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Everest II Clinical Trial for Patients with Mitral Regurgitation


About Evalve, Inc.

The Evalve System

Purpose/Objectives of the EVEREST II Clinical Trial

EVEREST II Trial Investigators

EVEREST II Trial Eligibility Guidelines

Frequently Asked Questions
Go to Frequently Asked Questions


About Evalve, Inc.

Evalve is sponsoring clinical trials in order to secure regulatory approval from the FDA (Food and Drug Administration).  Enrollment in the EVEREST I Endovascular Valve Edge-to-Edge REpair STudy) research study was successfully completed in February of 2006. This FDA approved Phase I study was designed to evaluate the feasibility of the MitraClip device. Enrollment in the EVEREST II research study is ongoing.

The Evalve System

Overview

The Evalve Percutaneous Mitral Repair (PMR) system is used by interventional cardiologists and is intended to reduce mitral regurgitation (MR), adapting the open surgical edge-to-edge technique in a less invasive catheter-based procedure.

Edge-to-Edge Technique

Since the early 1990’s, edge-to-edge has been increasingly used in the treatment of mitral regurgitation (MR). Pioneered in Italy by Dr. Ottavio Alfieri, the technique involves suturing together the two leaflets of the mitral valve. The valve continues to open on both sides of the suture, allowing blood flow through the valve from the left atrium to left ventricle, while assuring proper valve closure when blood is pumped from the left ventricle to the rest of the body.

Well over 1,500 procedures have been reported in peer-reviewed clinical literature with up to 15 years of follow-up. The collective experience has demonstrated that the surgical technique appears to be safe, effective and durable.

The Evalve PMR System

The system consists of three major subsystems:

A Guide Catheter,

A Clip Delivery System, and

The MitraClipTM Device (implant).

The Guide Catheter is inserted into the femoral vein at the groin and provides access to the mitral valve. The MitraClip is used to grasp and fasten together the valve leaflets. The Clip Delivery System is used to deliver and deploy the MitraClip device.


Patients recovering from mitral valve surgery may take up to several months to regain normal physical function and activity. Because PMR does not require a chest incision or the use of a heart lung machine, patients may avoid the complications and long recovery time associated with surgery.
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Purpose / Objectives of the EVEREST II Clinical Study

EVEREST II is an ongoing Phase II FDA approved clinical research study to assess the safety and efficacy (or effectiveness) of the Evalve PMR system for patients diagnosed with Grade 3 (moderate to severe) or Grade 4 (severe) MR. Study participants will be required to have a number of follow-up visits and evaluations including ultrasound studies over the course of at least a 24-month period following treatment. These follow up visits are intended to monitor the outcome of the procedure. EVEREST II consists of a randomized arm and a high risk registry arm.

EVEREST II Randomized Arm

This study arm compares the Evalve PMR procedure to the current standard of care, mitral valve surgery. To ensure that the results are unbiased, participants will be randomly assigned to either the Evalve PMR procedure or to surgery, in a "two-to-one" ratio. This means that two out of 3 of trial participants will undergo the Evalve PMR procedure and one out of 3 of trial participants will undergo mitral valve surgery. Initiated in late 2005, this arm will enroll approximately 300 patients.

EVEREST II High Risk Registry Arm

This study arm is a registry for patients who are considered to be at high risk of not surviving surgery. High risk patients enrolled in the registry will not be randomized and will undergo the Evalve PMR procedure. Initiated in February 2007, the registry will be limited to 70 patients and will be closed once enrollment is complete.

To find out whether you may qualify for EVEREST II, please call toll-free: 1-877-MY-MR-FIX / (877)-696-7349. Click here to link to the EVEREST II Call Center. All information provided to the call center is kept confidential and used only for the purposes of determining eligibility to participate in this study. Alternatively, you can contact an investigational site in your area. (Click here) to view an interactive map of the investigational sites.

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EVEREST II Trial Eligibility Guidelines

If you are interested in participating in the EVEREST clinical trial, please discuss this with your doctor, contact an investigational site (link to site list) in your region or Evalve, Inc. (www.evalveinc.com).

The EVEREST II investigators are seeking to enroll patients who have been diagnosed with Grade 3 (moderate to severe) or Grade 4 (severe) mitral regurgitation (MR), who are seeking treatment for their condition and who at least:

Are 18 years or older

Are candidates for mitral valve surgery.

Do not have an active peptic ulcer (a hole in the lining of the stomach, the duodenum – first part of the small intestine – or the esophagus, the tube that connects the throat to the stomach), nor have experienced bleeding in the upper gastro-intestinal tract, within the last six months.

Do not require dialysis (process of cleansing the blood, by passing it through a machine).

Do not have a history of intravenous drug abuse (drugs injected into the veins).

Do not have allergies or hypersensitivity to aspirin, heparin (anti-blood-clotting medication), Ticlid (anti-blood-clotting medication) , Plavix (anti-blood-clotting medication), or contrast media (dye used in X-rays).

Additional criteria will be evaluated by the investigators.

Patient Participation, Rights and Protection

Patients choose to participate in clinical trials for a variety of reasons.  For example, patients who enroll in clinical trials are provided with early access to investigational devices, drugs, treatments and procedures – sometimes well in advance of general market availability.  In addition, participating patients may benefit from special care from the trial’s physicians during the course of the study.  Further, participating in a study can help advance new therapies so that one day they may be more widely available to benefit others.

However, the investigational devices, drugs and procedures being evaluated in clinical trials may involve as-yet-undiscovered risks and challenges.  Therefore it is important to discuss with your physician your prospective participation in a clinical trial, so that you can make the right decision for you.  In determining whether a clinical trial is right for you, you should consider the following questions:

What are the possible benefits of participating in this trial?

Are there any risks associated with this procedure, or with this trial?

What treatments will be used and how?

Where is the trial being conducted?

How will patient safety be monitored?

What is the main purpose of the trial?

What are the alternative treatments besides the one being evaluated in the trial?

How long will the trial last?

What happens if I am harmed by the trial?

Who is sponsoring the trial?

The rights and safety of clinical trial patients are protected in several important ways.  First, every clinical trial must be designed and conducted with the approval and oversight of an Institutional Review Board (IRB).  The IRB is comprised of both physicians and lay people, and is responsible for reviewing and assessing the clinical trial’s protocols (e.g., detailed plans), in order to protect patients’ rights and safety.

Equally important, prospective clinical trial participants are required to sign an "informed consent" form, which provides detailed information regarding the purpose and objectives of the clinical trial, the risks involved in the trial, and potential effects and risks of the trial on patients.  All trial participants have the right to leave the trial whenever they wish.

A Data Safety Monitoring Board (DSMB) is set up for additional patient safety as well.  A DSMB is a group of experts who meet periodically to review accumulating information (data) gathered from participants in clinical trials with the purpose of protecting

the safety of the study subjects (patient)

the scientific integrity of the study

the validity of study results

A DSMB is made up of people external to the study group.  The members of the Board

are independent of the sponsor of the study and of the manufacturer of any product that is being evaluated

have no financial interest in whether the study they are monitoring continues

receive no scientific recognition in the form of publications or promotions from the results

have relevant expertise (clinical, statistical, and/or study design)



Caution: Investigational Device. Limited by Federal (or United States) Law to Investigational Use. - Investigational Device. To Be Used by Qualified Investigators Only. Instrument de recherche. Réservé uniquement à l'usage de chercheurs compétents.