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The EMPOWER Trial - The Carillon Mitral Contour System® in Treating Heart Failure With FMR

Sponsor: Cardiac Dimensions, Inc.

NCT ID: NCT03142152

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Carillon Mitral Contour System (device), Guideline Directed Heart Failure Medication (other)
How long the study runs
Study runs about 155 months (dates as stated)
About the drug or intervention
Carillon Mitral Contour System — device: The Carillon implant is designed to be deployed, tensioned, and locked in the coronary vein in order to reshape the mitral annulus and thus reduce mitral annular dilation and mitral regurgitation. · Guideline Directed Heart Failure Medication — other: Heart failure medication per ACC/AHA guidelines
Patient visit burden
Not specified by the sponsor

In plain English

The EMPOWER Trial is testing a device called the Carillon Mitral Contour System in people with heart failure and functional mitral regurgitation, which is when the heart's mitral valve does not close properly because the heart is weakened. The trial is funded by Cardiac Dimensions, Inc.

Who can take part

  • Age 18 or over
  • Symptomatic heart failure with functional (secondary) mitral regurgitation of at least mild severity
  • Heart failure symptoms rated as New York Heart Association (NYHA) class II, III or IV
  • Can walk between 100 and 600 metres in a six-minute walk test
  • Heart pumping strength (left ventricular ejection fraction) of 50% or less
  • Heart chamber size within set limits measured by scan
  • A blood test marker for heart strain (NT-proBNP) above a set level within 60 days, and/or a hospital stay or extra outpatient visit for heart failure treatment within the past year
  • Already on the best standard heart failure medicines, as checked by the study team
  • The Carillon device can be fitted in the right size and position
  • Willing and able to give informed consent, accept possible placement in the control group, and attend all follow-up visits

Who may not be able to

  • Already has an artificial (mechanical or tissue) mitral valve, a repaired mitral valve ring, or a leaflet repair device
  • Has significant damage to the mitral valve itself, such as severe wear, rheumatic disease, or a torn supporting cord
  • Has severe leakage of the tricuspid valve with a weak or enlarged right side of the heart
  • Has severe calcium deposits around the mitral valve
  • Has severe narrowing of the aortic valve
  • Is expected to need heart surgery, including for coronary artery disease or valve disease, within one year
  • Has another serious long-term illness, apart from heart failure, that is likely to limit life beyond twelve months, or any other condition that makes them unsuitable in the view of the study team

What taking part involves

  • • Being randomly placed (by chance) into either the group that receives the Carillon device or a control group that does not
  • • Having the Carillon device implanted, if placed in the treatment group
  • • Attending all required follow-up visits after the procedure

Time commitment: Not stated — ask the trial team

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
300
Started
2018-01-01
Last checked
2026-04

Plain English Summary

What is this study?

  • • Testing a new treatment for functional mitral regurgitation
  • • NA - 300 participants
  • • The objective of this prospective, randomized, double- blinded (patient and assessors), sham-controlled clinical trial is to assess the safety and efficacy of the CMCS in treating heart failure with functional regurgitation (FMR)

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with functional mitral regurgitation

Where?

  • • Leeds - St James University Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The objective of this prospective, randomized, double- blinded (patient and assessors), sham-controlled clinical trial is to assess the safety and efficacy of the CMCS in treating heart failure with functional regurgitation (FMR).

More detail

A total of 300 subjects will be randomized at up to 100 investigational sites in the United States, Canada, and Europe. Subjects will be randomized into one of two study groups using a 1:1 (Intervention : Control) ratio. Study subjects who are eligible for this clinical study will undergo a transthoracic echocardiographic examination prior to randomization to evaluate the inclusion criteria associated with the severity of mitral regurgitation. A coronary angiogram will be performed to evaluate the coronary artery anatomy and a venogram to assess the suitability of the coronary sinus/great cardiac vein (CS/GCV) for placement of the Carillon implant. If the subject meets the anatomic requirements for the Carillon implant placement, the subject will be randomized. Subjects who meet all eligibility criteria will be randomized into one of two study groups (Intervention or Control). Subjects randomized to the Intervention group will undergo the Carillon implant procedure. Subjects randomized to the Control group will experience an index procedure similar to the Intervention group (without implant placement) to ensure they will not be able to deduce the group assignment based on the type of intervention or time associated with the procedure. After the study subjects are discharged, the subjects' primary care specialists (cardiologist/heart failure physician) and clinical investigation site staff will coordinate follow-up evaluations. Subjects will be evaluated at one (1), six (6), twelve (12), eighteen (18) and twenty-four (24) months post-randomization, to assess long-term safety, and functional and clinical status. After the 24-month evaluation, all subjects will be unblinded. All Intervention and Control subjects will be followed with an abbreviated annual contact and echocardiogram for an additional three (3) years, for a total of five (5) years.

Functional Mitral RegurgitationHeart FailureMitral Valve InsufficiencyHeart DiseasesCardiovascular DiseasesHeart Valve Diseases

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

Treatment history

Treatments you must have had:

  • ✓ post-procedure follow-up visits, and has provided written informed consent

What the study is looking for

  • ✓causing symptoms heart failure with functional (secondary) mitral regurgitation of at least 1+ (mild) severity
  • ✓NYHA II, III, or IV
  • ✓Six Minute Walk distance ≥ 100 meters and ≤ 600 meters
  • ✓Left Ventricular Ejection Fraction ≤ 50%
  • ✓LVEDD:

Who cannot take part

  • ✗Presence of a mechanical or bio-prosthetic mitral valve or, mitral valve annuloplasty, or leaflet repair device
  • ✗Significant organic mitral valve pathology (e.g., moderate or severe myxomatous degeneration, with or without mitral...
  • ✗Severe tricuspid regurgitation associated with right ventricular dysfunction and enlargement
  • ✗Severe mitral annular calcification
  • ✗Severe aortic stenosis
See the full criteria
Inclusion Criteria: 1. Symptomatic heart failure with functional (secondary) mitral regurgitation of at least 1+ (mild) severity 2. NYHA II, III, or IV 3. Six Minute Walk distance ≥ 100 meters and ≤ 600 meters 4. Left Ventricular Ejection Fraction ≤ 50% 5. LVEDD: * ≥ 55 mm (women) * ≥ 57 mm (men) 6. LVESD ≤ 75 mm 7. Corrected NT-proBNP \> 1200 pg/ml measured within 60 days of randomization, and/or one or more heart failure hospitalizations within one year prior to consent or one or more outpatient visits for intensification of heart failure therapy within one year prior to consent. 8. Optimal Guideline directed heart failure medical therapy assessed by the Central Review Committee 9. Age ≥ 18 years old 10. Carillon implant can be sized and placed in accordance with the IFU 11. The subject has been informed of the nature of the trial and agrees to its provisions, including the possibility of randomization to the Control group and returning for all required post-procedure follow-up visits, and has provided written informed consent Exclusion Criteria: 1. Presence of a mechanical or bio-prosthetic mitral valve or, mitral valve annuloplasty, or leaflet repair device 2. Significant organic mitral valve pathology (e.g., moderate or severe myxomatous degeneration, with or without mitral leaflet prolapse, rheumatic disease, full or partial chordal rupture) 3. Severe tricuspid regurgitation associated with right ventricular dysfunction and enlargement 4. Severe mitral annular calcification 5. Severe aortic stenosis 6. Expected to require any cardiac surgery, including surgery for coronary artery disease (CAD) or valve disease within one (1) year 7. Chronic, severe, medical conditions or pathology, other than heart failure, that will prevent likely survival beyond twelve (12) months or any other medical condition that, in the judgement of the Investigator or Central Review Committee, makes the patient a poor candidate for this study * An entire list of eligibility is available in the clinical investigational plan

Where Is This Study? (1 UK site)

St James University Hospital

Leeds, United Kingdom

Recruiting
Site contact (verified)
Klaus Witte, ProfPrincipal Investigator

How to Get in Touch

Hank Hauser

Sponsor contact

CONTACT

(310) 228-0016 hhauser@cardiacdimensions.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-04