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临床试验/NCT04307836
NCT04307836招募中不适用

A Prospective, Multicenter, No-treatment Controlled, Randomized, Open-label, Pivotal Study to Evaluate the Safety and Efficacy of DENEX, Renal Denervation Therapy, in Patients With Hypertension on no or 1-3 Antihypertensive Medications

Kalos Medical34 个研究点 分布在 1 个国家目标入组 140 人开始时间: 2020年7月9日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
140
试验地点
34
主要终点
Changes in average daytime ambulatory systolic blood pressure at 3 months

研究概览

简要总结

The objective of this study is to show that the safety and efficacy of renal denervation using DENEX, are superior to those of control group for the patients with hypertension on no or 1 to 3 antihypertensive medications.

详细描述

DENEX system developed by Handok Kalos Medical Inc. is a renal denervation 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
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
19 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subject aged 19 to 75 years old
  • Subject should maintain the 0 to 3 antihypertensive medications of different classes, ACE-I, ARB, beta blocker, CCB or diuretics, without change for at least 4 weeks of run-in period between primary screening and secondary screening and for at least 3 months after the procedure
  • Subject with 140 mmHg ≤ average office SBP < 180 mmHg and 90 mmHg ≤ office DBP < 120 mmHg at primary and secondary screening
  • Subject with 135 mmHg ≤ average daytime ambulatory SBP <170 mmHg and 85 mmHg ≤ average daytime ambulatory DBP < 105 mmHg at secondary screening after the run-in period for at least 4 weeks

排除标准

  • Subject with the anatomical findings in kidney or renal artery which preclude renal denervation
  • Subject with type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus
  • Subject with eGFR less than 40mL/min/1.73㎡
  • Subject with a brachial circumference greater than 42 cm.
  • Subject with secondary hypertension (except for sleep apnea patients)
  • Subject with a medical history of cerebrovascular disease or severe cardiovascular disease within 12 months prior to obtaining the consent or patients newly diagnosed with such diseases before enrollment.
  • Subject rehospitalized two or more times for hypertensive crisis within 12 months prior to obtaining consent or hospitalized for hypertensive crisis within three months prior to obtaining consent.
  • Subject with chronic oxygen therapy or mechanical ventilation (except for sleep apnea)
  • Subject with primary pulmonary hypertension

结局指标

主要结局

Changes in average daytime ambulatory systolic blood pressure at 3 months

时间窗: from baseline at 3 months after the procedure

Changes in average daytime ambulatory systolic blood pressure from baseline at 3 months after the procedure

次要结局

  • Changes in average office systolic blood pressure and diastolic blood pressure at 1, 3, 6 and 12 months(from baseline at 1, 3, 6 and 12 months after the procedure)
  • Changes in average 24hr ambulatory systolic blood pressure and diastolic blood pressure at 3, 6 and 12 months(from baseline at 3, 6 and 12 months after the procedure)
  • Changes in average daytime and nighttime ambulatory systolic blood pressure and diastolic blood pressure at 3, 6 and 12 months(from baseline at 3, 6 and 12 months after the procedure)

研究者

发起方
Kalos Medical
申办方类型
Industry
责任方
Sponsor

研究点 (34)

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