Status:

RECRUITING

A Clinical Study of the Paradise™ Renal Denervation System in Patients With Hypertension (RADIANCE-HTN DUO)

Lead Sponsor:

Otsuka Medical Devices Co., Ltd. Japan

Conditions:

Hypertension

Vascular Diseases

Eligibility:

All Genders

20-75 years

Phase:

NA

Brief Summary

To compare the antihypertensive effect of renal denervation with the Paradise™ system with that of a sham procedure in hypertensive patients receiving two antihypertensive drugs at the time of consent...

Eligibility Criteria

Inclusion

  • Inclusion Criteria :
  • Patients who have received antihypertensive treatment with two antihypertensive drugs (ARB/ACE inhibitor and Ca channel antagonist, either as a single agent or as a combination) for at least 4 weeks prior to obtaining consent, with no change in the type or dosage.
  • Patients with a mean seated office blood pressure of between 140 mmHg and 180 mmHg systolic and between 90 mmHg and 110 mmHg diastolic at screening visit.
  • Patients with a mean 24-hour ABPM (ambulatory blood pressure measurement) of between 130 mmHg and 170 mmHg systolic and between 80 mmHg and 105 mmHg diastolic at baseline visit
  • Exclusion Criteria
  • Lacks appropriate renal artery anatomy for renal denervation
  • Secondary hypertension other than sleep apnea
  • Type 1 diabetes mellitus or uncontrolled Type 2 diabetes
  • Any history of cerebrovascular event or severe cardiovascular event, within 6 months prior to consent
  • Repeated hospitalization for hypertensive crisis (twice or more) within 12 months prior to obtaining consent, or any hospitalization for hypertensive crisis within 3 months prior to obtaining consent
  • Patients prescribed to drugs that have antihypertensive effects for other chronic diseases, and the investigator considers that discontinuation of these drugs may pose a serious risk to health
  • Patients who are taking drugs known to affect blood pressure and the investigator judges that it is not possible to discontinue these drugs during the study period
  • Patients with a history of persistent or permanent atrial tachyarrhythmia
  • Patients with active implantable medical devices
  • Primary pulmonary hypertension
  • Patients with contraindications or unacceptable anaphylactic reactions or uncontrolled allergy to contrast media
  • Night shift workers
  • Pregnant, nursing or planning to become pregnant
  • Patients with any of the following central laboratory tests at screening
  • Plasma aldosterone/renin ratio greater than or equal to 200 and plasma aldosterone greater than or equal to 60 pg/ml
  • HbA1c greater than or equal to 8.0%
  • eGFR less than 40 mL/min/1.73m2

Exclusion

    Key Trial Info

    Start Date :

    July 1 2022

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 1 2032

    Estimated Enrollment :

    154 Patients enrolled

    Trial Details

    Trial ID

    NCT05326230

    Start Date

    July 1 2022

    End Date

    December 1 2032

    Last Update

    July 31 2025

    Active Locations (51)

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    Page 1 of 13 (51 locations)

    1

    Hirosaki University Hospital

    Hirosaki-shi, Aomori, Japan

    2

    Tokyo Bay Urayasu Ichikawa Medical Center

    Urayasu-shi, Chiba, Japan

    3

    Ehime University Hospital

    Toon-shi, Ehime, Japan

    4

    Fukuoka University Chikushi Hospital

    Chikushino-shi, Fukuoka, Japan