Renal Denervation in Patients With Refractory Hypertension
HTN-1
1 other identifier
interventional
45
1 country
9
Brief Summary
To investigate the clinical utility of renal denervation in the treatment of refractory hypertension.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable hypertension
Started Apr 2008
Longer than P75 for not_applicable hypertension
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 21, 2008
CompletedFirst Posted
Study publicly available on registry
April 23, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedNovember 5, 2013
November 1, 2013
5.1 years
April 21, 2008
November 1, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
To document that renal denervation achieved via the delivery of RF energy is safe, and not associated with clinically significant adverse events, in patients with refractory hypertension.
3 years
Secondary Outcomes (1)
To document the physiologic effects of renal denervation in patients with refractory hypertension.
3 years
Interventions
Renal denervation using the Symplicity Catheter System
Eligibility Criteria
You may qualify if:
- \>= 18 years of age
- a systolic blood pressure of 160mmHg or more
- receiving and adhering to full doses of at least three antihypertensive drugs
- estimated glomerular filtration rate (eGFR) of ≥45mL/min
- agrees to have the study procedure(s) performed and additional procedures and evaluations
- is competent and willing to provide written, informed consent to participate in this clinical study
You may not qualify if:
- hemodynamically or anatomically significant renal artery stenosis
- has a history or prior renal artery angioplasty
- has experienced MI, unstable angina pectoris, or CVA within 6 months
- has hemodynamically significant valvular heart disease
- has Type 1 diabetes
- has an implantable cardioverter defibrillator (ICD) or pacemaker, or any other metallic implant which is not compatible with magnetic resonance imaging (MRI)
- requires respiratory support
- is pregnant, nursing, or planning to be pregnant
- has known, unresolved history of drug use or alcohol dependency.
- is currently enrolled in another investigational drug or device trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Herzzentrum Bad Krozingen
Bad Krozingen, Germany
St. Elisabeth Hospital
Bochum, Germany
Klinikum Coburg
Coburg, Germany
Universitaetsklinikum Duesseldorf
Düsseldorf, Germany
University of Erlangen at Nuremburg
Erlangen, Germany
CardioVascular Center Frankfurt, Sankt Katharinen
Frankfurt, Germany
Clinical Trial Center North
Hamburg, Germany
Universitatskliniken des Saarlandes
Homburg, Germany
University of Leipzig - Herzzentrum
Leipzig, Germany
Related Publications (4)
Krum H, Schlaich MP, Sobotka PA, Bohm M, Mahfoud F, Rocha-Singh K, Katholi R, Esler MD. Percutaneous renal denervation in patients with treatment-resistant hypertension: final 3-year report of the Symplicity HTN-1 study. Lancet. 2014 Feb 15;383(9917):622-9. doi: 10.1016/S0140-6736(13)62192-3. Epub 2013 Nov 7.
PMID: 24210779DERIVEDMahfoud F, Ukena C, Schmieder RE, Cremers B, Rump LC, Vonend O, Weil J, Schmidt M, Hoppe UC, Zeller T, Bauer A, Ott C, Blessing E, Sobotka PA, Krum H, Schlaich M, Esler M, Bohm M. Ambulatory blood pressure changes after renal sympathetic denervation in patients with resistant hypertension. Circulation. 2013 Jul 9;128(2):132-40. doi: 10.1161/CIRCULATIONAHA.112.000949. Epub 2013 Jun 18.
PMID: 23780578DERIVEDMahfoud F, Schlaich M, Kindermann I, Ukena C, Cremers B, Brandt MC, Hoppe UC, Vonend O, Rump LC, Sobotka PA, Krum H, Esler M, Bohm M. Effect of renal sympathetic denervation on glucose metabolism in patients with resistant hypertension: a pilot study. Circulation. 2011 May 10;123(18):1940-6. doi: 10.1161/CIRCULATIONAHA.110.991869. Epub 2011 Apr 25.
PMID: 21518978DERIVEDKrum H, Schlaich M, Whitbourn R, Sobotka PA, Sadowski J, Bartus K, Kapelak B, Walton A, Sievert H, Thambar S, Abraham WT, Esler M. Catheter-based renal sympathetic denervation for resistant hypertension: a multicentre safety and proof-of-principle cohort study. Lancet. 2009 Apr 11;373(9671):1275-81. doi: 10.1016/S0140-6736(09)60566-3. Epub 2009 Mar 28.
PMID: 19332353DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Henry Krum, PhD
Monash University and The Alfred Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 21, 2008
First Posted
April 23, 2008
Study Start
April 1, 2008
Primary Completion
May 1, 2013
Study Completion
May 1, 2013
Last Updated
November 5, 2013
Record last verified: 2013-11