A Prospective, Multi-center, Non-randomized, Controlled Trial in India to Evaluate Efficacy and Safety of Renal Denervation in the Treatment of Uncontrolled Hypertension
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adults With Uncontrolled Hypertension
- Sponsor
- Medtronic Vascular
- Enrollment
- 14
- Locations
- 1
- Primary Endpoint
- Efficacy: Change in Office Systolic Blood Pressure from baseline to 6 months post-procedure
- Status
- Terminated
- Last Updated
- 9 years ago
Overview
Brief Summary
This study is to evaluate efficacy and safety of renal denervation in the treatment of uncontrolled hypertension. This study will enroll a minimum of 40 and a maximum of 45 subjects. The study will be conducted at up to 8 actively enrolling investigational sites. The primary endpoint is change in Office Systolic Blood Pressure from baseline to 6 months post-procedure.
Detailed Description
Estimated enrollment Start: May 2013 (estimated 90 day duration) Estimated last follow-up: September 2013 Follow-Up Duration: Subjects in the intent-to-treat population will be followed from enrollment through 6 months ±14 days for the effectiveness and safety endpoints
Investigators
Eligibility Criteria
Inclusion Criteria
- •Individual is 18 and 80 years old at time of treatment.
- •Individual is receiving a stable medication regimen including 3 or more anti-hypertensive medications of different classes, of which one must be a diuretic that is expected to be maintained without changes for at least 6 months.
- •Individual has an office systolic blood pressure of 160 mm Hg based on an average of 3 blood pressure readings measured at screening visits
- •Individual or legally authorized representative agrees to have all study procedures performed, and is competent and willing to provide written, informed consent to participate in this clinical study.
Exclusion Criteria
- •Individual has renal artery anatomy that is ineligible for treatment including:
- •Main renal arteries with less than 4 mm diameter or with less than 20 mm treatable length
- •Multiple renal arteries where the main renal artery is estimated to supply less than 75 percent of the kidney.
- •Renal artery stenosis more than 50 percent or renal artery aneurysm in either renal artery.
- •A history of prior renal artery intervention including balloon angioplasty or stenting.
- •Individual has an estimated glomerular filtration rate of less than 45mL per min per 1.73m2, using the MDRD calculation.
- •Individual has had more than 1 in-patient hospitalization for a hypertensive crisis within the past year.
- •Individual has type 1 diabetes mellitus.
- •Individual has had 1 or more episodes of symptomatic orthostatic hypotension within the past year or during the screening process.
- •Individual requires chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea.
Outcomes
Primary Outcomes
Efficacy: Change in Office Systolic Blood Pressure from baseline to 6 months post-procedure
Time Frame: 6 months post procedure
Secondary Outcomes
- Safety: Incidence of Major Adverse Events (MAE),through 6 months post-procedure(6 months post procedure)