Transcatheter vs. Surgical Repair for Degenerative Mitral Valve Disease
Official title: Transcatheter vs. Surgical Treatment of Degenerative Mitral Regurgitation: A Comparative Study of Clinical Outcomes, Patient Experiences, and Mechanistic Insights With Multimodality Imaging
Run by Cedars-Sinai Medical Center · NCT07605715 · Data updated 2026-11-12
This study compares TEER, a catheter-based repair, with traditional surgical mitral repair in people aged 60 and older with degenerative mitral valve disease to see which approach works better in the long run.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 60 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Cedars-Sinai Medical Center Academic / other |
| Locations | 1 site (Los Angeles, California) |
| Status | Recruiting |
| Started | February 19, 2025 |
| Main results expected | August 2027 |
| Study ends | August 2027 |
| Registry record updated | May 26, 2026 |
| Trial ID | NCT07605715 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 60 with degenerative mitral regurgitation who have not had prior mitral interventions and who are eligible for either TEER or surgical repair.
✕Probably not a fit
Patients with prior mitral interventions or contraindications to the procedures may not benefit from the study conclusions.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an ambispective cohort study that combines prospective and retrospective data to compare long-term outcomes after transcatheter edge-to-edge repair (TEER) versus surgical repair for degenerative mitral regurgitation. Researchers will collect clinical, procedural, and follow-up information, with advanced imaging like cardiac MRI to identify predictors of left ventricular dysfunction and other outcomes. Patient-reported recovery and quality of life will be measured using validated tools. The study aims to refine care for higher surgical-risk patients by identifying which treatment approach offers better durability and recovery.
Why it matters
Potential benefit: If TEER shows comparable or superior long-term outcomes, it could offer a less invasive option for older patients or those at higher surgical risk.
How similar studies have gone: Prior studies in this field have shown meaningful insights for TEER versus surgery, but long-term comparative data in degenerative disease remain limited, making this observational work valuable.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients older than 60 years who have DMR will be included in the study Exclusion Criteria: * Patients with prior history of mitral intervention or surgery will be excluded. * Patient records flagged "break the glass" or "research opt out" will be excluded. * Persons with allergy to animal dander or animal-instigated asthma will be excluded.
Where it's running
-
Smidt Heart Institute, Cedars Sinai Medical Center
Los Angeles, California, United States Recruiting
Study contacts
- Study coordinator: Aakriti Gupta, M.D.
- Email: aakriti.gupta@cshs.org
- Phone: 267-442-8776
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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.