About this trial
The RPD Pilot trial will evaluate the safety and effectiveness of Verve Medical's RPDTM renal denervation system for hypertensive patients with uncontrolled blood pressure despite use of two medications at a therapeutic dose.
The novelty of the RPDTM system relates to its placement via natural orifice into the renal pelvis (bilaterally) for delivery of radiofrequency energy to ablate the nerves that pass through the outer wall of the renal pelvis, a technique referred to as renal pelvic denervation (RPD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Currently taking 2 anti-hypertensive medications (NOTE: no changes to medications allowed until after 2-month primary endpoint).
Stable antihypertensive medical regimen for at least 30 days.
Ambulatory mean daytime SBP ≥135 mmHg.
Ambulatory daytime SBP <170 and DBP <105 mmHg.
Disqualifiers
History of non-compliance with medical care or medical treatments.
History of atrial fibrillation.
Pregnant (verified with a urine or blood pregnancy test), breast-feeding, or planning to become pregnant. Note that all premenopausal women will be screened for pregnancy (see section 4.7.4).
Office SBP ≥180 and DBP ≥110 mmHg.
Trial design
Crossover
Treatments tested in this trial
RPD
DeviceRenal Pelvic Denervation
Active hypertension medical therapy
DrugPrespecified two medication regimen for control of hypertension
Treatment groups
Trial outcomes
Primary outcomes
Primary effectiveness
effects of the device/procedure on 24-hour blood pressure control in addition to use of 2 antihypertensive medications
Sponsors and contacts
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Verve Medical, Inc
Lead sponsor
RQM+
Collaborator
Dabl Ltd
Collaborator
Medical Labs Memphis - MLM
Collaborator