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Completed

NCT Number: NCT01312779

Magna Mitral - 23mm

The purpose of this clinical study is to obtain human clinical data that demonstrates that the size 23mm Carpentier-Edwards PERIMOUNT Magna mitral pericardial valve, model 7000TFX, is a safe and effective replacement heart valve.

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Key information

Age range

13 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The John Paul II Hospital in Krakow, Krakow, Poland

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About this study

This is a prospective, non-randomized, multi-site, descriptive study. A minimum of 15 and up to 20 subjects will be implanted at a minimum of 2 and up to 8 participating investigational sites within the US and internationally.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient has mitral valve disease requiring surgical replacement
  • Patient has provided written informed consent prior to mitral valve surgery
  • Patient is expected to survive surgery and be discharged
  • Patient is willing to comply with specified follow-up evaluations
  • Patient is 13 years of age or older

Exclusion criteria

  • Patient has life expectancy < 12 months due to non-cardiac co-morbid conditions;
  • Patient has/had active endocarditis within the last 3 months
  • Patient requires replacement of a native or previously implanted prosthetic, tricuspid, pulmonic or aortic valve;
  • Patient was previously enrolled and implanted in the study
  • Patient has/had prior aortic, tricuspid and/ or pulmonary valve surgery, which included implantation of a bioprosthetic valve or mechanical valve that will remain in situ
  • Patient has a body surface area (BSA) > 1.9m2
  • Female patients who are pregnant, planning to become pregnant, or lactating
  • Patient has a documented history of substance ( drug or alcohol) abuse
  • Patient is currently a prison inmate
  • Patient is currently participating in an investigational drug or another device study
  • Patient is undergoing renal dialysis for chronic renal failure or has hyperparathyroidism
  • Patient has active myocarditis
  • Patient has had an acute preoperative neurological deficit, myocardial infarction, or cardiac event and has not returned to baseline or stabilized > 30 days prior to the planned v alve implant surgery
  • Patient has an abnormality such as an aortic aneurysm (e.g. due to cystic medial necrosis or Marfan's syndrome), aortic dissection, or ventricular aneurysm that might place

Treatment and study plan

Implantation of CEP Magna Mitral Model 7000TFX

Device

Heart valve surgery: CEP Magna Mitral Model 7000 TFX

Primary outcomes

  1. Percent of Early Adverse Events Divided

    Time frame: Events occuring within 30 days of procedure

    Number of early adverse events occurring within 30 days of procedure divided by the number of enrolled subjects times 100.

  2. Percent of Late Adverse Events

    Time frame: Events occurring >= 31 days and up through 5 years post-implant

    Number of late events divided by the total number of late patient years times 100. Late patient years are calculated from 31 days post-implant to the date of the last contact (follow up or adverse event).

  3. Percentage of Subjects With Freedom From Serious Adverse Events (SAE) Post-implant > 30 Days

    Time frame: >30 Days, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Subject's freedom from Serious Adverse Events at > 30 days post-implant. Time to events were estimated by Kaplan-Meier method.

  4. Subject's Average Effective Orifice Area (EOA) Measurement

    Time frame: Pre-procedure and 1 Year post-Implant

    Effective orifice area represents the cross-sectional area of the blood flow downstream of the mitral valve. Effective orifice area is evaluated by echocardiography over time.

Other outcomes

  1. Subject's Average Mean Gradient Measurement

    Time frame: Pre-procedure and 1 Year post-implant

    Mean gradient is the average flow of blood through the mitral valve measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. Mean gradient values depend on the size and type of valve.

  2. Subject's Average Peak Gradient Measurement

    Time frame: Pre-procedure and 1 Year post-implant

    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.

  3. Subject's Average Effective Orifice Area Index (EOAI) Measurement

    Time frame: Pre-procedure and 1 Year post-implant

    Effective orifice area index represents the minimal cross-sectional area of the blood flow downstream of the mitral valve divided by the person's body surface area. Effective orifice area index is evaluated by echocardiography over time.

  4. Subject's Average Performance Index Measurement

    Time frame: Pre-procedure and 1 Year post-Implant

    Performance index is defined as the subject's effective orifice area (the cross sectional area of the blood flow downstream of the mitral valve) divided by the subject's native orifice area. Effective orifice area is evaluated by echocardiography over time.

  5. Subject's Average Cardiac Output

    Time frame: Pre-procedure and 1 Year post-implant

    The amount of blood the heart pumps through the circulatory system in a minute.

  6. Subject's Average Cardiac Index

    Time frame: Pre-procedure and 1 Year post-implant

    Cardiac index is an assessment that divides the cardiac output from the left ventricle in one minute by the person's body surface area (BSA), thus relating heart performance to the size of the individual.

  7. Subject's Average Left Ventricular Mass Regression

    Time frame: Pre-procedure and 1 Year post-implant

    Patients can experience an enlargement of the left ventricle (chamber) of their heart because it works harder with a defective heart valve. Left ventricular mass regression evaluates if the patient experiences a decrease in the size of the left ventricle (chamber) after the repair or replacement of their heart valve.

  8. Subject's Severity of Central Mitral Regurgitation at 1 Year Post-implant.

    Time frame: 1 Year post-implant

    Mitral valvular regurgitation occurs when the mitral valve in the heart does not close tightly allowing some of the blood that was pumped out of the heart to leak back into it. Mitral valvular regurgitation is evaluated by echocardiography over time. It is assessed on a scale from 0 to 4, where 0 represents no regurgitation and 4 represents severe regurgitation.

  9. Subject's Average Red Blood Cells Count

    Time frame: Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Laboratory Analysis of Red Blood Cell (RBC) Count on blood drawn from subjects; RBC carry oxygen.

  10. Subject's Average White Blood Cell Count

    Time frame: Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Laboratory analysis of White Blood Cell (WBC) Count on blood drawn from subject; WBC fight infection.

  11. Subject's Average Hematocrit Percentage

    Time frame: Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Laboratory Analysis of Hematocrit Percentage on blood drawn from subjects. Hematocrit is the proportion of red blood cells to the plasma (liquid portion of the blood).

  12. Subject's Average Plasma Free Hemoglobin

    Time frame: Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Laboratory Analysis of Plasma Free Hemoglobin on blood drawn from subjects. This blood test measures the level of free hemoglobin in the plasma (liquid portion of the blood).

  13. Subject's Average Hemoglobin Count

    Time frame: Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Laboratory Analysis of Hemoglobin Count on blood drawn from subjects. Hemoglobin is an oxygen-carrying protein in red blood cells.

  14. Subject's Average Platelet Count

    Time frame: Baseline, 6 Month, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    Laboratory Analysis of Platelet Count on blood drawn from subjects; platelets help with blood clotting.

  15. Number and Percentage of Subjects in NYHA Functional Class I or II at 1 Year Post-Implant.

    Time frame: Baseline and 1 Year post-implant

    The New York Heart Association (NYHA) functional classification system relates symptoms to everyday activities and the patient's quality of life.

    Class I. No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).

    Class II. Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).

  16. Subject's New York Heart Association (NYHA) Functional Class Compared to Baseline

    Time frame: 6 Months, 1 Year, 2 Years, 3 Years, 4 Years, and 5 Years post-implant

    The New York Heart Association (NYHA) functional classification system relates symptoms to everyday activities and the patient's quality of life.

    Class I. No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).

    Class II. Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).

    Class III. Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.

    Class IV. Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.

  17. Subject's Average Score on the EQ-5D- Quality of Life Questionnaire Over Time

    Time frame: 6 Months and 1 Year post-implant

    The EQ-5D is a standardized questionnaire that asks subjects to rate themselves (no problems, some problems, extreme problems) on mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The scale is indexed and ranges from a minimum of 0.275 and a maximum of 1.000. A lower number indicates the participants experiences more problems and a higher number indicates the participants experiences fewer problems.

Sponsors and collaborators

Lead sponsor

Edwards Lifesciences

Industry

Registry information

Official study title

Clinical Evaluation of the Size 23mm Carpentier-Edwards PERIMOUNT Magna Mitral Bioprosthesis, Model 7000TFX

Important dates

Study start
2011
Primary completion
2018
Study completion
2018
First posted
Mar 11, 2011
Registry last updated
Mar 18, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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