Clinical trial Recruiting at 58 sites Interventional Ages 18 and up

Evaluation of the AltaValve System for treating mitral regurgitation

Official title: ATLAS (A Transseptal Left Atrial System for Treatment of Mitral Regurgitation) Pivotal Trial

Run by 4C Medical Technologies, Inc. · NCT06465745 · Data updated 2026-11-12

This study is testing a new device called the AltaValve System to see if it can help people with mitral regurgitation who can't have surgery feel better and improve their heart function.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment450 (estimated)
Sponsor4C Medical Technologies, Inc.
Industry-sponsored
Locations58 sites (Phoenix, Arizona and 57 other locations)
StatusRecruiting
StartedSeptember 3, 2024
Main results expectedSeptember 2029
Study endsSeptember 2031
Registry record updatedAugust 3, 2026
Trial IDNCT06465745 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with symptomatic moderate-to-severe mitral regurgitation who are unsuitable for surgery.

Probably not a fit

Patients who are not symptomatic or have mild mitral regurgitation may not benefit from this treatment.

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

What this trial studies

This clinical trial is designed to assess the safety and performance of the AltaValve System in patients suffering from symptomatic mitral regurgitation. It is a prospective, single-arm, multicenter trial that targets individuals who are not suitable for surgical intervention or other repair methods. Participants will be monitored for their response to the treatment, which aims to alleviate symptoms and improve heart function. The study will involve multiple healthcare centers to gather a diverse patient population.

Why it matters

Potential benefit: If successful, this treatment could significantly improve the quality of life for patients with severe mitral regurgitation who are not candidates for surgery.

How similar studies have gone: Other studies have shown promise with transcatheter approaches for mitral valve issues, suggesting potential for success with this novel intervention.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years.
* Symptomatic New York Heart Association (NYHA) class II-IV.
* Moderate-to-severe or severe MR (3+) despite optimal guideline-directed medical therapy (GDMT) as determined by an independent Echo Core Lab.
* Unsuitable for surgery and Transcatheter Edge-toEdge Repair (TEER) as determined by the local site Heart Team.

Exclusion Criteria (Abbreviated List):

* Inability to understand the trial or a history of non-compliance with medical advice.
* Inability to provide signed Informed Consent Form (ICF).
* History of any cognitive or mental health status that would interfere with participation in the trial.
* Currently enrolled in any other pre-approval investigational trial (does not apply to long-term post-market trials unless these trials might clinically interfere with the current trial endpoints (e.g., limit use of trial-required medication, etc.)).
* Female subjects who are pregnant or planning to become pregnant within the trial period.
* Known hypersensitivity or contraindication to heparin, or warfarin without adequate alternative medications.
* Known hypersensitivity to nitinol (i.e., nickel allergy) that cannot be adequately medicated.
* Known hypersensitivity to contrast media that cannot be adequately medicated.
* Evidence of current left ventricular ejection fraction (LVEF) ≤ 25%.
* Concurrent medical condition with a life expectancy of less than 12 months.
* Transcatheter aortic repair or replacement within 90 days prior to the baseline required tests.
* Percutaneous coronary intervention (PCI) within 30 days prior to the index procedure.

Where it's running

  • Banner University Medical Center
    Phoenix, Arizona, United States
    Recruiting
  • Abrazo Arizona Heart Hospital
    Phoenix, Arizona, United States
    Recruiting
  • Dignity Health; St. Joseph's Hospital and Medical Center
    Phoenix, Arizona, United States
    Recruiting
  • TMC Healthcare
    Tucson, Arizona, United States
    Recruiting
  • Scripps Health
    La Jolla, California, United States
    Recruiting
  • Cedars-Sinai Medical Center
    Los Angeles, California, United States
    Recruiting
Show 44 more locations
  • Orange County Heart Institute & Research Center
    Orange, California, United States
    Recruiting
  • Sutter Bay Hospitals
    San Francisco, California, United States
    Recruiting
  • Los Robles Hospital & Medical Center
    Thousand Oaks, California, United States
    Recruiting
  • Baptist Medical Center
    Jacksonville, Florida, United States
    Recruiting
  • NCH Healthcare System
    Naples, Florida, United States
    Recruiting
  • Sarasota Memorial Health Care System
    Sarasota, Florida, United States
    Recruiting
  • Wellstar Center for Cardiovascular Care
    Atlanta, Georgia, United States
    Recruiting
  • Cardiovascular Institute of the South
    Houma, Louisiana, United States
    Recruiting
  • MedStar Health Research Institute, Inc.
    Baltimore, Maryland, United States
    Recruiting
  • MedStar Health Research Institute, Inc.
    Columbia, Maryland, United States
    Recruiting
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Henry Ford Hospital
    Detroit, Michigan, United States
    Recruiting
  • William Beaumont Hospital
    Royal Oak, Michigan, United States
    Recruiting
  • Minneapolis Heart Institute Foundation
    Minneapolis, Minnesota, United States
    Recruiting
  • Mayo Clinic
    Rochester, Minnesota, United States
    Recruiting
  • Saint Luke's Hospital of Kansas City
    Kansas City, Missouri, United States
    Recruiting
  • Washington University
    St Louis, Missouri, United States
    Recruiting
  • AHS Hospital Corp.
    Morristown, New Jersey, United States
    Recruiting
  • New York Presbyterian Hospital-Columbia University Medical Center
    New York, New York, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York, United States
    Recruiting
  • The Charlotte-Mecklenburg Hospital; Atrium Health
    Charlotte, North Carolina, United States
    Recruiting
  • East Carolina Heart Institute at East Carolina University
    Greenville, North Carolina, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting
  • Cleveland Clinic Foundation
    Cleveland, Ohio, United States
    Recruiting
  • South Oklahoma Heart Research, LLC.
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Oregon Health & Science University
    Portland, Oregon, United States
    Recruiting
  • The University of Texas Health Science Center at Houston
    Houston, Texas, United States
    Recruiting
  • University of Virginia
    Charlottesville, Virginia, United States
    Recruiting
  • University of Washington
    Seattle, Washington, United States
    Recruiting
  • St. Paul's Hospital
    Vancouver, British Colombia, Canada
    Recruiting
  • St. Michael's Unity Health Toronto
    Toronto, Ontario, Canada
    Recruiting
  • Institut Universitaire de Cardiologie et de Pneumologie de Quebec
    Québec, Quebec, Canada
    Recruiting
  • Centre Hospitalier Universitaire de Bordeaux
    Bordeaux, France
    Recruiting
  • L'Assistance Publique-Hôpitaux de Marseille (AP-HM)
    Marseille, France
    Recruiting
  • Société d'Exploitation du Centre Cardiologique du Nord
    Paris, France
    Recruiting
  • Clinique Pasteur
    Toulouse, France
    Recruiting
  • Charité - Universitätsmedizin Berlin
    Berlin, Germany
    Recruiting
  • Universitatsklinikum Bonn
    Bonn, Germany
    Recruiting
  • University Hospital Cologne - Heart Center
    Cologne, Germany
    Recruiting
  • Cardiac Research GmbH; St.-Johannes-Hospital Dortmund
    Dortmund, Germany
    Recruiting
  • Universitätsmedizin der Johannes Gutenberg Universität Mainz
    Mainz, Germany
    Recruiting
  • University Hospital of the Ruhr University Bochum
    Oeynhausen, Germany
    Recruiting
  • Heart Center Trier
    Trier, Germany
    Recruiting

+8 more sites. See ClinicalTrials.gov for the full list.

Similar studies

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

  • How TAVI and M‑TEER affect sleep‑disordered breathing

    This will see if adults with aortic stenosis or mitral regurgitation who undergo TAVI or M‑TEER have improvements in sleep‑disordered breathing six months after their procedure.

    Recruiting Hippocration General Hospital · Athens, Attica · NCT07520656

  • Posterior Mitral Leaflet Replacement to Reduce Mitral Regurgitation

    This early feasibility trial tests the MR-ace Implant and Delivery System to see if it can reduce symptoms and leaks in people with moderate-to-severe functional mitral regurgitation.

    Recruiting Polares Medical SA · Atlanta, Georgia and 2 other locations · NCT07517588

  • Replacing the native mitral valve with the ReValve System

    This study will test whether replacing the native mitral valve with the ReValve System helps adults with symptomatic, clinically significant mitral regurgitation who are appropriate candidates for mitral valve surgery.

    Recruiting at 3 sites Phase 1 ReValve Solutions Inc. · Tbilisi and 2 other locations · NCT07450911

  • Transcatheter Mitral and Tricuspid Interventions and Cardiac MRI Registry

    This study will collect imaging and clinical data from adults undergoing transcatheter mitral or tricuspid procedures to see how their heart structure and function change over time using MRI and advanced ultrasound.

    Recruiting Centro Cardiologico Monzino · Milan, Milan · NCT07370467

  • Mitral and Tricuspid Valve-in-Valve/Valve-in-Ring Registry in Asia-Pacific

    This registry tracks people in Asia-Pacific who have had or will have valve-in-valve or valve-in-ring procedures for mitral or tricuspid valve disease to learn about outcomes and safety after these transcatheter approaches.

    Recruiting Prince of Wales Hospital, Shatin, Hong Kong · Hong Kong, Shatin · NCT07296016

  • Mitral valve replacement with the SATURN TMVR system for severe mitral regurgitation

    This study tests whether the SATURN TS transcatheter mitral valve replacement can be safely implanted and work well in adults with severe mitral regurgitation who are high-risk for open-heart surgery.

    Recruiting at 2 sites InnovHeart · Los Angeles, California and 4 other locations · NCT07130994

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.