ClinicalTrials.gg
TerminatedNCT03285724Updated Nov 19, 2019Results posted

Safety and Performance Study of the Harpoon Mitral Valve Repair System

An interventional study of Harpoon Artificial ePTFE Chords in Mitral Valve Regurgitation, Mitral Valve Prolapse and Mitral Valve Insufficiency, sponsored by Edwards Lifesciences. Terminated at 2 sites in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-19.

Sponsored by Edwards Lifesciences · Not applicable, Interventional, and Treatment

Why this study was terminated
Edwards Lifesciences acquired Harpoon Medical in December 2017 and a decision has been made to close enrollment in the HMEFS-2000 protocol

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2017, registered Sep 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 32 studies in Mitral Valve Insufficiency by Edwards Lifesciences — 2 open to participants now, 10 under way, none of them phase 3. Mitral Valve Insufficiency · Edwards Lifesciences.

Enrollment
24th of 27
1 · median 26
Started
2017
with 3 others
No phase
26 of 32
2 open now
Registered
18th of 32
by date

Among the 32 studies in Mitral Valve Insufficiency by Edwards Lifesciences, this one is the 24th largest by enrollment of the 27 interventional ones, is one of 4 that started in 2017, is one of 26 with no phase, and was the 18th registered.

By phase

32 studies; the count open now beside each. This study's row is marked.

No phasethis study26 · 2 open
Observational5 · 0 open
Phase 1/21 · 0 open

By the year they started

First in 2007; this study’s year is marked. 4 started in 2017.

Size and results

Median enrollment 26 across the 27 interventional studies, 220 across the 5 observational. Of the 19 that completed or were terminated, 13 (68%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 32 studies in Mitral Valve Insufficiency by Edwards Lifesciences, or all of them as a file.
02

Study summary

The primary objective of this study is to evaluate the safety and performance of the Harpoon Medical Device. It is anticipated, that the Harpoon Medical Device will provide advantages over current surgical interventions including: 1) a small minimally invasive incision, 2) no sternotomy, 3) no cardiopulmonary bypass, 4) no aortic manipulation, 5) a direct path to the valve plane, 6) performed on a beating heart, 7) real-time TEE-guided ePTFE cordal length adjustment and 8) less complicated procedure that is teachable and adoptable.

Read the detailed description

The device is designed to reduce the degree of mitral regurgitation by delivering and anchoring artificial chordae tendineae to the affected mitral valve leaflet(s) in a beating heart.

03

Conditions studied

  • Mitral Valve Regurgitation
  • Mitral Valve Prolapse
  • Mitral Valve Insufficiency

Keywords

  • Mitral Valve Repair
  • Transapical
  • artificial chordae
  • bi-leaflet prolapse
  • anterior prolapse
  • posterior prolapse
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years
  • Patient referred for mitral valve surgery
  • Presence of severe MR as read on an echocardiographic study performed within 60 days prior to procedure.
  • Estimated post-ePTFE cordal implantation coaptation surface is adequate in the judgment of the operating surgeon and the patient eligibility committee
  • Degenerative mitral valve disease associated with anterior, bileaflet, or posterior leaflet prolapse
  • Patient is able to sign and able to return for follow-up and is capable of participating in all testing associated with this clinical investigation
  • Women of have a negative pregnancy test

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Infective endocarditis
  • History of Mediastinal Radiation
  • Inflammatory (rheumatic) valve disease
  • Requirement for concomitant cardiac surgery (e.g., coronary artery bypass grafting (CABG), aortic valve surgery, etc.)
  • Symptomatic coronary artery disease
  • Cardiogenic shock at the time of enrollment
  • ST segment elevation myocardial infarction requiring intervention within 30 days prior to enrollment
  • Evidence of cirrhosis or hepatic synthetic failure
  • Pregnancy at the time of enrollment (women of child bearing age should have negative pregnancy within 14 days of surgery)
  • Severe pulmonary hypertension (PA systolic pressure > 70 mmHg)
  • Previous cardiac surgery, or surgery on the left pleural space
  • Left ventricular, atrial or appendage thrombus
  • Severely calcified mitral leaflets
  • Recent stroke (\< 6 months) with permanent impairment
  • EuroScore (for mitral valve repair) > 8%
  • Patients with to Transesophageal echocardiography
  • Severe left or right ventricular dysfunction
  • Class IV
  • Renal insufficiency CKD stage 3b or worse ( \< 45 ml/min/1.73 m2)
  • Patient is participating in another clinical study for which follow-up is currently ongoing. (Co-enrollment in an device or interventional study)
  • Patient with non-cardiac co-morbidities and \< 1 year
  • Patient has a condition or conditions that, in the opinion of the Investigator, preclude participation, including willingness to comply with all follow-up procedures
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    Harpoon Medical Transapical device TSD-5

    This is a prospective, single arm, nonrandomized, early feasibility study to evaluate the safety and performance of the Harpoon Medical Device.

    Device: Harpoon Artificial ePTFE Chords

Interventions

  • DeviceHarpoon Artificial ePTFE Chords

    The Harpoon Medical Transapical device is intended to be used to reduce the degree of degenerative mitral regurgitation by delivering and anchoring one or more ePTFE cords to the affected mitral valve leaflet(s) via a small left thoracotomy on the beating heart in patients with anterior, bi-leaflet or posterior prolapse.

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Procedural Success During the First 30 Days

    To demonstrate that the Harpoon Medical Device performs as designed and can successfully implant one or more ePTFE artificial cords on either the anterior, posterior, or both leaflets of the mitral valve via a small left thoracotomy on the beating heart and reduce mitral regurgitation from "severe" to less than or equal to "moderate" at the conclusion of the procedure and at 30 days post-procedure.

    Time frame: Procedure, discharge, and 30 days

  2. Number of Subjects With Freedom From Serious Adverse Events (SAE) During the First 30 Days

    Procedure freedom from Serious Adverse Events (SAEs) during the procedure, at discharge, and at 30 days follow-up shall be tracked and recorded.

    Time frame: Procedure, Discharge and 30 Days

Secondary outcomes

  1. Subject's Severity of Mitral Regurgitation Over Time

    Severity of mitral regurgitation at 6 months, 12 months and 24 months follow-up shall be tracked and recorded

    Time frame: 6 Months, 12 Months, and 24 Months

  2. Subject's Freedom From Serious Adverse Events Over Time

    Freedom from Serious Adverse Events (SAEs) at 6 months, 12 months and 24 months follow-up shall be tracked and recorded

    Time frame: 6 Months, 12 Months, and 24 Months

07

Results

Posted Oct 14, 2019

Participant flow

Participant flow — Overall Study
MilestoneHarpoon Medical Device
Started1
Completed1
Not completed0

Outcome measures

PrimaryNumber of Subjects With Procedural Success During the First 30 Days

To demonstrate that the Harpoon Medical Device performs as designed and can successfully implant one or more ePTFE artificial cords on either the anterior, posterior, or both leaflets of the mitral valve via a small left thoracotomy on the beating heart and reduce mitral regurgitation from "severe" to less than or equal to "moderate" at the conclusion of the procedure and at 30 days post-procedure.

Time frame:
Procedure, discharge, and 30 days
Reported as:
Count of participants · Participants
Number of Subjects With Procedural Success During the First 30 Days
ParticipantsHarpoon Medical Device
Procedure0
Discharge0
30 days follow-up0
PrimaryNumber of Subjects With Freedom From Serious Adverse Events (SAE) During the First 30 Days

Procedure freedom from Serious Adverse Events (SAEs) during the procedure, at discharge, and at 30 days follow-up shall be tracked and recorded.

Time frame:
Procedure, Discharge and 30 Days
Reported as:
Count of participants · Participants
Number of Subjects With Freedom From Serious Adverse Events (SAE) During the First 30 Days
ParticipantsHarpoon Medical Device
Procedure0
Discharge0
30 Days0
SecondarySubject's Severity of Mitral Regurgitation Over Time

Severity of mitral regurgitation at 6 months, 12 months and 24 months follow-up shall be tracked and recorded

Time frame:
6 Months, 12 Months, and 24 Months

No measurements were reported for this outcome.

SecondarySubject's Freedom From Serious Adverse Events Over Time

Freedom from Serious Adverse Events (SAEs) at 6 months, 12 months and 24 months follow-up shall be tracked and recorded

Time frame:
6 Months, 12 Months, and 24 Months

No measurements were reported for this outcome.

Adverse events

Collected over Events occurring from baseline through end of procedure.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Harpoon Medical Device0/1 (0%)1/1 (100%)0/1 (0%)
Most frequent serious events
Most frequent serious events
EventHarpoon Medical Device
Implantation cord failure, mitral ring damageCardiac disorders1/1

Baseline characteristics

Age, Customized
Age, Customized(years)Harpoon Medical Device
Age70
Sex: Female, Male
Sex: Female, Male(Participants)Harpoon Medical Device
Female1
Male0
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Harpoon Medical Device
08

Study locations

2 sites
  • Jagiellonian University
    Krakow, Poland
  • Instytut of Kardiologii & Transplantology
    Warsaw, 04-628, Poland
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03285724
Responsible party
Sponsor
First posted
Sep 18, 2017
Start date
May 16, 2017
Primary completion
Jun 16, 2017
Completion
Apr 20, 2018
Results posted
Oct 14, 2019
Last update
Nov 19, 2019

Study contacts

Krzysztof Bartus, MD PhD
principal investigator · Jagiellonian University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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