NCT01642498

Brief Summary

The purpose of this study is to evaluate the safety and performance of the ROX COUPLER in patients with treatment-resistant hypertension.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at below P25 for phase_3 hypertension

Timeline
Completed

Started Sep 2012

Longer than P75 for phase_3 hypertension

Geographic Reach
7 countries

18 active sites

Status
completed

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

First Submitted

Initial submission to the registry

July 9, 2012

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 17, 2012

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2012

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2018

Completed
Last Updated

May 10, 2019

Status Verified

May 1, 2019

Enrollment Period

5.8 years

First QC Date

July 9, 2012

Last Update Submit

May 9, 2019

Conditions

Keywords

High Blood PressureHypertensionResistant Hypertension

Outcome Measures

Primary Outcomes (1)

  • Change in mean office SBP

    Change in mean office SBP at six months as compared to Baseline

    Baseline, 6 months

Secondary Outcomes (1)

  • Change in mean office DBP

    Baseline, 6 months

Study Arms (2)

Group A

EXPERIMENTAL

ROX Coupler + continuing standard antihypertensive medications

Device: ROX COUPLER

Group B

NO INTERVENTION

Continuing standard antihypertensive medications

Interventions

The COUPLER will be used to create an arteriovenous fistula in the iliac region (between the iliac artery and vein).

Group A

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of treatment-resistant hypertension must be made on the basis of current findings, medical history, and physical examination

You may not qualify if:

  • Any serious medical condition that may adversely affect the patient's safety, limit the subject's ability to participate in the study, comply with follow-up requirements or impact the scientific integrity of the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

ZNA - Cardio Middleheim

Antwerp, 1090, Belgium

Location

Universitair Ziekenhuis Brussel

Brussels, 1090, Belgium

Location

Universitätsmedizin Berlin - Campus Benjamin Franklin

Berlin, 12203, Germany

Location

Universitätsklinikum Erlangen

Erlangen, D-91054, Germany

Location

Hypertoniezentrum Marburg

Marburg, 35033, Germany

Location

G. Gennimatas General Hospital of Athens

Athens, 115 27, Greece

Location

Hippokration General Hospital of Athens

Athens, 115 27, Greece

Location

Connolly Hospital

Blanchardstown, Dublin, 15, Ireland

Location

Beaumont Hospital

Dublin, 9, Ireland

Location

St. Antonius Ziekenhuis

Nieuwegein, 3435CM, Netherlands

Location

Jagiellonian University Collegium Medicum

Krakow, 31 501, Poland

Location

Institute of Cardiology - Warsaw

Warsaw, 04 628, Poland

Location

Eastbourne District General Hospital

Eastbourne, England, BN21 2UD, United Kingdom

Location

Queen Mary University of London

London, England, EC1M 6BQ, United Kingdom

Location

Royal Bromptom

London, England, SW3 6NP, United Kingdom

Location

St. Helier Hospital

Carshalton, Surrey England, SM5 1AA, United Kingdom

Location

University Hospital of Wales

Cardiff, Wales, CF 14 4XW, United Kingdom

Location

University Hospitals of Leicester - Glenfield Hospital

Leicester, LE3 9QP, United Kingdom

Location

Related Publications (4)

  • Lobo MD, Ott C, Sobotka PA, Saxena M, Stanton A, Cockcroft JR, Sulke N, Dolan E, van der Giet M, Hoyer J, Furniss SS, Foran JP, Witkowski A, Januszewicz A, Schoors D, Tsioufis K, Rensing BJ, Scott B, Ng GA, Schmieder RE. Central Iliac Arteriovenous Anastomosis for Uncontrolled Hypertension: One-Year Results From the ROX CONTROL HTN Trial. Hypertension. 2017 Dec;70(6):1099-1105. doi: 10.1161/HYPERTENSIONAHA.117.10142. Epub 2017 Oct 23.

  • Ott C, Lobo MD, Sobotka PA, Mahfoud F, Stanton A, Cockcroft J, Sulke N, Dolan E, van der Giet M, Hoyer J, Furniss SS, Foran JP, Witkowski A, Januszewicz A, Schoors D, Tsioufis K, Rensing BJ, Saxena M, Scott B, Ng GA, Achenbach S, Schmieder RE. Effect of Arteriovenous Anastomosis on Blood Pressure Reduction in Patients With Isolated Systolic Hypertension Compared With Combined Hypertension. J Am Heart Assoc. 2016 Dec 21;5(12):e004234. doi: 10.1161/JAHA.116.004234.

  • Lobo MD, Sobotka PA, Stanton A, Cockcroft JR, Sulke N, Dolan E, van der Giet M, Hoyer J, Furniss SS, Foran JP, Witkowski A, Januszewicz A, Schoors D, Tsioufis K, Rensing BJ, Scott B, Ng GA, Ott C, Schmieder RE; ROX CONTROL HTN Investigators. Central arteriovenous anastomosis for the treatment of patients with uncontrolled hypertension (the ROX CONTROL HTN study): a randomised controlled trial. Lancet. 2015 Apr 25;385(9978):1634-41. doi: 10.1016/S0140-6736(14)62053-5. Epub 2015 Jan 23.

  • Foran JP, Jain AK, Casserly IP, Kandzari DE, Rocha-Singh KJ, Witkowski A, Katzen BT, Deaton D, Balmforth P, Sobotka PA. The ROX coupler: creation of a fixed iliac arteriovenous anastomosis for the treatment of uncontrolled systemic arterial hypertension, exploiting the physical properties of the arterial vasculature. Catheter Cardiovasc Interv. 2015 Apr;85(5):880-6. doi: 10.1002/ccd.25707. Epub 2014 Nov 1.

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 9, 2012

First Posted

July 17, 2012

Study Start

September 1, 2012

Primary Completion

June 30, 2018

Study Completion

June 30, 2018

Last Updated

May 10, 2019

Record last verified: 2019-05

Locations