THRIVE- Ultrassom intravascular terapêutico (TIVUS™) Sistema de denervação renal versus simulação para o tratamento adjuvante da hipertensão (THRIVE)
Um estudo fundamental, prospectivo, multicêntrico, 2:1 randomizado, duplo-cego, controlado, comparando o sistema de denervação renal de ultrassom intravascular terapêutico (TIVUS™) versus simulação para o tratamento adjuvante da hipertensão (estudo THRIVE)
The primary objective of the THRIVE Pivotal study is to demonstrate the adjunctive effectiveness and the safety of the TIVUS system in:
- 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.
- 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
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Descrição detalhada
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 de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: Janelle Noble
- Número de telefone: 612-598-4368
- E-mail: janelle.noble@bsci.com
Estude backup de contato
- Nome: Lisa Melchior
- Número de telefone: 651-324-4931
- E-mail: lisa.melchior@bsci.com
Locais de estudo
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Dresden, Alemanha
- Recrutamento
- Dresden TUD University of Technology
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Contato:
- Axel Linke, MD, PhD
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Erlangen, Alemanha
- Recrutamento
- Universitätsklinikum Erlangen
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Contato:
- Roland Schmieder, MD, PhD
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Frankfurt, Alemanha
- Recrutamento
- Frankfurt Sankt Katharinen Krankenhaus
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Contato:
- Horst Sievert, MD
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Freiburg im Breisgau, Alemanha
- Recrutamento
- Freiburg Herzzenrtum
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Contato:
- Elias Noory, MD
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Hamburg, Alemanha
- Recrutamento
- Marienkrankenhaus Hamburg
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Contato:
- Jury Schewel, MD
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Herne, Alemanha
- Recrutamento
- Herne Marien Hospital
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Contato:
- Christian Ukena, MD, PhD
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Homburg, Alemanha
- Recrutamento
- Saarland University Hospital
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Contato:
- Kulenthiran Saarraaken, MD
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Leipzig, Alemanha
- Recrutamento
- Herzzentrum Leipzig
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Contato:
- Karl Fengler, MD
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Lübeck, Alemanha
- Recrutamento
- Sana Kliniken Lubeck
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Contato:
- Joachim Weil, MD
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Alabama
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Birmingham, Alabama, Estados Unidos, 35211
- Recrutamento
- Cardiology, PC
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Contato:
- Susan DeRamus
- E-mail: SDeRamus@cardiologypc.com
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Investigador principal:
- Farrell O Mendelsohn
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Arizona
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Scottsdale, Arizona, Estados Unidos, 85258
- Recrutamento
- HonorHealth
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Contato:
- Taral Patel, MD
- E-mail: tapatel@honorhealth.com
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Arkansas
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Jonesboro, Arkansas, Estados Unidos, 72401
- Recrutamento
- St. Bernard's Medical Center
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Contato:
- Maximilliano Arroyo, MD
- E-mail: maxarr@hotmail.com
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Contato:
- Sasha Potter
- E-mail: mailto:sasha@cargresearch.com
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Little Rock, Arkansas, Estados Unidos, 72211
- Recrutamento
- Arkansas Heart Hospital
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Contato:
- Andre Paixao, MD
- E-mail: Andre.Paixao@arheart.com
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Contato:
- Leybi Ramirez-Kelly, PhD
- E-mail: Leybi.Ramirez-Kelly@arheart.com
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California
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Los Angeles, California, Estados Unidos, 90048
- Recrutamento
- Cedar-Sinai Medical Center
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Contato:
- Maria Thottam
- E-mail: maria.thottam@cshs.org
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Contato:
- Florian Rader, M.D.
- E-mail: Florian.Rader@cshs.org
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Palo Alto, California, Estados Unidos, 94305
- Recrutamento
- Stanford University
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Contato:
- David Lee, MD
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Connecticut
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Bridgeport, Connecticut, Estados Unidos, 06610
- Recrutamento
- Connecticut Clinical Research, LLC (Bridgeport)
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Contato:
- Edward Tuohy, MD
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Florida
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Pensacola, Florida, Estados Unidos, 32504
- Recrutamento
- Ascension- Sacred Heart
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Contato:
- Rohit Amin, MD
- E-mail: research-ash@ascension.org
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Safety Harbor, Florida, Estados Unidos, 34695
- Recrutamento
- Baycare Health System
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Contato:
- Parag Patel, MD
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Tampa, Florida, Estados Unidos, 33606
- Recrutamento
- University of South Florida
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Contato:
- Fadi Matar, MD
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Illinois
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Elk Grove Village, Illinois, Estados Unidos, 60007
- Recrutamento
- Ascension Alexian Brothers
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Investigador principal:
- Alexander Fraley, M.D.
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Springfield, Illinois, Estados Unidos, 62794
- Recrutamento
- Southern Illinois University, School of Medicine
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Contato:
- John Flack, MD
- E-mail: jflack47@siumed.edu
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Springfield, Illinois, Estados Unidos, 62710
- Recrutamento
- St. John's Prairie Heart
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Contato:
- Avinash Murthy, MD
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Louisiana
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Houma, Louisiana, Estados Unidos, 70360
- Recrutamento
- Cardiovascular Institute of the South
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Contato:
- Craig Walker
- E-mail: craig.walker@cardio.com
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New Orleans, Louisiana, Estados Unidos, 70121
- Recrutamento
- Ochsner Medical Center
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Contato:
- James Jenkins, MD
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Michigan
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Detroit, Michigan, Estados Unidos, 48202
- Recrutamento
- Henry Ford Hospital
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Contato:
- Herbert D Aronow, MD
- E-mail: haronow1@hfhs.org
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Contato:
- Michelle Butcher
- E-mail: Mbutcher1@hfhs.org
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Southfield, Michigan, Estados Unidos, 48075
- Recrutamento
- Henry Ford Providence Hospital
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Contato:
- Shukri David, MD
- E-mail: shukri.david@asension.org
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Contato:
- Yulia Abidov
- E-mail: yabidov1@hfhs.org
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Mississippi
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Gulfport, Mississippi, Estados Unidos, 39501
- Recrutamento
- Gulfport Memorial Hospital
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Contato:
- Wayne Latack, MD
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Jackson, Mississippi, Estados Unidos, 39216
- Recrutamento
- Jackson Heart Clinic
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Contato:
- J. Gray Bennett, MD
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Missouri
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Kansas City, Missouri, Estados Unidos, 64131
- Recrutamento
- St Lukes Hospital
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Contato:
- Steven B Laster, MD
- E-mail: slaster@sait-lukes.org
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Nevada
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Reno, Nevada, Estados Unidos, 89502
- Recrutamento
- Renown Regional Medical Center
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Contato:
- Michael Bloch, MD
- E-mail: michael.bloch@renown.org
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New Jersey
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Camden, New Jersey, Estados Unidos, 08103
- Recrutamento
- Virtua Health
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Contato:
- Kintur Sanghvi, MD
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Neptune City, New Jersey, Estados Unidos, 07753
- Recrutamento
- Jersey Shore University Medical Center
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Contato:
- Matthew Saybolt, MD
- E-mail: matthew.saybolt@hmhn.org
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New York
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Liverpool, New York, Estados Unidos, 13088
- Recrutamento
- St. Joseph
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Contato:
- Ayman Iskander, MD
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New York, New York, Estados Unidos, 10032
- Recrutamento
- Nyph/Cumc
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Contato:
- Ari Mintz, MD
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North Carolina
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Raleigh, North Carolina, Estados Unidos, 27607
- Recrutamento
- NC Heart and Vascular
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Contato:
- James Pierre-Louis
- E-mail: Pierre-LouJames.Pierre-Louis@unchealth.unc.edu
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Investigador principal:
- James Zidar
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Oklahoma
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Bartlesville, Oklahoma, Estados Unidos, 74006
- Recrutamento
- Ascension St. John Clinical Research Institute
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Contato:
- Anderson Mehrle, MD
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Pennsylvania
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Lancaster, Pennsylvania, Estados Unidos, 17603
- Recrutamento
- Lancaster General Health
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Contato:
- Rupal Dumasia, MD
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Philadelphia, Pennsylvania, Estados Unidos, 19104
- Recrutamento
- Penn Medicine
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Contato:
- Deborah Cohen, MD
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South Carolina
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Mt. Pleasant, South Carolina, Estados Unidos, 29464
- Recrutamento
- MUSC
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Contato:
- Thomas Todoran, MD, MS
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Texas
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Fort Worth, Texas, Estados Unidos, 76104
- Recrutamento
- Plaza Medical Center of Fort Worth
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Contato:
- Farhan Ali, M.D.
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Houston, Texas, Estados Unidos, 77004
- Recrutamento
- Houston Medical Center
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Contato:
- Arnav Kumar, M.D.
- E-mail: Arnav.Kumar@hcahealthcare.com
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Utah
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Salt Lake City, Utah, Estados Unidos, 37027
- Recrutamento
- St Marks Hospital
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Contato:
- Vamsee Yaganti, M.D.
- E-mail: Vamsee.Yaganti@hcahealthcare.com
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Virginia
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Richmond, Virginia, Estados Unidos, 23225
- Recrutamento
- Chippenham Hospital
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Contato:
- Nayef Abouzaki, MD
- E-mail: nabouzaki@vacardio.com
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Bordeaux, França
- Recrutamento
- Hopital Saint André
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Contato:
- Antoine Cremer, MD
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Paris, França
- Recrutamento
- Hôpital Européen Georges-Pompidou
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Contato:
- Michel Azizi, MD, PhD
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Athens, Grécia
- Recrutamento
- Athens Hippokration
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Contato:
- K Tsioufis, MD, PhD
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Heraklion, Grécia
- Recrutamento
- University of Crete
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Contato:
- Maria Marketou, MD, PhD
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Thessaloniki, Grécia
- Recrutamento
- Thessaloniki Hippokration General Hospital
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Contato:
- Michalis Doumas, MD
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Mercogliano, Itália
- Recrutamento
- Clinica Montevergine
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Contato:
- Luigi Salemme, MD
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Monza, Itália
- Recrutamento
- Monza Policlinico
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Contato:
- Filippo Scalise, MD
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Roma, Itália
- Recrutamento
- Ospedale Sant'Andrea
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Contato:
- Emanuele Barbato, MD, PhD
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Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
-
Appropriately signed and dated informed consent
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Male and female adults with age between ≥22 and ≤75 years at time of consent
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Documented history of hypertension
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Previously or currently prescribed antihypertensive therapy
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Subject has an office BP (average of 3 seated measurements) of:
- 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,
- 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
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Able and willing to comply with all study procedures
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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.**
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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:
-
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
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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)
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Type I diabetes mellitus or uncontrolled Type II diabetes (defined as a plasma HbA1c ≥ 9.0%)
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eGFR of <40 mL/min/1.73 m2 CKD-EPI as calculated using the CKD-EPI 2021 equation
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Cerebrovascular event (e.g. stroke, transient ischemic event, cerebrovascular accident) within 6 months prior to consent
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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
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Subject has severe valvular stenosis or insufficiency
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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
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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
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Subject with rapid, uncontrolled, symptomatic atrial fibrillation
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Active implantable medical device (e.g. ICD or CRT-D; neuromodulator/spinal stimulator; baroreflex stimulator)
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Chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea.
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Subject has a planned major surgery (any procedure requiring general anesthesia) in the next 12 months.
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Subject on anticoagulant therapy that cannot be temporarily withheld for study procedure.
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Primary pulmonary hypertension
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Documented contraindication or allergy to contrast medium not amenable to treatment
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Limited life expectancy of < 1 year at the discretion of the Investigator
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Night shift worker
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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.
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Subject is taking immunosuppressive therapy for diseases featuring vasculitis
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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
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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
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Subject has a planned major surgery or cardiovascular intervention in the next 6 months
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Subject with history of renal transplantation
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Evidence of active infection within 7 days of procedure (based on positive lab test and requiring therapy).
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Subject has hypertrophic cardiomyopathy or amyloidosis.
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Prior renal denervation procedure
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Concurrent enrollment in any other investigational drug or device trial (participation in non-interventional studies/registries is acceptable)
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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:
- Main renal arteries lumen diameter < 4 mm.
- Main renal treatable artery length <20mm (may include proximal branching).
- Accessory renal arteries that supplies ≥ 25% of the parenchyma, and < 4 mm in lumen diameter.
- Aorto-renal angle that prevents a safe cannulation of the renal artery.
- 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.
- 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).
- Any renal artery stenosis > 30% by visual assessment.
- Any renal artery aneurysm (>50% of the main renal artery reference vessel diameter by visual estimate).
- Presence of fibromuscular dysplasia of the renal arteries
- Significant renal artery atheroma, aneurysm, calcification in the target vessel identified on CT Angiogram
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição cruzada
- Mascaramento: Triplo
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Experimental: 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.
Outros nomes:
|
|
Comparador Falso: 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. |
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Reduction in average daytime ambulatory systolic BP
Prazo: 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)
Prazo: From Baseline to 30 day and 6 months post procedure
|
Safety outcome |
From Baseline to 30 day and 6 months post procedure
|
Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Reduction in average 24-hr ambulatory systolic BP
Prazo: From baseline to 2 Months post procedure
|
Secondary outcome |
From baseline to 2 Months post procedure
|
|
Reduction in average home systolic BP
Prazo: From baseline to 2 Months post procedure
|
Secondary outcome |
From baseline to 2 Months post procedure
|
|
Reduction in average office systolic BP
Prazo: From baseline to 2 Months post procedure
|
Secondary outcome |
From baseline to 2 Months post procedure
|
|
Reduction in average daytime ambulatory diastolic BP
Prazo: From baseline to 2 Months post procedure
|
Secondary outcome |
From baseline to 2 Months post procedure
|
|
Reduction in average 24-hr ambulatory diastolic BP
Prazo: From baseline to 2 Months post procedure
|
Secondary outcome |
From baseline to 2 Months post procedure
|
|
Reduction in average home diastolic BP
Prazo: From baseline to 2 Months post procedure
|
Secondary outcome |
From baseline to 2 Months post procedure
|
|
Reduction in average office diastolic BP
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: From baseline to 2, 6, and 12 Months post procedure
|
Secondary outcome |
From baseline to 2, 6, and 12 Months post procedure
|
Outras medidas de resultado
Outras medidas de resultado
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Reduction in average night-time ambulatory systolic/diastolic BP
Prazo: 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.
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: From baseline to 2, 6, 12, 24 and 36 Months.
|
Observational outcome |
From baseline to 2, 6, 12, 24 and 36 Months.
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Investigadores
Investigadores
- Cadeira de estudo: Ajay Kirtane, MD, Columbia University
- Cadeira de estudo: Michel Azizi, MD, George Pompidou Hospital
- Cadeira de estudo: Felix Mahfoud, MD, University of Basel
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
Outros números de identificação do estudo
- CLNS07-001
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Informações sobre medicamentos e dispositivos, documentos de estudo
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