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THRIVE- Terapeutisk intravaskulær ultralyd (TIVUS™) Renal Denervation System versus Sham til supplerende behandling af hypertension (THRIVE)

21. september 2026 opdateret af: SoniVie Inc.

En pivotal, prospektiv, multicenter, 2:1 randomiseret, dobbeltblind, kontrolleret, undersøgelse, der sammenligner det terapeutiske intravaskulære ultralyd (TIVUS™) Renal Denervation System versus Sham til den supplerende behandling af hypertension (The THRIVE-undersøgelsen)

The primary objective of the THRIVE Pivotal study is to demonstrate the adjunctive effectiveness and the safety of the TIVUS system in:

  1. subjects with uncontrolled hypertension (HTN) receiving 0 - 2 anti-hypertensive drugs of different classes in whom the anti-hypertensive medications will be stopped for a 4-week wash-out period before RDN/Sham procedure and during 2 months after procedure.
  2. subjects with controlled hypertension receiving 1 - 2 anti-hypertensive drugs of different classes and who accept to be off-medications for a 4-week wash-out period before RDN/Sham procedure and 2 months after the procedure

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

THRIVE is an international, multicenter, randomized, double blind, sham-controlled study, designed to demonstrate the adjunctive effectiveness and safety of the TIVUS System in hypertensive subjects while subjects are maintained off-antihypertensive medications for a 4-week wash-out period before RDN/Sham procedure and 2 months after procedure. At two months after procedure, subjects with uncontrolled hypertension are put back on antihypertensive medication according to a medication escalation protocol. Unblinding will be performed at 6 months. Uncontrolled sham subjects can cross-over to RDN procedure at 6-months. The sham procedure will be minimally invasive to reduce risk to subjects. All subjects treated with TIVUS will be followed for a maximum of 36 months post procedure.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

261

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

    • Alabama
      • Birmingham, Alabama, Forenede Stater, 35211
        • Rekruttering
        • Cardiology, PC
        • Kontakt:
        • Ledende efterforsker:
          • Farrell O Mendelsohn
    • Arizona
      • Scottsdale, Arizona, Forenede Stater, 85258
    • Arkansas
    • California
      • Los Angeles, California, Forenede Stater, 90048
      • Palo Alto, California, Forenede Stater, 94305
        • Rekruttering
        • Stanford University
        • Kontakt:
          • David Lee, MD
    • Connecticut
      • Bridgeport, Connecticut, Forenede Stater, 06610
        • Rekruttering
        • Connecticut Clinical Research, LLC (Bridgeport)
        • Kontakt:
          • Edward Tuohy, MD
    • Florida
      • Pensacola, Florida, Forenede Stater, 32504
      • Safety Harbor, Florida, Forenede Stater, 34695
        • Rekruttering
        • Baycare Health System
        • Kontakt:
          • Parag Patel, MD
      • Tampa, Florida, Forenede Stater, 33606
        • Rekruttering
        • University of South Florida
        • Kontakt:
          • Fadi Matar, MD
    • Illinois
      • Elk Grove Village, Illinois, Forenede Stater, 60007
        • Rekruttering
        • Ascension Alexian Brothers
        • Ledende efterforsker:
          • Alexander Fraley, M.D.
      • Springfield, Illinois, Forenede Stater, 62794
        • Rekruttering
        • Southern Illinois University, School of Medicine
        • Kontakt:
      • Springfield, Illinois, Forenede Stater, 62710
        • Rekruttering
        • St. John's Prairie Heart
        • Kontakt:
          • Avinash Murthy, MD
    • Louisiana
      • Houma, Louisiana, Forenede Stater, 70360
      • New Orleans, Louisiana, Forenede Stater, 70121
        • Rekruttering
        • Ochsner Medical Center
        • Kontakt:
          • James Jenkins, MD
    • Michigan
    • Mississippi
      • Gulfport, Mississippi, Forenede Stater, 39501
        • Rekruttering
        • Gulfport Memorial Hospital
        • Kontakt:
          • Wayne Latack, MD
      • Jackson, Mississippi, Forenede Stater, 39216
        • Rekruttering
        • Jackson Heart Clinic
        • Kontakt:
          • J. Gray Bennett, MD
    • Missouri
      • Kansas City, Missouri, Forenede Stater, 64131
    • Nevada
      • Reno, Nevada, Forenede Stater, 89502
    • New Jersey
      • Camden, New Jersey, Forenede Stater, 08103
        • Rekruttering
        • Virtua Health
        • Kontakt:
          • Kintur Sanghvi, MD
      • Neptune City, New Jersey, Forenede Stater, 07753
    • New York
      • Liverpool, New York, Forenede Stater, 13088
        • Rekruttering
        • St. Joseph
        • Kontakt:
          • Ayman Iskander, MD
      • New York, New York, Forenede Stater, 10032
        • Rekruttering
        • Nyph/Cumc
        • Kontakt:
          • Ari Mintz, MD
    • North Carolina
    • Oklahoma
      • Bartlesville, Oklahoma, Forenede Stater, 74006
        • Rekruttering
        • Ascension St. John Clinical Research Institute
        • Kontakt:
          • Anderson Mehrle, MD
    • Pennsylvania
      • Lancaster, Pennsylvania, Forenede Stater, 17603
        • Rekruttering
        • Lancaster General Health
        • Kontakt:
          • Rupal Dumasia, MD
      • Philadelphia, Pennsylvania, Forenede Stater, 19104
        • Rekruttering
        • Penn Medicine
        • Kontakt:
          • Deborah Cohen, MD
    • South Carolina
      • Mt. Pleasant, South Carolina, Forenede Stater, 29464
        • Rekruttering
        • MUSC
        • Kontakt:
          • Thomas Todoran, MD, MS
    • Texas
      • Fort Worth, Texas, Forenede Stater, 76104
        • Rekruttering
        • Plaza Medical Center of Fort Worth
        • Kontakt:
          • Farhan Ali, M.D.
      • Houston, Texas, Forenede Stater, 77004
    • Utah
    • Virginia
      • Richmond, Virginia, Forenede Stater, 23225
      • Bordeaux, Frankrig
        • Rekruttering
        • Hopital Saint André
        • Kontakt:
          • Antoine Cremer, MD
      • Paris, Frankrig
        • Rekruttering
        • Hôpital Européen Georges-Pompidou
        • Kontakt:
          • Michel Azizi, MD, PhD
      • Athens, Grækenland
        • Rekruttering
        • Athens Hippokration
        • Kontakt:
          • K Tsioufis, MD, PhD
      • Heraklion, Grækenland
        • Rekruttering
        • University of Crete
        • Kontakt:
          • Maria Marketou, MD, PhD
      • Thessaloniki, Grækenland
        • Rekruttering
        • Thessaloniki Hippokration General Hospital
        • Kontakt:
          • Michalis Doumas, MD
      • Mercogliano, Italien
        • Rekruttering
        • Clinica Montevergine
        • Kontakt:
          • Luigi Salemme, MD
      • Monza, Italien
        • Rekruttering
        • Monza Policlinico
        • Kontakt:
          • Filippo Scalise, MD
      • Roma, Italien
        • Rekruttering
        • Ospedale Sant'Andrea
        • Kontakt:
          • Emanuele Barbato, MD, PhD
      • Dresden, Tyskland
        • Rekruttering
        • Dresden TUD University of Technology
        • Kontakt:
          • Axel Linke, MD, PhD
      • Erlangen, Tyskland
        • Rekruttering
        • Universitätsklinikum Erlangen
        • Kontakt:
          • Roland Schmieder, MD, PhD
      • Frankfurt, Tyskland
        • Rekruttering
        • Frankfurt Sankt Katharinen Krankenhaus
        • Kontakt:
          • Horst Sievert, MD
      • Freiburg im Breisgau, Tyskland
        • Rekruttering
        • Freiburg Herzzenrtum
        • Kontakt:
          • Elias Noory, MD
      • Hamburg, Tyskland
        • Rekruttering
        • Marienkrankenhaus Hamburg
        • Kontakt:
          • Jury Schewel, MD
      • Herne, Tyskland
        • Rekruttering
        • Herne Marien Hospital
        • Kontakt:
          • Christian Ukena, MD, PhD
      • Homburg, Tyskland
        • Rekruttering
        • Saarland University Hospital
        • Kontakt:
          • Kulenthiran Saarraaken, MD
      • Leipzig, Tyskland
        • Rekruttering
        • Herzzentrum Leipzig
        • Kontakt:
          • Karl Fengler, MD
      • Lübeck, Tyskland
        • Rekruttering
        • Sana Kliniken Lubeck
        • Kontakt:
          • Joachim Weil, MD

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

22 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Appropriately signed and dated informed consent

  2. Male and female adults with age between ≥22 and ≤75 years at time of consent

  3. Documented history of hypertension

  4. Previously or currently prescribed antihypertensive therapy

  5. Subject has an office BP (average of 3 seated measurements) of:

    1. Uncontrolled BP: ≥ 140/90 mmHg <180/110 mmHg at Screening Visit (V0) while stable for at least 4 weeks on 0-2 anti-hypertensive medications of different classes* and willing to stop anti-hypertensive medication(s) for 4 weeks wash-out and 2-months post-procedure, (subjects with a history of treatment with anti-hypertensive medications but are not currently taking any at screening will undergo a 4-week run-in period) or,
    2. Controlled BP: < 140/90 mmHg while stable for at least 4 weeks on 1-2 antihypertensive medications of different classes and willing to stop anti-hypertensive medication(s) for 4 weeks wash-out and 2-months post-procedure
  6. Able and willing to comply with all study procedures

  7. Subject is willing to have and is a good candidate for conscious sedation

Subjects who meet the following criteria will be considered eligible for randomization:

  • Documented daytime systolic ABP ≥ 135 mmHg and < 180 mmHg after 4-week washout/run-in period.**

  • Suitable renal anatomy compatible with the renal denervation procedure, documented by renal CTA or MRA of good quality performed within one year prior to consent (a CTA or MRA will be obtained in subjects without a recent (≤1 year) cross-sectional renal imaging). The renal angiogram procedure done in the cath lab prior to randomization will serve as the final anatomy compatibility check.

    • Potassium-sparing diuretics such as Amiloride hydrochloride and Triamterene may be prescribed in combination with another diuretic (e.g. a thiazide or loop diuretic) for their potassium conservation properties. In this situation, the diuretic combination is considered as a single class of anti-hypertensive.

Exclusion Criteria:

  1. Subject has been previously diagnosed with abnormal renal artery anatomy and/or renal anatomy such as a single kidney, ectopic or horseshoe kidney, polycystic kidney disease, kidney tumors or other findings precluding renal denervation therapy as detailed in the angiographic exclusion criteria

  2. Uncorrected causes of secondary hypertension other than sleep apnea (including, but not limited to): aldosteronism, renal parenchymal disease, renovascular disease, excess catecholamines, Cushing's syndrome, erythropoietin use, pheochromocytoma, hypo/hyperthyroidism, hyperparathyroidism, acromegaly)

  3. Type I diabetes mellitus or uncontrolled Type II diabetes (defined as a plasma HbA1c ≥ 9.0%)

  4. eGFR of <40 mL/min/1.73 m2 CKD-EPI as calculated using the CKD-EPI 2021 equation

  5. Cerebrovascular event (e.g. stroke, transient ischemic event, cerebrovascular accident) within 6 months prior to consent

  6. History of severe cardiovascular event (e.g. myocardial infarction, unstable angina, CABG, acute heart failure requiring hospitalization (NYHA III-IV) within 12 months prior to consent

  7. Subject has severe valvular stenosis or insufficiency

  8. Documented repeat (>1) hospitalization for hypertensive crisis within the prior 12 months and/or any hospitalization for hypertensive crisis within three (3) months prior to consent

  9. Prescribed to any standard antihypertensive cardiovascular medication (e.g. beta blockers) for other chronic conditions (e.g. ischemic heart disease) such that discontinuation might pose serious risk to health in the opinion of the investigator

  10. Subject with rapid, uncontrolled, symptomatic atrial fibrillation

  11. Active implantable medical device (e.g. ICD or CRT-D; neuromodulator/spinal stimulator; baroreflex stimulator)

  12. Chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea.

  13. Subject has a planned major surgery (any procedure requiring general anesthesia) in the next 12 months.

  14. Subject on anticoagulant therapy that cannot be temporarily withheld for study procedure.

  15. Primary pulmonary hypertension

  16. Documented contraindication or allergy to contrast medium not amenable to treatment

  17. Limited life expectancy of < 1 year at the discretion of the Investigator

  18. Night shift worker

  19. Subject has frequent intermittent or chronic pain that results in treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) for two or more days per week over the month prior to enrollment.

  20. Subject is taking immunosuppressive therapy for diseases featuring vasculitis

  21. Any known, unresolved history of drug use or alcohol dependency, lacks the ability to comprehend or follow instructions, or for any reason in the opinion of the investigator, would be unlikely or unable to comply with study protocol requirements or whose participation may result in data analysis confounders

  22. Pregnant, nursing or planning to become pregnant within 12 months post procedure.

    Negative pregnancy test required, documented within a maximum of 7 days prior to procedure for all women of childbearing potential. Documentation of effective contraception is also required for women of childbearing potential

  23. Subject has a planned major surgery or cardiovascular intervention in the next 6 months

  24. Subject with history of renal transplantation

  25. Evidence of active infection within 7 days of procedure (based on positive lab test and requiring therapy).

  26. Subject has hypertrophic cardiomyopathy or amyloidosis.

  27. Prior renal denervation procedure

  28. Concurrent enrollment in any other investigational drug or device trial (participation in non-interventional studies/registries is acceptable)

  29. Subject on a beta blocker for a condition other than antihypertension

Angiographic Exclusion Criteria:

The following characteristics identified either on the renal artery CT scan or MRI or on the Eligibility II Renal artery Angiogram will prevent the subject from being included:

  1. Main renal arteries lumen diameter < 4 mm.
  2. Main renal treatable artery length <20mm (may include proximal branching).
  3. Accessory renal arteries that supplies ≥ 25% of the parenchyma, and < 4 mm in lumen diameter.
  4. Aorto-renal angle that prevents a safe cannulation of the renal artery.
  5. Severe common femoral artery, common and/or external iliac artery, renal, iliac or aortic calcification or tortuosity that may compromise the safe performance and completion of the TIVUS™ procedure.
  6. Hemodynamically or anatomically significant renal artery abnormality or stenosis in either renal artery which, would interfere with safe cannulation of the renal artery or meets local standards for surgical repair or interventional dilation (NOTE: vessel areas with calcification and fibromuscular dysplasia (FMD) should be avoided as intended treatment areas).
  7. Any renal artery stenosis > 30% by visual assessment.
  8. Any renal artery aneurysm (>50% of the main renal artery reference vessel diameter by visual estimate).
  9. Presence of fibromuscular dysplasia of the renal arteries
  10. Significant renal artery atheroma, aneurysm, calcification in the target vessel identified on CT Angiogram

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: TIVUS™ Renal Denervation System

Following angiogram, subjects found anatomically eligible and randomized to the renal denervation arm will be treated with the TIVUS™ Renal Denervation System.

Renal artery catheterization procedure used to denervate the renal sympathetic nerves in the perivascular space using ultrasound energy.

Andre navne:
  • Renal denervering
Sham-komparator: Sham

For those subjects randomized to the sham control, the angiogram will serve as the sham procedure.

For those subjects randomized to the sham control, the angiogram will serve as the sham procedure.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Reduction in average daytime ambulatory systolic BP
Tidsramme: From baseline to 2 months post-procedure

Primary outcome

From baseline to 2 months post-procedure
Subject level composite of the incidence of Major Adverse Events (MAE)
Tidsramme: From Baseline to 30 day and 6 months post procedure

Safety outcome

From Baseline to 30 day and 6 months post procedure

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Reduction in average 24-hr ambulatory systolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average home systolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average office systolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average daytime ambulatory diastolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average 24-hr ambulatory diastolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average home diastolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average office diastolic BP
Tidsramme: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Percentage of subjects with Systolic Blood Pressure (SBP) at target (daytime SBP <135 mmHg; office SBP <140
Tidsramme: From baseline to 2 and 6 Months post procedure

Secondary outcome

From baseline to 2 and 6 Months post procedure
Percentage of subjects with SBP at target (daytime SBP <135 mmHg; office SBP <140 mmHg) in the absence of. changes in hypertensive medication in each arm
Tidsramme: From baseline to 2 and 6 Months post procedure

Secondary outcome

From baseline to 2 and 6 Months post procedure
Incidence of ambulatory systolic BP (daytime/24-hr/night-time) reductions of ≥5 mmHg, ≥10 mmHg, and ≥15 mm Hg
Tidsramme: From baseline to 2, 6, and 12 Months post procedure

Secondary outcome

From baseline to 2, 6, and 12 Months post procedure

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Reduction in average night-time ambulatory systolic/diastolic BP
Tidsramme: From baseline to 2, 6 and 12, Months post procedure

Observational outcome

From baseline to 2, 6 and 12, Months post procedure
Reduction in average daytime & 24-hr ambulatory systolic BP at 6- and 12-months post procedure.
Tidsramme: From baseline to 6 and 12 Months post procedure

Observational outcome

From baseline to 6 and 12 Months post procedure
Reduction in average daytime & 24-hr ambulatory diastolic BP
Tidsramme: From baseline to 6 and 12 Months post procedure

Observational outcome

From baseline to 6 and 12 Months post procedure
Reduction in average office systolic BP
Tidsramme: From baseline to 6 and 12 Months post procedure

Observational outcome

From baseline to 6 and 12 Months post procedure
Reduction in average home systolic/diastolic BP
Tidsramme: From baseline to 1, 3, 4, 5, 6, and 12-Months post procedure

Observational outcome

From baseline to 1, 3, 4, 5, 6, and 12-Months post procedure
Reduction in office and ambulatory pulse pressure
Tidsramme: From baseline to 2, 6 and 12 Months post procedure

Observational outcome

From baseline to 2, 6 and 12 Months post procedure
Reduction in office and ambulatory heart rate
Tidsramme: From baseline to 2, 6, and 12 Months post procedure

Observational outcome

From baseline to 2, 6, and 12 Months post procedure
Antihypertensive medication burden (number of antihypertensive drugs, doses, classes)
Tidsramme: From baseline to 2, 6 and 12 Months post procedure

Observational outcome

From baseline to 2, 6 and 12 Months post procedure
Percentage of subjects meeting escape criteria
Tidsramme: From baseline to 2 Months post procedure

Observational outcome

From baseline to 2 Months post procedure
Percentage of subjects requiring initiation of antihypertensive drug therapy
Tidsramme: From baseline to 2 and 6 Months post procedure

Observational outcome

From baseline to 2 and 6 Months post procedure
Percentage of subjects without any antihypertensive treatment
Tidsramme: From baseline to 6 and 12 Months post procedure

Observational outcome

From baseline to 6 and 12 Months post procedure
Percentage of subjects requiring initiation of anti-hypertensive drug therapy at any available time points post procedure
Tidsramme: From baseline through completion of study

Observational outcome

From baseline through completion of study
Change in adherence to medications assessed by urine chemical adherence testing using liquid chromatography with tandem mass spectrometry (LCMSMS)
Tidsramme: From baseline to 2, 6, 12, 24 and 36 Months.

Observational outcome

From baseline to 2, 6, 12, 24 and 36 Months.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Studiestol: Ajay Kirtane, MD, Columbia University
  • Studiestol: Michel Azizi, MD, George Pompidou Hospital
  • Studiestol: Felix Mahfoud, MD, University of Basel

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

3. oktober 2024

Primær færdiggørelse (Anslået)

31. marts 2027

Studieafslutning (Anslået)

15. august 2028

Datoer for studieregistrering

Først indsendt

24. juli 2024

Først indsendt, der opfyldte QC-kriterier

15. august 2024

Først opslået (Faktiske)

19. august 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • CLNS07-001

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

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