300 Participants Needed

Carillon Device for Heart Failure with Mitral Regurgitation

Recruiting at 93 trial locations
CD
MF
AS
HH
JV
Overseen ByJohn Vavalle, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Cardiac Dimensions, Inc.
Must be taking: Heart failure medications
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial is testing a device called the Carillon Mitral Contour System, which helps the mitral valve in the heart work better. It targets patients with heart failure and a specific valve problem. The device reshapes the valve to improve its function and reduce symptoms.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, it mentions that participants should be on a guideline-directed heart failure medication regimen, which suggests you may need to continue certain heart medications.

Is the Carillon Device safe for humans?

The Carillon Device has been studied in several trials for heart conditions, and it has been found to reduce heart valve issues without major safety concerns. It is a minimally invasive procedure, and safety checks are performed during its placement to ensure it does not affect nearby blood vessels.12345

How is the Carillon Mitral Contour System treatment different from other treatments for heart failure with mitral regurgitation?

The Carillon Mitral Contour System is unique because it is a minimally invasive treatment that uses a catheter to place a device in the coronary sinus, which helps reduce the size of the mitral valve opening and decrease mitral regurgitation. Unlike traditional surgical methods, this approach is less invasive and can be performed without open-heart surgery, offering a novel option for patients with heart failure and mitral regurgitation.12345

What data supports the effectiveness of the Carillon Mitral Contour System treatment for heart failure with mitral regurgitation?

The Carillon Mitral Contour System has been shown to reduce mitral regurgitation and heart chamber sizes in patients with heart failure, leading to improved quality of life and heart function. Studies have demonstrated its effectiveness in reducing symptoms and improving outcomes in patients with functional mitral regurgitation.12345

Who Is on the Research Team?

Samir Kapadia, MD | Cleveland Clinic

Samir Kapadia

Principal Investigator

The Cleveland Clinic

RS

Randall Starling, MD

Principal Investigator

The Cleveland Clinic

Are You a Good Fit for This Trial?

This trial is for adults with heart failure and mild to severe functional mitral regurgitation who can walk a bit but not too far, have reduced heart pumping function, and are on standard heart failure meds. Not eligible if they need certain other heart treatments or have specific valve issues or devices already in place.

Inclusion Criteria

I have been diagnosed with a type of heart muscle disease.
I have mild to moderate heart valve leakage and surgery isn't needed within a year.
My heart condition limits my physical activity.
See 5 more

Exclusion Criteria

I do not have severe health issues, other than heart failure, that would limit my life to under a year.
I need or will need a special heart therapy within the next year.
I have a serious mitral valve condition as confirmed by a specialist.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Randomization and Baseline Assessment

Eligible subjects undergo baseline assessments including echocardiographic examination, coronary angiogram, and venogram before randomization

1-2 weeks
1 visit (in-person)

Treatment

Subjects in the Intervention group undergo the Carillon implant procedure, while Control group subjects undergo a similar index procedure without device placement

1 day
1 visit (in-person)

Follow-up

Subjects are evaluated at 1, 6, 12, 18, and 24 months post-randomization to assess long-term safety and functional status

24 months
5 visits (in-person)

Long-term Follow-up

After unblinding at 24 months, all subjects are followed with annual contact and echocardiogram for an additional three years

3 years
3 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Carillon Mitral Contour System
Trial Overview The EMPOWER Trial is testing the Carillon Mitral Contour System's safety and effectiveness against standard medications for treating heart failure caused by leaky mitral valves. Participants will be randomly assigned to receive either the device or continue with their usual medication.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Intervention GroupExperimental Treatment2 Interventions
Carillon Mitral Contour System and Guideline Directed Heart Failure Medication
Group II: Control GroupActive Control1 Intervention
Guideline Directed Heart Failure Medication

Carillon Mitral Contour System is already approved in European Union, United States for the following indications:

🇪🇺
Approved in European Union as Carillon Mitral Contour System for:
  • Functional mitral regurgitation (FMR) in heart failure patients
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Approved in United States as Carillon Mitral Contour System for:
  • Investigational use only; not yet approved for commercial use

Find a Clinic Near You

Who Is Running the Clinical Trial?

Cardiac Dimensions, Inc.

Lead Sponsor

Trials
2
Recruited
550+

Published Research Related to This Trial

The CARILLON® mitral contour system significantly reduces mitral regurgitation (MR) severity and left atrial (LA) volume in heart failure patients, as shown in a meta-analysis of 209 participants from three studies, with a notable decrease in MR volume and grade.
Patients treated with the CARILLON® device experienced improved functional status, reflected by a better New York Heart Association class and a lower rate of heart failure hospitalizations compared to controls, indicating its potential to enhance quality of life and reduce hospital visits.
Individual patient data meta-analysis of the effects of the CARILLON® mitral contour system.Giallauria, F., Di Lorenzo, A., Parlato, A., et al.[2021]
The Carillon Mitral Contour System significantly improved quality of life and functional capacity in heart failure patients with functional mitral regurgitation, as evidenced by increased 6-minute walk test distances and Kansas City Cardiomyopathy Questionnaire scores at both 1 and 12 months post-implantation.
In a meta-analysis of 139 patients, over 60% reported meaningful improvements in quality of life, and nearly 68% experienced a reduction in heart failure severity (NYHA class) within the first month, indicating the device's efficacy in managing symptoms of heart failure.
Effect of Carillon Mitral Contour System on patient-reported outcomes in functional mitral regurgitation: an individual participant data meta-analysis.Khan, MS., Friede, T., Anker, SD., et al.[2021]
The modified Carillon® Mitral Contour System® was safely implanted in 36 patients with congestive heart failure and significant functional mitral regurgitation, with only one unrelated major adverse event occurring within 30 days.
Patients showed significant reductions in mitral regurgitation and improvements in functional capacity, such as better performance on 6-minute walk tests, indicating the device's efficacy in treating FMR without the previously observed issue of anchor fractures.
Coronary sinus-based percutaneous annuloplasty as treatment for functional mitral regurgitation: the TITAN II trial.Lipiecki, J., Siminiak, T., Sievert, H., et al.[2021]

Citations

Individual patient data meta-analysis of the effects of the CARILLON® mitral contour system. [2021]
Effect of Carillon Mitral Contour System on patient-reported outcomes in functional mitral regurgitation: an individual participant data meta-analysis. [2021]
Coronary sinus-based percutaneous annuloplasty as treatment for functional mitral regurgitation: the TITAN II trial. [2021]
[Percutaneous mitral valve annuloplasty with the carillon mitral contour system by cardiac dimensions. A minimally invasive therapeutic option for the treatment of severe functional mitral valve regurgitation]. [2021]
The CINCH-FMR postmarket registry: Real-world long-term outcomes with percutaneous mitral valve repair with the Carillon Mitral Contour System®. [2023]
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