Renal Artery Denervation in Chronic Heart Failure Study

NCT ID: NCT01639378

Last Updated: 2016-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Brief Summary

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The REACH study, is a prospective, double-blinded, randomised, controlled study of the safety and effectiveness of renal denervation in subjects with chronic systolic heart failure. Bilateral denervation will be performed using the Symplicity Catheter - a percutaneous system that delivers radio frequency (RF) energy through the luminal surface of the renal artery.

Detailed Description

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Interventional study

Allocation: Randomised Endpoint Classification: Safety / Efficacy Study Intervention Model: Parallel Assignment Masking: Double blind (Subject / CHF team). The interventional operator, will have no role in care of the patient following randomisation.

Primary Purpose: Treatment

Chronic Systolic Heart Failure

Device: Renal denervation (Symplicity Catheter System) Symplicity Catheter System

-Intervention: Device: Renal denervation (Symplicity Catheter System)

Patients are randomised in the cath lab to receive either renal denervation or sham procedure.

Experimental arm: Renal Denervation Control arm: No renal denervation (sham procedure)

In both arms, aftercare is provided by clinicians who are blinded to the randomised allocation arm. Subjects will have been recruited on stable heart failure therapy, and the intention is to maintain this therapy steady during followup.

Conditions

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Chronic Systolic Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Renal Denervation

Subjects are treated with renal denervation after randomisation and maintained on heart failure medications

Group Type EXPERIMENTAL

Renal Denervation

Intervention Type PROCEDURE

Symplicity Catheter System

Control group

Subject will have a sham procedure and not receive renal denervation. They will continue with the heart failure medications

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Renal Denervation

Symplicity Catheter System

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Chronic heart failure due to systolic dysfunction
* New York Heart Association class II or higher
* Maximal pharmacological therapy including (where clinically indicated and tolerated), b-blocker, ACE inhibitors /A2 blocker, Aldosterone blockade.
* Ejection fraction less than 40%

Exclusion Criteria

* Estimated GFR\<35ml/hr
* Unfavourable renal anatomy (renal artery stenosis)
* Unable to walk on a treadmill for cardiopulmonary exercise test
* Significant valvular disease (moderate or more aortic regurgitation/stenosis or mitral stenosis; severe mitral/tricuspid regurgitation)
* Severe lung disease
* Symptomatic orthostatic dizziness
* Unable to consent
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Imperial College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Darrel P Francis, BA, MD

Role: STUDY_DIRECTOR

Imperial College London

Justin E Davies, MBBS, PHD

Role: PRINCIPAL_INVESTIGATOR

Imperial College London

Locations

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Imperial College London

London, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Sobotka PA, Krum H, Bohm M, Francis DP, Schlaich MP. The role of renal denervation in the treatment of heart failure. Curr Cardiol Rep. 2012 Jun;14(3):285-92. doi: 10.1007/s11886-012-0258-x.

Reference Type BACKGROUND
PMID: 22392370 (View on PubMed)

Other Identifiers

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REACH

Identifier Type: -

Identifier Source: org_study_id