Renal Denervation in Patients With Uncontrolled Hypertension (Symplicity HTN-2)

NCT ID: NCT00888433

Last Updated: 2015-05-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

106 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2015-05-31

Brief Summary

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An international, multi-center, prospective, randomized, controlled study of the safety and effectiveness of renal denervation in patients with uncontrolled hypertension.

Detailed Description

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Conditions

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Uncontrolled Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Renal Denervation

Renal Denervation and maintenance of anti-hypertensive medications

Group Type EXPERIMENTAL

Renal Denervation (Symplicity® Renal Denervation System)

Intervention Type DEVICE

Catheter-based renal denervation

Control

Maintenance of anti-hypertensive medications with option for cross-over treatment after 6-months

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Renal Denervation (Symplicity® Renal Denervation System)

Catheter-based renal denervation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* systolic blood pressure \>=160mmHg (\>=150 mmHg for type 2 diabetics);
* on 3 or more antihypertensive medications
* \>= 18 and =\< 85 years of age.

Exclusion Criteria

* renal artery abnormalities
* eGFR \< 45mL/min
* MI, angina, CVA within 6 months
* Type 1 diabetes
* ICD or pacemaker, or any other metallic implant not compatible with MRI
* others
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Vascular

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Murray Esler, MBBS

Role: PRINCIPAL_INVESTIGATOR

The Baker IDI Heart & Diabetes Institute

Locations

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Alfred Hospital

Melbourne, , Australia

Site Status

Vienna General Hospital

Vienna, , Austria

Site Status

Cliniques Universitaires Saint Luc

Brussels, , Belgium

Site Status

Hopital Européen Georges Pompidou

Paris, , France

Site Status

Herzzentrum Bad Krozingen

Bad Krozingen, , Germany

Site Status

Universität zu Köln

Cologne, , Germany

Site Status

Universitaetsklinikum Dusseldorf

Düsseldorf, , Germany

Site Status

University of Erlangen at Nuremburg

Erlangen, , Germany

Site Status

Universitaetsklinikum Essen

Essen, , Germany

Site Status

CardioVascular Center Frankfurt

Frankfurt, , Germany

Site Status

Universitatskliniken des Saarlandes

Homburg, , Germany

Site Status

University of Leipzig - Herzzentrum

Leipzig, , Germany

Site Status

Universitatsklinikum Schleswig-Holstein, Luebeck Campus

Leubeck, , Germany

Site Status

Pauls Stradins Clinical University Hospital

Riga, , Latvia

Site Status

Samodzielna Pracownia Hemodynamiczna

Warsaw, , Poland

Site Status

Hospital 12 de Octubre

Madrid, , Spain

Site Status

Universitaatsspital Zurich

Zurich, , Switzerland

Site Status

Kent and Canterbury Hospital

Canterbury, , United Kingdom

Site Status

University of Glasgow

Glasgow, , United Kingdom

Site Status

Barts and the London School of Dentistry & Medicine

London, , United Kingdom

Site Status

Countries

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Australia Austria Belgium France Germany Latvia Poland Spain Switzerland United Kingdom

References

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Symplicity HTN-2 Investigators; Esler MD, Krum H, Sobotka PA, Schlaich MP, Schmieder RE, Bohm M. Renal sympathetic denervation in patients with treatment-resistant hypertension (The Symplicity HTN-2 Trial): a randomised controlled trial. Lancet. 2010 Dec 4;376(9756):1903-9. doi: 10.1016/S0140-6736(10)62039-9. Epub 2010 Nov 17.

Reference Type RESULT
PMID: 21093036 (View on PubMed)

Eikelis N, Hering D, Marusic P, Duval J, Hammond LJ, Walton AS, Lambert EA, Esler MD, Lambert GW, Schlaich MP. The Effect of Renal Denervation on Plasma Adipokine Profile in Patients with Treatment Resistant Hypertension. Front Physiol. 2017 May 30;8:369. doi: 10.3389/fphys.2017.00369. eCollection 2017.

Reference Type DERIVED
PMID: 28611687 (View on PubMed)

Schmieder RE, Ott C, Schmid A, Friedrich S, Kistner I, Ditting T, Veelken R, Uder M, Toennes SW. Adherence to Antihypertensive Medication in Treatment-Resistant Hypertension Undergoing Renal Denervation. J Am Heart Assoc. 2016 Feb 12;5(2):e002343. doi: 10.1161/JAHA.115.002343.

Reference Type DERIVED
PMID: 26873693 (View on PubMed)

Esler MD, Bohm M, Sievert H, Rump CL, Schmieder RE, Krum H, Mahfoud F, Schlaich MP. Catheter-based renal denervation for treatment of patients with treatment-resistant hypertension: 36 month results from the SYMPLICITY HTN-2 randomized clinical trial. Eur Heart J. 2014 Jul;35(26):1752-9. doi: 10.1093/eurheartj/ehu209. Epub 2014 Jun 4.

Reference Type DERIVED
PMID: 24898552 (View on PubMed)

Mahfoud F, Ukena C, Schmieder RE, Cremers B, Rump LC, Vonend O, Weil J, Schmidt M, Hoppe UC, Zeller T, Bauer A, Ott C, Blessing E, Sobotka PA, Krum H, Schlaich M, Esler M, Bohm M. Ambulatory blood pressure changes after renal sympathetic denervation in patients with resistant hypertension. Circulation. 2013 Jul 9;128(2):132-40. doi: 10.1161/CIRCULATIONAHA.112.000949. Epub 2013 Jun 18.

Reference Type DERIVED
PMID: 23780578 (View on PubMed)

Esler MD, Krum H, Schlaich M, Schmieder RE, Bohm M, Sobotka PA; Symplicity HTN-2 Investigators. Renal sympathetic denervation for treatment of drug-resistant hypertension: one-year results from the Symplicity HTN-2 randomized, controlled trial. Circulation. 2012 Dec 18;126(25):2976-82. doi: 10.1161/CIRCULATIONAHA.112.130880.

Reference Type DERIVED
PMID: 23248063 (View on PubMed)

Ukena C, Mahfoud F, Kindermann I, Barth C, Lenski M, Kindermann M, Brandt MC, Hoppe UC, Krum H, Esler M, Sobotka PA, Bohm M. Cardiorespiratory response to exercise after renal sympathetic denervation in patients with resistant hypertension. J Am Coll Cardiol. 2011 Sep 6;58(11):1176-82. doi: 10.1016/j.jacc.2011.05.036.

Reference Type DERIVED
PMID: 21884958 (View on PubMed)

Mahfoud F, Schlaich M, Kindermann I, Ukena C, Cremers B, Brandt MC, Hoppe UC, Vonend O, Rump LC, Sobotka PA, Krum H, Esler M, Bohm M. Effect of renal sympathetic denervation on glucose metabolism in patients with resistant hypertension: a pilot study. Circulation. 2011 May 10;123(18):1940-6. doi: 10.1161/CIRCULATIONAHA.110.991869. Epub 2011 Apr 25.

Reference Type DERIVED
PMID: 21518978 (View on PubMed)

Schlaich MP, Straznicky N, Grima M, Ika-Sari C, Dawood T, Mahfoud F, Lambert E, Chopra R, Socratous F, Hennebry S, Eikelis N, Bohm M, Krum H, Lambert G, Esler MD, Sobotka PA. Renal denervation: a potential new treatment modality for polycystic ovary syndrome? J Hypertens. 2011 May;29(5):991-6. doi: 10.1097/HJH.0b013e328344db3a.

Reference Type DERIVED
PMID: 21358414 (View on PubMed)

Related Links

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Other Identifiers

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TP-058

Identifier Type: -

Identifier Source: org_study_id

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