ClinicalTrials.gg
CompletedNCT03453853AFRICAUpdated Apr 26, 2021

Atrial Functional Mitral Regurgitation Response In Mitral Loop Cerclage Annuloplasty (AFRICA Study)

A Phase 1/2 interventional study of Mitral Loop Cerclage Annuloplasty in Atrial Functional Mitral Regurgitation and Heart Failure, sponsored by Tau-MEDICAL Co., Ltd.. Completed at 7 sites in Korea, Republic of. Open to participants aged 20 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-04-26.

Sponsored by Tau-MEDICAL Co., Ltd. · Phase 1/2, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 1/2
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
20 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 147 studies in Heart Failure with a site in Korea, Republic of — 48 open to participants now, 53 under way, 12 of them phase 3. Heart Failure · Korea, Republic of.

Enrollment
107th of 108
1 · median 264
Started
2018
with 7 others
Phase 1/2
Only one
of the 147
Registered
48th of 147
by date

Among the 147 studies in Heart Failure with a site in Korea, Republic of, this one is the 107th largest by enrollment of the 108 interventional ones that give a count, is one of 8 that started in 2018, is the only one in phase 1/2, and was the 48th registered.

Heart Failure

6,332 studies on the registry are indexed under Heart Failure; 1,392 are open to participants now.

Browse Heart Failure studies →

Open to participants now

48 of the 147 studies in Heart Failure with a site in Korea, Republic of are open now. Recruiting first, the newest first:

43 more — sign in →

All 48 open studies →

A study can be open while its sites in Korea, Republic of have not opened yet or have stopped. Only those recruiting at a site in Korea, Republic of →

Who these studies take

Of the 966 Heart Failure studies recruiting now, 689 (71%) set no upper age limit and 89 (9%) stop at 75 or younger; 63 take children under 18; 96 take healthy volunteers.

This study: 20 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 147 studies in Heart Failure with a site in Korea, Republic of, or all of them as a file.
02

Study summary

To evaluate second stage safety and feasibility of Mitral Loop Cerclage(MLC) Annuloplasty with CSTV for repair of functional mitral regurgitation.

Read the detailed description

The objective of this prospective, single-center, open label, feasibility test is to assess the safety and efficacy of Mitral Loop Cerclage Annuloplasty with CSTV protective device, in treating functional mitral regurgitation (FMR) associated with heart failure and Atrial Fibrillation mitral regurgitation Response in Mitral Loop Cerclage annuloplasty.

03

Conditions studied

  • Atrial Functional Mitral Regurgitation
  • Heart Failure

Keywords

  • Percutaneous mitral valve repair
  • Coronary sinus annuloplasty
  • Mitral loop cerclage
  • atrial fibrillation
  • Mitral Regurgitation
04

Who can participate

Ages eligible
20 Years to 85 Years
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

  • (New York Heart Association) Class III - IV
  • and, Functional Mitral Regurgitation 3+ (Moderate/Severe) or 4+ (Severe) in spite of optimal medical treatment.

(For optimal medical treatments, ①ACE inhibitor or angiotensin receptor blocker ②β-blocker ③ aldosterone antagonists should be given for at least 3 months unless the subject has for each drug)

  • and, Chronic Atrial Fibrillation in electrocardiography (Persistent AF or Permanent AF)

Exclusion criteria

Exclusion Criteria:

  • Primary Mitral Regurgitation
  • LV lower than 30%
  • Pulmonary arterial pressure ≥ 60mmHg
  • End-diastolic Left ventricular dimension ≥ 70mm
  • Subjects with functional MR who need CABG or AVR performed
  • Pre-existing stent in a coronary artery that is deemed to be in direct contact with the path of mitral loop cerclage along coronary sinus
  • Subjects who have functional MR caused by aortic valve disease
  • Subjects who have uncontrollable hyperthyroidism
  • Subjects who have severe TR due to primary valve leaflet disease
  • Anomaly of Coronary Sinus
  • Pre-existing devices in coronary sinus such as Implantable Cardioverter Defibrillator and Pacemaker
  • 2:1 Atriventricular AV block or higher AV block and ventricular tachycardia
  • Subjects with primary MR
  • Subjects who cannot be screened by cardiac CT
  • Subjects who have possibility of coronary artery pinching even with Mitral Loop Cerclage system judged by cardiac CT
  • Subjects who do not have septal vein or have unsuitable septal vein anatomy by cardiac CT or venogram
  • Subjects who have thrombosis and embolism
  • Creatinine ≥2.0 mg/dL
  • Subjects who have coagulation disorders
  • Subjects who are unable to take anti- agents
  • Pre-existing devices such as Implantable Cardioverter Defibrillator and Pacemaker
  • Subjects who are pregnant, or lactating, or plan pregnancy during the clinical trials
  • Subjects who are participated in other clinical trials within 1 month of enrollment
  • Subjects who are deemed not to be eligible in this study by physician's discretion
Terms in these criteria, in plain language(4)

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.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    Mitral Loop Cerclage

    Intervention: Device: Mitral Loop Cerclage Annuloplasty with CSTV Protective Device

    Device: Mitral Loop Cerclage Annuloplasty

Interventions

  • DeviceMitral Loop Cerclage Annuloplasty

    Atrial Functional mitral regurgitation Response In mitral loop Cerclage Annuloplasty

    Also known as: (MLC-B-45-75-R and other 11 models)

06

What researchers measure

Primary outcomes

  1. Change of mitral regurgitation severity(1)

    changing regurgitant volume (RV,mL) compared with baseline

    Time frame: 1 month

  2. Change of mitral regurgitation severity(2)

    changing effective regurgitant orifice (ERO,cm\^2) compared with baseline

    Time frame: 1 month

  3. Change in mitral annulus geometry

    septal lateral dimension(mm)

    Time frame: 1 month

  4. Rate of adverse events as a measure of safety

    Rate of composite endpoint of MACE (Major Adverse Cardiac Event) \*death, myocardial infarction, cardiac tamponade, device related cardiac surgery, stroke

    Time frame: 1 month

Secondary outcomes

  1. Change of mitral regurgitation severity(1)

    changing regurgitant volume (RV,mL) compared with baseline

    Time frame: 6 months

  2. Change of mitral regurgitation severity(2)

    changing effective regurgitant orifice (ERO,cm\^2) compared with baseline

    Time frame: 6 months

  3. Change in mitral annulus geometry

    septal lateral dimension(mm)

    Time frame: 6 months

  4. Change in left ventricle volumes

    Changing of End-diastolic phase LV volumes(mL)

    Time frame: 6 months

  5. Electrical remodeling

    change in electrocardiography (conversion of atrial fibrillation to normal sinus rhythm)

    Time frame: 6 months

  6. Change in subjects' symptoms referred to NYHA Classification System

    NYHA (New York Heart Association)

    Time frame: 6 months

  7. Technical success rate of the implantation

    Technical feasibility by the implantation success rate (%)

    Time frame: 6 months

  8. Rate of adverse events as a measure of safety

    Rate of composite endpoint of MACE (Major Adverse Cardiac Event) \*death, myocardial infarction, cardiac tamponade, device related cardiac surgery, stroke

    Time frame: 6 months

07

Study locations

7 sites
  • Keimyung University Dongsan Hospital
    Daegu, Dalseo-gu 42601, Korea, Republic of
  • Sejong HOSPITAL
    Bucheon-si, Gyeonggi-do 14754, Korea, Republic of
  • Pusan National University Yangsan Hospital
    Yangsan, Gyeongsangnamdo 50602, Korea, Republic of
  • Chungnam National University Hospital (CNU Hospital)
    Daejeon, Jung-gu 35015, Korea, Republic of
  • Yeungnam University Hospital
    Daegu, Nam-gu 42415, Korea, Republic of
  • Ulsan Hospital
    Ulsan, Nam-gu 44686, Korea, Republic of
  • ASAN Medical Center
    Seoul, Songpa-gu 05505, Korea, Republic of
08

References and documents

Publications

  • Kim JH, Kocaturk O, Ozturk C, Faranesh AZ, Sonmez M, Sampath S, Saikus CE, Kim AH, Raman VK, Derbyshire JA, Schenke WH, Wright VJ, Berry C, McVeigh ER, Lederman RJ. Mitral cerclage annuloplasty, a novel transcatheter treatment for secondary mitral valve regurgitation: initial results in swine. J Am Coll Cardiol. 2009 Aug 11;54(7):638-51. doi: 10.1016/j.jacc.2009.03.071. PubMed 19660696 ↗
  • Park YH, Chon MK, Lederman RJ, Sung SC, Je HG, Choo KS, Lee SH, Shin ES, Kim JS, Hwang KW, Lee SY, Chun KJ, Kim CM, Kim JH. Mitral Loop Cerclage Annuloplasty for Secondary Mitral Regurgitation: First Human Results. JACC Cardiovasc Interv. 2017 Mar 27;10(6):597-610. doi: 10.1016/j.jcin.2016.12.282. PubMed 28335897 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Nov 2018, 7 months.

Of 43 phase 1/2 interventional studies under Heart Failure, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 48. This study's 7 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 12, 2018
First posted
Mar 5, 2018
StartActual
Apr 2, 2018
Primary completionActual
Nov 17, 2018
CompletionActual
Apr 3, 2021
Last update
Apr 26, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03453853
Lead sponsor
Tau-MEDICAL Co., Ltd.
Responsible party
Yong-Hyun Park,MD,PhD (Professor, Pusan National University Yangsan Hospital) — Principal investigator
First posted
Mar 5, 2018
Start date
Apr 2, 2018
Primary completion
Nov 17, 2018
Completion
Apr 3, 2021
Last update
Apr 26, 2021

Study contacts

Yong-Hyun Park, MD, PhD
principal investigator · Pusan National University Yangsan Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion