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A Study to Evaluate Safety and Efficacy of the Redy™ Renal Denervation System in the Treatment of Patients With Uncontrolled Hypertension

Primary Purpose

Hypertension Resistant to Conventional Therapy

Status
Unknown status
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Redy™ Renal Denervation System
Sponsored by
Renal Dynamics GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertension Resistant to Conventional Therapy focused on measuring Uncontrolled Hypertension, Resistant Hypertension, Renal Denervation

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  1. Patient has established hypertension (diagnosed ≥12 months prior to screening) and is on a guideline based stable drug regimen (≥ 4 weeks), consisting of ≥3 anti-hypertensive medications of different classes including a diuretic;
  2. Office systolic blood pressure >150 mmHg;
  3. Patient has (under directly observed therapy) average daytime systolic blood pressure values > 140 mmHg by 24h ambulatory blood pressure monitoring;
  4. Patient is ≥ 18 and ≤ 75 years of age at time of consent;
  5. Patient must be able and willing to comply with the required follow-up schedule;
  6. Patient must be able and willing to provide written informed consent;

Exclusion criteria:

  1. Patient has known significant reno-vascular abnormalities such as renal artery stenosis > 30%;
  2. Patient has "Isolated Systolic Hypertension" with a diastolic blood pressure < 90 mmHg;
  3. Evidence or history of secondary hypertension, other than sleep apnea syndrome;
  4. Patient has a history of prior renal angioplasty, renal denervation, indwelling renal stents, and/or abdominal aortic stent graft placement;
  5. Patient has significant valvular heart disease;
  6. Patient has known coagulation abnormalities;
  7. Patient life expectancy is < 12 months, as estimated by the study Investigator;
  8. Patient is participating in another clinical study, which is before its primary endpoint and/or has the potential to impact his/her hypertension management (pharmaceutical / device);
  9. Patient is pregnant, nursing, or of childbearing potential and is not using adequate contraceptive methods;
  10. Patient has active systemic infection;
  11. Patient has small <4.0 mm in diameter, large >6.5 mm in diameter or short <20.0 mm in length, multiple main, or highly tortuous renal arteries;
  12. Patient has impaired renal function with an estimated GFR <45 mL/min per 1.73 m2 using the Modification of Diet in Renal Disease (MDRD) formula;
  13. Patient had a renal transplant or is awaiting a renal transplant;
  14. Patient has a known intolerance for x-ray contrast agent that cannot be adequately controlled with pre-medication;
  15. Any medical condition as estimated by the Study Investigator that may harm patient or jeopardize study participation, the interpretation of study results or may impede the ability to obtain informed consent (e.g., mental condition);

Sites / Locations

  • OLV Onze-Lieve-Vrouwziekenhuis
  • ZNA Middelheim Hospital
  • Asklepios Klinik St. Georg
  • Saarland University Medical Center
  • Semmelweis University
  • Galway University Hospital
  • Kaplan Medical CenterRecruiting
  • The Cardinal Stefan Wyszyński Institute of CardiologyRecruiting
  • Academician E.N. Meshalkin Novosibirsk State Research Institute of Circulation PathologyRecruiting
  • KCS Clinical Center of Serbia

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Redy™ Renal Denervation System

Arm Description

Renal Denervation System

Outcomes

Primary Outcome Measures

Device-related adverse events at 1-month follow-up post treatment
Incidence of device-related Adverse Events at 1-month follow-up post treatment

Secondary Outcome Measures

Peri-procedural Adverse Events at 1-month follow-up post treatment
Incidence of peri-procedural Adverse Events at 1-month follow-up post treatment
Device-related Adverse Events at 3 and 6 months follow-up post treatment
Incidence of device-related Adverse Events at 3 and 6 months follow-up post treatment
Reduction of average systolic daytime blood pressure assessed by 24h ABPM at 3-months
Reduction of average systolic daytime blood pressure as assessed by 24h ambulatory blood pressure monitoring at 3-month compared to baseline
Reduction of office systolic blood pressure at 1, 3 and 6 months post treatment
Reduction of office systolic blood pressure at 1, 3 and 6 months post treatment
Reduction of office diastolic blood pressure at 1, 3 and 6 months post treatment
Reduction of office diastolic blood pressure at 1, 3 and 6 months post treatment
Blood pressure control to guideline recommended target blood pressure values at 1, 3 and 6 months post treatment
Blood pressure control to guideline recommended target blood pressure values at 1, 3 and 6 months post treatment

Full Information

First Posted
February 19, 2016
Last Updated
May 10, 2016
Sponsor
Renal Dynamics GmbH
Collaborators
Biosensors Europe SA, Physio-Logic Ltd. Israel, AmeRuss Clinical Trials LLC, USA
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1. Study Identification

Unique Protocol Identification Number
NCT02690909
Brief Title
A Study to Evaluate Safety and Efficacy of the Redy™ Renal Denervation System in the Treatment of Patients With Uncontrolled Hypertension
Official Title
A Prospective, Post-marketing, Single-arm, Open Label, Multi-center Clinical Study to Evaluate the Safety and Efficacy of the ReDy™ Renal Denervation System in the Treatment of Patients With Uncontrolled Hypertension
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Unknown status
Study Start Date
April 2016 (undefined)
Primary Completion Date
April 2017 (Anticipated)
Study Completion Date
August 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Renal Dynamics GmbH
Collaborators
Biosensors Europe SA, Physio-Logic Ltd. Israel, AmeRuss Clinical Trials LLC, USA

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The ReDy™ System (Renal Dynamics) is a renal denervation device incorporating a variety of ablation features and technical improvements over previously designed systems into a single product. It is intended to treat uncontrolled (drug-resistant) hypertension by RF ablation of the sympathetic nerve network surrounding the renal arteries. This study will be carried out to validate the safety and the efficacy of the ReDy™ Renal Denervation device and to demonstrate that it performs according to its intended use, i.e. the treatment of patients with uncontrolled hypertension.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension Resistant to Conventional Therapy
Keywords
Uncontrolled Hypertension, Resistant Hypertension, Renal Denervation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
55 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Redy™ Renal Denervation System
Arm Type
Experimental
Arm Description
Renal Denervation System
Intervention Type
Device
Intervention Name(s)
Redy™ Renal Denervation System
Intervention Description
Renal Denervation System
Primary Outcome Measure Information:
Title
Device-related adverse events at 1-month follow-up post treatment
Description
Incidence of device-related Adverse Events at 1-month follow-up post treatment
Time Frame
1-month post treatment
Secondary Outcome Measure Information:
Title
Peri-procedural Adverse Events at 1-month follow-up post treatment
Description
Incidence of peri-procedural Adverse Events at 1-month follow-up post treatment
Time Frame
1-month post treatment
Title
Device-related Adverse Events at 3 and 6 months follow-up post treatment
Description
Incidence of device-related Adverse Events at 3 and 6 months follow-up post treatment
Time Frame
3 and 6 months post treatment
Title
Reduction of average systolic daytime blood pressure assessed by 24h ABPM at 3-months
Description
Reduction of average systolic daytime blood pressure as assessed by 24h ambulatory blood pressure monitoring at 3-month compared to baseline
Time Frame
3 months post treatment
Title
Reduction of office systolic blood pressure at 1, 3 and 6 months post treatment
Description
Reduction of office systolic blood pressure at 1, 3 and 6 months post treatment
Time Frame
1, 3 and 6 months post treatment
Title
Reduction of office diastolic blood pressure at 1, 3 and 6 months post treatment
Description
Reduction of office diastolic blood pressure at 1, 3 and 6 months post treatment
Time Frame
1, 3 and 6 months post treatment
Title
Blood pressure control to guideline recommended target blood pressure values at 1, 3 and 6 months post treatment
Description
Blood pressure control to guideline recommended target blood pressure values at 1, 3 and 6 months post treatment
Time Frame
1, 3 and 6 months post treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Patient has established hypertension (diagnosed ≥12 months prior to screening) and is on a guideline based stable drug regimen (≥ 4 weeks), consisting of ≥3 anti-hypertensive medications of different classes including a diuretic; Office systolic blood pressure >150 mmHg; Patient has (under directly observed therapy) average daytime systolic blood pressure values > 140 mmHg by 24h ambulatory blood pressure monitoring; Patient is ≥ 18 and ≤ 75 years of age at time of consent; Patient must be able and willing to comply with the required follow-up schedule; Patient must be able and willing to provide written informed consent; Exclusion criteria: Patient has known significant reno-vascular abnormalities such as renal artery stenosis > 30%; Patient has "Isolated Systolic Hypertension" with a diastolic blood pressure < 90 mmHg; Evidence or history of secondary hypertension, other than sleep apnea syndrome; Patient has a history of prior renal angioplasty, renal denervation, indwelling renal stents, and/or abdominal aortic stent graft placement; Patient has significant valvular heart disease; Patient has known coagulation abnormalities; Patient life expectancy is < 12 months, as estimated by the study Investigator; Patient is participating in another clinical study, which is before its primary endpoint and/or has the potential to impact his/her hypertension management (pharmaceutical / device); Patient is pregnant, nursing, or of childbearing potential and is not using adequate contraceptive methods; Patient has active systemic infection; Patient has small <4.0 mm in diameter, large >6.5 mm in diameter or short <20.0 mm in length, multiple main, or highly tortuous renal arteries; Patient has impaired renal function with an estimated GFR <45 mL/min per 1.73 m2 using the Modification of Diet in Renal Disease (MDRD) formula; Patient had a renal transplant or is awaiting a renal transplant; Patient has a known intolerance for x-ray contrast agent that cannot be adequately controlled with pre-medication; Any medical condition as estimated by the Study Investigator that may harm patient or jeopardize study participation, the interpretation of study results or may impede the ability to obtain informed consent (e.g., mental condition);
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Erifyli Kalloudi
Phone
+41(0)218048000
Ext
143
Email
e.kalloudi@biosensors.com
First Name & Middle Initial & Last Name or Official Title & Degree
Norbert Clemens, MD, PhD
Phone
+491714073000
Email
norbert.clemens@renal-dynamics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Felix Mahfoud, MD
Organizational Affiliation
Saarland University Medical Center Homburg, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
OLV Onze-Lieve-Vrouwziekenhuis
City
Aalst
Country
Belgium
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eric Wyffels, Dr.
First Name & Middle Initial & Last Name & Degree
William Wijns, Dr.
Facility Name
ZNA Middelheim Hospital
City
Antwerpen
Country
Belgium
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Stefan Verheye, Dr.
Facility Name
Asklepios Klinik St. Georg
City
Hamburg
Country
Germany
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Felix Meincke, Dr.
First Name & Middle Initial & Last Name & Degree
Karl-Heinz Kuck, Prof. Dr.
Facility Name
Saarland University Medical Center
City
Homburg
Country
Germany
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Felix Mahfoud, PD Dr.
First Name & Middle Initial & Last Name & Degree
Hans Maurer, Prof. Dr.
Facility Name
Semmelweis University
City
Budapest
Country
Hungary
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bela Merkely, Prof. Dr.
First Name & Middle Initial & Last Name & Degree
Peter Perge, Dr.
Facility Name
Galway University Hospital
City
Galway
Country
Ireland
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Faisal Sharif, Dr.
Facility Name
Kaplan Medical Center
City
Rehovot
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Jonas, Dr.
Facility Name
The Cardinal Stefan Wyszyński Institute of Cardiology
City
Warsaw
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Adam Witkowski, Prof. Dr.
Facility Name
Academician E.N. Meshalkin Novosibirsk State Research Institute of Circulation Pathology
City
Novosibirsk
Country
Russian Federation
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Evgeny Pokushalov, Dr.
Facility Name
KCS Clinical Center of Serbia
City
Belgrade
Country
Serbia
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Goran Stankovic, Dr.

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate Safety and Efficacy of the Redy™ Renal Denervation System in the Treatment of Patients With Uncontrolled Hypertension

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