Economic Evaluation of Baroreceptor STIMulation for the Treatment of Resistant HyperTensioN
ESTIM-rHTN
Evaluation médico-économique de la Stimulation unilatérale du Sinus Carotidien Dans le Traitement de l'Hypertension artérielle résistante: Essai Multicentrique contrôlé, randomisé, Ouvert Avec évaluation d'efficacité Tensionnelle et de sécurité
1 other identifier
interventional
132
1 country
15
Brief Summary
Medico-economics assessment (cost-effectiveness) of the unilateral carotid barostimulation with Barostim NeoTM compared to usual care in patients with resistant hypertension (multicenter randomized, PROBE trial), followed-up for 12 months, with a lifetime-long modeling.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable hypertension
Started Mar 2015
Longer than P75 for not_applicable hypertension
15 active sites
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
First Submitted
Initial submission to the registry
February 2, 2015
CompletedFirst Posted
Study publicly available on registry
February 18, 2015
CompletedStudy Start
First participant enrolled
March 31, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 22, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 22, 2021
CompletedSeptember 1, 2022
August 1, 2022
6.2 years
February 2, 2015
August 29, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
12th month diurnal SBP (mmHg) measured on ABPM, adjusted on baseline SBP, also used to compute the incremental cost-effective ratio (to identify the extra cost of unilateral carotid barostimulation in BP reduction compared to usual care)
12 months
Secondary Outcomes (20)
Mean SBP 24h on ABPM (mmHg)
6 and 12 months
Mean nocturnal SBP on ABPM (mmHg)
6 and 12 months
Mean DBP 24h on ABPM (mmHg)
6 and 12 months
Mean diurnal DBP on ABPM (mmHg)
6 and 12 months
Mean nocturnal DBP on ABPM (mmHg)
6 and 12 months
- +15 more secondary outcomes
Other Outcomes (6)
Cost of unilateral carotid barostimulation including hospital stay
participants will be followed for the duration of hospital stay, an expected average of 2 days
ICER: difference in cost / difference in office systolic blood pressure (SBP) in mmHg
12 months
ICER/ICER: difference in cost / difference in QALY (quality-of-life-adjusted survival based on the clinical trial data and the modeling results) for the lifetime modeling
12 months
- +3 more other outcomes
Study Arms (2)
Baroreceptor stimulation on top of the best medical care
EXPERIMENTALBaroreceptor stimulation with Barostim Neo TM
Best medical care
NO INTERVENTIONBest medical care
Interventions
Eligibility Criteria
You may qualify if:
- years old men or women
- Resistant hypertension on 4 medications incl. thiazide or thiazide-like diuretics at appropriate doses + spironolactone (unless spironolactone intolerance)
- Essential hypertension documented (bilan \< 2 years old)
- eGFR ≥ 30 ml/min/1,73 m2
- No carotid condition associated with a contra-indication for Barostim NeoTM use
You may not qualify if:
- Patients with documented secondary hypertension, besides Obstructive Sleep Apnea
- Symptomatic orthostatic hypotension
- Patient with type 1 diabetes mellitus
- Patient with permanent atrial fibrillation
- Patient with brachial circumference of ≥ 46cm
- Patient with BMI\>45kg/m2
- Pregnancy, breastfeeding or planning a pregnancy within 2 years
- NeoTM implantation anatomic contra-indications
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (15)
CHU de Bordeaux
Bordeaux, France
Hôpital Arthur Gardiner
Dinard, France
CHU de Grenoble
Grenoble, France
CHRU de Lille
Lille, France
Hospices civils de Lyon
Lyon, France
APHM
Marseille, France
CHRU de Nancy
Nancy, France
APHP -Hotel Dieu hospital
Paris, 75000, France
GH la Pitié Salpêtrière
Paris, France
HEGP
Paris, France
CHU de Poitiers
Poitiers, France
CHU de RENNES
Rennes, 35033, France
CHU de Toulouse
Toulouse, France
Clinique Pasteur
Toulouse, France
CHRU de Tours
Tours, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick ROSSIGNOL, Prof
CHRU Nancy
- PRINCIPAL INVESTIGATOR
Michel AZIZI, Prof
APHP-HEGP
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- PU-PH
Study Record Dates
First Submitted
February 2, 2015
First Posted
February 18, 2015
Study Start
March 31, 2015
Primary Completion
June 22, 2021
Study Completion
June 22, 2021
Last Updated
September 1, 2022
Record last verified: 2022-08