FIH ITA Study - Vesalius TMVr System for Symptomatic Degenerative Mitral Regurgitation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Transcatheter Mitral Valve Repair.
- Who it may be relevant to
- Registry conditions: Degenerative Mitral Regurgitation. Basic parameters: from 19 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A First-in-Human Investigational Testing Authorization Study Evaluating the Safety and Performance of the Vesalius Transcatheter Mitral Valve Repair System in Patients With Severe, Symptomatic Degenerative Mitral Regurgitation
Overview
This first-in-human study evaluates the safety and performance of the Vesalius Transcatheter Mitral Valve Repair (TMVr) System in patients with degenerative mitral regurgitation. The study will enroll patients who are at high or prohibitive risk for conventional surgical repair or replacement of the mitral valve. Participants will receive implantation of the Vesalius TMVr System and will be followed to assess clinical outcomes, device performance, and any adverse events.
Detailed description
This first-in-human study is designed to evaluate the safety and performance of the Vesalius Transcatheter Mitral Valve Repair (TMVr) System in patients with symptomatic, severe or moderate-to-severe degenerative mitral regurgitation who are at elevated surgical risk. The study will enroll up to five patients in Canada to assess procedural feasibility, technical performance, and short-term clinical outcomes following device implantation. Endpoints are based on Mitral Valve Academic Research Consortium (MVARC) definitions, including measures of procedural and device success, freedom from major adverse events, and technical achievement of device deployment. Safety, functional, and hemodynamic parameters will be monitored at predefined intervals, and follow-up will include assessment of valve function, adverse events, and device performance. This study will provide preliminary data to support the further development and evaluation of the Vesalius TMVr System.
Interventions
- Device Transcatheter Mitral Valve Repair
The Vesalius Transcatheter Mitral Valve Repair (TMVr) System is a novel transcatheter device designed to percutaneously deliver an implant to repair the native mitral valve in patients with degenerative mitral regurgitation. The system uses an adjustable ePTFE net to reduce or eliminate mitral regurgitation. The device is delivered via a minimally invasive transcatheter approach, allowing precise positioning and deployment in high-risk patients not suitable for conventional surgery.
Primary outcome measures
- Vesalius TMVr System Safety [Time frame: 30 Days]
- Vesalius TMVr Technical Success [Time frame: Measured at Day 0 (Procedure Exit)]
- Vesalius TMVr Device Success [Time frame: 30 Days]
Secondary outcome measures (2)
- Mitral Regurgitation Severity [Time frame: 30 Days]
- Major Adverse Events (MAE) [Time frame: 30 Days]
Eligibility criteria
Inclusion criteria
- Age ≥ 19 years
- Moderate to severe (≥3+) or severe (≥4+) degenerative mitral valve regurgitation (per American Society of Echocardiography (ASE) guidelines, depicted in Figure 14)
- New York Heart Association (NYHA) Functional Class II, III, or Ambulatory (IV)
- Elevated risk for surgical mitral valve repair: Society of Thoracic Surgery (STS) predicted risk of mortality (PROM) of ≥6% as determined by the STS Risk Calculator for Surgical Repair of Primary Mitral Regurgitation \[1\], as well as patient operative risk assessment by the Heart Team
- Suitable anatomy for the Vesalius TMVr System as determined by pre-procedure imaging
- Willing to adhere to study follow-up schedule for up to 5 years
- Written informed consent provided
Exclusion criteria
- Anatomy ideally suitable for other approved transcatheter therapy (i.e. TEER candidate)
- LV ejection fraction < 30%
- Active bacterial endocarditis within 60 days of planned index procedure
- Dialysis-dependent renal insufficiency
- Body Mass Index (BMI) ≥ 45 kg/m2
- Previous valvular surgery
- Previous atrial septal surgery
- Previous endovascular structural procedure(s) and/or device(s) within 6 months
- Severe mitral annular calcification (MAC) prohibiting device implantation
- Severe annulus or leaflet calcification
- Leaflet perforation
- Contraindication to anticoagulation / antiplatelet therapy
- Patients with sensitivity to nickel or contrast media
- Concomitant severe tricuspid regurgitation
- Absence of conventional medial and lateral papillary muscle groups
- Femoral vein cannot accommodate a 29 F catheter
- Contraindication to Transoesophageal echocardiography (TEE)
- Life expectancy <1 year due to non-cardiac comorbidities.
- Presence of other anatomic, comorbid conditions, or other medical conditions that could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results, in the opinion of the Heart Team
- Participation in other clinical investigation
- Pregnant or planning to become pregnant
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Device feasibility
Study locations
Canada · 1 center
- St. Paul's Hospital — Vancouver
Identifiers
NCT: NCT07470788 · VES-CPT-002