- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT02439775
SPYRAL HTN-ON MED-studie
Global klinisk studie av renal denervering med det enkle Spyral™ Multi-electrode Renal Denervation System hos pasienter med ukontrollert hypertensjon på standard medisinsk terapi (SPYRAL HTN-ON MED)
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Kogarah, Australia
- St. George Hospital
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Perth, Australia
- Royal Perth
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Victoria
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Melbourne, Victoria, Australia, 3004
- Alfred Hospital
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Ontario
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Hamilton, Ontario, Canada
- Hamilton Heath
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Toronto, Ontario, Canada
- St. Michael's Hospital
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Alabama
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Huntsville, Alabama, Forente stater, 35801
- Heart Center Research, LLC
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California
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Stanford, California, Forente stater, 94305
- Stanford Hospital and Clinics
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Connecticut
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New Haven, Connecticut, Forente stater, 06520
- Yale New Haven Hospital
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District of Columbia
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Washington D.C., District of Columbia, Forente stater, 20422
- Washington DC VA Medical Center
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Florida
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Jacksonville, Florida, Forente stater, 32207
- Baptist Medical Center Jacksonville
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Jacksonville, Florida, Forente stater, 32216
- Memorial Hospital Jacksonville
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Tallahassee, Florida, Forente stater, 32308
- Tallahassee Research Institute
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Georgia
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Atlanta, Georgia, Forente stater, 30308
- Emory University Hospital Midtown
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Atlanta, Georgia, Forente stater, 30309
- Piedmont Heart Institute
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Iowa
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West Des Moines, Iowa, Forente stater, 50266
- Iowa Heart Center
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Kentucky
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Lexington, Kentucky, Forente stater, 40536
- University of Kentucky
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Michigan
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Pontiac, Michigan, Forente stater, 48341
- St Joseph Mercy Oakland
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Southfield, Michigan, Forente stater, 48075
- Providence Hospital
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Minnesota
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Minneapolis, Minnesota, Forente stater, 55407
- Minneapolis Heart Institute Foundation
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Mississippi
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Hattiesburg, Mississippi, Forente stater, 39401
- Hattiesburg Clinic
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Tupelo, Mississippi, Forente stater, 38801
- Cardiology Associates Research LLC
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Missouri
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St Louis, Missouri, Forente stater, 63110
- Barnes-Jewish Hospital
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New Jersey
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Livingston, New Jersey, Forente stater, 07039
- Saint Barnabas Medical Center
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New York
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Manhasset, New York, Forente stater, 11030
- North Shore University Hospital
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New York, New York, Forente stater, 10029
- Mount Sinai Medical Center
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New York, New York, Forente stater, 10021
- Weill Cornell Medical College/The New York Presbyterian Hospital
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North Carolina
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Durham, North Carolina, Forente stater, 27710
- Duke University Medical Center
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Ohio
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Cleveland, Ohio, Forente stater, 44106
- University Hospitals Cleveland Medical Center
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Oregon
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Portland, Oregon, Forente stater, 97239
- Oregon Health & Science University Hospital
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Pennsylvania
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Harrisburg, Pennsylvania, Forente stater, 17011
- PinnacleHealth Cardiovascular Institute
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Philadelphia, Pennsylvania, Forente stater, 19104
- Hospital of the University of Pennsylvania
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Rhode Island
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Providence, Rhode Island, Forente stater, 02906
- The Miriam Hospital
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South Carolina
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Anderson, South Carolina, Forente stater, 29621
- AnMed Health
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Tennessee
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Nashville, Tennessee, Forente stater, 37203
- Centennial Medical Center
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Texas
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Dallas, Texas, Forente stater, 75226
- Baylor Heart & Vascular Hospital
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West Virginia
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Charleston, West Virginia, Forente stater, 25304
- Charleston Area Medical Center
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Wisconsin
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Milwaukee, Wisconsin, Forente stater, 53215
- Aurora St. Luke's Medical Center
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Toulouse, Frankrike
- Clinique Pasteur
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Athens, Hellas, 11527
- Hippokration General Hospital of Athens
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Thessaloniki, Hellas, 54621
- University General Hospital of Thessaloniki (AHEPA)
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Galway, Irland
- Galway University Hospital
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Osaka, Japan
- Saiseikai Nakatsu Hospital
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Hyōgo
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Takarazuka, Hyōgo, Japan
- Higashi Takarazuka Satoh Hospital
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Okamoto
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Kamakura, Okamoto, Japan
- Shonan Kamakura General Hospital
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Tochigi
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Shimotsuke, Tochigi, Japan, 329-0498
- Jichi Medical University Hospital
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Tokyo
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Chiyoda City, Tokyo, Japan, 101-8643
- Mitsui Memorial Hospital
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Bournemouth, Storbritannia
- Royal Bournemouth Hospital
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Cardiff, Storbritannia
- Cardiff and Vale University Health Board - University Hospital of Wales
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Exeter, Storbritannia, EX2 5DW
- Royal Devon & Exeter NHS Foundation Trust
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London, Storbritannia, W12 0HS
- Imperial College Healthcare NHS Trust
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Bad Krozingen, Tyskland, 79189
- Universitäts-Herzzentrum Freiburg - Bad Krozingen GmbH
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Erlangen, Tyskland, 91054
- Universitätsklinikum Erlangen
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Homburg, Tyskland, 66421
- Universitätsklinikum des Saarlandes
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Leipzig, Tyskland, 04289
- Herzzentrum Leipzig, Universitätsklinik
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Lübeck, Tyskland, 23560
- Sana Kliniken Lubeck
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Wels, Østerrike, 4600
- Klinikum Wels-Grieskirchen
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Beskrivelse
Inklusjonskriterier:
- Individet har kontorsystolisk blodtrykk (SBP) ≥ 150 mmHg og
- Individet har 24-timers ambulant blodtrykksmåling (ABPM) gjennomsnittlig SBP ≥ 140 mmHg og < 170 mmHg.
Ekskluderingskriterier:
- Individet mangler passende nyrearterieanatomi.
- Individet har estimert glomerulær filtrasjonshastighet (eGFR) på
- Individet har type 1 diabetes mellitus eller dårlig kontrollert type 2 diabetes mellitus.
- Individet har en eller flere episoder med ortostatisk hypotensjon.
- Individet krever kronisk oksygenstøtte eller mekanisk ventilasjon annet enn nattlig respirasjonsstøtte for søvnapné.
- Individet har primær pulmonal hypertensjon.
- Personen er gravid, ammer eller planlegger å bli gravid.
- Individet har hyppige periodiske eller kroniske smerter som resulterer i behandling med ikke-steroide antiinflammatoriske legemidler (NSAIDs) i to eller flere dager per uke i løpet av måneden før innmelding
- Individet har stabil eller ustabil angina innen 3 måneder etter påmelding, hjerteinfarkt innen 3 måneder etter påmelding; hjertesvikt, cerebrovaskulær ulykke eller forbigående iskemisk angrep, eller atrieflimmer når som helst.
- Individuell jobber nattskift.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Renal denervering
Nyreangiografi og renal denervasjon (Symplicity Spyral™ multi-elektrode renal denervation system)
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Etter en nyreangiografi i henhold til standardprosedyrer, forblir forsøkspersonene blinde og behandles umiddelbart med renal denerveringsprosedyre etter randomisering.
Andre navn:
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Sham-komparator: Skumprosedyre
Renal angiografi
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Etter en nyreangiografi i henhold til standardprosedyrer, forblir forsøkspersonene blinde og forblir på kateteriseringslaboratoriet i minst 20 minutter før innføringshylsen fjernes.
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Endring i systolisk blodtrykk målt ved 24-timers ambulatorisk blodtrykksovervåking (ABPM)
Tidsramme: Fra baseline til 6 måneder etter prosedyren
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Baseline-justert endring (ved bruk av analyse av kovarians) i systolisk blodtrykk (SBP) fra baseline (kontrollbesøk 2) til 6 måneder etter prosedyren målt ved 24-timers ambulant blodtrykksovervåking (ABPM).
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Fra baseline til 6 måneder etter prosedyren
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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)
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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)
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From Baseline to 1 month post-procedure (6 months for new renal artery stenosis)
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Antihypertensiv medisinbruk og endringer til 6 måneder
Tidsramme: Fra baseline til 6 måneder etter prosedyren
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Antall medisiner fra baseline (kontrollbesøk 2) til 6 måneder etter prosedyren
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Fra baseline til 6 måneder etter prosedyren
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Antihypertensiv medisinbelastning til 6 måneder
Tidsramme: Fra baseline til 6 måneder etter prosedyren
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Basert på de foreskrevne medikamentene som ble rapportert, ble medikamentbyrden beregnet ved hjelp av Medikamentindeks 2-score som er en sammensatt indeks basert på dosene av antihypertensive medisiner multiplisert med antall foreskrevet medisiner; alle klasser (ACE/ARB, kalsiumkanalblokkere, etc.) ble ansett som likeverdige i styrke. Høyere poengsum indikerer høyere doser som er foreskrevet over standarddosen. Minimumsverdi 0; Ingen maksimumsverdi |
Fra baseline til 6 måneder etter prosedyren
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Medisinendringer
Tidsramme: Baseline til 6 måneder etter prosedyren
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Pasienter som hadde medikamentendringer basert på medikamentindeks 2 testdata.
Medikamentindeks 2-score er en sammensatt indeks basert på dosene av antihypertensive medisiner multiplisert med antall medisiner som er foreskrevet; alle klasser (ACE/ARB, kalsiumkanalblokkere, etc.) ble ansett som likeverdige i styrke.
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Baseline til 6 måneder etter prosedyren
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Forekomst av å oppnå målkontorssystolisk blodtrykk
Tidsramme: Fra baseline til 6 måneder etter prosedyren
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Forekomst av oppnåelse av målkontorsystolisk blodtrykk (SBP <140 mmHg) 6 måneder etter prosedyren.
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Fra baseline til 6 måneder etter prosedyren
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Change in Office Systolic Blood Pressure to 6-months
Tidsramme: From baseline to 6 months post-procedure
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Change in office systolic blood pressure from baseline (Screening Visit 2) to 6 months post-procedure
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From baseline to 6 months post-procedure
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Change in Systolic Blood Pressure as Measured by 24-hour ABPM 12 Months
Tidsramme: From Baseline to 12 months post procedure
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Change in systolic blood pressure from baseline (screening visit 2) to 12 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM)
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From Baseline to 12 months post procedure
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Change in Systolic Blood Pressure as Measured by 24-hour ABPM 24-months
Tidsramme: From baseline to 24 months post-procedure
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Change in systolic blood pressure from baseline (screening visit 2) to 24 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
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From baseline to 24 months post-procedure
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Change in Systolic Blood Pressure as Measured by 24-hour ABPM 36-months
Tidsramme: From baseline to 36 months post-procedure
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Change in systolic blood pressure from baseline (screening visit 2) to 36 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
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From baseline to 36 months post-procedure
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Change in Office Systolic Blood Pressure to 12-months
Tidsramme: From Baseline to 12 months post procedure
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Change in office systolic blood pressure from baseline (screening visit 2) to 12 months.
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From Baseline to 12 months post procedure
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Change in Office Systolic Blood Pressure to 24-months
Tidsramme: From baseline to 24 months post-procedure
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Change in office systolic blood pressure from baseline (screening visit 2) to 24 months.
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From baseline to 24 months post-procedure
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Change in Office Systolic Blood Pressure to 36-months
Tidsramme: From baseline to 36 months post-procedure
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Change in office systolic blood pressure from baseline (screening visit 2) to 36 months.
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From baseline to 36 months post-procedure
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Change in Diastolic Blood Pressure as Measured by 24-hour ABPM 12-months
Tidsramme: From Baseline to 12 months post procedure
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Change in diastolic blood pressure from baseline (screening visit 2) to 12 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
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From Baseline to 12 months post procedure
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Change in Diastolic Blood Pressure as Measured by 24-hour ABPM 24-months
Tidsramme: From baseline to 24 months post-procedure
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Change in diastolic blood pressure from baseline (screening visit 2) to 24 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
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From baseline to 24 months post-procedure
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Change in Diastolic Blood Pressure as Measured by 24-hour ABPM 36-months
Tidsramme: From baseline to 36 months post-procedure
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Change in diastolic blood pressure from baseline (screening visit 2) to 36 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
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From baseline to 36 months post-procedure
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Change in Office Diastolic Blood Pressure 12 Months
Tidsramme: From baseline to 12 months post-procedure
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Change in office diastolic blood pressure from baseline (screening visit 2) to 12 months.
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From baseline to 12 months post-procedure
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Change in Office Diastolic Blood Pressure 24 Months
Tidsramme: From baseline to 24 months post-procedure
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Change in office diastolic blood pressure from baseline (screening visit 2) to 24 months.
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From baseline to 24 months post-procedure
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Change in Office Diastolic Blood Pressure 36 Months
Tidsramme: From baseline to 36 months post-procedure
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Change in office diastolic blood pressure from baseline (screening visit 2) to 36 months.
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From baseline to 36 months post-procedure
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Number of Participants Achieving Target Office Systolic Blood Pressure 12 Months
Tidsramme: From baseline to 12 months post-procedure
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Incidence of Achieving Target Office Systolic Blood Pressure (SBP <140 mmHg)
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From baseline to 12 months post-procedure
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Number of Participants Achieving Target Office Systolic Blood Pressure 24 Months
Tidsramme: From baseline to 24 months post-procedure
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Incidence of Achieving Target Office Systolic Blood Pressure (SBP <140 mmHg).
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From baseline to 24 months post-procedure
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Number of Participants Achieving Target Office Systolic Blood Pressure. 36 Months
Tidsramme: From baseline to 36 months post-procedure
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Incidence of Achieving Target Office Systolic Blood Pressure (SBP <140 mmHg)
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From baseline to 36 months post-procedure
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Number of Participants With All Cause Mortality
Tidsramme: From Baseline to 36-months post procedure
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From Baseline to 36-months post procedure
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Number of Participants With End-Stage Renal Disease (ESRD)
Tidsramme: From Baseline to 36-months post-procedure
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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:
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From Baseline to 36-months post-procedure
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Number of Participants With Significant Embolic Event Resulting in End-organ Damage
Tidsramme: From Baseline to 36 months post-procedure
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From Baseline to 36 months post-procedure
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Number of Participants With Renal Artery Perforation Requiring Intervention
Tidsramme: From Baseline to 36 month post-procedure
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Renal artery perforation requiring intervention
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From Baseline to 36 month post-procedure
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Number of Participants With Renal Artery Dissection Requiring Intervention
Tidsramme: From Baseline to 36 months post-procedure
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Number of Participants with Renal artery dissection requiring intervention
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From Baseline to 36 months post-procedure
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Number of Participants With Vascular Complications
Tidsramme: From Baseline to 36 months post-procedure
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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).
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From Baseline to 36 months post-procedure
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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
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From Baseline to 36 months post-procedure
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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
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From Baseline to 36 months post-procedure
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Number of Participants With ≥ 40% Decline in eGFR
Tidsramme: From baseline to 36 months post-procedure
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From baseline to 36 months post-procedure
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Number of Participants With Increase in Serum Creatinine >50% From Screening Visit 2 (Baseline)
Tidsramme: From baseline to 36 months post-procedure
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From baseline to 36 months post-procedure
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Number of Participants With New Myocardial Infarct
Tidsramme: From baseline to 36 months post-procedure
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From baseline to 36 months post-procedure
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Number of Participants With New Stroke
Tidsramme: From baseline to 36 months post-procedure
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From baseline to 36 months post-procedure
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Number of Participants With Renal Artery Re-intervention
Tidsramme: From baseline to 36 months post-procedure
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From baseline to 36 months post-procedure
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Number of Participants With Major Bleeding According to TIMI Definition
Tidsramme: From baseline to 36 months post-procedure
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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
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From baseline to 36 months post-procedure
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Change in Diastolic Blood Pressure as Measured by 24-hour (ABPM) 6-months
Tidsramme: From baseline to 6 months post-procedure
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Change in diastolic blood pressure from baseline (screening visit 2) to 6 months as measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM).
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From baseline to 6 months post-procedure
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Change in Office Diastolic Blood Pressure to 6-months
Tidsramme: From baseline to 6 months post-procedure
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Change in office diastolic blood pressure from baseline (screening visit 2) to 6 months post-procedure
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From baseline to 6 months post-procedure
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Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Antihypertensive Medication Burden to 36-months
Tidsramme: From baseline to 36 months post-procedure
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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
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Antihypertensive Medication Burden to 24-months
Tidsramme: From baseline to 24 months post-procedure
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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
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Antihypertensive Medication Burden to 12-Months
Tidsramme: From Baseline to 12 months post-procedure
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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
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Raymond Townsend, MD, University of Pennsylvania
- Hovedetterforsker: David Kandzari, MD, Piedmont Hospital
- Hovedetterforsker: Michael Böhm, MD, Universitätskliniken des Saarlandes
- Hovedetterforsker: Kazuomi Kario, MD, Jichi Medical University
Publikasjoner og nyttige lenker
Generelle publikasjoner
- 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.
Studierekorddatoer
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Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
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Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Antatt)
Oppdateringer av studieposter
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Siste oppdatering sendt inn som oppfylte QC-kriteriene
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Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- SPYRAL HTN-ON MED
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert enhetsprodukt
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