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Active, not recruitingNCT03661398INTERLUDEUpdated Jan 28, 2020

Caisson Transcatheter Mitral Valve Replacement (TMVR)

An interventional study of Transcatheter Mitral Valve Replacement in Mitral Regurgitation, Mitral Valve Disease and Mitral Valve Failure, sponsored by Caisson Interventional LLC. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-28.

Sponsored by Caisson Interventional LLC · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2020, 6 years 2 months ago, but the record still lists the study as active, not recruiting.
  • Registered 1 year 1 month after the study started (first participant enrolled Jul 2017, registered Sep 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the safety and performance of Transcatheter Mitral Valve Replacement (TMVR) system for the treatment of severe, symptomatic mitral regurgitation (MR).

Read the detailed description

The treatment guidelines for valvular heart disease indicate that surgical correction of primary mitral valve regurgitation (MR) is a Class I recommendation. Recent evidence indicates that valve replacement is at least as effective as repair in both primary and secondary MR patients. However, many patients are not referred for surgery as they are considered to be too high of a risk to undergo on-pump, open-heart procedures. Percutaneous aortic valve replacement has made treatment of stenosed aortic valves available to high-risk surgical patients who would have otherwise been medically managed. Percutaneous mitral valve (MV) replacement offers similar advantages. The feasibility of percutaneous MV replacement has been demonstrated in early feasibility studies. To meet this medical need, Caisson Interventional has developed a percutaneous delivery system for a bioprosthetic mitral valve. As with patients with aortic valve (AV) deficiencies, this device can be used to provide needed therapy to patients who might not otherwise receive treatment beyond medical therapy. This study will provide information on the safety and performance of this system.

02

Conditions studied

  • Mitral Regurgitation
  • Mitral Valve Disease
  • Mitral Valve Failure
  • Mitral Disease
  • Valve Heart Disease
  • Valve Disease, Heart

Keywords

  • Percutaneous mitral valve replacement
  • Trans-septal mitral valve replacement
  • Transcatheter mitral valve replacement
  • TMVR
  • Primary MR
  • Secondary MR
  • Structural Heart Disease
  • Heart Failure
  • Degenerative Mitral Valve Disease
  • Functional Mitral Valve Disease
03

In context

Heart Diseases

3,639 studies on the registry are indexed under Heart Diseases; 461 are open to participants now.

This study's planned enrollment of 75 is below the median of 100 across 1,778 interventional studies indexed under Heart Diseases.

Browse Heart Diseases studies →

Lead sponsor

Caisson Interventional LLC is the lead sponsor of 2 studies on the registry; none 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

Inclusion criteria

  • Has severe mitral regurgitation
  • New York Heart Association (NYHA) Class II, III, IVa or heart failure
  • High risk for cardiovascular surgery

Exclusion criteria

Exclusion Criteria:

  • Excessive calcification or thickening of mitral valve annulus
  • Severe mitral stenosis, fused commissures, valvular vegetation or mass
  • Left ventricular end diastolic dimension > 7cm
  • Left ventricular outflow tract obstruction
  • Severe right ventricular dysfunction
  • Stroke within 90 days; transient ischemic attack or myocardial infarction within 30 days of the index procedure
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    Transcatheter Mitral Valve Replacement

    Patients with symptomatic mitral regurgitation (garde 3 or 4), determined to be a high risk for cardiovascular surgery, will be treated with the Caisson Transcatheter Mitral Valve Replacement (TMVR) System

    Device: Transcatheter Mitral Valve Replacement

Interventions

  • DeviceTranscatheter Mitral Valve Replacement

    All eligible patients will be in the treatment arm for treatment with the Caisson Transcatheter Mitral Valve Replacement (TMVR) System. There is no control (comparator) arm for this study.

    Also known as: Caisson Transcatheter Mitral Valve Replacement (TMVR) System

06

What researchers measure

Primary outcomes

  1. Number of patients without Major Adverse Events (MAEs)

    Freedom from major adverse events including death, stroke, myocardial infarction and surgical reintervention through 30 days

    Time frame: 30 days

Secondary outcomes

  1. Number of patients with successful delivery and implantation of the prosthetic valve (technical success)

    Successful delivery and retrieval of the transcatheter mitral valve delivery system; deployment and correct positioning (via intraoperative imaging) in the appropriate anatomic location of prosthetic valve with no requirement for additional surgery

    Time frame: Intra-operative

  2. Number of living, stroke-free patients with prosthetic valve in place (device success)

    Patient is alive, stroke-free, original intended device in place (echo), no mitral valve surgical re-intervention required

    Time frame: 30 days

07

Study locations

1 site
  • Pennsylvania State University
    Hershey, Pennsylvania 17033, United States
08

References and documents

Individual participant data

Plan to share: No

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 Jan 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03661398
Lead sponsor
Caisson Interventional LLC
Responsible party
Sponsor
First posted
Sep 7, 2018
Start date
Jul 20, 2017
Primary completion
Aug 2020 (estimated)
Completion
Aug 2025 (estimated)
Last update
Jan 28, 2020

Study contacts

Mat Williams, M.D.
principal investigator · NYU Langone Medical Center

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 active, not recruiting, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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