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Active, not recruitingNCT06021509Updated Sep 1, 2023

Clinical Study of NovoClasp for Treating Moderate to Severe and Severe Degenerative Mitral Regurgitation

An interventional study of NovoClasp® transcatheter mitral valve clip and steerable guide catheter in Degenerative Mitral Valve Disease, sponsored by Enlight Medical Technologies (Shanghai) Co., Ltd. Active, not recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-01.

Sponsored by Enlight Medical Technologies (Shanghai) Co., Ltd · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 3 months ago, but the record still lists the study as active, not recruiting.
  • Registered 1 year 3 months after the study started (first participant enrolled May 2022, registered Aug 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To validate the safety and efficacy of transcatheter edge-to-edge repair (TEER) using the NovoClasp® transcatheter mitral valve clip and steerable guide catheter in the treatment of moderate to severe and severe degenerative mitral regurgitation (DMR).

Read the detailed description

This trial is a prospective multi-center single-arm confirmatory study. A total of 102 subjects will be enrolled in multiple centers nationwide. Subjects who meet the trial requirements, fulfill the inclusion criteria, voluntarily participate in the study, and provide informed consent will undergo mitral edge-to-edge repair using the NovoClasp® transcatheter mitral valve clip system and steerable guide catheter for the treatment of moderate to severe or severe degenerative mitral regurgitation (DMR). Follow-up assessments will be conducted at discharge, as well as at 30 days, 90 days, 180 days, and 360 days postoperatively. The primary endpoint will be the treatment effectiveness rate at 360 days post-surgery. Secondary endpoint measures include treatment effectiveness at other time points, surgical success rate, all-cause mortality, device/procedure-related mortality, incidence of adverse events, and serious adverse event rates. The trial aims to comprehensively assess the safety and efficacy of the NovoClasp® transcatheter mitral valve clip and steerable guide catheter produced by Enlight Medical Technologies (Shanghai) Co., Ltd..

02

Conditions studied

  • Degenerative Mitral Valve Disease

Keywords

  • transcatheter edge-to-edge repair
03

In context

Mitral Valve Insufficiency

459 studies on the registry are indexed under Mitral Valve Insufficiency; 148 are open to participants now.

This study's enrollment of 102 is above the median of 61 across 274 interventional studies indexed under Mitral Valve Insufficiency.

Browse Mitral Valve Insufficiency studies →

Lead sponsor

Enlight Medical Technologies (Shanghai) Co., Ltd is the lead sponsor of 3 studies on the registry; 2 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

Subjects must meet all of the following criteria to be eligible for this study.

  1. Age 18 years.
  2. Willingness to comply with the protocol requirements and data collection procedures, ability to understand the purpose of the trial, voluntary participation, and signing of informed consent by the subject or legal guardian.
  3. Confirmation by echocardiography of moderate to severe (3+) or severe (4+) degenerative mitral regurgitation.
  4. Echocardiography showing left ventricular ejection fraction 30%, left ventricular end-systolic diameter (LVESD) 60mm, and pulmonary artery systolic pressure (PASP) 70 mmHg.
  5. NYHA functional classification II-IV.
  6. Presence of a primary regurgitant jet; if a secondary regurgitant jet is present, it should be clinically insignificant based on investigator assessment.
  7. Evaluated by a multidisciplinary team as suitable for the investigational procedure using the study device.
  8. Society of Thoracic Surgeons (STS) score 4 or evaluated as high surgical risk for mitral valve repair by two cardiac surgeons.

Exclusion criteria

Exclusion Criteria:

Subjects meeting any of the following criteria are not eligible for this study.

  1. History of prior mitral valve surgery or heart transplant.
  2. Severe organ dysfunction that may affect study evaluation, including but not limited to:

    1. Right heart failure or biventricular heart failure.
    2. Severe restrictive or obstructive lung disease (COPD) requiring continuous oxygen therapy or oral steroid treatment.
    3. Severe renal insufficiency requiring or likely to require continuous renal replacement therapy (CRRT) or dialysis postoperatively.
    4. Severe carotid artery stenosis confirmed by imaging to be >70%.
  3. History of cerebrovascular accident within the past 1 month.
  4. Acute deep vein thrombosis or acute pulmonary embolism history.
  5. Any known active infection.
  6. Active infective endocarditis (eligible 6 weeks after standard antimicrobial treatment), rheumatic heart valve disease, or radiation-induced valve disease.
  7. Cardiac or major vascular surgical or interventional procedure within 30 days (coronary angiography is allowed).
  8. Coexisting moderate or greater valvular disease (aortic valve, tricuspid valve, pulmonary valve stenosis or regurgitation).
  9. Known other cardiac or major vascular diseases requiring surgical or interventional intervention, including but not limited to coronary artery disease, myocardial disease, aortic disease (except for coronary angiography).
  10. Echocardiographic evidence of intracardiac mass, thrombus, vegetation, or mitral valve orifice area (MVOA) 4.0 cm2, or any condition unsuitable for the study device, including but not limited to:

    1. Unsuitable for leaflet capture due to severe calcification or cleft.
    2. Lack of primary and secondary chordal support in the capture area.
    3. Leaflet free edge length \< 0.8 cm.
  11. Known conditions that preclude study procedure (including but not limited to allergies to device components, coagulation disorders, life expectancy \< 1 year).
  12. Pregnant or breastfeeding women or those planning pregnancy during the trial period.
  13. Intending or currently participating in another interventional clinical trial.
  14. Other conditions deemed inappropriate for participation in this study by the investigator.
05

Study design

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

Study arms

  • Experimental
    NovoClasp system

    Device: NovoClasp® transcatheter mitral valve clip and steerable guide catheter

Interventions

  • DeviceNovoClasp® transcatheter mitral valve clip and steerable guide catheter

    The experimental device is a class III implanted valve device, which will be used to treat the mitral valve regurgitation via transcatheter edge-to-edge repair.

    Also known as: transcatheter edge-to-edge repair for mitral valve

06

What researchers measure

Primary outcomes

  1. Treatment effectiveness rate

    Treatment effectiveness is defined as the success of the procedure with the mitral valve regurgitation sustained at moderate or lower (\<=2+) after the surgery, without major adverse events or secondary interventions (interventional or surgical).

    Time frame: 1 year

Secondary outcomes

  1. Procedural success rate

    Successful implantation of a single device as intended by the operator, successful retrieval of the delivery system, absence of device migration, dislodgment, embolization, related complications, or other unforeseen incidents.

    Time frame: immediately after procedure

  2. Procedural success rate

    Defined as successful completion of the investigational procedure as intended by the operator (implantation of at least 1 study device) and reduction of mitral valve regurgitation to moderate or below (\<=2+), without open surgery, major adverse events during the perioperative period, or secondary interventions (interventional or surgical). Note: Major adverse events include cardiovascular-related deaths, stroke, myocardial infarction, need for renal replacement therapy, severe bleeding (hemoglobin decrease \>=3g/dL compared to baseline, or requiring \>=3 units of blood transfusion), or organ damage, failure, or death dur to blood loss.

    Time frame: During the perioperative period

  3. Rate of Treatment success

    Treatment effectiveness is defined as the success of the procedure with the mitral valve regurgitation sustained at moderate or lower (\<=2+) after the surgery, without major adverse events or secondary interventions (interventional or surgical).

    Time frame: 30 days, 180 days

  4. Changes in New York Heart Association (NYHA) Functional Classification

    The NYHA Classification provides nomenclature to describe an overall cardiac appraisal of the status of a patient with heart disease. Class I: Patients with cardiac disease but without resulting limitation of physical activity. Class II: patients with cardiac disease resulting in slight limitation of physical activity. Class III: Patients with cardiac disease resulting in marked limitation of physical activity. Class IV: Patient with cardiac disease resulting in inability to carry on any physical activity without discomfor.

    Time frame: through study completiong, an average of 1 year.

Other outcomes

  1. All cause mortality

    Time frame: through study completion, an average of 1 year

  2. Device/Procedure-related mortality

    Time frame: through study completion, an average of 1 year

  3. Major adverse events

    Time frame: through study completion, an average of 1 year

  4. Serious adverse events

    Time frame: through study completion, an average of 1 year

  5. Number of participants with device-related adverse events

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
  • Beijing Anzhen Hospital, Capital Medical University
    Beijing, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06021509
Lead sponsor
Enlight Medical Technologies (Shanghai) Co., Ltd
Responsible party
Sponsor
First posted
Sep 1, 2023
Start date
May 15, 2022
Primary completion
Jun 25, 2024 (estimated)
Completion
Jun 25, 2028 (estimated)
Last update
Sep 1, 2023

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 active, not recruiting, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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