REQUIRE: Renal Denervation on Quality of 24-hr BP Control by Ultrasound In Resistant Hypertension
Study Details
Study Description
Brief Summary
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.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Detailed Description
Patients with treatment resistance hypertension is defined patients being treated on 3 or more different classes of antihypertensive medications including diuretics.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Sham Comparator: 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. |
Device: PRDS-001 Renal Denervation Ultrasound System
Other Names:
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Sham Comparator: 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. |
Procedure: Sham Procedure
Other Names:
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Outcome Measures
Primary Outcome Measures
- a decrease of average 24-hr ambulatory systolic BP from the baseline [3 month follow-up visit]
Secondary Outcome Measures
- a decrease of the average ambulatory systolic BP during the daytime and that during the nighttime, from the baseline, respectively [3 month follow-up visit]
- a decrease of the average ambulatory diastolic BP during the daytime, and that during the nighttime, from the baseline, respectively [3 month follow-up visit]
- a decrease of the average office BP (both systolic and diastolic) in the sitting position from the baseline [3 month follow-up visit]
Eligibility Criteria
Criteria
Inclusion Criteria:
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average office systolic BP of 150 mmHg or greater or office diastolic BP of 90 mmHg or greater (both in the sitting position)
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24-hr ambulatory BP 140 mmHg or greater.
Exclusion Criteria:
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Secondary hypertension (sleep apnoea can be included.)
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Type I diabetes or uncontrolled Type II diabetes with HbA1c 8.4% or greater
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Known or concurrent chronic active inflammatory bowel diseases (e.g. Crohn's disease, ulcerative colitis etc.)
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eGFR<40 mL/min/1.73m2 (per predictive equation Japanese Society of Nephrology)
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Known severe cardiovascular events within 3 months or severe cerebrovascular events
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Patients those who are planned to receive PCI or other operation for iscaemic cardiovascular disease within 8 months
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Concurrent persistent atrial fibrillation
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Patients those who are on active implantable medical devices
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Primary pulmonary hypertension
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Patients those who are contraindicated to, or confirmed to have intolerable anaphylactic reaction or uncontrollable allergy to contrast media
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hirosaki | Aomori | Japan | ||
2 | Urayasu | Chiba | Japan | ||
3 | Toon | Ehime | Japan | ||
4 | Chikushino | Fukuoka | Japan | ||
5 | Kasuga | Fukuoka | Japan | ||
6 | Kitakyushu | Fukuoka | Japan | ||
7 | Kurume | Fukuoka | Japan | ||
8 | Seki | Gifu | Japan | ||
9 | Nayoro | Hokkaido | Japan | ||
10 | Sapporo | Hokkaido | Japan | ||
11 | Tomakomai | Hokkaido | Japan | ||
12 | Amagasaki | Hyogo | Japan | ||
13 | Kobe | Hyogo | Japan | ||
14 | Nishinomiya | Hyogo | Japan | ||
15 | Kanazawa | Ishikawa | Japan | ||
16 | Morioka | Iwate | Japan | ||
17 | Yokohama | Kanagawa | Japan | ||
18 | Kahoku | Kanazawa | Japan | ||
19 | Kōchi | Kochi | Japan | ||
20 | Suzuka | Mie | Japan | ||
21 | Sendai | Miyagi | Japan | ||
22 | Nakagami | Okinawa | Japan | ||
23 | Kishiwada | Osaka | Japan | ||
24 | Sakai | Osaka | Japan | ||
25 | Suita | Osaka | Japan | ||
26 | Sayama | Saitama | Japan | ||
27 | Shimotsuke | Tochigi | Japan | ||
28 | Adachi | Tokyo | Japan | ||
29 | Chiyoda | Tokyo | Japan | ||
30 | Hachiōji | Tokyo | Japan | ||
31 | Meguro | Tokyo | Japan | ||
32 | Minato-Ku | Tokyo | Japan | ||
33 | Minato | Tokyo | Japan | ||
34 | Musashino | Tokyo | Japan | ||
35 | Sakata | Yamagata | Japan | ||
36 | Fukuoka | Japan | |||
37 | Hiroshima | Japan | |||
38 | Kagoshima | Japan | |||
39 | Kumamoto | Japan | |||
40 | Kyoto | Japan | |||
41 | Miyazaki | Japan | |||
42 | Niigata | Japan | |||
43 | Okayama | Japan | |||
44 | Saga | Japan | |||
45 | Busan | Korea, Republic of | |||
46 | Daegu | Korea, Republic of | |||
47 | Daejeon | Korea, Republic of | |||
48 | Gangneung | Korea, Republic of | |||
49 | Gwangju | Korea, Republic of | |||
50 | Gyeonggi-do | Korea, Republic of | |||
51 | Incheon | Korea, Republic of | |||
52 | Seoul | Korea, Republic of | |||
53 | Yangsan | Korea, Republic of |
Sponsors and Collaborators
- JIMRO Co., Ltd.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RDN-15-001