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THRIVE - Sistema di denervazione renale terapeutico con ultrasuoni intravascolari (TIVUS™) rispetto alla simulazione per il trattamento aggiuntivo dell'ipertensione (THRIVE)

21 settembre 2026 aggiornato da: SoniVie Inc.

Uno studio cruciale, prospettico, multicentrico, randomizzato 2:1, in doppio cieco, controllato, che mette a confronto il sistema di denervazione renale terapeutico con ultrasuoni intravascolari (TIVUS™) e la simulazione per il trattamento aggiuntivo dell'ipertensione (studio THRIVE)

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

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

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.

Tipo di studio

Interventistico

Iscrizione (Stimato)

261

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 22 anni a 75 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione incrociata
  • Mascheramento: Triplicare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: 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.

Altri nomi:
  • Denervazione renale
Comparatore fittizio: 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.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Reduction in average daytime ambulatory systolic BP
Lasso di tempo: 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)
Lasso di tempo: From Baseline to 30 day and 6 months post procedure

Safety outcome

From Baseline to 30 day and 6 months post procedure

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Reduction in average 24-hr ambulatory systolic BP
Lasso di tempo: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average home systolic BP
Lasso di tempo: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average office systolic BP
Lasso di tempo: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average daytime ambulatory diastolic BP
Lasso di tempo: From baseline to 2 Months post procedure

Secondary outcome

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

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average home diastolic BP
Lasso di tempo: From baseline to 2 Months post procedure

Secondary outcome

From baseline to 2 Months post procedure
Reduction in average office diastolic BP
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: From baseline to 2, 6, and 12 Months post procedure

Secondary outcome

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

Altre misure di risultato

Misura del risultato
Misura Descrizione
Lasso di tempo
Reduction in average night-time ambulatory systolic/diastolic BP
Lasso di tempo: 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.
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: From baseline to 2, 6, 12, 24 and 36 Months.

Observational outcome

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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Collaboratori

Investigatori

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

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

3 ottobre 2024

Completamento primario (Stimato)

31 marzo 2027

Completamento dello studio (Stimato)

15 agosto 2028

Date di iscrizione allo studio

Primo inviato

24 luglio 2024

Primo inviato che soddisfa i criteri di controllo qualità

15 agosto 2024

Primo Inserito (Effettivo)

19 agosto 2024

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

24 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

21 settembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • CLNS07-001

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

Sì

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .