ClinicalTrials.gg
CompletedNCT03470155REFORM-MRUpdated Sep 28, 2023

Operative Mitral Valve Reconstruction in Functional mv Insufficiency With Reduced Systolic Ventricle Function

An observational study in Mitral Valve Insufficiency, Left Ventricular Systolic Dysfunction and Mitral Valve Prolapse, sponsored by Institut für Pharmakologie und Präventive Medizin. Completed at 6 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-28.

Sponsored by Institut für Pharmakologie und Präventive Medizin · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
105
Ages
18 Years and older
Sex
All
01

Study summary

Functional mitral insufficiency poses a challenge with regard to the optimal time of intervention, particularly because they are frequently associated with left ventricular (LV) dilation and reduced LV ejection fraction (EF). The registry will document the underlying pathology by using transthoracal echo cardiography (TTE) with analysis of common tenting parameters. OP strategies, data and outcomes will be documented, as well as follow-up data for echocardiography, quality of life and MACCE outcomes after 6 months, 1 and 2 years.

Read the detailed description

Prospective enrolment of all patients with mitral valve insufficiency and restricted movement of leaflets during systole into a multicentric registry. Exact analysis of the underlying pathology using TTE with analysis of tenting parameters. In patients without contraindications, functional preoperative MRT to determine the functional reserve of ventricular function. Documentation of the quality of life of the patients using the SF12 questionnaire before and after intervention. Documentation of follow-up data (SF12, TTE, NT-pro BNP) at 6 months, 1 and 2 years. Development of operative strategies to improve long-term outcomes in patients with severe LV dilation (typically accompanied by function mitral insufficiency type IIIb).

02

Conditions studied

  • Mitral Valve Insufficiency
  • Left Ventricular Systolic Dysfunction
  • Mitral Valve Prolapse

Keywords

  • annuloplasty mitral valve
  • reduced LV function
03

In context

Mitral Valve Insufficiency

468 studies on the registry are indexed under Mitral Valve Insufficiency; 164 are open to participants now.

This study's enrollment of 105 is below the median of 157 across 168 observational studies indexed under Mitral Valve Insufficiency.

Browse Mitral Valve Insufficiency studies →

Lead sponsor

Institut für Pharmakologie und Präventive Medizin is the lead sponsor of 30 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

patients presenting at participating hospitals with mitral valve dysfunction type III b who give written consent to participate in the registry

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

  • functional mitral valve insufficiency with reduced mobility of leaflets during systole (type IIIb) - effective regurgitation orifice area > 20 mm2 / regurgitant volume > 30 ml/beat
  • \<= 50% and /or left ventricular end-diastolic diameter >= 60 mm
  • tenting of the proximal and / or anterior mitral leaflets

Exclusion criteria

Exclusion Criteria:

  • prolaps of leaflets (type II mitral regurgitation)
  • combination intervention with aortic valve repair or replacement
  • re-operation at mitral valve
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
105 participants (actual)
Target follow-up
2 Years
Patient registry
Yes

Groups and cohorts

  • functional mitral insufficiency op

    Patients with functional mitral insufficiency with restricted leaflet movement during systole (type IIIb Carpentier) undergoing operative reconstruction (mitral valve repair)

    Procedure: mitral valve repair

Interventions

  • Proceduremitral valve repair

    operative reconstruction

06

What researchers measure

Primary outcomes

  1. recurrent mitral valve insufficiency > grade 2

    see above

    Time frame: 2 years

Secondary outcomes

  1. MACCE

    major adverse cardiovascular and cerebrovascular events

    Time frame: 1 year

  2. re-intervention at mitral valve

    see above

    Time frame: 2 years

  3. device therapy (e. g. left ventricular auxiliary device or heart transplant) due to progressive heart failure

    see above

    Time frame: 2 years

  4. cardiovascular mortality

    see above

    Time frame: 2 years

  5. re-hospitalisation due to heart failure

    see above

    Time frame: 2 years

07

Study locations

6 sites
  • Herzzentrum Leipzig
    Leipzig, Sachsen 04289, Germany
  • Zentralklinik Bad Berka
    Bad Berka, 99437, Germany
  • Charité - Klinik für kardiovaskuläre Chirurgie
    Berlin, 10117, Germany
  • Universitätsklinikum Frankfurt
    Frankfurt, Germany
  • Klinik und Poliklinik für Herz- und Gefäßchirurgie am UHZ am UKE
    Hamburg, 20246, Germany
  • Deutsches Herzzentrum München
    München, 80636, Germany
08

References and documents

Individual participant data

Plan to share: No — no IPD will be made available

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03470155
Lead sponsor
Institut für Pharmakologie und Präventive Medizin
Responsible party
Sponsor
First posted
Mar 19, 2018
Start date
Jun 5, 2018
Primary completion
Jul 15, 2020
Completion
Jul 31, 2023
Last update
Sep 28, 2023

Study contacts

Evaldas Girdauskas, MD
principal investigator · Universitäres Herzzentrum Hamburg am UKE

Oversight

Data monitoring committee
No
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 Sep 2023. You cannot join it, but the record below documents what was studied.

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