Renal Denervation in Diabetes.

Phase 4

Withdrawn

• Conditions: Diabetes
• Interventions: Procedure: Renal denervation

• Registration Number: NCT02081989
• Lead Sponsor: Monash University

Brief Summary

Renal denervation (the use of radio waves to oblate the renal artery) has been shown to be an effective treatment for high blood pressure. It is currently being tested in heart failure patients and we would now like to look it its effects on diabetes.

We therefore plan to enrol 20 participants with type II diabetes into this study. Half will undergo renal denervation in addition to their standard care and the other half will act as controls and only receive standard care. Treatment allocation will be randomly assigned.

All participants will undergo screening (including a physical exam, blood tests, ultrasounds and a muscle biopsy). All patients will have follow up tests (including physical exams and blood tests) 1, 3 and 6 months later.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-03-06
• Study First Submitted QC: 2014-03-06
• Study First Posted: 2014-03-07
• Study Start: 2015-11
• Status Verified: 2016-05
• Primary Completion: 2016-05
• Study Completion: 2016-05
• Last Update Submitted: 2016-05-30
• Last Update Posted: 2016-06-01

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Over 18 years
• Able and willing to provide informed consent
• Patients with established type II diabetes mellitus (HbA1C>7%, diet or oral hypoglycaemic agents)
• Clinical stable as demonstrated by no change in background anti-diabetic medication in the last 30 days.
• Anticipated that patients are able to maintain a stable dose of medication for the duration of the study

Exclusion Criteria

• Renal arterial anatomy ineligible for RDN: main renal arteries <4 mm in diameter or <20 mm in treatable length; multiple renal arteries where main renal artery is estimated to supply <75% of the kidney; haemodynamically or anatomically significant renal artery abnormality or stenosis in either renal artery which, in the investigator's opinion, would interfere with safe cannulation of the renal artery or require surgical repair or interventional dilation
• History of prior renal artery intervention including balloon angioplasty, stenting or previous renal denervation.
• Single functioning kidney
• Need for insulin (interferes with euglycemic clamp testing) or GLP-I analogues
• eGFR <30 ml/min (MDRD formula)
• Any medical condition which, in the investigators opinion, may adversely affect the participants safety in the trial

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Denervation	Renal denervation	Renal denervation

Primary Outcome Measures

Name	Time	Method
Glycemic control	6 months	Change in glycemic control at 6 months.
glucose uptake into peripheral skeletal muscle	6 months	To assess glucose uptake into peripheral skeletal muscle

Trial Locations

Locations (1)

Alfred Hospital; 🇦🇺 Melbourne, Victoria, Australia