Study of Catheter Based Renal Denervation Therapy in Hypertension
DEPART
DENERVATION OF RENAL SYMPATHETIC ACTIVITY AND HYPERTENSION STUDY
1 other identifier
interventional
120
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jan 2012
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
January 25, 2012
CompletedFirst Posted
Study publicly available on registry
January 31, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedJanuary 31, 2012
January 1, 2012
2.9 years
January 25, 2012
January 27, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
glomerular filtration rate
Isotopic and 24h urine sample measure of glomerular filtration rate.
6 month
Ambulatory systolic and diastolic blood pressure
Ambulatory systolic and diastolic blood pressure measured on 24h ABPM device
6 month
Secondary Outcomes (2)
Baroreflex sensitivity
6 month
Biological markers of acute kidney injury
baseline, H2, H6, 1, 3 and 6 months
Study Arms (2)
Renal angiography followed by renal sympathetic denervation
EXPERIMENTALCatheter based therapy for renal denervation using the Simplicity (TM) catheter (Ardian/Medtronic)
Renal angiography alone
SHAM COMPARATORRenal selective angiography using standardized method: Local anesthesia of the femoral site to allow the placement of a 4-Fr sheath in the femoral artery. Using JR-4 or similar diagnostic catheter, a selective renal angiography will be realized.
Interventions
Radiofrequency catheter based therapy for renal denervation: Symplicity catheter will be advanced into the renal artery and connected to a radiofrequency generator. As previously described, four-to-six discrete, low-power radio frequency treatments will be applied along the length of both main renal arteries. At least four radiofrequency applications will be delivered in each renal artery, unless this is not feasible for anatomical reasons.
Procedure will start with a local anesthesia of the femoral site to allow the placement of a 4-Fr sheath in the femoral artery, which allows a minimal risk of bleeding to the patient. Using JR-4 or similar diagnostic catheter, a selective renal angiography will be realized.
Eligibility Criteria
You may qualify if:
- A mandatory check list of secondary cause of hypertension has been excluded
- They succeed the pill count test.
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Erasme Hospital
Brussels, 1070, Belgium
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-François ARGACHA, MD
Erasme University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
January 25, 2012
First Posted
January 31, 2012
Study Start
January 1, 2012
Primary Completion
December 1, 2014
Study Completion
December 1, 2016
Last Updated
January 31, 2012
Record last verified: 2012-01