with right ventricular dysfunction and enlargement
- Severe mitral annular calcification
- Severe aortic stenosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Carillon Mitral Contour SystemAlso: Carillon, Percutaneous mitral valve repairThe Carillon implant is designed to be deployed, tensioned, and locked in the coronary vein in order to reshape the mitral annulus and thus reduce mitral annular dilation and mitral regurgitation. | Device | Intervention Group |
| Guideline Directed Heart Failure MedicationHeart failure medication per ACC/AHA guidelines | Other | Control Group, Intervention Group |
Primary outcome
Primary Safety Objective - Freedom from Major Adverse Events
Time frame: 12 months
Freedom from a composite of major adverse events (defined as Device Embolization, Vessel Erosion, Cardiac Perforation, and occurrence of cardiac surgery or percutaneous coronary intervention) in the Intervention group is greater than performance goal of 90%.
Primary Efficacy Objective 1 - Hierarchical Clinical Composite
Time frame: 24 months
To demonstrate that the CMCS (Intervention) group is superior to the Control group on the hierarchical composite endpoint of death, Cardiac transplantation or LVAD implantation, unplanned percutaneous or surgical mitral valve intervention, unplanned heart failure hospitalization, change in KCCQ overall summary score, and change in six-minute walk distance at 24 months (analyzed when the last subject completes 12 months of follow-up.)
10 secondary outcomes
Secondary Efficacy Objective 1- Regurgitant Volume
Time frame: 12 months
Secondary Efficacy Objective 2 - Change in LV End-diastolic Volume
Time frame: 12 months
Secondary Efficacy Objective 3 - Change in NYHA
Time frame: 12 months
Secondary Efficacy Objective 4 - Hierarchical Clinical Composite
Time frame: 12 months
Secondary Efficacy Objective 5 - Heart Failure Hospitalizations
Time frame: 12 months of follow-up, and any available data up to 24 months
Exploratory Secondary Endpoint 1 - Change in Six-Minute Walk Distance
Time frame: 12 months
Exploratory Secondary Endpoint 2 - Change in KCCQ
Time frame: 12 months
Exploratory Secondary Endpoint 3 - Change in LV End-systolic Volume
Time frame: 12 months
Exploratory Secondary Endpoint 4 - days lost due to HFH and CV death
Time frame: 12 months of follow-up, and any available data up to 24 months
Exploratory Secondary Endpoint 5 - Alternative Therapies
Time frame: 12 months of follow-up, and any available data up to 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Background: PubMed 19597051Schofer 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.
- Background: PubMed 22613584Siminiak 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.
- Background: PubMed 27493761Lipiecki J, Siminiak T, Sievert H, Muller-Ehmsen J, Degen H, Wu JC, Schandrin C, Kalmucki P, Hofmann I, Reuter D, Goldberg SL, Haude M. Coronary sinus-based percutaneous annuloplasty as treatment for functional mitral regurgitation: the TITAN II trial. Open Heart. 2016 Jul 8;3(2):e000411. doi: 10.1136/openhrt-2016-000411. eCollection 2016.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Samir Kapadia, MD principal investigator
The Cleveland Clinic
Randall Starling, MD principal investigator
The Cleveland Clinic
92 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Carillon Mitral Contour System and Guideline Directed Heart Failure Medication in people with Functional Mitral Regurgitation and Heart Failure, run by Cardiac Dimensions, Inc. at 92 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 13 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 92 sites in United States, France, Canada, Spain, Italy 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Hank Hauser ((310) 228-0016, hhauser@cardiacdimensions.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary Safety Objective - Freedom from Major Adverse Events (time frame: 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 NCT03142152, which also lists 3 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 13 Apr 2026.