The RADIANCE II Pivotal Study: A Study of the ReCor Medical Paradise System in Stage II Hypertension

NCT ID: NCT03614260

Last Updated: 2025-04-04

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

225 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-14

Study Completion Date

2027-07-31

Brief Summary

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The objective of the RADIANCE II Pivotal study is to demonstrate the effectiveness and safety of the Paradise System in subjects with Stage 2 hypertension on 0-2 medications at the time of consent. Prior to randomization, subjects will be hypertensive in the absence of hypertension medication.

Detailed Description

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Conditions

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Hypertension Vascular Diseases Cardiovascular Diseases

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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Renal Denervation

Renal Angiogram and Renal Denervation (Paradise Renal Denervation System)

Group Type EXPERIMENTAL

Paradise Renal Denervation System

Intervention Type DEVICE

Following renal angiogram according to standard procedures, subjects remain blinded and are immediately treated with the renal denervation procedure after randomization.

Sham Control

Renal Angiogram

Group Type SHAM_COMPARATOR

Renal Angiogram

Intervention Type PROCEDURE

Following renal angiogram to standard procedures, subjects remain blinded and renal angiogram is considered the sham procedure.

Interventions

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Paradise Renal Denervation System

Following renal angiogram according to standard procedures, subjects remain blinded and are immediately treated with the renal denervation procedure after randomization.

Intervention Type DEVICE

Renal Angiogram

Following renal angiogram to standard procedures, subjects remain blinded and renal angiogram is considered the sham procedure.

Intervention Type PROCEDURE

Other Intervention Names

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Renal Angiogram Renal Denervation

Eligibility Criteria

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Inclusion Criteria

* Previously or currently prescribed antihypertensive therapy
* Average office BP ≥ 140/90 mmHg \<180/120 mmHg while stable for at least 4 weeks on 0-2 classes of antihypertensive medication
* Documented daytime ABP ≥ 135/85 mmHg and \< 170/105 mmHg after 4-week washout/run-in period

Exclusion Criteria

* Lacks appropriate renal artery anatomy for treatment
* Known, uncorrected causes of secondary hypertension other than sleep apnea
* Type I diabetes mellitus or uncontrolled Type II diabetes
* eGFR of \<40
* Brachial circumference ≥ 42 cm
* Any history of cerebrovascular event or severe cardiovascular event, or history of stable or unstable angina within 12 months prior to consent
* Repeat (\>1) hospitalization for hypertensive crisis within 12 months prior to screening period, or any hospitalization for hypertensive crisis within 3 months prior to screening period
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ReCor Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ajay Kirtane, MD, SM

Role: PRINCIPAL_INVESTIGATOR

Columbia University Medical Center/New York-Presbyterian Hospital and the Cardiovascular Research Foundation

Prof. Michel Azizi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Professor of Vascular Medicine, Hypertension Dept. and Clinical Investigation Center, Hôpital Européen Georges Pompidou

Locations

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Cardiology PC

Birmingham, Alabama, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

Bridgeport Hospital

Bridgeport, Connecticut, United States

Site Status

Stamford Hospital

Stamford, Connecticut, United States

Site Status

MedStar Washington

Washington D.C., District of Columbia, United States

Site Status

The Cardiac and Vascular Institute

Gainesville, Florida, United States

Site Status

Emory University Hospital Midtown

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Southern Illinois University

Springfield, Illinois, United States

Site Status

Ochsner Heart and Vascular Institute

New Orleans, Louisiana, United States

Site Status

The Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Munson Medical Center

Traverse City, Michigan, United States

Site Status

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, United States

Site Status

Saint Luke's Health System

Kansas City, Missouri, United States

Site Status

Renown Regional Medical Center

Reno, Nevada, United States

Site Status

Deborah Heart & Lung Center

Browns Mills, New Jersey, United States

Site Status

Hackensack University

Hackensack, New Jersey, United States

Site Status

Columbia University Medical Center/NYPH

New York, New York, United States

Site Status

Northwell Health Inc.

New York, New York, United States

Site Status

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

University of Pennsylvania Health System

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

The University of Tennessee Health Science Center

Memphis, Tennessee, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Centre Hospitalier Universitaire Saint-Pierre

Brussels, , Belgium

Site Status

Hôpital Saint André

Bordeaux, , France

Site Status

CHRU de Lille

Lille, , France

Site Status

Hôpital Européen Georges-Pompidou (HEGP)

Paris, , France

Site Status

University Clinic Erlangen

Erlangen, , Germany

Site Status

University Clinic of Saarland - Homburg

Homburg, , Germany

Site Status

Klinikum Karlsruhe GmbH

Karlsruhe, , Germany

Site Status

Klinikum Konstanz

Konstanz, , Germany

Site Status

Herzzentrum Leipzig GmbH

Leipzig, , Germany

Site Status

Sana Kliniken Lübeck GmbH

Lübeck, , Germany

Site Status

University Hospital Galway

Galway, , Ireland

Site Status

Erasmus Medical Center

Rotterdam, , Netherlands

Site Status

Hôpitaux Universitaires Genève

Geneva, , Switzerland

Site Status

The Cardiothoracic Centre Basildon University Hospital

Basildon, Essex, United Kingdom

Site Status

University Hospitals Dorset NHS Foundation Trust

Bournemouth, , United Kingdom

Site Status

Kent & Canterbury Hospital

Canterbury, , United Kingdom

Site Status

University Hospital Wales

Cardiff, , United Kingdom

Site Status

St Bartholomew's Hospital

London, , United Kingdom

Site Status

Freeman Hospital

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States Belgium France Germany Ireland Netherlands Switzerland United Kingdom

References

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Azizi M, Saxena M, Wang Y, Jenkins JS, Devireddy C, Rader F, Fisher NDL, Schmieder RE, Mahfoud F, Lindsey J, Sanghvi K, Todoran TM, Pacella J, Flack J, Daemen J, Sharp ASP, Lurz P, Bloch MJ, Weber MA, Lobo MD, Basile J, Claude L, Reeve-Stoffer H, McClure CK, Kirtane AJ; RADIANCE II Investigators and Collaborators. Endovascular Ultrasound Renal Denervation to Treat Hypertension: The RADIANCE II Randomized Clinical Trial. JAMA. 2023 Feb 28;329(8):651-661. doi: 10.1001/jama.2023.0713.

Reference Type RESULT
PMID: 36853250 (View on PubMed)

Azizi M, Sharp ASP, Fisher NDL, Weber MA, Lobo MD, Daemen J, Lurz P, Mahfoud F, Schmieder RE, Basile J, Bloch MJ, Saxena M, Wang Y, Sanghvi K, Jenkins JS, Devireddy C, Rader F, Gosse P, Claude L, Augustin DA, McClure CK, Kirtane AJ; RADIANCE Investigators. Patient-Level Pooled Analysis of Endovascular Ultrasound Renal Denervation or a Sham Procedure 6 Months After Medication Escalation: The RADIANCE Clinical Trial Program. Circulation. 2024 Mar 5;149(10):747-759. doi: 10.1161/CIRCULATIONAHA.123.066941. Epub 2023 Oct 26.

Reference Type DERIVED
PMID: 37883784 (View on PubMed)

Kirtane AJ, Sharp ASP, Mahfoud F, Fisher NDL, Schmieder RE, Daemen J, Lobo MD, Lurz P, Basile J, Bloch MJ, Weber MA, Saxena M, Wang Y, Sanghvi K, Jenkins JS, Devireddy C, Rader F, Gosse P, Sapoval M, Barman NC, Claude L, Augustin D, Thackeray L, Mullin CM, Azizi M; RADIANCE Investigators and Collaborators. Patient-Level Pooled Analysis of Ultrasound Renal Denervation in the Sham-Controlled RADIANCE II, RADIANCE-HTN SOLO, and RADIANCE-HTN TRIO Trials. JAMA Cardiol. 2023 May 1;8(5):464-473. doi: 10.1001/jamacardio.2023.0338.

Reference Type DERIVED
PMID: 36853627 (View on PubMed)

Other Identifiers

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RADIANCE II Study

Identifier Type: -

Identifier Source: org_study_id

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