ReValve System for Mitral Regurgitation

(PALMETTO Trial)

KS
Overseen ByKevin Stewart
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called the ReValve System, a medical device for individuals with mitral regurgitation. This heart condition occurs when the mitral valve fails to close properly, causing blood to flow backward. The trial aims to determine if this system can safely and effectively replace the faulty valve without requiring open-heart surgery. Individuals who have experienced symptoms like breathlessness or fatigue from mitral regurgitation for at least 30 days, despite medication, may qualify as candidates.

As an unphased trial, this study provides patients with access to innovative treatment options that could enhance their quality of life.

What prior data suggests that the ReValve System is safe for mitral regurgitation?

Research has shown that the ReValve System, used for replacing the mitral valve without open-heart surgery, has produced mixed safety results. Some studies found success in 97% of patients, suggesting general safety. However, early trials with similar devices reported high death rates, indicating possible risks. This method has led to better health outcomes and shorter hospital stays compared to traditional surgeries, but it still involves surgical risks. These risks can include serious complications during and after the procedure. Participants should carefully consider these potential benefits and risks when deciding whether to join a trial.12345

Why are researchers excited about this trial?

The ReValve System is unique because it offers a transcatheter approach to replacing the mitral valve, which is different from the traditional surgical method that requires open-heart surgery. This minimally invasive technique can significantly reduce recovery time and lower the risk associated with major surgery. Researchers are excited about this treatment because it could provide a safer, more efficient option for patients with mitral regurgitation, especially those who are high-risk surgical candidates.

What evidence suggests that the ReValve System is effective for mitral regurgitation?

Research has shown that the ReValve System, which replaces the heart's mitral valve without surgery, holds promise for treating mitral regurgitation. This condition occurs when the mitral valve fails to close properly, causing blood to flow backward. In one study, the valve was successfully placed in 97% of patients, indicating a high success rate. Over five years, the treatment remained effective. Many patients reported significant improvement within 30 days after the procedure. This method typically leads to quicker recovery and fewer complications than more invasive surgeries. Participants in this trial will undergo transcatheter mitral valve replacement using the ReValve System to further evaluate its effectiveness.678910

Are You a Good Fit for This Trial?

This trial is for adults diagnosed with mitral regurgitation (a leaky heart valve) who may be eligible to try a new device. Specific inclusion and exclusion criteria are not listed, but generally participants should have this condition and meet safety requirements set by the study team.

Inclusion Criteria

I am older than 18 years.
I have severe mitral valve leakage confirmed by an echocardiogram.
I have ongoing heart failure symptoms despite treatment for at least 30 days.

Exclusion Criteria

Pregnant or planning pregnancy within next 12 months
I have severe right heart (RV) dysfunction.
Currently participating in an investigational drug or another device study
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo transcatheter mitral valve replacement using the ReValve System

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including assessment of procedural success and absence of major adverse events

4 weeks
2 visits (in-person)

30-Day Outcome Assessment

Evaluation of primary efficacy endpoint and device success according to MVARC criteria

30 days

What Are the Treatments Tested in This Trial?

Interventions

  • ReValve System

Trial Overview

The study is testing the ReValve System, a new device designed to treat mitral regurgitation. All participants will receive this treatment in an early-stage, single-arm (no comparison group), multicenter clinical trial.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: TMVR with the ReValve System. Subjects will undergo transcatheter mitral valve replacement.Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

ReValve Solutions Inc.

Lead Sponsor

Citations

Association of Transcatheter Mitral Valve Repair With Quality ...

Analysis of a large, registry-based US cohort showed that health status was poor prior to TMVR, improved significantly within 30 days (with a ...

Five Year Data for Transcatheter Mitral Valve Replacement

New five-year results show strong durability for transcatheter mitral valve replacement. Keep reading to learn what the data reveal.

2-Year Outcomes of Transcatheter Mitral Valve ...

Prostheses were successfully implanted in 97 (97.0%) patients. At 2 years, all-cause mortality was 39.0%; 17 (43.6%) of 39 deaths occurred ...

Outcomes After Transcatheter Mitral Valve Replacement ...

Technical success and procedural mortality were similar according to MR etiology. Discharge echocardiography revealed residual MR 2+ in 11.3%, 3.7%, and 5.3% of ...

3-Year Outcomes of Transcatheter Mitral Valve Repair in ...

Patients have now been followed for 36 months. Results: The annualized rates of HFHs per patient-year were 35.5% with TMVr and 68.8% with GDMT ...

Complexities of transcatheter mitral valve replacement ...

Early data from first-in-man trials with current devices suggest that TMVR is technically feasible but carries a high mortality.

Munich Transcatheter Mitral Valve Safety and Effectiveness

Long term safety and efficacy data will be collected annually up to 5 years or LV thrombus or vegetation • Severe right ventricular dysfunction

Status of Transcatheter Mitral Valve Replacement

Because several TMVR systems are currently being investigated for clinical use, this article focuses on the systems with the most clinical experience to date ( ...

TMVR for Mitral Valve Disease (INTERLUDE Trial)

Transcatheter Mitral Valve Replacement (TMVR) is generally well-tolerated, though some risks exist. In one study, the procedure succeeded in 97% of patients.