Renal Denervation on Quality of 24-hr BP Control by Ultrasound In Resistant Hypertension

NCT ID: NCT02918305

Last Updated: 2021-11-19

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-31

Study Completion Date

2021-10-31

Brief Summary

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The REQUIRE STUDY is a multi-center, randomized, double-blind, sham-controlled study, which aims to confirm the efficacy and safety of PRDS-001 (ReCor Medical Inc. Paradise in Europe) for renal denervation therapy in patients with treatment resistance hypertension, in comparison with the sham procedure.

Detailed Description

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Patients with treatment resistance hypertension is defined patients being treated on 3 or more different classes of antihypertensive medications including diuretics.

Conditions

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Hypertension Vascular Diseases

Keywords

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denervation resistant hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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PRDS-001 Renal Denervation Ultrasound System

Randomization will occur following the diagnostic renal angiogram. Blinded patients randomized to treatment will receive the renal denervation procedure using PRDS-001 System to deliver ultrasound energy to thermally ablate and disrupt the renal sympathetic nerves while sparing the renal arterial wall.

Group Type SHAM_COMPARATOR

PRDS-001 Renal Denervation Ultrasound System

Intervention Type DEVICE

Sham Procedure

Randomization will occur following the diagnostic renal angiography. For blinded patients randomized to control, the diagnostic renal angiography will be considered the sham procedure.

Group Type SHAM_COMPARATOR

Sham Procedure

Intervention Type PROCEDURE

Interventions

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PRDS-001 Renal Denervation Ultrasound System

Intervention Type DEVICE

Sham Procedure

Intervention Type PROCEDURE

Other Intervention Names

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renal denervation renal angiography

Eligibility Criteria

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Inclusion Criteria

* average office systolic BP of 150 mmHg or greater or office diastolic BP of 90 mmHg or greater (both in the sitting position)
* 24-hr ambulatory BP 140 mmHg or greater.

Exclusion Criteria

* Secondary hypertension (sleep apnoea can be included.)
* Type I diabetes or uncontrolled Type II diabetes with HbA1c 8.4% or greater
* Known or concurrent chronic active inflammatory bowel diseases (e.g. Crohn's disease, ulcerative colitis etc.)
* eGFR\<40 mL/min/1.73m2 (per predictive equation Japanese Society of Nephrology)
* Known severe cardiovascular events within 3 months or severe cerebrovascular events
* Patients those who are planned to receive PCI or other operation for iscaemic cardiovascular disease within 8 months
* Concurrent persistent atrial fibrillation
* Patients those who are on active implantable medical devices
* Primary pulmonary hypertension
* Patients those who are contraindicated to, or confirmed to have intolerable anaphylactic reaction or uncontrollable allergy to contrast media
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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JIMRO Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hirosaki, Aomori, Japan

Site Status

Urayasu, Chiba, Japan

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Tōon, Ehime, Japan

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Chikushino-shi, Fukuoka, Japan

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Kasuga, Fukuoka, Japan

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Kitakyushu, Fukuoka, Japan

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Kurume, Fukuoka, Japan

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Sekimachi, Gifu, Japan

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Nayoro, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Tomakomai, Hokkaido, Japan

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Amagasaki, Hyōgo, Japan

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Kobe, Hyōgo, Japan

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Nishinomiya, Hyōgo, Japan

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Kanazawa, Ishikawa-ken, Japan

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Morioka, Iwate, Japan

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Yokohama, Kanagawa, Japan

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Kahoku, Kanazawa, Japan

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Kōchi, Kochi, Japan

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Suzuka, Mie-ken, Japan

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Sendai, Miyagi, Japan

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Nakagami, Okinawa, Japan

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Kishiwada, Osaka, Japan

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Sakai, Osaka, Japan

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Suita, Osaka, Japan

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Sayama, Saitama, Japan

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Shimotsuke, Tochigi, Japan

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Adachi City, Tokyo, Japan

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Chiyoda City, Tokyo, Japan

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Hachiōji, Tokyo, Japan

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Meguro City, Tokyo, Japan

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Minato, Tokyo, Japan

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Minato-Ku, Tokyo, Japan

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Musashino, Tokyo, Japan

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Sakata, Yamagata, Japan

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Fukuoka, , Japan

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Hiroshima, , Japan

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Kagoshima, , Japan

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Kumamoto, , Japan

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Kyoto, , Japan

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Miyazaki, , Japan

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Niigata, , Japan

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Okayama, , Japan

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Saga, , Japan

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Busan, , South Korea

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Daegu, , South Korea

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Daejeon, , South Korea

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Gangneung, , South Korea

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Gwangju, , South Korea

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Gyeonggi-do, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Yangsan, , South Korea

Site Status

Countries

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Japan South Korea

References

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Kario K, Yokoi Y, Okamura K, Fujihara M, Ogoyama Y, Yamamoto E, Urata H, Cho JM, Kim CJ, Choi SH, Shinohara K, Mukai Y, Ikemoto T, Nakamura M, Seki S, Matoba S, Shibata Y, Sugawara S, Yumoto K, Tamura K, Yoshihara F, Nakamura S, Kang WC, Shibasaki T, Dote K, Yokoi H, Matsuo A, Fujita H, Takahashi T, Kang HJ, Sakata Y, Horie K, Inoue N, Sasaki KI, Ueno T, Tomita H, Morino Y, Nojima Y, Kim CJ, Matsumoto T, Kai H, Nanto S. Catheter-based ultrasound renal denervation in patients with resistant hypertension: the randomized, controlled REQUIRE trial. Hypertens Res. 2022 Feb;45(2):221-231. doi: 10.1038/s41440-021-00754-7. Epub 2021 Oct 15.

Reference Type DERIVED
PMID: 34654905 (View on PubMed)

Other Identifiers

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RDN-15-001

Identifier Type: -

Identifier Source: org_study_id