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Degenerated Mitral RegurgitationNCT06467110

Safety and Effectiveness Study of SQ-Kyrin TMVr System for Degenerated Mitral Regurgitation

A study testing transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) in people with Degenerated Mitral Regurgitation, run by Shanghai Shenqi Medical Technology Co., Ltd at 1 site in China.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

To verify the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter produced by Shanghai Shenqi Medical Technology Co., Ltd.in patients with moderate-severe or severe degenerated mitral regurgitation (DMR). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Degenerated Mitral Regurgitation
What is being tested?
transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
118 participants
Where
1 siteChina
Study dates
15 Oct 2021to 15 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Severe MR ≥3+ as determined by transthoracic echocardiography (TTE);
  • STS risk score results show that patients at high risk for traditional surgery or patients who cannot tolerate traditional thoracotomy: Subjects judged to be refractory to mitral valve surgery due to a ≥ 8% risk of death from STS surgery for surgical mitral valve replacement, or a ≥ 6% risk of death from STS surgery for surgical mitral valve repair, or because of any of the following risk factors:
  • Porcelain aorta or active ascending aortic plaque
  • Mediastinum treated with radiotherapy
  • Past mediastinitis
  • Left ventricular ejection fraction (LVEF) <40%
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  • Presence of a patent coronary bypass implant
  • Acceptance of two or more cardiothoracic surgeries
  • Liver cirrhosis
  • Other surgical risk factors
  • Patients with Degenerated MR (Degenerated MR);
  • Age ≥ 18 years old, regardless of gender;
  • Classification of cardiac function: NYHA class II, III or ambulatory class IV;
  • Patients assessed by a multidisciplinary cardiac team as very high-risk or unsuitable for routine mitral valve surgery;
  • Be able to understand the objective of the trial, and volunteered to participate and signed the Informed Consent Form, willing to accept the relevant examination and clinical follow-up.
  • Left ventricular end-systolic diameter (LVESD)≤60mm
  • The MR beam mainly originates from the A2/P2 area
  • Mitral valve disease prolapse lesion area width≤15mm, prolapse height≤10mm, effective length of anterior and posterior valve leaflets>10mm
  • Mitral valve effective orifice area (EOA) ≥ 4.0cm2
  • No obvious calcification of mitral valve leaflets
  • Patient anatomy allows atrial septum approach

Who cannot join

  • History of mitral valve surgery;
  • Patients with infective endocarditis or suggestive of active infection;
  • Complicated with severe untreated coronary artery disease;
  • Patients with pulmonary hypertension (pulmonary systolic blood pressure>70mmHg);
  • Patients with transthoracic echocardiographic evidence suggesting moderate-severe to severe right ventricular dysfunction;
  • Left ventricular ejection fraction <20%;
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  • Patients who are extremely frail and cannot tolerate general anesthesia surgery or is in the state of shock requiring circulatory support;
  • Patients diagnosed with hypertrophic cardiomyopathy, restrictive cardiomyopathy, constrictive pericarditis;
  • Mitral regurgitation due to active rheumatic heart disease or rheumatic etiology;
  • Severe renal insufficiency (eGFR ≤ 25 mL/min) or requiring chronic renal replacement therapy;
  • Patients with definite coagulation disorders and severe coagulation system diseases;
  • Patients with clear contraindications to the use of anticoagulants;
  • Patients with stroke or transient cerebral ischemic attack within 30 days;
  • Any intracardiac mass, left ventricular or atrial thrombus detected on transthoracic echocardiography;
  • Severe tricuspid TR;
  • Patients with other valve disease requiring surgery or interventional therapy;
  • Patients with severe macrovascular disease requiring surgical treatment;
  • Severe symptomatic carotid stenosis (>70% on ultrasonography) or carotid stenting within 30 days;
  • Patients with inappropriate anatomical structures of the heart and valves indicated by imaging examinations;
  • Known allergy to contrast agents and nickel-titanium memory alloy products;
  • R<testing systolic blood pressure 90 mmHg or >160 mmHg;
  • Patients with diseases that seriously affect the evaluation of treatment, such as patients with severe neurological lesions affecting cognitive ability, patients with malignant tumors, etc.;
  • Patient life expectancy < 12 months;
  • Patients with severe thoracic deformity;
  • Women who are pregnant, breastfeeding, or planning to become pregnant within the next 12 months.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • General Hospital of Northern Theater Command, PLA

    Shenyang, Liaoning, 123005

Other trials in China

About this study

Official title: A Prospective, Multicenter, Single-Arm Clinical Trial to Assess the Safety and Efficacy of a Transcatheter Mitral Valve Clip Delivery System With Steerable Guide Catheter in Patients With Moderate-Severe or Severe Degenerative Mitral Regurgitation (DMR)

To verify the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter produced by Shanghai Shenqi Medical Technology Co., Ltd.in patients with moderate-severe or severe degenerated mitral regurgitation (DMR).

Read the detailed description

This study is clinical research using a prospective, multicenter, single arm method to evaluate the safety and effectiveness of transcatheter mitral valve clip delivery system and steerable guide catheter transcatheter mitral valve clip delivery system and steerable guide catheter in the treatment of patients with moderate-severe (3+) or severe (4+) degenerated mitral regurgitation. A total of 118 subjects are planned to be included in this trial. All subjects are treated with transcatheter mitral valve clip delivery system and steerable guide catheter transcatheter mitral valve clip delivery system and steerable guide catheter, and are followed up at 30 days, 6 months and 12 months after surgery. At the follow-up of 12 months after surgery, the composite endpoints of no death, no surgical mitral valve related surgery due to mitral valve dysfunction, and no moderate-severe or severe MR (MR > 2 +) are evaluated. After the follow-up of 12 months after surgery, the stage statistical analysis, clinical summary and application for product registration are performed.

Being tested
transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)Device

    The principle of this product is the transcatheter interventional edge-to-edge repair technology (edge-to-edge repair). The core technology is to treat the regurgitation by edge-to-edge suturing the mitral valve. The double holes are set in the mitral valve (A2/P2 zone) or the edges in A1/P1 or A3/P3 zones are apposed and closed to treat regurgitation.

Study groups in NCT06467110
Study groupRoleWhat they receive
transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)ExperimentalThe principle of this product is the transcatheter interventional edge-to-edge repair technology (edge-to-edge repair). The core technology is to treat the regurgitation by edge-to-edge suturing the mitral valve. The double holes are set in the mitral valve (A2/P2 zone) or the edges in A1/P1 or A3/P3 zones are apposed and closed to treat regurgitation.
Receives: Device: transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 1. Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery

    Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery

    Measured: 12 months after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jun 2024
  2. Study start15 Oct 2021
  3. Primary completion15 Dec 2024 (estimated)
  4. Study completion15 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
118 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06467110
Sponsor's protocol ID
MVRP01-001B
Status last verified
Jul 2023
First submitted
13 Jun 2024
Last updated
20 Jun 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Xu K, Zhang J, Zhu D, Wang Y, Jiang H, Chen J, Chen J, Xiu J, He B, Zhang R, Guo X, Gao C, Zhong Z, Li P, Chai D, Jin J, Chen Y, Hong L, Tang Y, Fu G, Tao L, Yang Y, Zhou S, Liu B, Gan L, Yu B, Taramasso M, Pan X, Chen S, Han Y. Multicenter Evaluation of an Edge-to-Edge Repair System in High-Risk Patients With Degenerative Mitral Regurgitation. Struct Heart. 2026 Jan 6;10(5):100793. doi: 10.1016/j.shj.2026.100793. eCollection 2026 May.

    PubMed 42078860

Questions about this trial

What is this clinical trial studying?

A study testing transcatheter mitral valve clip delivery system and steerable guide catheter (Shenqi Medical) in people with Degenerated Mitral Regurgitation, run by Shanghai Shenqi Medical Technology Co., Ltd at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 21 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 20 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

1. Incidence of composite endpoint of no death, no surgical mitral valve-related procedures due to mitral valve dysfunction, and no moderate-severe or severe MR (MR>2+) at 12 months after surgery (time frame: 12 months after surgery). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06467110, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jun 2024.

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