Degenerated Mitral RegurgitationNCT06467110
Safety and Effectiveness Study of SQ-Kyrin TMVr System for Degenerated Mitral Regurgitation
A study testing transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) in people with Degenerated Mitral Regurgitation, run by Shanghai Shenqi Medical Technology Co., Ltd at 1 site in China.
Trial summary
To verify the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter produced by Shanghai Shenqi Medical Technology Co., Ltd.in patients with moderate-severe or severe degenerated mitral regurgitation (DMR). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Degenerated Mitral Regurgitation
- What is being tested?
- transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 118 participants
- Where
- 1 siteChina
- Study dates
- 15 Oct 2021to 15 Dec 2028
- 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
- Severe MR ≥3+ as determined by transthoracic echocardiography (TTE);
- STS risk score results show that patients at high risk for traditional surgery or patients who cannot tolerate traditional thoracotomy: Subjects judged to be refractory to mitral valve surgery due to a ≥ 8% risk of death from STS surgery for surgical mitral valve replacement, or a ≥ 6% risk of death from STS surgery for surgical mitral valve repair, or because of any of the following risk factors:
- Porcelain aorta or active ascending aortic plaque
- Mediastinum treated with radiotherapy
- Past mediastinitis
- Left ventricular ejection fraction (LVEF) <40%
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- Presence of a patent coronary bypass implant
- Acceptance of two or more cardiothoracic surgeries
- Liver cirrhosis
- Other surgical risk factors
- Patients with Degenerated MR (Degenerated MR);
- Age ≥ 18 years old, regardless of gender;
- Classification of cardiac function: NYHA class II, III or ambulatory class IV;
- Patients assessed by a multidisciplinary cardiac team as very high-risk or unsuitable for routine mitral valve surgery;
- Be able to understand the objective of the trial, and volunteered to participate and signed the Informed Consent Form, willing to accept the relevant examination and clinical follow-up.
- Left ventricular end-systolic diameter (LVESD)≤60mm
- The MR beam mainly originates from the A2/P2 area
- Mitral valve disease prolapse lesion area width≤15mm, prolapse height≤10mm, effective length of anterior and posterior valve leaflets>10mm
- Mitral valve effective orifice area (EOA) ≥ 4.0cm2
- No obvious calcification of mitral valve leaflets
- Patient anatomy allows atrial septum approach
Who cannot join
- History of mitral valve surgery;
- Patients with infective endocarditis or suggestive of active infection;
- Complicated with severe untreated coronary artery disease;
- Patients with pulmonary hypertension (pulmonary systolic blood pressure>70mmHg);
- Patients with transthoracic echocardiographic evidence suggesting moderate-severe to severe right ventricular dysfunction;
- Left ventricular ejection fraction <20%;
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- Patients who are extremely frail and cannot tolerate general anesthesia surgery or is in the state of shock requiring circulatory support;
- Patients diagnosed with hypertrophic cardiomyopathy, restrictive cardiomyopathy, constrictive pericarditis;
- Mitral regurgitation due to active rheumatic heart disease or rheumatic etiology;
- Severe renal insufficiency (eGFR ≤ 25 mL/min) or requiring chronic renal replacement therapy;
- Patients with definite coagulation disorders and severe coagulation system diseases;
- Patients with clear contraindications to the use of anticoagulants;
- Patients with stroke or transient cerebral ischemic attack within 30 days;
- Any intracardiac mass, left ventricular or atrial thrombus detected on transthoracic echocardiography;
- Severe tricuspid TR;
- Patients with other valve disease requiring surgery or interventional therapy;
- Patients with severe macrovascular disease requiring surgical treatment;
- Severe symptomatic carotid stenosis (>70% on ultrasonography) or carotid stenting within 30 days;
- Patients with inappropriate anatomical structures of the heart and valves indicated by imaging examinations;
- Known allergy to contrast agents and nickel-titanium memory alloy products;
- R<testing systolic blood pressure 90 mmHg or >160 mmHg;
- Patients with diseases that seriously affect the evaluation of treatment, such as patients with severe neurological lesions affecting cognitive ability, patients with malignant tumors, etc.;
- Patient life expectancy < 12 months;
- Patients with severe thoracic deformity;
- Women who are pregnant, breastfeeding, or planning to become pregnant within the next 12 months.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site
General Hospital of Northern Theater Command, PLA
Shenyang, Liaoning, 123005
About this study
Official title: A Prospective, Multicenter, Single-Arm Clinical Trial to Assess the Safety and Efficacy of a Transcatheter Mitral Valve Clip Delivery System With Steerable Guide Catheter in Patients With Moderate-Severe or Severe Degenerative Mitral Regurgitation (DMR)
To verify the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter produced by Shanghai Shenqi Medical Technology Co., Ltd.in patients with moderate-severe or severe degenerated mitral regurgitation (DMR).
Read the detailed description
This study is clinical research using a prospective, multicenter, single arm method to evaluate the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter transcatheter mitral valve clip delivery system and steerable guide catheter in the treatment of patients with moderate-severe (3+) or severe (4+) degenerated mitral regurgitation. A total of 118 subjects are planned to be included in this trial. All subjects are treated with transcatheter mitral valve clip delivery system and steerable guide catheter transcatheter mitral valve clip delivery system and steerable guide catheter, and are followed up at 30 days, 6 months and 12 months after surgery. At the follow-up of 12 months after surgery, the composite endpoints of no death, no surgical mitral valve related surgery due to mitral valve dysfunction, and no moderate-severe or severe MR (MR > 2 +) are evaluated. After the follow-up of 12 months after surgery, the stage statistical analysis, clinical summary and application for product registration are performed.
- Conditions
- Degenerated Mitral Regurgitation
- Being tested
- transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)Device
The principle of this product is the transcatheter interventional edge-to-edge repair technology (edge-to-edge repair). The core technology is to treat the regurgitation by edge-to-edge suturing the mitral valve. The double holes are set in the mitral valve (A2/P2 zone) or the edges in A1/P1 or A3/P3 zones are apposed and closed to treat regurgitation.
| Study group | Role | What they receive |
|---|---|---|
| transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) | Experimental | The principle of this product is the transcatheter interventional edge-to-edge repair technology (edge-to-edge repair). The core technology is to treat the regurgitation by edge-to-edge suturing the mitral valve. The double holes are set in the mitral valve (A2/P2 zone) or the edges in A1/P1 or A3/P3 zones are apposed and closed to treat regurgitation. Receives: Device: transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) |
What is being measured
The primary outcome is the main question the study is designed to answer.
1. Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery
Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery
Measured: 12 months after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jun 2024
- Study start15 Oct 2021
- Primary completion15 Dec 2024 (estimated)
- Study completion15 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Degenerated 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 118 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai Shenqi Medical Technology Co., Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06467110
- Sponsor's protocol ID
- MVRP01-001B
- Status last verified
- Jul 2023
- First submitted
- 13 Jun 2024
- Last updated
- 20 Jun 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Xu K, Zhang J, Zhu D, Wang Y, Jiang H, Chen J, Chen J, Xiu J, He B, Zhang R, Guo X, Gao C, Zhong Z, Li P, Chai D, Jin J, Chen Y, Hong L, Tang Y, Fu G, Tao L, Yang Y, Zhou S, Liu B, Gan L, Yu B, Taramasso M, Pan X, Chen S, Han Y. Multicenter Evaluation of an Edge-to-Edge Repair System in High-Risk Patients With Degenerative Mitral Regurgitation. Struct Heart. 2026 Jan 6;10(5):100793. doi: 10.1016/j.shj.2026.100793. eCollection 2026 May.
PubMed 42078860
Study at a glance
From the registry record, last updated by the sponsor on 20 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multicenter, Single-Arm Clinical Trial to Assess the Safety and Efficacy of a Transcatheter Mitral Valve Clip Delivery System With Steerable Guide Catheter in Patients With Moderate-Severe or Severe Degenerative Mitral Regurgitation (DMR)
- ClinicalTrials.gov ID
- NCT06467110
- Acronym / sponsor ID
- MVRP01-001B
- Conditions
- Degenerated Mitral Regurgitation
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 118 participants (estimated)
- Lead sponsor
- Shanghai Shenqi Medical Technology Co., LtdIndustry (pharma, biotech, devices)
- Study start
- 15 Oct 2021 (actual)
- Primary completion
- 15 Dec 2024 (estimated)
- Study completion
- 15 Dec 2028 (estimated)
- First posted
- 20 Jun 2024 (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.
To verify the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter produced by Shanghai Shenqi Medical Technology Co., Ltd.in patients with moderate-severe or severe degenerated mitral regurgitation (DMR).
Detailed description
This study is clinical research using a prospective, multicenter, single arm method to evaluate the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter transcatheter mitral valve clip delivery system and steerable guide catheter in the treatment of patients with moderate-severe (3+) or severe (4+) degenerated mitral regurgitation. A total of 118 subjects are planned to be included in this trial. All subjects are treated with transcatheter mitral valve clip delivery system and steerable guide catheter transcatheter mitral valve clip delivery system and steerable guide catheter, and are followed up at 30 days, 6 months and 12 months after surgery. At the follow-up of 12 months after surgery, the composite endpoints of no death, no surgical mitral valve related surgery due to mitral valve dysfunction, and no moderate-severe or severe MR (MR > 2 +) are evaluated. After the follow-up of 12 months after surgery, the stage statistical analysis, clinical summary and application for product registration are performed.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) | Experimental | Device: transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)The principle of this product is the transcatheter interventional edge-to-edge repair technology (edge-to-edge repair). The core technology is to treat the regurgitation by edge-to-edge suturing the mitral valve. The double holes are set in the mitral valve (A2/P2 zone) or the edges in A1/P1 or A3/P3 zones are apposed and closed to treat regurgitation. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- Severe MR ≥3+ as determined by transthoracic echocardiography (TTE);
- STS risk score results show that patients at high risk for traditional surgery or patients who cannot tolerate traditional thoracotomy: Subjects judged to be refractory to mitral valve surgery due to a ≥ 8% risk of death from STS surgery for surgical mitral valve replacement, or a ≥ 6% risk of death from STS surgery for surgical mitral valve repair, or because of any of the following risk factors:
- Patients with Degenerated MR (Degenerated MR);
- Age ≥ 18 years old, regardless of gender;
- Classification of cardiac function: NYHA class II, III or ambulatory class IV;
Key exclusion criteria (25 listed)
- History of mitral valve surgery;
- Patients with infective endocarditis or suggestive of active infection;
- Complicated with severe untreated coronary artery disease;
- Patients with pulmonary hypertension (pulmonary systolic blood pressure>70mmHg);
- Patients with transthoracic echocardiographic evidence suggesting moderate-severe to severe right ventricular dysfunction;
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 |
|---|---|---|
| transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)The principle of this product is the transcatheter interventional edge-to-edge repair technology (edge-to-edge repair). The core technology is to treat the regurgitation by edge-to-edge suturing the mitral valve. The double holes are set in the mitral valve (A2/P2 zone) or the edges in A1/P1 or A3/P3 zones are apposed and closed to treat regurgitation. | Device | transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) |
Primary outcome
1. Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery
Time frame: 12 months after surgery
Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery
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 20 Jun 2024.
- Derived from this study: PubMed 42078860Xu K, Zhang J, Zhu D, Wang Y, Jiang H, Chen J, Chen J, Xiu J, He B, Zhang R, Guo X, Gao C, Zhong Z, Li P, Chai D, Jin J, Chen Y, Hong L, Tang Y, Fu G, Tao L, Yang Y, Zhou S, Liu B, Gan L, Yu B, Taramasso M, Pan X, Chen S, Han Y. Multicenter Evaluation of an Edge-to-Edge Repair System in High-Risk Patients With Degenerative Mitral Regurgitation. Struct Heart. 2026 Jan 6;10(5):100793. doi: 10.1016/j.shj.2026.100793. eCollection 2026 May.
- 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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) in people with Degenerated Mitral Regurgitation, run by Shanghai Shenqi Medical Technology Co., Ltd at 1 site in China.
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 21 inclusion and 25 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: enrolling by invitation, as of the sponsor's last update on 20 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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?
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?
1. Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery (time frame: 12 months after surgery). 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 NCT06467110, which also lists 1 linked publication.
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 20 Jun 2024.