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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 450 (estimated) |
| Sponsor | 4C Medical Technologies, Inc. Industry-sponsored |
| Locations | 58 sites (Phoenix, Arizona and 57 other locations) |
| Status | Recruiting |
| Started | September 3, 2024 |
| Main results expected | September 2029 |
| Study ends | September 2031 |
| Registry record updated | August 3, 2026 |
| Trial ID | NCT06465745 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
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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
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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.
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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.
-
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.
-
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.
-
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.
-
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.
-
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.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.