Clinical trial Recruiting at 5 sites Interventional Ages 18 and up

Evaluating a new system for treating functional mitral regurgitation

Official title: Bio Refine for Functional Mitral Regurgitation - a Safety & Feasibility Study

Run by Bio Refine Ltd. · NCT06583876 · Data updated 2026-11-12

This study is testing a new treatment system for people with functional mitral regurgitation who can't have regular surgery to see if it is safe and effective.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment15 (estimated)
SponsorBio Refine Ltd.
Industry-sponsored
Locations8 sites (Budapest and 7 other locations)
StatusRecruiting
StartedJune 3, 2024
Main results expectedApril 2027
Study endsApril 2028
Registry record updatedOctober 2, 2026
Trial IDNCT06583876 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients with symptomatic secondary mitral regurgitation who are not eligible for mitral valve surgery due to prohibitive risks.

Probably not a fit

Patients with untreated significant coronary artery disease or those requiring other cardiac interventions will likely not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to assess the safety and feasibility of the Bio Refine Coriofix System for patients suffering from functional mitral regurgitation who are not candidates for traditional mitral valve surgery. It will include patients with symptomatic secondary mitral regurgitation who have been adequately treated with guideline-directed medical therapy for heart failure. Participants will undergo the procedure and will be monitored during the hospital stay, with follow-up assessments scheduled at 30 days, 6 months, and 12 months post-procedure to evaluate outcomes.

Why it matters

Potential benefit: If successful, this approach could provide a new treatment option for patients with severe mitral regurgitation who currently have limited alternatives.

How similar studies have gone: While this approach is novel, similar interventions in the field of mitral valve treatment have shown promise, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Local heart team has determined that mitral valve surgery will not be offered as a treatment option
* Symptomatic secondary mitral regurgitation (3+ or 4+)
* Adequately treated in compliance with optimal guideline-directed medical therapy for heart failure for at least 90 days
* NYHA functional class II, III or ambulatory IV
* LVEF ≥30%.
* Written informed consent has been obtained

Exclusion Criteria:

* Untreated clinically significant coronary artery disease requiring revascularization.
* CABG, PCI or TAVR within the prior 90 days.
* Aortic or tricuspid valve disease requiring surgery or transcatheter intervention or severe tricuspid regurgitation.
* COPD requiring continuous home oxygen therapy or chronic outpatient oral steroid use.
* CVA or TIA within prior 180 days.
* Hypotension
* Any history of ventricular arrythmia
* Patients implanted with any kind of CIED
* Life expectancy \<12 months due to non-cardiac conditions
* Prior mitral valve leaflet surgery or any currently implanted prosthetic mitral valve, or any prior transcatheter mitral valve procedure
* TEE is contraindicated or high risk
* Pregnant or planning pregnancy within next 12 months
* Currently participating in an investigational drug or another device study that has not reached its primary endpoint

Where it's running

  • Gottsegen National Cardiovascular Center
    Budapest, Hungary
    Recruiting
  • University of Debrecen
    Debrecen, Hungary
    Recruiting
  • Rabin Medical Center
    Petah Tikva, Israel
    Recruiting
  • Górnośląskie Centrum Medyczne im. prof. Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach
    Katowice, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny w Poznaniu
    Poznan, Poland
    Recruiting
  • Wojskowy Instytut Medyczny
    Warsaw, Poland
    Not yet recruiting
Show 2 more locations
  • Institute for Cardiovascular Diseases "Dedinje"
    Belgrade, Serbia
    Terminated
  • University Clinical Center Kragujevac
    Kragujevac, Serbia
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.