- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02439775
SPYRAL HTN-ON MED undersøgelse
Global klinisk undersøgelse af renal denervering med det enkle Spyral™ Multi-electrode Renal Denervation System hos patienter med ukontrolleret hypertension på standard medicinsk terapi (SPYRAL HTN-ON MED)
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
-
Kogarah, Australien
- St. George Hospital
-
Perth, Australien
- Royal Perth
-
-
Victoria
-
Melbourne, Victoria, Australien, 3004
- Alfred Hospital
-
-
-
-
Ontario
-
Hamilton, Ontario, Canada
- Hamilton Heath
-
Toronto, Ontario, Canada
- St. Michael's Hospital
-
-
-
-
-
Bournemouth, Det Forenede Kongerige
- Royal Bournemouth Hospital
-
Cardiff, Det Forenede Kongerige
- Cardiff and Vale University Health Board - University Hospital of Wales
-
Exeter, Det Forenede Kongerige, EX2 5DW
- Royal Devon & Exeter NHS Foundation Trust
-
London, Det Forenede Kongerige, W12 0HS
- Imperial College Healthcare NHS Trust
-
-
-
-
Alabama
-
Huntsville, Alabama, Forenede Stater, 35801
- Heart Center Research, LLC
-
-
California
-
Stanford, California, Forenede Stater, 94305
- Stanford Hospital and Clinics
-
-
Connecticut
-
New Haven, Connecticut, Forenede Stater, 06520
- Yale New Haven Hospital
-
-
District of Columbia
-
Washington D.C., District of Columbia, Forenede Stater, 20422
- Washington DC VA Medical Center
-
-
Florida
-
Jacksonville, Florida, Forenede Stater, 32207
- Baptist Medical Center Jacksonville
-
Jacksonville, Florida, Forenede Stater, 32216
- Memorial Hospital Jacksonville
-
Tallahassee, Florida, Forenede Stater, 32308
- Tallahassee Research Institute
-
-
Georgia
-
Atlanta, Georgia, Forenede Stater, 30308
- Emory University Hospital Midtown
-
Atlanta, Georgia, Forenede Stater, 30309
- Piedmont Heart Institute
-
-
Iowa
-
West Des Moines, Iowa, Forenede Stater, 50266
- Iowa Heart Center
-
-
Kentucky
-
Lexington, Kentucky, Forenede Stater, 40536
- University Of Kentucky
-
-
Michigan
-
Pontiac, Michigan, Forenede Stater, 48341
- St Joseph Mercy Oakland
-
Southfield, Michigan, Forenede Stater, 48075
- Providence Hospital
-
-
Minnesota
-
Minneapolis, Minnesota, Forenede Stater, 55407
- Minneapolis Heart Institute Foundation
-
-
Mississippi
-
Hattiesburg, Mississippi, Forenede Stater, 39401
- Hattiesburg Clinic
-
Tupelo, Mississippi, Forenede Stater, 38801
- Cardiology Associates Research LLC
-
-
Missouri
-
St Louis, Missouri, Forenede Stater, 63110
- Barnes-Jewish Hospital
-
-
New Jersey
-
Livingston, New Jersey, Forenede Stater, 07039
- Saint Barnabas Medical Center
-
-
New York
-
Manhasset, New York, Forenede Stater, 11030
- North Shore University Hospital
-
New York, New York, Forenede Stater, 10029
- Mount Sinai Medical Center
-
New York, New York, Forenede Stater, 10021
- Weill Cornell Medical College/The New York Presbyterian Hospital
-
-
North Carolina
-
Durham, North Carolina, Forenede Stater, 27710
- Duke University Medical Center
-
-
Ohio
-
Cleveland, Ohio, Forenede Stater, 44106
- University Hospitals Cleveland Medical Center
-
-
Oregon
-
Portland, Oregon, Forenede Stater, 97239
- Oregon Health & Science University Hospital
-
-
Pennsylvania
-
Harrisburg, Pennsylvania, Forenede Stater, 17011
- PinnacleHealth Cardiovascular Institute
-
Philadelphia, Pennsylvania, Forenede Stater, 19104
- Hospital of the University of Pennsylvania
-
-
Rhode Island
-
Providence, Rhode Island, Forenede Stater, 02906
- The Miriam Hospital
-
-
South Carolina
-
Anderson, South Carolina, Forenede Stater, 29621
- AnMed Health
-
-
Tennessee
-
Nashville, Tennessee, Forenede Stater, 37203
- Centennial Medical Center
-
-
Texas
-
Dallas, Texas, Forenede Stater, 75226
- Baylor Heart & Vascular Hospital
-
-
West Virginia
-
Charleston, West Virginia, Forenede Stater, 25304
- Charleston Area Medical Center
-
-
Wisconsin
-
Milwaukee, Wisconsin, Forenede Stater, 53215
- Aurora St. Luke's Medical Center
-
-
-
-
-
Toulouse, Frankrig
- Clinique Pasteur
-
-
-
-
-
Athens, Grækenland, 11527
- Hippokration General Hospital of Athens
-
Thessaloniki, Grækenland, 54621
- University General Hospital of Thessaloniki (AHEPA)
-
-
-
-
-
Galway, Irland
- Galway University Hospital
-
-
-
-
-
Osaka, Japan
- Saiseikai Nakatsu Hospital
-
-
Hyōgo
-
Takarazuka, Hyōgo, Japan
- Higashi Takarazuka Satoh Hospital
-
-
Okamoto
-
Kamakura, Okamoto, Japan
- Shonan Kamakura General Hospital
-
-
Tochigi
-
Shimotsuke, Tochigi, Japan, 329-0498
- Jichi Medical University Hospital
-
-
Tokyo
-
Chiyoda City, Tokyo, Japan, 101-8643
- Mitsui Memorial Hospital
-
-
-
-
-
Bad Krozingen, Tyskland, 79189
- Universitäts-Herzzentrum Freiburg - Bad Krozingen GmbH
-
Erlangen, Tyskland, 91054
- Universitatsklinikum Erlangen
-
Homburg, Tyskland, 66421
- Universitatsklinikum des Saarlandes
-
Leipzig, Tyskland, 04289
- Herzzentrum Leipzig, Universitätsklinik
-
Lübeck, Tyskland, 23560
- Sana Kliniken Lübeck
-
-
-
-
-
Wels, Østrig, 4600
- Klinikum Wels-Grieskirchen
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Individet har kontorsystolisk blodtryk (SBP) ≥ 150 mmHg og
- Individet har 24-timers ambulatorisk blodtryksovervågning (ABPM) gennemsnitligt SBP ≥ 140 mmHg og < 170 mmHg.
Ekskluderingskriterier:
- Individet mangler passende nyrearterieanatomi.
- Individet har estimeret glomerulær filtrationshastighed (eGFR) på
- Individet har type 1 diabetes mellitus eller dårligt kontrolleret type 2 diabetes mellitus.
- Individet har en eller flere episoder med ortostatisk hypotension.
- Individuel kræver kronisk iltstøtte eller mekanisk ventilation ud over natlig åndedrætsstøtte til søvnapnø.
- Individet har primær pulmonal hypertension.
- Personen er gravid, ammer eller planlægger at blive gravid.
- Individet har hyppige intermitterende eller kroniske smerter, der resulterer i behandling med ikke-steroide antiinflammatoriske lægemidler (NSAID'er) i to eller flere dage om ugen i løbet af måneden før indskrivning
- Individet har stabil eller ustabil angina inden for 3 måneder efter tilmelding, myokardieinfarkt inden for 3 måneder efter tilmelding; hjertesvigt, cerebrovaskulær ulykke eller forbigående iskæmisk anfald eller atrieflimren til enhver tid.
- Individuel arbejder nathold.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Renal denervering
Renal angiografi og renal denervation (Symplicity Spyral™ multi-elektrode renal denervation system)
|
Efter en renal angiografi i henhold til standardprocedurer forbliver forsøgspersonerne blinde og behandles straks med den renale denerveringsprocedure efter randomisering.
Andre navne:
|
|
Sham-komparator: Sham procedure
Renal angiografi
|
Efter en renal angiografi i henhold til standardprocedurer forbliver forsøgspersonerne blinde og forbliver på kateteriseringslaboratoriet i mindst 20 minutter før fjernelse af introducerskeden.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Ændring i systolisk blodtryk målt ved 24-timers ambulatorisk blodtryksovervågning (ABPM)
Tidsramme: Fra baseline til 6 måneder efter proceduren
|
Baseline justeret ændring (ved hjælp af analyse af kovarians) i systolisk blodtryk (SBP) fra baseline (screeningsbesøg 2) til 6 måneder efter proceduren målt ved 24-timers ambulant blodtryksmonitorering (ABPM).
|
Fra baseline til 6 måneder efter proceduren
|
|
Acute and Chronic Safety by Evaluating Incidence of Major Adverse Events
Tidsramme: From Baseline to 1 month post-procedure (6 months for new renal artery stenosis)
|
The Primary safety endpoint of the study is the incidence of Major Adverse Events (MAE), defined as composite of the following events: All-cause mortality, End stage renal Disease (ESRD), Significant embolic event resulting in end-organ damage, Renal artery perforation requiring intervention, Renal artery dissection requiring intervention, Vascular complications, Hospitalization for hypertensive crisis not related to confirmed non-adherence with medications or the protocol, New renal artery stenosis >70%, confirmed by angiography and as determined by the angiographic core laboratory, through one-month post-randomization (6-months for new renal artery stenosis)
|
From Baseline to 1 month post-procedure (6 months for new renal artery stenosis)
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Brug af antihypertensiv medicin og ændringer til 6 måneder
Tidsramme: Fra baseline til 6 måneder efter proceduren
|
Antal medicin fra baseline (screeningsbesøg 2) til 6 måneder efter proceduren
|
Fra baseline til 6 måneder efter proceduren
|
|
Antihypertensiv medicin byrde til 6 måneder
Tidsramme: Fra baseline til 6 måneder efter proceduren
|
Baseret på den ordinerede medicin, der blev rapporteret, blev medicinbyrden beregnet ved hjælp af Medicinindeks 2-score, som er et sammensat indeks baseret på doserne af antihypertensiv medicin ganget med antallet af ordineret medicin; alle klasser (ACE/ARB, calciumkanalblokkere osv.) blev betragtet som ækvivalente i styrke. Højere score indikerer højere doser, der er ordineret over standarddosis. Minimumværdi 0; Ingen maksimumværdi |
Fra baseline til 6 måneder efter proceduren
|
|
Medicinændringer
Tidsramme: Baseline til 6 måneder efter proceduren
|
Patienter, der havde medicinændringer baseret på medicinindeks 2 lægemiddeltestdata.
Medicinindeks 2-score er et sammensat indeks baseret på doserne af antihypertensiv medicin ganget med antallet af ordineret medicin; alle klasser (ACE/ARB, calciumkanalblokkere osv.) blev betragtet som ækvivalente i styrke.
|
Baseline til 6 måneder efter proceduren
|
|
Forekomst af opnåelse af målkontorets systolisk blodtryk
Tidsramme: Fra baseline til 6 måneder efter proceduren
|
Forekomst af opnåelse af systolisk blodtryk (SBP <140 mmHg) 6 måneder efter proceduren.
|
Fra baseline til 6 måneder efter proceduren
|
|
Change in Office Systolic Blood Pressure to 6-months
Tidsramme: From baseline to 6 months post-procedure
|
Change in office systolic blood pressure from baseline (Screening Visit 2) to 6 months post-procedure
|
From baseline to 6 months post-procedure
|
|
Change in Systolic Blood Pressure as Measured by 24-hour ABPM 12 Months
Tidsramme: From Baseline to 12 months post procedure
|
Change in systolic blood pressure from baseline (screening visit 2) to 12 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM)
|
From Baseline to 12 months post procedure
|
|
Change in Systolic Blood Pressure as Measured by 24-hour ABPM 24-months
Tidsramme: From baseline to 24 months post-procedure
|
Change in systolic blood pressure from baseline (screening visit 2) to 24 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
|
From baseline to 24 months post-procedure
|
|
Change in Systolic Blood Pressure as Measured by 24-hour ABPM 36-months
Tidsramme: From baseline to 36 months post-procedure
|
Change in systolic blood pressure from baseline (screening visit 2) to 36 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
|
From baseline to 36 months post-procedure
|
|
Change in Office Systolic Blood Pressure to 12-months
Tidsramme: From Baseline to 12 months post procedure
|
Change in office systolic blood pressure from baseline (screening visit 2) to 12 months.
|
From Baseline to 12 months post procedure
|
|
Change in Office Systolic Blood Pressure to 24-months
Tidsramme: From baseline to 24 months post-procedure
|
Change in office systolic blood pressure from baseline (screening visit 2) to 24 months.
|
From baseline to 24 months post-procedure
|
|
Change in Office Systolic Blood Pressure to 36-months
Tidsramme: From baseline to 36 months post-procedure
|
Change in office systolic blood pressure from baseline (screening visit 2) to 36 months.
|
From baseline to 36 months post-procedure
|
|
Change in Diastolic Blood Pressure as Measured by 24-hour ABPM 12-months
Tidsramme: From Baseline to 12 months post procedure
|
Change in diastolic blood pressure from baseline (screening visit 2) to 12 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
|
From Baseline to 12 months post procedure
|
|
Change in Diastolic Blood Pressure as Measured by 24-hour ABPM 24-months
Tidsramme: From baseline to 24 months post-procedure
|
Change in diastolic blood pressure from baseline (screening visit 2) to 24 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
|
From baseline to 24 months post-procedure
|
|
Change in Diastolic Blood Pressure as Measured by 24-hour ABPM 36-months
Tidsramme: From baseline to 36 months post-procedure
|
Change in diastolic blood pressure from baseline (screening visit 2) to 36 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
|
From baseline to 36 months post-procedure
|
|
Change in Office Diastolic Blood Pressure 12 Months
Tidsramme: From baseline to 12 months post-procedure
|
Change in office diastolic blood pressure from baseline (screening visit 2) to 12 months.
|
From baseline to 12 months post-procedure
|
|
Change in Office Diastolic Blood Pressure 24 Months
Tidsramme: From baseline to 24 months post-procedure
|
Change in office diastolic blood pressure from baseline (screening visit 2) to 24 months.
|
From baseline to 24 months post-procedure
|
|
Change in Office Diastolic Blood Pressure 36 Months
Tidsramme: From baseline to 36 months post-procedure
|
Change in office diastolic blood pressure from baseline (screening visit 2) to 36 months.
|
From baseline to 36 months post-procedure
|
|
Number of Participants Achieving Target Office Systolic Blood Pressure 12 Months
Tidsramme: From baseline to 12 months post-procedure
|
Incidence of Achieving Target Office Systolic Blood Pressure (SBP <140 mmHg)
|
From baseline to 12 months post-procedure
|
|
Number of Participants Achieving Target Office Systolic Blood Pressure 24 Months
Tidsramme: From baseline to 24 months post-procedure
|
Incidence of Achieving Target Office Systolic Blood Pressure (SBP <140 mmHg).
|
From baseline to 24 months post-procedure
|
|
Number of Participants Achieving Target Office Systolic Blood Pressure. 36 Months
Tidsramme: From baseline to 36 months post-procedure
|
Incidence of Achieving Target Office Systolic Blood Pressure (SBP <140 mmHg)
|
From baseline to 36 months post-procedure
|
|
Number of Participants With All Cause Mortality
Tidsramme: From Baseline to 36-months post procedure
|
From Baseline to 36-months post procedure
|
|
|
Number of Participants With End-Stage Renal Disease (ESRD)
Tidsramme: From Baseline to 36-months post-procedure
|
End-stage Renal Disease (ESRD) - defined as two or more eGFR measurements <15 mL/min/1.73m2 at least 21 days apart and requiring dialysis for one of more of the following:
|
From Baseline to 36-months post-procedure
|
|
Number of Participants With Significant Embolic Event Resulting in End-organ Damage
Tidsramme: From Baseline to 36 months post-procedure
|
From Baseline to 36 months post-procedure
|
|
|
Number of Participants With Renal Artery Perforation Requiring Intervention
Tidsramme: From Baseline to 36 month post-procedure
|
Renal artery perforation requiring intervention
|
From Baseline to 36 month post-procedure
|
|
Number of Participants With Renal Artery Dissection Requiring Intervention
Tidsramme: From Baseline to 36 months post-procedure
|
Number of Participants with Renal artery dissection requiring intervention
|
From Baseline to 36 months post-procedure
|
|
Number of Participants With Vascular Complications
Tidsramme: From Baseline to 36 months post-procedure
|
Vascular complications (e.g., clinically significant groin hematoma, arteriovenous fistula, pseudoaneurysm, excessive bleeding) requiring surgical repair, interventional procedure, thrombin injection, or blood transfusion (requiring more than 2 units of packed red blood cells within any 24 hour period during the first 7 days post renal denervation procedure).
|
From Baseline to 36 months post-procedure
|
|
Number of Participants With Hospitalization for Hypertensive Crisis Not Related to Confirmed Non-adherence With Medications and/or the Protocol.
Tidsramme: From Baseline to 36 months post-procedure
|
From Baseline to 36 months post-procedure
|
|
|
Number of Participants With New Renal Artery Stenosis > 70%, Confirmed by Angiography and as Determined by the Angiographic Core Laboratory
Tidsramme: From Baseline to 36 months post-procedure
|
From Baseline to 36 months post-procedure
|
|
|
Number of Participants With ≥ 40% Decline in eGFR
Tidsramme: From baseline to 36 months post-procedure
|
From baseline to 36 months post-procedure
|
|
|
Number of Participants With Increase in Serum Creatinine >50% From Screening Visit 2 (Baseline)
Tidsramme: From baseline to 36 months post-procedure
|
From baseline to 36 months post-procedure
|
|
|
Number of Participants With New Myocardial Infarct
Tidsramme: From baseline to 36 months post-procedure
|
From baseline to 36 months post-procedure
|
|
|
Number of Participants With New Stroke
Tidsramme: From baseline to 36 months post-procedure
|
From baseline to 36 months post-procedure
|
|
|
Number of Participants With Renal Artery Re-intervention
Tidsramme: From baseline to 36 months post-procedure
|
From baseline to 36 months post-procedure
|
|
|
Number of Participants With Major Bleeding According to TIMI Definition
Tidsramme: From baseline to 36 months post-procedure
|
Major bleeding according to TIMI definition (i.e.
intracranial hemorrhage, ≥5g/dl decrease in hemoglobin concentration, a ≥15% absolute decrease in hematocrit, or death due to bleeding within 7 days of the procedure
|
From baseline to 36 months post-procedure
|
|
Change in Diastolic Blood Pressure as Measured by 24-hour (ABPM) 6-months
Tidsramme: From baseline to 6 months post-procedure
|
Change in diastolic blood pressure from baseline (screening visit 2) to 6 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
|
From baseline to 6 months post-procedure
|
|
Change in Office Diastolic Blood Pressure to 6-months
Tidsramme: From baseline to 6 months post-procedure
|
Change in office diastolic blood pressure from baseline (screening visit 2) to 6 months post-procedure
|
From baseline to 6 months post-procedure
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Antihypertensive Medication Burden to 36-months
Tidsramme: From baseline to 36 months post-procedure
|
Based on the prescribed medications reported, medication burden was calculated using Medication Index 2 score which is a composite index based on the doses of antihypertensive medications multiplied by the number of medications prescribed; all classes (ACE/ARB, calcium channel blockers, etc.) were considered equivalent in potency. Higher score indicates higher dosages being prescribed over the standard dose. There are no clinically established thresholds. Minimum Value 0; No Maximum value (See Secondary Outcome Measure #5 for comparison) |
From baseline to 36 months post-procedure
|
|
Antihypertensive Medication Burden to 24-months
Tidsramme: From baseline to 24 months post-procedure
|
Based on the prescribed medications reported, medication burden was calculated using Medication Index 2 score which is a composite index based on the doses of antihypertensive medications multiplied by the number of medications prescribed; all classes (ACE/ARB, calcium channel blockers, etc.) were considered equivalent in potency. Higher score indicates higher dosages being prescribed over the standard dose. There are no clinically established thresholds. Minimum Value 0; No Maximum value (See Secondary Outcome Measure #5 for comparison) |
From baseline to 24 months post-procedure
|
|
Antihypertensive Medication Burden to 12-Months
Tidsramme: From Baseline to 12 months post-procedure
|
Based on the prescribed medications reported, medication burden was calculated using Medication Index 2 score which is a composite index based on the doses of antihypertensive medications multiplied by the number of medications prescribed; all classes (ACE/ARB, calcium channel blockers, etc.) were considered equivalent in potency. Higher score indicates higher dosages being prescribed over the standard dose. There are no clinically established thresholds. Minimum Value 0; No Maximum value (See Secondary Outcome Measure #5 for comparison) |
From Baseline to 12 months post-procedure
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Raymond Townsend, MD, University of Pennsylvania
- Ledende efterforsker: David Kandzari, MD, Piedmont Hospital
- Ledende efterforsker: Michael Böhm, MD, Universitätskliniken des Saarlandes
- Ledende efterforsker: Kazuomi Kario, MD, Jichi Medical University
Publikationer og nyttige links
Generelle publikationer
- Mahfoud F, Kandzari DE, Kario K, Townsend RR, Weber MA, Schmieder RE, Tsioufis K, Pocock S, Dimitriadis K, Choi JW, East C, D'Souza R, Sharp ASP, Ewen S, Walton A, Hopper I, Brar S, McKenna P, Fahy M, Bohm M. Long-term efficacy and safety of renal denervation in the presence of antihypertensive drugs (SPYRAL HTN-ON MED): a randomised, sham-controlled trial. Lancet. 2022 Apr 9;399(10333):1401-1410. doi: 10.1016/S0140-6736(22)00455-X. Epub 2022 Apr 4.
- Kandzari DE, Hickey GL, Pocock SJ, Weber MA, Bohm M, Cohen SA, Fahy M, Lamberti G, Mahfoud F. Prioritised endpoints for device-based hypertension trials: the win ratio methodology. EuroIntervention. 2021 Apr 2;16(18):e1496-e1502. doi: 10.4244/EIJ-D-20-01090.
- Kario K, Weber MA, Bohm M, Townsend RR, Mahfoud F, Schmieder RE, Tsioufis K, Cohen SA, Fahy M, Kandzari DE. Effect of renal denervation in attenuating the stress of morning surge in blood pressure: post-hoc analysis from the SPYRAL HTN-ON MED trial. Clin Res Cardiol. 2021 May;110(5):725-731. doi: 10.1007/s00392-020-01718-6. Epub 2020 Aug 1.
- Kandzari DE, Bohm M, Mahfoud F, Townsend RR, Weber MA, Pocock S, Tsioufis K, Tousoulis D, Choi JW, East C, Brar S, Cohen SA, Fahy M, Pilcher G, Kario K; SPYRAL HTN-ON MED Trial Investigators. Effect of renal denervation on blood pressure in the presence of antihypertensive drugs: 6-month efficacy and safety results from the SPYRAL HTN-ON MED proof-of-concept randomised trial. Lancet. 2018 Jun 9;391(10137):2346-2355. doi: 10.1016/S0140-6736(18)30951-6. Epub 2018 May 23.
- Kandzari DE, Kario K, Mahfoud F, Cohen SA, Pilcher G, Pocock S, Townsend R, Weber MA, Bohm M. The SPYRAL HTN Global Clinical Trial Program: Rationale and design for studies of renal denervation in the absence (SPYRAL HTN OFF-MED) and presence (SPYRAL HTN ON-MED) of antihypertensive medications. Am Heart J. 2016 Jan;171(1):82-91. doi: 10.1016/j.ahj.2015.08.021. Epub 2015 Sep 11.
- Bohm M, Townsend RR, Kario K, Kandzari D, Mahfoud F, Weber MA, Schmieder RE, Tsioufis K, Hickey GL, Fahy M, DeBruin V, Brar S, Pocock S. Rationale and design of two randomized sham-controlled trials of catheter-based renal denervation in subjects with uncontrolled hypertension in the absence (SPYRAL HTN-OFF MED Pivotal) and presence (SPYRAL HTN-ON MED Expansion) of antihypertensive medications: a novel approach using Bayesian design. Clin Res Cardiol. 2020 Mar;109(3):289-302. doi: 10.1007/s00392-020-01595-z. Epub 2020 Feb 7.
- Kandzari DE, Mahfoud F, Townsend RR, Kario K, Weber MA, Schmieder RE, Tsioufis K, Pocock S, Liu M, DeBruin V, Brar S, Bohm M. Long-Term Safety and Efficacy of Renal Denervation: 24-Month Results From the SPYRAL HTN-ON MED Trial. Circ Cardiovasc Interv. 2025 Jul;18(7):e015194. doi: 10.1161/CIRCINTERVENTIONS.125.015194. Epub 2025 May 20.
- Townsend RR, Ferdinand KC, Kandzari DE, Kario K, Mahfoud F, Weber MA, Schmieder RE, Pocock S, Tsioufis K, David S, Steigerwalt S, Walton A, Hopper I, Bertolet B, Sharif F, Fengler K, Fahy M, Hettrick DA, Brar S, Bohm M. Impact of Antihypertensive Medication Changes After Renal Denervation Among Different Patient Groups: SPYRAL HTN-ON MED. Hypertension. 2024 May;81(5):1095-1105. doi: 10.1161/HYPERTENSIONAHA.123.22251. Epub 2024 Feb 5.
- Kandzari DE, Townsend RR, Kario K, Mahfoud F, Weber MA, Schmieder RE, Pocock S, Tsioufis K, Konstantinidis D, Choi J, East C, Lauder L, Cohen DL, Kobayashi T, Schmid A, Lee DP, Ma A, Weil J, Agdirlioglu T, Schlaich MP, Shetty S, Devireddy CM, Lea J, Aoki J, Sharp ASP, Anderson R, Fahy M, DeBruin V, Brar S, Bohm M; SPYRAL HTN-ON MED Investigators. Safety and Efficacy of Renal Denervation in Patients Taking Antihypertensive Medications. J Am Coll Cardiol. 2023 Nov 7;82(19):1809-1823. doi: 10.1016/j.jacc.2023.08.045.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- SPYRAL HTN-ON MED
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Hjerte-kar-sygdomme
-
Ottawa Hospital Research InstituteAfsluttetStress | Crisis Resource Management (CRM) færdigheder | Advanced Cardiovascular Life Support (ACLS) færdighederCanada
Kliniske forsøg med Simplicity Spyral™ multi-elektrode renal denervering system
-
Adolfo FontenlaRekruttering
-
Medtronic VascularAktiv, ikke rekrutterendeHjerte-kar-sygdomme | Karsygdomme | Forhøjet blodtryk | Diabetes mellitus | Kroniske nyresygdommeForenede Stater, Australien, Belgien, Frankrig, Tyskland, Monaco, Det Forenede Kongerige, Grækenland, Irland, Holland, Sverige
-
Medtronic VascularAfsluttetHjerte-kar-sygdomme | Karsygdomme | Forhøjet blodtrykForenede Stater, Det Forenede Kongerige, Tyskland, Grækenland
-
Medtronic VascularRekrutteringHjerte-kar-sygdomme | Karsygdomme | Forhøjet blodtryk | Diabetes mellitus | Kroniske nyresygdommeHolland, Belgien, Taiwan, Tyskland, Australien, Det Forenede Kongerige, Malaysia, Irland
-
University Hospital, SaarlandTrukket tilbageKronisk hjertesvigt | Cardio-Nyre SyndromØstrig, Tyskland, Schweiz, Sverige
-
Medtronic VascularAfsluttetForhøjet blodtryk | AtrieflimrenForenede Stater, Tyskland
-
Medtronic VascularRekrutteringHjerte-kar-sygdomme | Karsygdomme | Forhøjet blodtrykForenede Stater
-
Chinese University of Hong KongRekruttering
-
University of AdelaideUkendtUkontrolleret hypertensionAustralien