Status:

NOT_YET_RECRUITING

STrategies for AntithRombotic Treatment Following Transcatheter Edge-to-Edge Repair in Patients With an Indication for Oral Anticoagulant

Lead Sponsor:

Chinese Academy of Medical Sciences, Fuwai Hospital

Conditions:

Mitral Regurgitation

Eligibility:

All Genders

Phase:

PHASE4

Brief Summary

Mitral regurgitation (MR) is the most common valvular heart disease, affecting approximately 24.2 million people worldwide (with a higher prevalence in older age groups). Transcatheter edge-to-edge re...

Eligibility Criteria

Inclusion

  • Patients who had undergone successful TEER (Defined as techinal success according to MVARC );
  • Need for long-term oral anticoagulation;
  • Ability to understand the requirements of the trial and willingness to comply with the trial protocol procedures;
  • Providing written informed consent form;
  • Women of childbearing potential must use an acceptable method of contraception from signing the informed consent form until the date of the last dose of antithrombotic drug;
  • The heart team agrees on the antithrombotic strategies.

Exclusion

  • Severe renal impairment (creatinine clearance rate\<15ml/min or on dialysis);
  • Postoperative persistent bleeding (overt bleeding either associated with a drop in the hemoglobin of 3.0 g/dl or requiring transfusion of 3 U of whole blood or packed red blood cells) or occurrence of vascular complications;
  • Platelet count ≤ 30 ×10\^9/L;
  • Need for reoperation;
  • History of intracranial or intracerebral hemorrhage;
  • History of gastrointestinal ulcers or hemorrhage;
  • Any hepatic disease associated with coagulopathy (Child-Pugh B or C);
  • Allergy, intolerance or contraindication to oral anticoagulation or antiplatelet drug;
  • History of cerebrovascular event or transient ischemic attack within the past 6 weeks;
  • Current antiplatelet therapy;
  • Patients who have participated in another drug or device investigational study within the past 30 days;
  • Life expectancy \<12 months;
  • Pregnant or breastfeeding women。

Key Trial Info

Start Date :

May 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 31 2028

Estimated Enrollment :

880 Patients enrolled

Trial Details

Trial ID

NCT06901466

Start Date

May 1 2025

End Date

October 31 2028

Last Update

April 27 2025

Active Locations (1)

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1

Chinese Academy of Medical Sciences, Fuwai Hospital

Beijing, Beijing Municipality, China, 100037