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NCT03170349: CLASP

The CLASP Study Edwards PASCAL TrAnScatheter Mitral Valve RePair System Study

Completed NA Results posted Last updated 5 February 2026
What this trial tests

NA trial testing Mitral Valve Repair in Mitral Valve Regurgitation in 124 participants. Completed in 27 May 2025.

Timeline
27 June 2017
Primary endpoint
30 July 2020
27 May 2025

Quick facts

Lead sponsorEdwards Lifesciences
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment124
Start date27 June 2017
Primary completion30 July 2020
Estimated completion27 May 2025
Sites17 locations across Italy, Greece, Germany, Canada, Switzerland, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Edwards Lifesciences — full company profile →

Who can join

18 and older, any sex, with Mitral Valve Regurgitation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Major Adverse Events (MAE) Primary · 30 days

Composite of major adverse events (MAE) defined as cardiovascular mortality, stroke, myocardial infarction, new need for renal replacement therapy, severe bleeding and re-intervention for study device related complications at 30 days post-implant. MAEs during the first year of post-implant follow-up were adjudicated by a Clinical Events Committee of independent heart specialist physicians.

GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System10
Device Success Primary · Exit from the cardiac catheterization laboratory

Device is deployed as intended and the delivery system is successfully retrieved as intended at the time of the patient's exit from the cardiac catheterization laboratory.

GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System175
Number of Participants With Procedural Success Primary · through discharge

Device success with evidence of mitral regurgitation reduction to ≤ 2+ (mild-moderate) at discharge and without the need for a surgical or percutaneous intervention prior to hospital discharge. Mitral regurgitation was assessed by independent echocardiographic core laboratory review of transthoracic echocardiography (TTE) imaging.

GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System115
Clinical Success Primary · 30 days

Procedural success with evidence of MR reduction to ≤ 2+ (mild-moderate) and without MAEs at 30 days. Mitral regurgitation was assessed by independent echocardiographic core laboratory review of transthoracic echocardiography (TTE) imaging.

GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System105
Mitral Regurgitation Reduction Secondary · Baseline, 30 Days, 6 Months, 1 Year, 2 Years, 3 Years, 4 Years

Mitral regurgitation (MR) severity at 30 days, 6 months, 1 year and annually thereafter. Mitral regurgitation reduction was assessed by independent echocardiographic core laboratory review of transthoracic echocardiography (TTE) imaging.

Baseline
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System0
Edwards PASCAL Transcatheter Mitral Valve Repair System1
Edwards PASCAL Transcatheter Mitral Valve Repair System0
Edwards PASCAL Transcatheter Mitral Valve Repair System66
30 Days
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System18
Edwards PASCAL Transcatheter Mitral Valve Repair System72
Edwards PASCAL Transcatheter Mitral Valve Repair System23
Edwards PASCAL Transcatheter Mitral Valve Repair System2
6 Months
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System17
Edwards PASCAL Transcatheter Mitral Valve Repair System64
Edwards PASCAL Transcatheter Mitral Valve Repair System28
Edwards PASCAL Transcatheter Mitral Valve Repair System2
1 Year
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System13
Edwards PASCAL Transcatheter Mitral Valve Repair System57
Edwards PASCAL Transcatheter Mitral Valve Repair System22
Edwards PASCAL Transcatheter Mitral Valve Repair System0
2 Years
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System11
Edwards PASCAL Transcatheter Mitral Valve Repair System40
Edwards PASCAL Transcatheter Mitral Valve Repair System18
Edwards PASCAL Transcatheter Mitral Valve Repair System2
3 Years
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System10
Edwards PASCAL Transcatheter Mitral Valve Repair System32
Edwards PASCAL Transcatheter Mitral Valve Repair System14
Edwards PASCAL Transcatheter Mitral Valve Repair System3
4 Years
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System9
Edwards PASCAL Transcatheter Mitral Valve Repair System28
Edwards PASCAL Transcatheter Mitral Valve Repair System5
Edwards PASCAL Transcatheter Mitral Valve Repair System2
All-cause Mortality Secondary · 30 days, 6 months, 1 year, 2 years, 3 years, 4 Years

All-cause mortality at 30 days, 6 months, 1 year and annually thereafter. The data are presented as cumulative deaths at each time point.

30 days
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System1
6 months
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System4
1 year
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System10
2 years
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System23
3 years
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System31
4 years
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System45
Recurrent Heart Failure Hospitalization Secondary · 30 days , 6 months, 1 year, 2 year, 3 year, 4 year

Recurrent heart failure hospitalization at 30 days, 6 months, 1 year and annually thereafter. The data are presented as cumulative heart failure hospitalizations at each time point.

30 days
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System3
6 months
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System10
1 year
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System15
2 year (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System23
3 year (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System29
4 years (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System33
Reintervention Rates for Mitral Regurgitation Secondary · 30 days, 6 months, 1 year, 2 year, 3 year, 4 year

Reintervention rates for mitral regurgitation at 30 days, 6 months, 1 year and annually thereafter. The data are presented as cumulative reintervention rates at each time point.

30 days
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System1
6 months
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System2
1 year
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System2
2 year (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System3
3 year (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System4
4 years (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System6
Composite of Major Adverse Events (MAEs) Defined as Cardiovascular Mortality, Stroke, Myocardial Infarction, New Need for Renal Replacement Therapy, Severe Bleeding and Reintervention for Study Device Related Complications. Secondary · 6 months, 1 year, 2 year, 3 year, 4 year

Composite of major adverse events (MAEs) defined as cardiovascular mortality, stroke, myocardial infarction, new need for renal replacement therapy, severe bleeding and re-intervention for study device related complications at 6 months, 1 year and annually thereafter. The outcome is analyzed as the count and percentage of participants with events at each timepoint.

6 months
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System16
1 year
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System23
2 year (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System26
3 year (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System33
4 years (site-reported)
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System45
LVEDV by Study Visit Secondary · Baseline, 6 Months, 1 Year, 2 Years, 3 Years, 4 Years

Left ventricular end diastolic volume (LVEDV) by study visit, measured by independent echocardiographic core lab review of transthoracic echocardiography (TTE) imaging

Baseline Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System181.2± 60.8
6-Month Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System166.2± 61.3
1-Year Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System152.8± 55.6
2-Year Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System145.9± 58.5
3-Year Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System151.3± 66.1
4-Year Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System141.2± 63.3
Change in LVEDV, Baseline to 6-Month Visit Secondary · Baseline and 6 Months

Change in left ventricular end diastolic volume (LVEDV) from the Baseline to the 6-Month visit, measured by independent echocardiographic core lab review of transthoracic echocardiography (TTE) imaging

Baseline Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System187.3± 60.9
6-Month Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System169.9± 61.1
Change from Baseline
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System-17.4± 30.5
Change in LVEDV, Baseline to 1-Year Visit Secondary · Baseline and 1 Year

Change in left ventricular end diastolic volume (LVEDV) from the Baseline to the 1-Year visit, measured by independent echocardiographic core lab review of transthoracic echocardiography (TTE) imaging

Baseline Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System178.0± 61.5
1-Year Visit
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System153.3± 54.3
Change from Baseline
GroupValue95% CI
Edwards PASCAL Transcatheter Mitral Valve Repair System-24.6± 34.8

Adverse events — posted to ClinicalTrials.gov

Time frame: 4 year follow up. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Edwards PASCAL Transcatheter Mitral Valve Repair System
Serious: 94/124 (76%)
Deaths: 45/124

Serious adverse events (152 terms)

ReactionSystemEdwards PASCAL Transcathet…
Cardiac failureCardiac disorders
Acute kidney injuryRenal and urinary disorders
Atrial fibrillationCardiac disorders
Gastrointestinal haemorrhageGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Cardiac failure acuteCardiac disorders
PneumoniaInfections and infestations
Cardiac failure congestiveCardiac disorders
HypotensionVascular disorders
Cardiac arrestCardiac disorders
Mitral valve incompetenceCardiac disorders
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
Respiratory failureRespiratory, thoracic and mediastinal disorders
Urinary tract infectionInfections and infestations
COVID-19Infections and infestations
Chest painGeneral disorders
Device dislocationProduct Issues
Cardiogenic shockCardiac disorders
Acute myocardial infarctionCardiac disorders
Renal failureRenal and urinary disorders
Urinary retentionRenal and urinary disorders
Acute left ventricular failureCardiac disorders
DehydrationMetabolism and nutrition disorders
Cerebrovascular accidentNervous system disorders
Other adverse events (5 terms — click to expand)

ReactionSystemEdwards PASCAL Transcathet…
Atrial fibrillationCardiac disorders
Cardiac failureCardiac disorders
Urinary tract infectionInfections and infestations
Acute kidney injuryRenal and urinary disorders
HypotensionVascular disorders

Most-reported serious reactions: Cardiac failure, Acute kidney injury, Atrial fibrillation, Gastrointestinal haemorrhage, Anaemia, Cardiac failure acute, Pneumonia, Cardiac failure congestive.

Data from ClinicalTrials.gov NCT03170349 adverse events section.

Sponsor's own description

The purpose of this study is to assess the safety, performance and clinical outcomes of the Edwards PASCAL Transcatheter Mitral Valve Repair (TMVr) System.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Transcatheter Valve Repair for Patients With Mitral Regurgitation: 30-Day Results of the CLASP Study.
    Lim DS, Kar S, Spargias K, Kipperman RM, et al · · 2019 · cited 105× · PMID 31255562 · DOI 10.1016/j.jcin.2019.04.034
  2. 1-Year Outcomes for Transcatheter Repair in Patients With Mitral Regurgitation From the CLASP Study.
    Webb JG, Hensey M, Szerlip M, Schäfer U, et al · · 2020 · cited 62× · PMID 33092709 · DOI 10.1016/j.jcin.2020.06.019
  3. Complications Following Percutaneous Mitral Valve Repair.
    Gheorghe L, Ielasi A, Rensing BJWM, Eefting FD, et al · · 2019 · cited 32× · PMID 31681798 · DOI 10.3389/fcvm.2019.00146
  4. State-of-the-art intra-procedural imaging for the mitral and tricuspid PASCAL Repair System.
    Hahn RT, Kodali SK. · · 2022 · cited 23× · PMID 34136901 · DOI 10.1093/ehjci/jeab040
  5. Mortality and Clinical Predictors After Percutaneous Mitral Valve Repair for Secondary Mitral Regurgitation: A Systematic Review and Meta-Regression Analysis.
    Shi W, Zhang W, Zhang D, Ye G, et al · · 2022 · cited 4× · PMID 35859589 · DOI 10.3389/fcvm.2022.918712
  6. Transcatheter interventions for functional mitral regurgitation.
    Chancellor WZ, Schubert SA, Ailawadi G. · · 2018 · cited 3× · PMID 30598890 · DOI 10.21037/acs.2018.09.01

Verify or expand the search:

Other recruiting trials for Mitral Valve Regurgitation

Currently open trials in the same condition.

Other Edwards Lifesciences trials

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03170349.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing