NCT05017935

Brief Summary

RADIANCE CAP is a non-randomized study designed to allow for continued access to ultrasound renal denervation therapy via the Paradise System, and to allow for the on-going collection of safety and effectiveness data in subjects with uncontrolled hypertension despite the prescription of antihypertensive medications.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
300

participants targeted

Target at P50-P75 for not_applicable hypertension

Timeline
32mo left

Started May 2022

Longer than P75 for not_applicable hypertension

Geographic Reach
1 country

40 active sites

Status
active not recruiting

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 Progress60%
May 2022Dec 2028

First Submitted

Initial submission to the registry

August 17, 2021

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 24, 2021

Completed
8 months until next milestone

Study Start

First participant enrolled

May 4, 2022

Completed
6.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2028

Last Updated

June 17, 2024

Status Verified

June 1, 2024

Enrollment Period

6.7 years

First QC Date

August 17, 2021

Last Update Submit

June 13, 2024

Conditions

Keywords

Blood PressureUncontrolled HypertensionEssential HypertensionResistant HypertensionDenervation

Outcome Measures

Primary Outcomes (2)

  • Incidence of Adverse Events

    From baseline to 60 months

  • Change in average daytime ambulatory systolic BP

    From baseline to 2 months post procedure

Secondary Outcomes (5)

  • Change in average 24-hr/night-time ambulatory systolic BP

    From baseline to 2 months post procedure

  • Change in average daytime/24-hr/night-time ambulatory systolic BP

    From Baseline to Months 6 and 12 post procedure

  • Change in average office systolic/diastolic BP

    From Baseline to Months 2, 6, 12, 24, 36, 48, and 60 post procedure

  • Change in average home systolic/diastolic BP

    From Baseline to Months 2, 6, 12, 24, 36, 48, and 60 post procedure

  • Change in average 24-hr/night-time ambulatory diastolic BP

    From baseline to Months 2, 6, and 12 post procedure

Study Arms (1)

Renal Denervation

EXPERIMENTAL
Device: Renal Denervation

Interventions

Renal angiogram and renal denervation (Paradise ultrasound Renal Denervation System)

Renal Denervation

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Average office BP ≥140/90 mmHg at screening visit despite taking stables doses of antihypertensive medications for at least 4 weeks prior to consent
  • Documented daytime ABP ≥135/85 mmHg following 4 week run-in/standardization period on antihypertensive medication regimen

You may not qualify if:

  • Renal artery anatomy ineligible for treatment
  • Secondary hypertension not including sleep apnea
  • Type I diabetes mellitus or uncontrolled Type II diabetes (defined as plasma HbA1c ≥9.0%)
  • eGFR \<40
  • Brachial circumference ≥42 cm
  • Any history of cerebrovascular event or severe cardiovascular event within 3 months prior to consent
  • Documented repeat (\>1) hospitalization for hypertensive crisis within 3 months prior to consent
  • Documented confirmed episode(s) of unstable angina within 3 months prior to consent
  • Chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea
  • Primary pulmonary hypertension
  • Night shift workers
  • Pregnant, nursing or planning to become pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (40)

Cardiovascular Institute of San Diego

Chula Vista, California, 91911, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Sutter Health

Sacramento, California, 95816, United States

Location

Pacific Heart Institute

Santa Monica, California, 90404, United States

Location

Bridgeport Hospital

Bridgeport, Connecticut, 06610, United States

Location

The Cardiac and Vascular Institute

Gainesville, Florida, 32604, United States

Location

Baptist Hospital of Miami

Miami, Florida, 33176, United States

Location

Orlando Health

Orlando, Florida, 32806, United States

Location

Emory

Atlanta, Georgia, 30308, United States

Location

Northwestern University

Chicago, Illinois, 60611, United States

Location

Prairie Education and Research Cooperative

Springfield, Illinois, 62701, United States

Location

SIU Medicine

Springfield, Illinois, 62794-9664, United States

Location

Parkview Research Center

Fort Wayne, Indiana, 46845, United States

Location

UnityPoint Health-Des Moines

Des Moines, Iowa, 50309, United States

Location

Ochsner Medical Center

New Orleans, Louisiana, 70121, United States

Location

Lifebridge Health

Baltimore, Maryland, 21215, United States

Location

Tidal Health

Salisbury, Maryland, 21804, United States

Location

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

The Brigham and Women's Hospital

Boston, Massachusetts, 02120, United States

Location

UMASS Memorial Medical Center

Worcester, Massachusetts, 01655, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Saint Luke's Hospital

Kansas City, Missouri, 64111, United States

Location

Renown Regional Medical Center

Reno, Nevada, 89502, United States

Location

Cardiovascular Associates of the Delaware Valley

Haddon Heights, New Jersey, 08035, United States

Location

NJ Heart & Vascular

Princeton, New Jersey, 08540, United States

Location

NYU Langone Hospital - Long Island

Mineola, New York, 001501, United States

Location

NYU Langone Health

New York, New York, 10016, United States

Location

Columbia University Medical Center/NYPH

New York, New York, 10032, United States

Location

Stony Brook University Hospital

Stony Brook, New York, 11794-8167, United States

Location

University of North Carolina

Chapel Hill, North Carolina, 27599-7075, United States

Location

Cone Health

Greensboro, North Carolina, 27401, United States

Location

St. Francis Hospital

Tulsa, Oklahoma, 74136, United States

Location

Penn Medicine

Philadelphia, Pennsylvania, 19104, United States

Location

UPMC Heart and Vascular Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

The University of Texas Health Sciences Center at Houston

Houston, Texas, 77030, United States

Location

Texas Tech University Health Sciences Center

Lubbock, Texas, 79430, United States

Location

University of Texas Health Sciences Center, San Antonio

San Antonio, Texas, 78229, United States

Location

Baylor Scott & White Research Institute

Temple, Texas, 76508, United States

Location

Swedish Health Services

Seattle, Washington, 98122, United States

Location

Related Publications (1)

  • Azizi M, Sanghvi K, Saxena M, Gosse P, Reilly JP, Levy T, Rump LC, Persu A, Basile J, Bloch MJ, Daemen J, Lobo MD, Mahfoud F, Schmieder RE, Sharp ASP, Weber MA, Sapoval M, Fong P, Pathak A, Lantelme P, Hsi D, Bangalore S, Witkowski A, Weil J, Kably B, Barman NC, Reeve-Stoffer H, Coleman L, McClure CK, Kirtane AJ; RADIANCE-HTN investigators. Ultrasound renal denervation for hypertension resistant to a triple medication pill (RADIANCE-HTN TRIO): a randomised, multicentre, single-blind, sham-controlled trial. Lancet. 2021 Jun 26;397(10293):2476-2486. doi: 10.1016/S0140-6736(21)00788-1. Epub 2021 May 16.

    PMID: 34010611BACKGROUND

Related Links

MeSH Terms

Conditions

HypertensionHypertension Resistant to Conventional TherapyVascular DiseasesCardiovascular DiseasesEssential Hypertension

Study Officials

  • Naomi Fisher, MD

    Brigham and Women's Hospital/Harvard Medical School

    PRINCIPAL INVESTIGATOR
  • Ajay Kirtane, MD, SM

    Columbia University Medical Center/NYPH

    PRINCIPAL INVESTIGATOR

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

August 17, 2021

First Posted

August 24, 2021

Study Start

May 4, 2022

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

December 31, 2028

Last Updated

June 17, 2024

Record last verified: 2024-06

Locations