IntErnational Long-term Follow-up Study of Patients With Uncontrolled HyperTensioN (EnligHTN-II)
IntErnational Non-randomized, Single-arm, Long-term Follow-up Study of Patients With Uncontrolled HyperTensioN
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Chermside, Australia, 4032
- The Prince Charles Hospital
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Parkville, Australia, 3050
- Royal Melbourne Hospital - City Campus
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Perth, Australia, 6000
- Royal Perth Hospital
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South Australia
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Adelaide, South Australia, Australia, 5000
- Royal Adelaide Hospital
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Lyon, France, 69317
- Hôpital de La Croix Rousse
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St. Etienne, France
- St-Etienne CHU
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Strasbourg, France, 67091
- Hopital Civil - Universitaires de Strasbourg
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Franche-Comte
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Besancon, Franche-Comte, France, 25030
- CHU de Besançon - Jean Minjoz
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Massy
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Paris, Massy, France
- Institute Cardio. Paris-Sud-Institut Jacques Cartier
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Bad Krozingen, Germany, 79189
- Universitäts-Herzzentrum Freiburg - Bad Krozingen
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Berlin, Germany, 13347
- Jüdisches Krankenhaus Berlin
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Essen, Germany, 45122
- Universitatsklinikum Essen (Aor)
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Homburg, Germany, 66421
- Universitatsklinikum des Saarlandes
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Mainz, Germany, 55131
- Klinikum der Johannes-Gutenberg-Universität
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Trier, Germany, 54292
- Krankenhaus der Barmherzigen Brüder
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Bavaria
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Coburg, Bavaria, Germany, 96450
- Klinikum Coburg GmbH
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Ingolstadt, Bavaria, Germany, 85049
- Klinikum Ingolstadt GmbH
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Hesse
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Bad Nauheim, Hesse, Germany, 61231
- Kerckhoff-Klinik gGmbH
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Nordrhein Westfalen
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Bad Oeynhausen, Nordrhein Westfalen, Germany, 32545
- Herz-und Diabetes Zentrum NRW
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Saxony
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Leipzig, Saxony, Germany, 4103
- Uni-Klinik Leipzig, Intervent. Angiologie
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Athens, Greece
- University of Athens, Ippocration Hospital
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Bologna, Italy, 40138
- Policlinico S.Orsola Malpighi
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Milano, Italy, 20138
- Centro Cardiologico Monzino
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Tuscany
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Massa, Tuscany, Italy, 54100
- Fondazione Toscana Gabriele Monasterio CNR
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Den Haag, Netherlands, 2545 CH
- Haga Ziekenhuis Locatie Leyenburg
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Utrecht, Netherlands, 3584 CX
- UMC Utrecht
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Dunedin, New Zealand, 9016
- Dunedin Public Hospital
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Bergen, Norway
- Haukeland Universitetssykehus
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Trondheim, Norway, 7006
- St. Olavs University Hospital
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Basque
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San Sebastián, Basque, Spain, 20014
- Hospital Universitario Donostia
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Goteborg, Sweden, S41345
- Sahlgrenska University Hospital Gothenburg
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London, United Kingdom, EC1M 6BQ
- NIHR Barts Cardiovascular Biomedical Research Unit
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Sheffield, United Kingdom, S5 7AU
- Northern General Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Subject is ≥ 18 years of age at time of consent
- Subject must be able and willing to provide written informed consent
- Subject must be able and willing to comply with the required follow-up schedule
- Subject has office Systolic Blood Pressure ≥ 140 mmHg at confirmatory visit
- Subject has a daytime mean Systolic Ambulatory Blood Pressure > 135 mmHg within 90 days prior to procedure
- Subject has established hypertension (diagnosed ≥12 month prior to baseline) and is on a guideline based drug regimen at a stable and fully tolerated dose consisting of ≥ 3 anti-hypertensive medications (including 1 diuretic) or subject has a documented drug intolerance to 2 or more of the 4 major classes of anti-hypertensives (ACE/ARB, Calcium Channel Blockers, Beta Blockers, or diuretic) and is unable to take 3 anti-hypertensive drugs.
Exclusion Criteria:
- Subject has significant renovascular abnormalities such as renal artery stenosis > 30%
- Subject has undergone prior renal angioplasty, renal denervation, indwelling renal stents, and/or abdominal aortic stent grafts
- Subject has hemodynamically significant valvular heart disease as determined by study investigator
- Subject has a life expectancy less than 12 months, as determined by the Investigator
- Subject is participating in another clinical study which has the potential to impact their hypertension management (pharmaceutical/device/homeopathic)
- Subject is pregnant, nursing, or of childbearing potential and is not using adequate contraceptive methods
- Subject has active systemic infection
- Subject has renal arteries with diameter(s) < 4 mm in diameter
- Subject has an estimated GFR <15 mL/min per 1.73 m^2 using the MDRD formula
- Subject had a renal transplant or is awaiting a renal transplant
- Subject has blood clotting abnormalities
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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A - EnligHTN for Severe Resistant HTN
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Renal artery ablation with EnligHTN system used for all groups
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B - EnligHTN for Resistant HTN
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Renal artery ablation with EnligHTN system used for all groups
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C - EnligHTN for Resistant HTN & CKD
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Renal artery ablation with EnligHTN system used for all groups
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Mean Reduction in Office Systolic Blood Pressure From Baseline to 6 Months
Time Frame: Baseline to 6 months
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 6 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Acute Safety: Percentage of Participants With Peri-procedural Events Within 30 Days Post-procedure
Time Frame: 30 days post procedure
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The peri-procedural events occurring within 30 days post procedure were summarized as the percentage of the number of participants with peri-procedural events within 30 days post procedure compared to the number of participants at baseline for that population.
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30 days post procedure
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Midterm Safety: Percentage of Participants With New Renal Artery Stenosis and/or Aneurysm at Ablation Site at 6 Months
Time Frame: 6 months
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The new renal artery stenosis (>50%) and/or aneurysm at the site of ablation per Renal Artery Imaging (CT/MR) was summarized at each follow-up visit as the percentage of patients who have stenosis and/or aneurysm.
Kaplan-meier analysis was performed on the time to the first new renal artery stenosis and/or aneurysm at the site of ablation, as appropriate.
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6 months
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Midterm Safety: Mean Change in eGFR (mL/Min/1.73m²) From Confirmatory Visit to 6 Months
Time Frame: Confirmatory visit to 6 months
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Renal function change based on eGFR was summarized by computing the change of the eGFR at each follow-up visit compared to baseline for each patient with data available in both time points and calculating the mean and standard deviation of the eGFR change at those intervals.
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Confirmatory visit to 6 months
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Long Term Safety: Percentage of Participants With New Renal Artery Stenosis and/or Aneurysm at Ablation Site at 2 Years
Time Frame: 2 years
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The new renal artery stenosis (>50%) and/or aneurysm at the site of ablation per RenalArtery Imaging (CT/MR) was summarized at each follow-up visit as the percentage of patients who have stenosis and/or aneurysm.
Kaplan-meier analysis was performed onthe time to the first new renal artery stenosis and/or aneurysm at the site of ablation, as appropriate.
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2 years
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Long Term Safety: Percentage of Participants With New Renal Artery Stenosis and/or Aneurysm at Ablation Site at 5 Years
Time Frame: 5 years
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The new renal artery stenosis (>50%) and/or aneurysm at the site of ablation per RenalArtery Imaging (CT/MR) was summarized at each follow-up visit as the percentage of patients who have stenosis and/or aneurysm.
Kaplan-meier analysis was performed onthe time to the first new renal artery stenosis and/or aneurysm at the site of ablation, as appropriate.
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5 years
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Long Term Safety: Mean Change in eGFR (mL/Min/1.73m²) From Confirmatory Visit to 2 Years
Time Frame: Confirmatory visit to 2 years
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Renal function change based on eGFR was summarized by computing the change of the eGFR at each follow-up visit compared to baseline for each patient with data available in both time points and calculating the mean and standard deviation of the eGFR change at those intervals.
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Confirmatory visit to 2 years
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Long Term Safety: Mean Change in eGFR (mL/Min/1.73m²) From Confirmatory Visit to 5 Years
Time Frame: Confirmatory visit to 5 years
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Renal function change based on eGFR was summarized by computing the change of the eGFR at each follow-up visit compared to baseline for each patient with data available in both time points and calculating the mean and standard deviation of the eGFR change at those intervals.
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Confirmatory visit to 5 years
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Mean Change in Ambulatory Systolic Blood Pressure From Baseline to 6 Months
Time Frame: Baseline to 6 months
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 6 months
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Mean Change in Ambulatory Diastolic Blood Pressure From Baseline to 6 Months
Time Frame: Baseline to 6 months
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 6 months
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Mean Change in Office Diastolic Blood Pressure From Baseline to 6 Months
Time Frame: Baseline to 6 months
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 6 months
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Percentage of Participants Achieved Office Systolic Blood Pressure < 140 mmHg at 6 Months
Time Frame: 6 months
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The percentage of participants achieved office systolic blood pressure <140 mmHg at 6 months visit was computed as the percentage of the ratio of number of participants who achievied office systolic blood pressure <140 mmHg at 6 months visit to the number of participants with data available in 6 months visit.
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6 months
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Mean Change in Office Systolic Blood Pressure From Baseline to 1 Year Post Denervation
Time Frame: Baseline to 1 year
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 1 year
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Mean Change in Office Systolic Blood Pressure From Baseline to 2 Years Post Denervation
Time Frame: Baseline to 2 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 2 years
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Mean Change in Office Systolic Blood Pressure From Baseline to 3 Years Post Denervation
Time Frame: Baseline to 3 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 3 years
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Mean Change in Office Systolic Blood Pressure From Baseline to 4 Years Post Denervation
Time Frame: Baseline to 4 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 4 years
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Mean Change in Office Systolic Blood Pressure From Baseline to 5 Years Post Denervation
Time Frame: Baseline to 5 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 5 years
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Mean Change in Office Diastolic Blood Pressure From Baseline to 1 Year Post Denervation
Time Frame: Baseline to 1 year
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 1 year
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Mean Change in Office Diastolic Blood Pressure From Baseline to 2 Years Post Denervation
Time Frame: Baseline to 2 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 2 years
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Mean Change in Office Diastolic Blood Pressure From Baseline to 3 Years Post Denervation
Time Frame: Baseline to 3 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 3 years
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Mean Change in Office Diastolic Blood Pressure From Baseline to 4 Years Post Denervation
Time Frame: Baseline to 4 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 4 years
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Mean Change in Office Diastolic Blood Pressure From Baseline to 5 Years Post Denervation
Time Frame: Baseline to 5 years
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Office blood pressure corresponds to the blood pressure measured by the doctor or the nurse/staff in the office or in the clinic during the participant visit.
Office Blood Pressure measurements was recorded as the average Blood Pressure of three measurements.
If there was a change in medication after the office Blood Pressure assessment was completed an additional set of office Blood Pressure measurements was performed.
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Baseline to 5 years
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Mean Change in Ambulatory Systolic Blood Pressure From Baseline to 1 Year Post Denervation
Time Frame: Baseline to 1 year
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 1 year
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Mean Change in Ambulatory Systolic Blood Pressure From Baseline to 2 Years Post Denervation
Time Frame: Baseline to 2 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 2 years
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Mean Change in Ambulatory Systolic Blood Pressure From Baseline to 3 Years Post Denervation
Time Frame: Baseline to 3 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 3 years
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Mean Change in Ambulatory Systolic Blood Pressure From Baseline to 4 Years Post Denervation
Time Frame: Baseline to 4 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 4 years
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Mean Change in Ambulatory Systolic Blood Pressure From Baseline to 5 Years Post Denervation
Time Frame: Baseline to 5 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 5 years
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Mean Change in Ambulatory Diastolic Blood Pressure From Baseline to 1 Year Post Denervation
Time Frame: Baseline to 1 year
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 1 year
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Mean Change in Ambulatory Diastolic Blood Pressure From Baseline to 2 Years Post Denervation
Time Frame: Baseline to 2 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 2 years
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Mean Change in Ambulatory Diastolic Blood Pressure From Baseline to 3 Years Post Denervation
Time Frame: Baseline to 3 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 3 years
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Mean Change in Ambulatory Diastolic Blood Pressure From Baseline to 4 Years Post Denervation
Time Frame: Baseline to 4 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 4 years
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Mean Change in Ambulatory Diastolic Blood Pressure From Baseline to 5 Years Post Denervation
Time Frame: Baseline to 5 years
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24-hour Ambulatory Blood Pressure measurements were taken according to Standard Joint National Committee VII Guidelines / ESC and ESH Guidelines at each follow-up visit.
In the 24-hour blood pressure monitoring, the blood pressure of patient was measured every 30 minutes during the daytime and every 60 minutes during the night time.
When using ABP, it was ensured that at least two measurements per hour are taken during the person's usual waking hours and 1 measurement per hour are taken during the person's usual night time hours.
The average value of at least 14 measurements taken during the person's usual waking hours and average of at least 8 measurements taken during the person's usual sleeping hours were used for calculation of mean value.
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Baseline to 5 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Melvin Lobo, MBChB PhD, NIHR Barts Cardiovascular Biomedical Research Unit
- Principal Investigator: Stephen Worthley, MB BS PhD, Royal Adelaide Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1201 (1201 XDOZ, local number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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