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临床试验/NCT01632943
NCT01632943终止不适用

A Prospective, Multi-center, Non-randomized, Controlled Trial in India to Evaluate Efficacy and Safety of Renal Denervation in the Treatment of Uncontrolled Hypertension

Medtronic Vascular2 个研究点 分布在 1 个国家目标入组 14 人开始时间: 2013年10月1日最近更新:
适应症

试验速览

阶段
不适用
状态
终止
发起方
入组人数
14
试验地点
2
主要终点
Efficacy: Change in Office Systolic Blood Pressure from baseline to 6 months post-procedure

研究概览

简要总结

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.

详细描述

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

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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.

排除标准

  • 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.
  • Individual has primary pulmonary hypertension.
  • Individual has known secondary causes of hypertension, such as untreated pheochromocytoma, Cushing's Disease, coarctation of the aorta, hyperthyroidism, or hyperparathyroidism.
  • Individual has experienced a myocardial infarction, unstable angina pectoris, syncope, or a cerebrovascular accident within 6 months of the screening period, or has widespread atherosclerosis, with documented intravascular thrombosis or unstable plaques.
  • Individual has a scheduled or planned surgery or cardiovascular intervention in the next 6 months.
  • Individual has a condition that would prohibit or interfere with ability to obtain an accurate blood pressure measurement using the protocol specified automatic blood pressure monitor
  • Individual has severe cardiac valve stenosis for which, in the opinion of the Investigator, a significant reduction of blood pressure is contraindicated.
  • Individual has any serious medical condition, which in the opinion of the investigator, may adversely affect the safety and/or effectiveness of the participant or the study
  • Individual is pregnant, nursing or planning to be pregnant.
  • Individual has a known, unresolved history of drug use or alcohol dependency, lacks the ability to comprehend or follow instructions, or would be unlikely or unable to comply with study follow-up requirements.
  • Individual is currently enrolled in another investigational drug or device trial. For the purposes of this protocol, participants involved in extended follow-up trials for products that were investigational but are currently commercially available are not considered enrolled in an investigational trial.

结局指标

主要结局

Efficacy: Change in Office Systolic Blood Pressure from baseline to 6 months post-procedure

时间窗: 6 months post procedure

次要结局

  • Safety: Incidence of Major Adverse Events (MAE),through 6 months post-procedure(6 months post procedure)

研究者

发起方
Medtronic Vascular
申办方类型
Industry
责任方
Sponsor

研究点 (2)

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