Mitral valve repair with the CathHELIX transcatheter annuloplasty system for functional mitral regurgitation
Official title: A Study to Evaluate the Feasibility and Safety of Mitral Annular Repair With the CathHELIX™ Transcatheter System in Subjects With Functional Mitral Regurgitation
Run by HVR Cardio Oy · NCT07188233 · Data updated 2026-11-12
This will test the CathHELIX transcatheter mitral annuloplasty device to see if it reduces moderate-to-severe or severe functional mitral regurgitation and improves symptoms in adults with NYHA class II–IV and LVEF ≥30%.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 5 (estimated) |
| Sponsor | HVR Cardio Oy Industry-sponsored |
| Locations | 2 sites (Tbilisi, Georgia and 1 other locations) |
| Status | Recruiting |
| Started | November 16, 2024 |
| Main results expected | July 2026 |
| Study ends | July 2026 |
| Registry record updated | September 23, 2025 |
| Trial ID | NCT07188233 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with functional (secondary) mitral regurgitation graded moderate-to-severe (3+) or severe (4+), symptomatic (NYHA II–IV), and LVEF ≥30% who have suitable mitral anatomy and coronary sinus alignment are the intended candidates.
✕Probably not a fit
Patients with severe annular or leaflet calcification, active or suspected endocarditis, oxygen-dependent COPD, prior heart transplant, severe symptomatic carotid stenosis, or coronary sinus anatomy that precludes device placement are unlikely to benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with symptomatic functional mitral regurgitation graded 3+ or 4+ and left ventricular ejection fraction ≥30% will receive a percutaneous mitral annuloplasty procedure using the CathHELIX transcatheter system delivered to the mitral annulus. The intervention is intended to reshape or reduce the annular dimension via a transcatheter approach without open-heart surgery. Key enrollment exclusions include active endocarditis, oxygen-dependent COPD, severe mitral annular or leaflet calcification, prior heart transplantation, severe symptomatic carotid stenosis, or coronary sinus anatomy that prevents device placement. Procedures and follow-up occur at participating centers in Tbilisi, Georgia and Vilnius, Lithuania with clinical and imaging assessments to track regurgitation severity and symptoms.
Why it matters
Potential benefit: If successful, the device could reduce mitral regurgitation and improve symptoms and quality of life while offering a less invasive option than surgery for selected patients.
How similar studies have gone: Edge-to-edge transcatheter repair (for example MitraClip) has shown benefit in selected functional MR patients, but transcatheter annuloplasty devices like CathHELIX are less established and have limited published outcomes so far.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Moderate to severe (3+) or severe (4+) functional mitral regurgitation * Left ventricular ejection fraction ≥30% * Symptomatic New York Heart Association (NYHA) Class II to IV). Exclusion Criteria: * Oxygen dependent for COPD * Active or suspected endocarditis * Severe symptomatic carotid stenosis * Has undergone heart transplantation. * Severe calcification of the mitral annulus or leaflets * Coronary sinus anatomy that may preclude proper treatment with the device
Where it's running
-
Tbilisi Heart and Vascular Clinic
Tbilisi, Georgia, Georgia Recruiting -
Vilnius University Hospital, Santaros Klinikos, Public Institution
Vilnius, Lithuania, Lithuania Recruiting
Study contacts
- Principal investigator: Vinayak Bapat — Abbott Northwestern and United Hospitals
- Study coordinator: Thomas Fleming
- Email: tom@hvrcardio.com
- Phone: 612 940 8037
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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.