Abbott’s MitraClip Therapy Now Reimbursed in Japan for Mitral Regurgitation

Abbott announced that the Ministry of Health Labour and Welfare (MHLW) in Japan granted national reimbursement for the company’s MitraClip therapy to treat people with mitral regurgitation, a serious, progressive heart disease in which the mitral valve does not close properly, allowing blood to flow backward into the heart.
 
Mitral regurgitation causes many life-altering symptoms and—if left untreated—can ultimately lead to heart failure and death.^1,2,3 Most people affected are elderly because incidence increases with age.⁴
 
Reimbursement, which will be in effect in Japan beginning April 1, 2018, is important to local physicians and patients because it makes the therapy more accessible for people through the country’s health insurance plans.
 
Prior to the regulatory approval of the MitraClip system in Japan in 2017, the standard-of-care treatments for patients with mitral regurgitation in Japan were open-heart surgery and medication. For some patients, surgery is not a viable option because of comorbidities or advanced age, an increasing concern in Japan. Medications typically only mask symptoms, instead of treating the underlying issue of the valve itself.
 
The MitraClip system is approved in Japan for the treatment of both severe degenerative mitral regurgitation (DMR) and functional mitral regurgitation (FMR) heart diseases.
 
“Our mission is to develop technologies and therapies that help people return to better health and quality-of-life as quickly as possible,” said Michael Dale, vice president for Abbott’s structural heart business. “With this reimbursement in Japan, we can help more people live better by reducing the severity of an extremely life-altering illness in a safe and predictable way.”
 
The MitraClip system is a catheter-based, minimally invasive therapy that is delivered to the heart through a blood vessel in the leg. By securing a portion of the leaflets of the mitral valve with an implanted clip, the heart can pump blood more efficiently throughout the body, thereby relieving the symptoms of severe MR and improving patient quality of life.⁵
 
MitraClip received CE mark approval in Europe in 2008 and was approved by the U.S. Food & Drug Administration (FDA) in 2013. To date, more than 50,000 people have been treated with the MitraClip system in nearly 50 countries.
 
References
¹Healthline.com. Mitral Valve Disease. 2016. Accessed Sep 7, 2017 at http://www.healthline.com/health/mitral-valve-disease.  
²Patient Info. Mitral Regurgitation. 2017. Accessed Sep 7, 2017 at: https://patient.info/health/mitral-regurgitation-leaflet. 
³National Heart, Lung and Blood Institute. What is Heart Valve Disease? 2015. Accessed Sep 7, 2017 at: https://www.nhlbi.nih.gov/health/health-topics/topics/hvd.  
⁴Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of Valvular Heart Diseases: a Population-based Study. Lancet. 2006 Sep 16;368(9540):1005-11. http://www.ncbi.nlm.nih.gov/pubmed/16980116  
⁵http://eifu.abbottvascular.com/content/dam/av/eifu-us/EL2106481%20Rev.%20A%202016-04-28.pdf