MITRIS China Post Market Clinical Follow-up (PMCF) Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorEdwards Lifesciences

About this trial

Collect clinical outcomes on acute and long-term safety and performance of the MITRIS RESILIA Mitral Valve, Model 11400M, in subjects requiring replacement of their native or prosthetic mitral valve with or without concomitant procedures.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years or older at the time of informed consent

Has a dysfunctional native or prosthetic mitral valve and requires mitral valve replacement surgery

Provide signed written informed consent prior to the study participation

Willingness to follow protocol requirements

Disqualifiers

Active endocarditis 3 months prior to the procedure

Stage 4 renal disease or requiring dialysis (eGFR < 30 is excluded)

Less than 2-year life expectancy due to non-cardiovascular life-threatening disease

High predicted risk of mortality prior to procedure - STS Predicted Risk of Mortality (PROM) > 8 or Surgeon estimated risk of mortality of > 8 (STS PROM risk calculation score must be used for patients undergoing Isolated Mitral Valve Replacement (MVR) or MVR+ Coronary Artery Bypass Grafting (CABG). Surgeon estimated risk of mortality may only be used for patients who do not qualify for evaluation against those surgical models.)

Trial population

Subjects from China who meet all the study inclusion criteria and none of the study exclusion criteria who undergo a mitral valve replacement with the Model 11400M heart valve and voluntary sign a consent form to agree to participate in the study.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • MITRIS RESILIA Mitral Valve

    Device

    Surgical replacement of native or prosthetic mitral valve.

Treatment groups

250 Participants
are divided into 1 treatment group
Group A: MITRIS RESILIA Mitral Valve1 intervention

Trial outcomes

Primary outcomes

1

Primary Safety outcome - Kaplan Meier (KM) rate of valve related death or reintervention

Freedom from valve related death or valve related reintervention at 1 year as determined by the CEC.

Time frame
1 year
2

Primary Performance outcome - Hemodynamics by echocardiography - Subject's Average Mean Gradient Measurements

Mean gradient is the average flow of blood through the mitral valve measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. In general, a higher value is considered worse, and a lower value is considered better, but the value is dependent on the size and type of valve.

Time frame
1 year
3

Primary Performance outcome - Hemodynamics by echocardiography - Subject's Average Peak Gradients Measurements

Peak gradient is the maximum value measured of flow of blood through the mitral valve as measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. In general, a higher value is considered worse, and a lower value is considered better, but the value is dependent on the size and type of valve.

Time frame
1 year
4

Primary Performance outcome - Hemodynamics by echocardiography - Subject's Amount of Transvalvular regurgitation

Transvalvular leak is where a heart valve doesn't close properly, allowing blood to flow backward through the valve itself. Transvalvular leak is evaluated by echocardiography over time. It is assessed on a scale from minimum of 0 to maximum of 4, where 0 = no leak, 1 = a trace leak, 2 = a mild leak, 3 = a moderate leak, and 4 = a severe leak. Higher numbers on the scale show a worsening outcome.

Time frame
1 year

Secondary outcomes

1

Performance outcome - Hemodynamics by echocardiography Subject's Average Mean Gradient Measurements

Mean gradient is the average flow of blood through the mitral valve measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. In general, a higher value is considered worse, and a lower value is considered better, but the value is dependent on the size and type of valve.

Time frame
10 years
2

Performance outcome - Hemodynamics by echocardiography - Subject's Average Peak Gradients Measurements

Peak gradient is the maximum value measured of flow of blood through the mitral valve as measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. In general, a higher value is considered worse, and a lower value is considered better, but the value is dependent on the size and type of valve.

Time frame
10 years
3

Performance outcome - Hemodynamics by echocardiography - Subject's Amount of Transvalvular regurgitation

Transvalvular leak is where a heart valve doesn't close properly, allowing blood to flow backward through the valve itself. Transvalvular leak is evaluated by echocardiography over time. It is assessed on a scale from minimum of 0 to maximum of 4, where 0 = no leak, 1 = a trace leak, 2 = a mild leak, 3 = a moderate leak, and 4 = a severe leak. Higher numbers on the scale show a worsening outcome.

Time frame
10 years
4

Performance outcome - Hemodynamics by echocardiography - Subject's Amount of Paravalvular leak

Paravalvular leak refers to blood flowing through a channel between the implanted artificial valve and the cardiac tissue as a result of inappropriate sealing. Paravalvular leak is evaluated by echocardiography over time. It is assessed on a scale from minimum of 0 to maximum of 4, where 0 = no leak, 1 = a trace leak, 2 = a mild leak, 3 = a moderate leak, and 4 = a severe leak. Higher numbers on the scale show a worsening outcome.

Time frame
10 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Edwards Lifesciences

Lead sponsor

Edwards (Shanghai) Medical Products Co. Ltd.

Collaborator

Kun Tuo Medical Research and Development (Beijing) Co. Ltd.

Collaborator

Chinese Academy of Medical Sciences, Fuwai Hospital

Collaborator