Replacement of the mitral valve using a new device for patients with severe mitral regurgitation
Transcatheter Mitral Valve Replacement With the Medtronic Intrepid™ TMVR System in Patients With Severe Symptomatic Mitral Regurgitation - APOLLO Trial
This study is testing a new device to replace the mitral valve in patients with severe mitral regurgitation who can't use other treatments to see if it is safe and effective.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1056 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Medtronic Cardiovascular Industry-sponsored |
| Locations | 85 sites (Birmingham, Alabama and 84 other locations) |
| Trial ID | NCT03242642 on ClinicalTrials.gov |
What this trial studies
This clinical trial evaluates the Medtronic Intrepid™ Transcatheter Mitral Valve Replacement (TMVR) System in patients suffering from severe symptomatic mitral regurgitation. It is a multi-center, global, prospective, non-randomized interventional trial where all enrolled subjects will receive the study device. The trial aims to assess the safety and effectiveness of this innovative valve replacement approach for patients who are not suitable for existing treatment options.
Who should consider this trial
Good fit: Ideal candidates are individuals with moderate to severe symptomatic mitral regurgitation who are deemed unsuitable for conventional treatments.
Not a fit: Patients with prior transcatheter mitral valve procedures, significant anatomical contraindications, or severe left ventricular dysfunction may not benefit from this study.
Why it matters
Potential benefit: If successful, this procedure could provide a less invasive treatment option for patients with severe mitral regurgitation who currently have limited alternatives.
How similar studies have performed: Other studies involving transcatheter valve replacement techniques have shown promising results, indicating potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Moderate to severe or severe symptomatic mitral regurgitation * Local site multidisciplinary heart team experienced in mitral valve therapies agrees that the subject is unsuitable for treatment with approved transcatheter repair or conventional mitral valve intervention Exclusion Criteria: * prior transcatheter mitral valve procedure with device currently implanted * anatomic contraindications * prohibitive mitral annular calcification * left ventricular ejection fraction \<25% * need for emergent or urgent surgery * hemodynamic instability
Where this trial is running
Birmingham, Alabama and 84 other locations
- University of Alabama Birmingham (UAB) Hospital — Birmingham, Alabama, United States (Recruiting)
- Abrazo Heart Hospital — Phoenix, Arizona, United States (Recruiting)
- Scripps Memorial Hospital — La Jolla, California, United States (Recruiting)
- PIH Health Good Samaritan Hospital — Los Angeles, California, United States (Recruiting)
- Kaiser Permanente Los Angeles Medical Center — Los Angeles, California, United States (Recruiting)
- Keck Hospital of the University of Southern California, USC — Los Angeles, California, United States (Recruiting)
- Cedars Sinai Medical Center — Los Angeles, California, United States (Recruiting)
- El Camino Hospital — Mountain View, California, United States (Recruiting)
- Kaiser Permanente San Francisco Medical Center — San Francisco, California, United States (Recruiting)
- Stanford Hospital and Clinics — Stanford, California, United States (Recruiting)
- Los Robles Regional Medical Center — Thousand Oaks, California, United States (Recruiting)
- Hartford Hospital — Hartford, Connecticut, United States (Recruiting)
- Yale New Haven Hospital — New Haven, Connecticut, United States (Recruiting)
- MedStar Washington Hospital Center — Washington D.C., District of Columbia, United States (Recruiting)
- JFK Medical Center — Atlantis, Florida, United States (Recruiting)
- Morton Plant — Clearwater, Florida, United States (Recruiting)
- HealthPark Medical Center — Fort Myers, Florida, United States (Recruiting)
- North Florida Regional Medical Center — Gainesville, Florida, United States (Recruiting)
- Baptist Medical Center Jacksonville — Jacksonville, Florida, United States (Recruiting)
- University of South Florida Health — Tampa, Florida, United States (Recruiting)
- Emory University — Atlanta, Georgia, United States (Recruiting)
- Piedmont Atlanta Hospital — Atlanta, Georgia, United States (Recruiting)
- Northwestern Memorial Hospital — Chicago, Illinois, United States (Recruiting)
- Rush University Medical Center — Chicago, Illinois, United States (Recruiting)
- MercyOne Des Moines Medical Center — Des Moines, Iowa, United States (Recruiting)
- University of Kansas Medical Center — Kansas City, Kansas, United States (Recruiting)
- University of Maryland Medical Center — Baltimore, Maryland, United States (Completed)
- The Johns Hopkins Hospital — Baltimore, Maryland, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Brigham and Women's Hospital — Boston, Massachusetts, United States (Recruiting)
- Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States (Recruiting)
- University of Michigan Health System — Ann Arbor, Michigan, United States (Recruiting)
- Henry Ford Saint John Hospital — Detroit, Michigan, United States (Recruiting)
- Corewell Health — Grand Rapids, Michigan, United States (Recruiting)
- Abbott Northwestern Hospital — Minneapolis, Minnesota, United States (Recruiting)
- M Health Fairview University of Minnesota Medical Center - East Bank — Minneapolis, Minnesota, United States (Recruiting)
- Barnes-Jewish Hospital — St Louis, Missouri, United States (Recruiting)
- Providence St Patrick — Missoula, Montana, United States (Recruiting)
- Morristown Medical Center — Morristown, New Jersey, United States (Recruiting)
- Jersey Shore University Medical Center — Neptune City, New Jersey, United States (Recruiting)
- Northwell Health North Shore University Hospital — Manhasset, New York, United States (Recruiting)
- NYU Langone Hospital - Long Island — Mineola, New York, United States (Recruiting)
- NYU Langone Medical Center — New York, New York, United States (Recruiting)
- The Mount Sinai Hospital — New York, New York, United States (Recruiting)
- New York-Presbyterian Hospital Columbia University Medical Center — New York, New York, United States (Recruiting)
- Montefiore Medical Center — New York, New York, United States (Recruiting)
- Saint Francis Hospital — Roslyn, New York, United States (Recruiting)
- Duke University Medical Center — Durham, North Carolina, United States (Withdrawn)
- The Christ Hospital — Cincinnati, Ohio, United States (Recruiting)
- University Hospitals Cleveland Medical Center — Cleveland, Ohio, United States (Recruiting)
+35 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: David Adams, MD — Icahn School of Medicine at Mount Sinai
- Study coordinator: Megan Wilder Fredrickson
- Email: rs.tmvrpivotaltrial@medtronic.com
- Phone: 612-469-1749
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.