MATTERS Study - Mistral Percutaneous Tricuspid Valve Repair FIM Study

Study Overview
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Brief Summary
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The Mistral is an investigational device intended for percutaneous trans-catheter repair in high risk for surgery individuals suffering from functional Tricuspid Regurgitation (TR). The device system is to be used only in accordance with the approved Investigational Plan on subjects who have signed an informed consent form. Device use is limited to the approved study investigators.

Detailed Description
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The study is designed to clinically demonstrate device acute safety and technical performance (Primary Endpoints) along with longer FU device safety and effectiveness evaluation (Secondary Endpoint). The main objectives of the study are : Evaluate the Acute safety of the implanted Mistral device post procedure and at 30 day follow up period. Evaluate the long term Safety of the device. Demonstrate effectiveness of the Mistral device in reducing TR. Primary endpoints: Safety: Acute safety. Rate of device related SAE including device related mortality, stroke, MI, cardiac tamponade, surgery for failed percutaneous repair and non-elective cardiovascular surgery to treat an adverse event. At discharge and 30 days. Performance: Mistral Implantation rate of technical success (defined as successful device implantation with grasped chords from at least two leaflets.). Secondary endpoints: Safety: Safety at 3, 6 and 12 months. Rate of device related SAEs at 3, 6 and 12 months. Effectiveness: TR reduction post-procedure, at discharge and 30 days, 3 and 6 months. Improved NYHA class, 6MWTdistance and KCCQ (quality of life) at 30 days, 3 and 6 months. Relevant only for patients 11-20: Safety: Safety at 3, 6, 12 and 24 months. Rate of device related SAEs at 3, 6, 12 and 24 months. Effectiveness: TR reduction post-procedure, at discharge and 30 days, 3, 6, 12 and 24 months. Improved NYHA class, 6MWT distance and KCCQ (quality of Life) at 30 days, 3, 6, 12 and 24 months.

Official Title
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MATTERS Study - Mistral Percutaneous Tricuspid Valve Repair FIM Study

Conditions
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Tricuspid Valve Regurgitation

Intervention / Treatment
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* Device: Mistral implantation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject has given signed study Informed Consent for participation prior to procedure. Subject is ≥ 18 years of age or legal age in host country Subject is willing and able to comply with all required follow-up evaluations Genders eligible for the study: Both genders Subject has TR of grade 3+ or more Subject has left ventricular ejection fraction (LVEF) >20 % Subject is of functional class 2 or more (NYHA) The subject is high risk to undergo TV surgery as assessed and consented by a cardiac surgeon and an interventional cardiologist at the site (center heart team), and according to ESC/EACTS guidelines on the management of valvular heart disease. Patients with Jugular and/or Femoral veins enabling catheterization with 12Fr catheters Life expectancy ≥ 1 year Exclusion Criteria: Tricuspid Stenosis >mild Tricuspid Subvalvular calcification or calcification of the chordae. Subject has a history of a cerebral vascular accident (CVA) or transient ischemic attack (TIA) within the past 3 months. Subject has a history of a myocardial infarction (MI) in the past 3 months Subject has had a percutaneous interventional or other invasive cardiac or peripheral procedure ≤ 7 days of the index procedure Subject has a history of, or has active endocarditis Subject has echocardiographic evidence of intra-cardiac mass, thrombus, vegetation or soft-mobile deposits Subject is in acute pulmonary edema. Subject has hemodynamic instability requiring inotropic or mechanical support. Subject has a known hypersensitivity or contraindication to anticoagulant or antiplatelet medication Subject has renal insufficiency as evidenced by a serum Creatinine > 3.0mg/dL. Subject has ongoing infection or sepsis Subject has blood dyscrasias (leukopenia, acute anemia, thrombocytopenia, history of bleeding diathesis, or coagulopathy) Subject has an active peptic ulcer or has had gastrointestinal (GI) bleeding within the past 3 months prior to the index procedure Subject requires emergency surgery for any reason Subject has a known allergy to Nitinol alloys, 316L\304 stainless steel. Pregnant or lactating women. Patients being dependent upon the sponsor or upon the investigator or upon the investigational site. Subject has a known contrast media allergy Presence of high degree atrio-ventricular block (2nd or 3rd degree A-V block), or the presence of tri-fascicular block According to investigator on site the patient is suffering from a severe end stage disease (e.g. malignancy, severe pulmonary disease, liver disease, renal failure) and has a life expectancy of less than 1 year. Contraindication for treatment with dual antiplatelet therapy for at least 3 months Contraindication for TEE including trans-gastric views.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mistral<br>The Mistral is an investigational device intended for percutaneous trans-catheter repair in high risk for surgery individuals suffering from functional Tricuspid Regurgitation (TR). The device system is to be used only in accordance with the approved Investigational Plan on subjects who have signed an informed consent form. Device use is limited to the approved study investigators. | Device: Mistral implantation<br>* Mistral implant is implanted in the Tricuspid valve<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety: Acute safety. Rate of device related SAE | including device related mortality, stroke, MI, cardiac tamponade, surgery for failed percutaneous repair and non-elective cardiovascular surgery to treat an adverse event | Until hospital discharge - up to 5 days post procedure day | 
| Safety: Acute safety. Rate of device related SAE | including device related mortality, stroke, MI, cardiac tamponade, surgery for failed percutaneous repair and non-elective cardiovascular surgery to treat an adverse event | At 30 days post procedure | 
| Performance: Mistral Implantation rate of technical success | defined as successful device implantation with grasped chords from at least two leaflets | Procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety: Rate of device related SAE |  | at 3 months post procedure | 
| Safety: Rate of device related SAE |  | at 6 months post procedure | 
| Safety: Rate of device related SAE |  | at 12 months post procedure | 
| Safety: Rate of device related SAE | Relevant only for patients 11-20 | at 24 months post procedure | 
| Effectiveness: TR Grade reduction |  | post procedure (1 hour after implant device has been implanted) | 
| Effectiveness: TR Grade reduction |  | Until hospital discharge - up to 5 days post procedure day | 
| Effectiveness: TR Grade reduction |  | at 30 days post procedure | 
| Effectiveness: NYHA class (categorization of heart failure extent) |  | at 30 days post procedure | 
| Effectiveness: 6MWT distance |  | at 30 days post procedure | 
| Effectiveness: KCCQ (Kansas City Cardiomyopathy Questionnaire) |  | at 30 days post procedure | 
| Effectiveness: TR Grade reduction |  | at 3 months post procedure | 
| Effectiveness: NYHA class (categorization of heart failure extent) |  | at 3 months post procedure | 
| Effectiveness: 6MWT distance |  | at 3 months post procedure | 
| Effectiveness: KCCQ (Kansas City Cardiomyopathy Questionnaire) |  | at 3 months post procedure | 
| Effectiveness: TR Grade reduction |  | at 6 months post procedure | 
| Effectiveness: TR Grade reduction | Relevant only for patients 11-20 | at 12 months post procedure | 
| Effectiveness: TR Grade reduction | Relevant only for patients 11-20 | at 24 months post procedure | 
| Effectiveness: NYHA class (categorization of heart failure extent) |  | at 6 months post procedure | 
| Effectiveness: NYHA class (categorization of heart failure extent) | Relevant only for patients 11-20 | at 12 months post procedure | 
| Effectiveness: NYHA class (categorization of heart failure extent) | Relevant only for patients 11-20 | at 24 months post procedure | 
| Effectiveness: 6MWT distance |  | at 6 months post procedure | 
| Effectiveness: 6MWT distance | Relevant only for patients 11-20 | at 12 months post procedure | 
| Effectiveness: 6MWT distance | Relevant only for patients 11-20 | at 24 months post procedure | 
| Effectiveness: KCCQ (Kansas City Cardiomyopathy Questionnaire) |  | at 6 months post procedure | 
| Effectiveness: KCCQ (Kansas City Cardiomyopathy Questionnaire) | Relevant only for patients 11-20 | at 12 months post procedure | 
| Effectiveness: KCCQ (Kansas City Cardiomyopathy Questionnaire) | Relevant only for patients 11-20 | at 24 months post procedure |