Mitral Valve Regurgitation Clinical Trial
— TIARA-IIOfficial title:
Tiara™ Transcatheter Mitral Valve Replacement Study (TIARA-II)
| Verified date | May 2024 |
| Source | Neovasc Inc. |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Interventional |
To evaluate the safety and performance of the Neovasc Tiara Mitral Transcatheter Heart Valve with the Tiara Transapical Delivery System.
| Status | Active, not recruiting |
| Enrollment | 115 |
| Est. completion date | January 2026 |
| Est. primary completion date | June 18, 2020 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility | Inclusion Criteria: - Severe mitral regurgitation - High surgical risk for open mitral valve surgery - Subject meets anatomical eligibility criteria Exclusion Criteria: - Deemed too frail by objective frailty assessments - Previous cardiac procedures: any mitral valve replacement surgery and cardiac transplant - Unsuitable cardiac structure - Clinically significant untreated Coronary Artery Disease (CAD) - Subjects on chronic dialysis - Pregnant or planning pregnancy within next 12 months - Documented bleeding or coagulation disorders - Active infections requiring antibiotic therapy - Subjects with a life expectancy less than 12 months |
| Country | Name | City | State |
|---|---|---|---|
| Germany | Kerckhoff Klinik Herzzentrum-Herzchirurgie | Bad Nauheim | |
| Germany | Herz- und Diabeteszentrum NRW | Bad Oeynhausen | |
| Germany | Schüchtermann-Klinik | Bad Rothenfelde | |
| Germany | Deutches Herzzentrum Berlin | Berlin | |
| Germany | Immanuel Klinikum Bernau und Herzzentrum Brandenburg | Bernau | |
| Germany | St.-Johannes-Hospital, Klinik für Innere Medizin I | Dortmund | |
| Germany | Universitätsklinikum Halle | Halle | |
| Germany | Universitasklinikum Hamburg-Eppendorf | Hamburg | |
| Germany | Herzzentrum Leipzig | Leipzig | |
| Germany | Herz-Kreislauf-Zentrum Klinikum Hersfeld Rotenburg | Rotenburg An Der Fulda | |
| Germany | Sana Herzchirurgie Stuttgart GmbH | Stuttgart | |
| Israel | Tel Aviv Medical Center | Tel Aviv | |
| Italy | Fondazione Toscana 'Gabriele Monasterio' | Massa | |
| Italy | Ospedale San Raffaele | Milan | |
| Italy | Fondazione Policlinico Universitario A. Gemelli - Università Cattolica del Sacro Cuore. | Roma | RM |
| Italy | IRCCS Policlinico San Donato | San Donato Milanese | |
| Netherlands | St. Antonius Hospital | Nieuwegein | |
| Spain | Hospital Clinico San Carlos | Madrid | |
| United Kingdom | Edinburgh Heart Centre Royal Infirmary | Edinburgh | |
| United Kingdom | King's College Hospital | London |
| Lead Sponsor | Collaborator |
|---|---|
| Neovasc Inc. |
Germany, Israel, Italy, Netherlands, Spain, United Kingdom,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Freedom from all-cause mortality | 30 days | ||
| Primary | Freedom from major adverse events | 30 Days | ||
| Primary | Reduction of Mitral Regurgitation to optimal or acceptable | 30 days | ||
| Secondary | Freedom from all-cause mortality | 90 days, 180 days, one year and annually to five years | ||
| Secondary | Freedom from major adverse events | 90 days, 180 days, one year and annually to five years | ||
| Secondary | Technical success | Per MVARC criteria | Day 0 | |
| Secondary | Procedural success | Per MVARC criteria | 30 days | |
| Secondary | Device success | Per MVARC criteria | Day 0, Day 10, 30 days, 90 days, 180 days, one year and annually for five years | |
| Secondary | NYHA Functional Class | Number of subjects with improved NYHA class | 30 days, 90 days, 180 days and once annually for five years | |
| Secondary | 6 Minute Walk Test | Increase in distance (m) from baseline | 30 days, 90 days, 180 days and once annually for five years | |
| Secondary | Kansas City Cardiomyopathy Questionnaire | Improvement in quality of life | 30 days, 90 days, 180 days and once annually for five years | |
| Secondary | Hemodynamic performance | Assessed by echocardiography | 30 days, 90 days, 180 days and once annually for five years | |
| Secondary | Patient success | Per MVARC Criteria | 1 year |
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