Surgery for mild tricuspid regurgitation during mitral valve repair
Official title: Annuloplasty for the Treatment of Not-Severe Tricuspid Regurgitation in Patients Undergoing Surgery for Mitral Valve Disease: a Prospective, Spontaneous, Multicentre, Randomized Study
Run by Ospedale San Raffaele · NCT02996552 · Data updated 2026-11-12
This study is testing if adding a specific heart surgery for mild tricuspid regurgitation can help patients who are already having mitral valve surgery to avoid future heart problems.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 142 (estimated) |
| Sponsor | Ospedale San Raffaele Academic / other |
| Locations | 3 sites (Rozzano, Milano and 2 other locations) |
| Status | Recruiting |
| Started | June 8, 2011 |
| Main results expected | June 2020 |
| Study ends | December 2030 |
| Registry record updated | July 21, 2020 |
| Trial ID | NCT02996552 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 years old scheduled for mitral valve surgery with mild tricuspid regurgitation and a dilated tricuspid annulus.
✕Probably not a fit
Patients with severe tricuspid regurgitation (TR ≥ 3) or organic disease of the tricuspid valve may 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 clinical trial investigates the effectiveness of tricuspid annuloplasty in patients with mild tricuspid regurgitation (TR) undergoing mitral valve surgery. It aims to determine whether performing this procedure in patients with a dilated tricuspid annulus can prevent disease progression. The study is a multicenter, single-blind, parallel group randomized controlled trial, where participants will be randomly assigned to either receive tricuspid annuloplasty or undergo mitral valve repair only. The trial will enroll patients with TR ≤ 2+ and annular dilation to assess the potential benefits of the intervention.
Why it matters
Potential benefit: If successful, this study could provide evidence for a surgical approach that prevents the progression of tricuspid disease in patients undergoing mitral valve surgery.
How similar studies have gone: While some observational studies suggest potential benefits, this approach remains controversial and lacks robust evidence from randomized trials.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * age \> 18 years; * ability to provide informed consent; * patients scheduled for mitral valve regurgitation * TR ≤ 2+ with annular dilation * Tricuspid diastolic diameter ≥ 40 mm or 21 mm/m2 Exclusion Criteria: * patient's refusal * non-elective cardiac surgery; * organic disease of tricuspid valve * TR≥3
Where it's running
-
Istituto Clinico Humanitas
Rozzano, Milano, Italy Recruiting -
IRCCS Ospedale San Raffaele
Milan, Italy Recruiting -
Central Clinical Hospital of the Ministry of Internal Affairs and Administration, Warsaw, Poland
Warsaw, Poland Recruiting
Study contacts
- Principal investigator: Michele De Bonis, MD,FESC,FAHA — IRCCS Ospedale San Raffale Milano
- Study coordinator: Michele De Bonis, MD,FESC,FAHA
- Email: debonis.michele@hsr.it
- Phone: 00390226437118
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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.
-
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.
-
Outcomes after new edge-to-edge mitral valve repair
This project will follow people with mitral regurgitation who receive transcatheter edge-to-edge repair at Amsterdam UMC to see how they do long-term and whether patient selection can be improved.
-
Surgical implantation of a polymer prosthetic mitral or aortic valve
This will test a surgically implanted polymer heart valve to see if it is safe and works well for adults who need mitral or aortic valve replacement.
-
GeminiOne transcatheter edge-to-edge repair for severe symptomatic mitral regurgitation
This trial will try the GeminiOne TEER system to treat adults with severe, symptomatic mitral regurgitation who are high surgical risk or have not improved with medical therapy.
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.