About this trial
This small-scale, proof-of-concept pilot study aims to obtain preliminary evidence of msRDN procedural safety, feasibility, and short-term efficacy in patients with hypertension without medication therapy, to adequately plan an appropriate pivotal study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Documented essential hypertension
Resistant or drug-intolerant hypertension, particularly in patients requiring medication reduction
Office BP ≥ 140/90 mmHg and < 180/110 mmHg while on a stable regimen of 1-2 antihypertensive medications for ≥ 4 weeks before consent
Disqualifiers
Main renal artery diameter < 4 mm or > 8 mm
Main renal artery length < 25 mm
Single functioning kidney
Presence of abnormal kidney (or secreting adrenal) tumors
Trial design
Single group
Treatments tested in this trial
The SymPioneer G2 Mapping/Selective Renal Denervation Device and SyMapCath Catheter II
DeviceRadiofrequency ablation of renal arterial sympathetic nerves
Treatment groups
Trial outcomes
Primary outcomes
Change in daytime ASBP
mean change in average daytime ASBP from baseline to 2 months post-procedure.
Secondary outcomes
Change in office SBP
Change in Office Systolic BP from baseline to 1 month,2 months,3 months and 6 months post-procedure;
Change in average 24-hr/Night-time Ambulatory BP(Systolic and Diastolic)
change in Average 24-hr/Night-time Ambulatory BP(Systolic and Diastolic) from baseline to 2 months and daytime ambulatory Diastolic BP from baseline to 2 months post procedure
Change in 24-hr Ambulatory BP
Change in 24-hr Ambulatory BP from baseline to 6 months post-procedure
Change in anti-hypertensive Drugs
Change in anti-hypertensive Drugs form baseline to 1 month、2 months、3 months and 6 months post-procedure;
Other outcomes
Success rate of the renal interventional therapy procedure
The renal denervation catheter can be engaged to the correct position in renal artery, successfully performed renal nerve ablation procedure and has no related complications such as renal arterial perforation;
Success rate of clinical treatment
Based on succeed performance of renal interventional therapy procedure , there are no the procedure-related SAE, such as acute infection and renal dysfunction. 7 days after the procedure or at the time the patient is discharged from hospital
All-cause mortality
Severe renal dysfunction (eGFR<15mL/min/m2 or renal function replacement therapy needed)
Sponsors and contacts
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