ClinicalTrials.gg
RecruitingNCT05496998APOLLO-EUUpdated Oct 30, 2026

Transcatheter Mitral Valve Replacement in Patients With Severe Symptomatic Mitral Regurgitation - APOLLO-EU Trial

An interventional study of Medtronic Intrepid™ TMVR TF System in Mitral Regurgitation, sponsored by Medtronic Cardiovascular. Recruiting at 38 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Medtronic Cardiovascular (part of Medtronic) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2023; still recruiting 3 years 9 months later.
Updated Oct 30, 20261 site addedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Evaluate the safety and efficacy of Medtronic Intrepid™ TMVR TF System in patients with moderate-to-severe or severe symptomatic mitral regurgitation, or moderate symptomatic mitral regurgitation combined with mitral stenosis in the presence of MAC who, by agreement of the local site multidisciplinary heart team experienced in mitral valve therapies, are unsuitable for treatment with approved transcatheter repair or surgical mitral valve intervention.

Read the detailed description

Prospective, single-arm, multi-center, interventional, pre-market trial

02

Conditions studied

  • Mitral Regurgitation

Keywords

  • mitral
  • valve
  • regurgitation
  • TMVR
  • Intrepid™
  • symptomatic
  • severe
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 planned enrollment of 400 is above the median of 68 across 279 interventional studies indexed under Mitral Valve Insufficiency.

Browse Mitral Valve Insufficiency studies →

Lead sponsor

Medtronic Cardiovascular is the lead sponsor of 70 studies on the registry; 7 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

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

  • Subject has moderate-to-severe or severe symptomatic mitral regurgitation as defined by the American Society of Echocardiography 2017 Guidelines and Standards - Recommendations for Non-invasive Evaluation of Native Valvular Regurgitation, or subject has moderate symptomatic mitral regurgitation combined with mitral stenosis with the presence of MAC
  • Local site multidisciplinary heart team experienced in mitral valve therapies agrees that patient is unsuitable for treatment with approved transcatheter repair or conventional mitral valve surgery
  • Subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits
  • Subject meets the legal minimum age to provide based on local regulatory requirements
  • Subjects anatomically suitable for the Medtronic Intrepid™ TMVR TF System

Exclusion criteria

Exclusion Criteria:

  • Estimated of less than 24 months
  • Currently surgically implanted mitral valve
  • Prior transcatheter mitral valve procedure with device currently implanted
  • Anatomic
  • Anatomically prohibitive mitral annular calcification (MAC)
  • Aortic valve disease requiring intervention or previous intervention within 90 days of enrollment
  • \< 25% (measured by resting transthoracic echocardiogram), patients with LVEF 25 - \<30% will be further evaluated by the Screening Committee for approval (Right Ventricular Dysfunction, pulmonary hypertension, and left ventricular function)
  • Left ventricular end diastolic diameter (LVEDD) > 75mm
  • Need for emergent or urgent surgery
  • Hemodynamic instability
  • History of bleeding diathesis or coagulopathy
  • End stage renal disease
  • Liver failure
  • Frailty
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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Medtronic Intrepid™ TMVR TF System

    Medtronic Intrepid™ TMVR TF System

    Device: Medtronic Intrepid™ TMVR TF System

Interventions

  • DeviceMedtronic Intrepid™ TMVR TF System

    Patients with moderate-to-severe or severe symptomatic mitral regurgitation, or moderate symptomatic mitral regurgitation combined with mitral stenosis in the presence of MAC will have a Transcatheter Mitral Valve Replacement with the Medtronic Intrepid™ TMVR Transfemoral System

06

What researchers measure

Primary outcomes

  1. Safety: all-cause mortality at 1-year post-procedure.

    Rate of all-cause mortality at 1-year post-procedure.

    Time frame: 1 year

  2. Efficacy: Percentage of subjects with none/trace or mild mitral regurgitation at 30 days post-procedure.

    Percentage of subjects with none/trace or mild mitral regurgitation at 30 days post-procedure as assessed by the Echocardiography Core Laboratory.

    Time frame: 30 days

Secondary outcomes

  1. Rate of all-cause mortality (Safety).

    Rate of all-cause mortality at 30 days post-procedure.

    Time frame: 30 days

  2. Disabling stroke (Safety).

    Rate of disabling stroke at 30 days post-procedure.

    Time frame: 30 days

  3. Acute Kidney Injury (stage 3 or with renal replacement) (Safety).

    Rate of acute kidney injury (stage 3 or with renal replacement) at 30 days post-procedure.

    Time frame: 30 days

  4. Reoperation or reintervention (Safety).

    Rate of reoperation or reintervention at 30 days post-procedure.

    Time frame: 30 days

  5. Major access site vascular complications (Safety).

    Number of major access site vascular complications at 30 days post-procedure.

    Time frame: 30 days

  6. Mitral valve regurgitation (Efficacy).

    Degree of mitral valve regurgitation at 1 year as assessed by the Echocardiography Core Laboratory.

    Time frame: 1 year

  7. NYHA functional class (Efficacy).

    Change in NYHA functional class at 1 year (Efficacy).

    Time frame: 1 year

  8. Quality of Life (QoL) as assessed by Kansas City Cardiomyopathy Questionnaire (KCCQ) (Efficacy).

    Change of Quality of Life (QoL) at 1 year as assessed by Kansas City Cardiomyopathy Questionnaire (KCCQ). KCCQ scores are scaled from 0 to 100, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent.

    Time frame: 1 year

  9. Cardiovascular hospitalizations (Efficacy).

    Cardiovascular hospitalizations through 1 year (Efficacy).

    Time frame: 1 year

07

Study locations

38 of 38 sites recruiting
08

References and documents

Publications

  • Tang GHL, Rajagopal V, Sorajja P, Bajwa T, Gooley R, Walton A, Modine T, Ng MK, Williams MR, Zajarias A, Hildick-Smith D, Tchetche D, Spargias K, Rajani R, Bapat VN, De Backer O, Blackman D, McCarthy P, Laine M, Jain R, Martin R, Thaden JJ, Marka NA, Mack M, Adams DH, Leon MB, Reardon MJ. Five-year outcomes of the early-generation Intrepid transapical transcatheter mitral valve replacement system. EuroIntervention. 2026 Feb 2;22(3):e172-e182. doi: 10.4244/EIJ-D-25-01133. PubMed 41251714 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update 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

Started Feb 2023 (actual). Primary completion is estimated for Aug 2029, 78 months after the start.

Of 90 industry-sponsored interventional studies with no phase under Mitral Valve Insufficiency, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 144. This study's planned 78 months is above that.

Counting every sponsor, half of 143 studies reached it within 56 months; a quarter within 25 and three quarters within 108.

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

Registered
Aug 5, 2022
First posted
Aug 11, 2022
StartActual
Feb 7, 2023
Primary completionEst.
Aug 2029
CompletionEst.
Dec 2038
Last update
Oct 30, 2026
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.
Sites
1 site added
Show site
  • University Hospital Cologne · Cologne, Germany
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    1 site added
    Show site
    • University Hospital Cologne · Cologne, Germany
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05496998
Responsible party
Sponsor
First posted
Aug 11, 2022
Start date
Feb 7, 2023
Primary completion
Aug 2029 (estimated)
Completion
Dec 2038 (estimated)
Last update
Oct 30, 2026

Study contacts

Hanne Gonnissen, PhD
Contact
rs.apolloeurope@medtronic.com
+31 (0)43 356 6566
Thomas Modine, Prof.
principal investigator · University Hospital, Bordeaux
von Bardeleben, Prof.
principal investigator · University Medical Center Mainz

Oversight

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

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