NCT04248530已完成不适用
An Open-Label, Single Arm, Multicenter Feasibility Study to Evaluate the Safety of Catheter-Based Renal Denervation With the DENEX System in Patients With Uncontrolled Hypertension on Standard Medical Therapy
Kalos Medical6 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2016年11月30日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 16
- 试验地点
- 6
- 主要终点
- Rate of all adverse events
研究概览
简要总结
The study is the multicenter pilot study to obtain an assessment of the safety of renal denervation in the patients with uncontrolled hypertension on standard medical therapy in Korea.
详细描述
DENEX system developed by Handok Kalos Medical Inc. is a renal nerve blocking system to efficiently block the sympathetic nerve of the kidney with minimal invasive procedure. It was developed to block the sympathetic nerves distributed in blood vessel wall by delivering high frequency energy to the renal artery for the purpose of treating hypertension.
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
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individual is ≥ 20 years of age at time of consent
- •Individual has office systolic blood pressure (SBP) of ≥ 150 mmHg
- •Individual has daytime 24-hour Ambulatory Blood Pressure Monitoring (ABPM) SBP of ≥ 140 mmHg
- •Individual maintains the following 3 antihypertensive medications: thiazide-type diuretic, calcium-channel blocker, and angiotensin-converting enzyme inhibitor or angiotensin receptor blocker (for at least 6 weeks before the screening visit) that is expected to be maintained without changes for at least 6 months.
排除标准
- •Main renal artery contains renal artery stenosis >50%
- •Individual has confirmed anatomical findings in kidneys or renal arteries through CT scan or angiogram
- •Undergone prior renal angioplasty
- •Main renal arterial vessel for each kidney <4 and >8 mm in diameter, or <20 mm length
- •Individual has an Estimated glomerular filtration rate <45 mL/min/1.73 m2 at screening visit
- •Individual has experienced myocardial infarction, unstable angina pectoris, syncope, or a cerebrovascular accident within 3 months of the screening period, or has widespread atherosclerosis, with documented intravascular thrombosis or unstable plaques
- •Individual has Hemodynamically or echocardiography significant valvular heart disease
- •Individual has secondary hypertension (pheochromocytoma, Cushing syndrome,coarctation of the aorta, renovascular hypertension, primary hyperaldosteronism, or other secondary hypertension)
- •Individual has documented primary pulmonary hypertension
- •Individual has orthostatic hypotension with symptom
- •Individual requires chronic oxygen support for sleep apnea
- •Individual is taking chronic NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). Only, Aspirin is permitted for cardiovascular disease prevention
- •Individual has Type 1 diabetes mellitus
结局指标
主要结局
Rate of all adverse events
时间窗: From baseline to 1 month post-procedure
rate of major adverse events for 1 month after the treatment
次要结局
- Percentage of decreased office SBP >10, 15, 20 mmHg(From baseline to 1, 3, 6, 12, 18, 24 months post-procedure)
- Office SBP change at 1, 3, 6, 12, 18, 24 months(From baseline to 1, 3, 6, 12, 18, 24 months post-procedure)
- Ambulatory SBP change at 3,6,12,24 months(From baseline to 3, 6, 12, 24 months post-procedure)
研究者
研究点 (6)
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