Using the Carillon Mitral Contour System to treat heart failure with mild functional mitral regurgitation
Assessment of the Carillon Mitral Contour System® in Treating Heart Failure With Functional Mitral Regurgitation
This study is testing if the Carillon Mitral Contour System can help people with heart failure and mild mitral regurgitation feel better compared to a similar procedure without the device.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 300 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Cardiac Dimensions Pty Ltd Industry-sponsored |
| Locations | 92 sites (Gilbert, Arizona and 91 other locations) |
| Trial ID | NCT03142152 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate the safety and effectiveness of the Carillon Mitral Contour System in patients suffering from heart failure with at least mild functional mitral regurgitation. A total of 300 participants will be randomly assigned to either receive the Carillon implant or undergo a similar procedure without the device. Prior to randomization, participants will undergo echocardiographic examinations and angiograms to ensure they meet the anatomical requirements for the device placement. Follow-up evaluations will be coordinated by their primary care specialists to monitor outcomes over time.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older with symptomatic heart failure and at least mild functional mitral regurgitation.
Not a fit: Patients with pre-existing devices in the coronary sinus or those with Class I indications for cardiac resynchronization therapy may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve heart failure symptoms and quality of life for patients with functional mitral regurgitation.
How similar studies have performed: While this approach is innovative, similar studies have shown promise in treating heart failure with device-based interventions.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Symptomatic heart failure with functional (secondary) mitral regurgitation of at least 1+ (mild) severity 2. NYHA II, III, or IV 3. Six Minute Walk distance ≥ 100 meters and ≤ 600 meters 4. Left Ventricular Ejection Fraction ≤ 50% 5. LVEDD: * ≥ 55 mm (women) * ≥ 57 mm (men) 6. LVESD ≤ 75 mm 7. Corrected NT-proBNP \> 1200 pg/ml measured within 60 days of randomization, and/or one or more heart failure hospitalizations within one year prior to consent or one or more outpatient visits for intensification of heart failure therapy within one year prior to consent. 8. Optimal Guideline directed heart failure medical therapy assessed by the Central Review Committee 9. Age ≥ 18 years old 10. Carillon implant can be sized and placed in accordance with the IFU 11. The subject has been informed of the nature of the trial and agrees to its provisions, including the possibility of randomization to the Control group and returning for all required post-procedure follow-up visits, and has provided written informed consent Exclusion Criteria: 1. Presence of a mechanical or bio-prosthetic mitral valve or, mitral valve annuloplasty, or leaflet repair device 2. Significant organic mitral valve pathology (e.g., moderate or severe myxomatous degeneration, with or without mitral leaflet prolapse, rheumatic disease, full or partial chordal rupture) 3. Severe tricuspid regurgitation associated with right ventricular dysfunction and enlargement 4. Severe mitral annular calcification 5. Severe aortic stenosis 6. Expected to require any cardiac surgery, including surgery for coronary artery disease (CAD) or valve disease within one (1) year 7. Chronic, severe, medical conditions or pathology, other than heart failure, that will prevent likely survival beyond twelve (12) months or any other medical condition that, in the judgement of the Investigator or Central Review Committee, makes the patient a poor candidate for this study * An entire list of eligibility is available in the clinical investigational plan
Where this trial is running
Gilbert, Arizona and 91 other locations
- Dignity Health Research Institute at Mercy Gilbert and Chandler Regional Medical Centers — Gilbert, Arizona, United States (Recruiting)
- Banner Health - Phoenix — Phoenix, Arizona, United States (Recruiting)
- AZ Heart Rhythm — Phoenix, Arizona, United States (Withdrawn)
- Tucson Medical Center Health — Tucson, Arizona, United States (Recruiting)
- Banner University Tuscon — Tucson, Arizona, United States (Recruiting)
- Memorial Care Hospital — Long Beach, California, United States (Terminated)
- Keck School of Medicine of USC — Los Angeles, California, United States (Recruiting)
- UCLA Medical Center — Los Angeles, California, United States (Recruiting)
- Stanford University — Redwood City, California, United States (Recruiting)
- Scripps Health — San Diego, California, United States (Recruiting)
- University of California- San Francisco — San Francisco, California, United States (Recruiting)
- South Denver Cardiology — Littleton, Colorado, United States (Recruiting)
- Medstar — Washington D.C., District of Columbia, United States (Terminated)
- Delray Medical Center — Delray Beach, Florida, United States (Terminated)
- University of Miami — Miami, Florida, United States (Terminated)
- Baptist Hospital of Miami — Miami, Florida, United States (Terminated)
- Advent Health Hospital — Orlando, Florida, United States (Recruiting)
- Palm Beach Gardens Medical — Palm Beach, Florida, United States (Recruiting)
- Tallahassee Research Institute — Tallahassee, Florida, United States (Active_not_recruiting)
- Tampa General Hospital — Tampa, Florida, United States (Recruiting)
- Augusta University Research Institute — Augusta, Georgia, United States (Terminated)
- Wellstar Health System, — Marietta, Georgia, United States (Terminated)
- Rush University Medical Center — Chicago, Illinois, United States (Terminated)
- Advocate Good Samaritan — Downers Grove, Illinois, United States (Recruiting)
- Midwest Cardiovascular Institute (MCI) — Naperville, Illinois, United States (Recruiting)
- Prairie Heart Institute — Springfield, Illinois, United States (Terminated)
- Carle Foundation Hospital — Urbana, Illinois, United States (Terminated)
- Community Health Network — Indianapolis, Indiana, United States (Recruiting)
- Cardiovascular Institute South — Houma, Louisiana, United States (Recruiting)
- Ochsner Health System — New Orleans, Louisiana, United States (Recruiting)
- Johns Hopkins — Baltimore, Maryland, United States (Recruiting)
- St Elizabeth's Medical Center — Boston, Massachusetts, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Beth Israel Deaconess — Boston, Massachusetts, United States (Recruiting)
- University of Michigan — Ann Arbor, Michigan, United States (Terminated)
- William Beaumont Hospital — Royal Oak, Michigan, United States (Withdrawn)
- Ascension St. Marys Research Institute — Saginaw, Michigan, United States (Terminated)
- CentraCare Heart and Vascular — Saint Cloud, Minnesota, United States (Recruiting)
- St. Louis Heart and Vascular — St Louis, Missouri, United States (Recruiting)
- Deborah Heart & Lung — Browns Mills, New Jersey, United States (Recruiting)
- Hackensack University Medical Center — Edison, New Jersey, United States (Recruiting)
- St Michael/Prime Healthcare Services — Newark, New Jersey, United States (Recruiting)
- Albany Medical College, — Albany, New York, United States (Terminated)
- University at Buffalo — Buffalo, New York, United States (Recruiting)
- Northwell Staten Island — New York, New York, United States (Recruiting)
- Vassar Brothers- Hudson Valley Cardiovascular Practice — Poughkeepsie, New York, United States (Recruiting)
- Rochester Regional Hospital — Rochester, New York, United States (Recruiting)
- Lindner Research Center at the Christ Hospital — Cincinnati, Ohio, United States (Recruiting)
- Harrington Vascular — Cleveland, Ohio, United States (Terminated)
- Cleveland Clinic — Cleveland, Ohio, United States (Recruiting)
+42 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Samir Kapadia, MD — The Cleveland Clinic
- Study coordinator: Hank Hauser
- Email: hhauser@cardiacdimensions.com
- Phone: (310) 228-0016
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.