Unique ID issued by UMIN | UMIN000028278 |
---|---|
Receipt number | R000030512 |
Scientific Title | Single Institution, Exploratory, Safety Evaluation Study of Mitral Valve-in-Valve Transcatheter Mitral Valve Implantation for Degenerated Bioprosthetic Heart Valve |
Date of disclosure of the study information | 2017/07/19 |
Last modified on | 2019/03/18 08:17:50 |
Single Institution, Exploratory, Safety Evaluation Study
of Mitral Valve-in-Valve Transcatheter Mitral Valve Implantation for Degenerated Bioprosthetic Heart Valve
MITRAL VIV study
Single Institution, Exploratory, Safety Evaluation Study
of Mitral Valve-in-Valve Transcatheter Mitral Valve Implantation for Degenerated Bioprosthetic Heart Valve
MITRAL VIV study
Japan |
failing bioprosthetic valve in the mitral position
Cardiology | Cardiovascular surgery |
Others
NO
To perform a single-center, non-comparative, experiential, investigation to evaluate the safety of TAVI with devices approved for use in Japan for patients who have a failing bioprosthetic valve in the mitral position resulting in heart failure that is difficult for the cardiologist to manage and who cannot undergo elective open heart surgery due their high risk for open heart surgery.
Safety,Efficacy
Major adverse events during the procedure(Safety) until postoperative 30th day
All cause mortality within 30 days post procedure
All stroke within 30 days post procedure
Life-threatening major bleeding within 30 days post procedure
Coronary artery lesions requiring revascularization within 30 days post procedure
Major vascular complications within 30 days post procedure
Structural valve failure requiring re-intervention within 30 days post procedure
Any other major adverse events or device related malfunctions within 30 days post procedure
Procedural Success(Efficacy)
Change from baseline in mitral valve function evaluated by TTE at 7 and 30 days post operatively
Change from baseline in NYHA functional class measured at 7 and 30 days post operatively
Change from baseline in performance of 6 minute walk test measured postoperative day 7
Change in left ventricular end-diastolic diameter (LVEDD) at 7 and 30 days post-op
Change from baseline in left ventricular ejection fraction at 7 and 30 days post op
Change from baseline in plasma BNP at 7 and 30 days post-op
Change from baseline in pulmonary artery wedge pressure (PAWP) immediately following procedure
Change from baseline in cardiac index (CI) immediately following the procedure
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
Interventions: Transcatheter mitral valve implantation for high-risk patients with failed prosthetic mitral valve (valve-in-valve)
Period: From the clinical trial start date to March 2020 or to the date achieving target numbers (5 cases)
Device: SAPIEN XT (Edwards Life sciences, Irvine,CA)
Intervention times: one intervention per a patient, but there is a possibility of second valve-in-valve procedure
20 | years-old | <= |
Not applicable |
Male and Female
1)Patients who are 20 years of age or more
2)Patients with failed prosthetic mitral valve
3)Patients with uncontrollable heart failure
4)High-risk patients for redo cardiac surgery
5)Patients or legal guardians who can declare for clinical trial documents
1)Patients with metal allergy
2)Patients with contrast media hypersensitivity
3)Patients with thrombus in left atrium or ventricle
4)Patients during shock state
5)Patients with failed prosthetic mitral valve induced by active infective endocarditis or during infection status
6)Patients with hemodialysis
7)Patients undergoing mechanical prosthetic mitral valve
8)Patients with possibility of pregnancy or during pregnancy or lactation
9)Patients joining other clinical trials or planning other clinical trials
10)Patients judged as inappropriate by the director or responsible doctors of this clinical trials
4
1st name | Junjiro |
Middle name | |
Last name | Kobayashi |
National Cerebral and Cardiovascular Center
Department of Cardiovascular Surgery
565-8565
5-7-1, Fujishirodai, Suita, Osaka
06-6833-5012
jkobayas@ncvc.go.jp
1st name | Kizuku |
Middle name | |
Last name | Yamashita |
National Cerebral and Cardiovascular Center
Department of Cardiovascular Surgery
565-8565
5-7-1, Fujishirodai, Suita, Osaka
06-6833-5012
kizukuy@ncvc.go.jp
National Cerebral and Cardiovascular Center
Self funding
Self funding
National Cerebral and Cardiovascular Center, Ethics Committee Secretariat
5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan
06-6833-5012
rec-office-ac@ncvc.go.jp
NO
2017 | Year | 07 | Month | 19 | Day |
Partially published
4
Completed
2017 | Year | 05 | Month | 09 | Day |
2017 | Year | 05 | Month | 09 | Day |
2017 | Year | 06 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2017 | Year | 07 | Month | 19 | Day |
2019 | Year | 03 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030512