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临床试验/NCT01522430
NCT01522430Unknown3 期

DENERVATION OF RENAL SYMPATHETIC ACTIVITY AND HYPERTENSION STUDY

Erasme University Hospital2 个研究点 分布在 1 个国家目标入组 120 人开始时间: 2012年1月1日最近更新:
适应症

试验速览

阶段
3 期
发起方
入组人数
120
试验地点
2
主要终点
glomerular filtration rate

研究概览

简要总结

The DEPART study end points are to provide conclusive evidence, using a randomized, double blinded, sham procedure controlled study design, that radiofrequency renal denervation:

  1. reduces daytime ambulatory blood pressure,
  2. improves nocturnal dipping in blood pressure at the ambulatory blood pressure recording.

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
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • They have a mandatory > 3 antihypertensive medication therapy, including a thiazide or a loop diuretic (according to the patient's renal function, unless documented side-effects) and at least one attempt to treat with spironolactone, given at usual recommended dose since at least 8 weeks, before inclusion,
  • A mandatory check list of secondary cause of hypertension has been excluded
  • They succeed the pill count test.
  • They have a mandatory ambulatory blood pressure monitoring before inclusion with at least 70% of valid readings during daytime (08:00 am 08:00 pm, using a sampling frequency of 20 minutes, only devices validated according to http://www.dableducational.org are permitted), where daytime ambulatory blood pressure of systolic and/or diastolic blood pressure exceeds 135 mmHg and/or 85 mmHg, respectively. Daytime ambulatory blood pressure of systolic and/or diastolic blood pressure below 135 mmHg and/or 85 mmHg, respectively, is acceptable for inclusion in the study if the patient takes four or more antihypertensive medication (3).

排除标准

  • Patients with an eGFR <30ml/min/m² are excluded,
  • patients with known renal atherosclerotic lesions,
  • previous procedures in the renal arteries,
  • known unsuitable anatomy for the procedure,
  • previous nephrectomy,
  • contrast agent allergy,
  • hyperthyroidia.

结局指标

主要结局

glomerular filtration rate

时间窗: 6 month

Isotopic and 24h urine sample measure of glomerular filtration rate.

Ambulatory systolic and diastolic blood pressure

时间窗: 6 month

Ambulatory systolic and diastolic blood pressure measured on 24h ABPM device

次要结局

  • Baroreflex sensitivity(6 month)
  • Biological markers of acute kidney injury(baseline, H2, H6, 1, 3 and 6 months)

研究者

发起方
Erasme University Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Jean Francois Argacha

Principal Investigator

Erasme University Hospital

研究点 (2)

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