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Uncontrolled HypertensionNCT01418261

SYMPLICITY HTN-3 Renal Denervation in Patients With Uncontrolled Hypertension

A study testing Renal denervation (Symplicity Catheter System) and Renal angiogram in people with Uncontrolled Hypertension, run by Medtronic Vascular at 79 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The Symplicity HTN-3 study is a, multi-center, prospective, single-blind, randomized, controlled study of the safety and effectiveness of renal denervation in subjects with uncontrolled hypertension. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Uncontrolled Hypertension
What is being tested?
Renal denervation (Symplicity Catheter System) and Renal angiogram
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
535 participants
Where
79 sitesUnited States
Study dates
Sep 2011to 17 Feb 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Individual is ≥ 18 and ≤ 80 years old at time of randomization.
  • Individual is receiving a stable medication regimen including full tolerated doses of 3 or more anti-hypertensive medications of different classes, of which one must be a diuretic (with no changes for a minimum of 2 weeks prior to screening) that is expected to be maintained without changes for at least 6 months.
  • Individual has an office systolic blood pressure (SBP) of ≥ 160 mmHg based on an average of 3 blood pressure readings measured at both an initial screening visit and a confirmatory screening visit

Who cannot join

  • Individual has an estimated glomerular filtration rate (eGFR) of < 45 mL/min/1.73 m2
  • Individual has an Ambulatory Blood Pressure Monitoring (ABPM) 24 hour average SBP < 135 mmHg
  • Individual has type 1 diabetes mellitus
  • Individual requires chronic oxygen support or mechanical ventilation (e.g., tracheostomy, CPAP, BiPAP) other than nocturnal respiratory support for sleep apnea.
  • Individual has primary pulmonary hypertension.
  • Individual is pregnant, nursing or planning to be pregnant.

Trial locations and contacts

79 sites in 1 country.

79 sites in 1 country

United States79 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Emory University Hospital Midtown

    Atlanta, Georgia, 30308

  • Piedmont Heart Institute

    Atlanta, Georgia, 30309

  • University of Colorado Hospital

    Aurora, Colorado, 80045

  • Austin Heart PLLC / Heart Hospital of Austin

    Austin, Texas, 78756

  • University of Maryland, Baltimore

    Baltimore, Maryland, 21201

  • Cardiology, PC

    Birmingham, Alabama, 35211

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • VA Boston Healthcare System

    Boston, Massachusetts, 02132

  • SUNY Downstate Medical Center

    Brooklyn, New York, 11203

  • Deborah Heart & Lung Center

    Browns Mills, New Jersey, 08015

  • Lahey Clinic

    Burlington, Massachusetts, 01805

  • Fletcher Allen Health Care

    Burlington, Vermont, 05401

  • University of North Carolina Heart and Vascular

    Chapel Hill, North Carolina, 27599

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Carolinas Healthcare (SHVI)-Clinical Research

    Charlotte, North Carolina, 28203

  • University of Virginia

    Charlottesville, Virginia, 22908

  • Northwestern University

    Chicago, Illinois, 60611

  • University of Chicago

    Chicago, Illinois, 60637

  • The Lindner Center for Research & Education at The Christ Hospital

    Cincinnati, Ohio, 45219

  • University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • The MetroHealth System

    Cleveland, Ohio, 44109

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • The Ohio State University

    Columbus, Ohio, 43210

  • OhioHealth Research Institute

    Columbus, Ohio, 43214-3907

  • VA North Texas Health Care System

    Dallas, Texas, 75216

  • Soltero Cardiovascular Research Center - Baylor Jack and Jane Hamilton Heart & Vascular Hospital

    Dallas, Texas, 75226

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822

  • Iowa Heart Center Research

    Des Moines, Iowa, 50266

  • Harper University Hospital - Detroit Medical Center

    Detroit, Michigan, 48201

  • Duke University Health System

    Durham, North Carolina, 27710

  • Shands / University of Florida

    Gainesville, Florida, 32610

  • Hattiesburg Clinic, P.A

    Hattiesburg, Mississippi, 39401

  • The Methodist Hospital

    Houston, Texas, 77030

  • Mayo Clinic

    Jacksonville, Florida, 32224

  • Saint Luke's Hospital of Kansas City/Mid America Heart Institute

    Kansas City, Missouri, 64111

  • Scripps Clinic/Scripps Green Hospital

    La Jolla, California, 92037

  • Lancaster General Hospital

    Lancaster, Pennsylvania, 17604

  • University of Kentucky

    Lexington, Kentucky, 40536

  • Kaiser Permanente - Los Angeles Medical Center

    Los Angeles, California, 90027

  • Cedars Sinai Medical Center

    Los Angeles, California, 90048

  • Stern Cardiovascular Foundation, Inc.

    Memphis, Tennessee, 38138

  • University Of Miami

    Miami, Florida, 33136

  • Baptist Cardiac &Vascular Institute, Baptist Health Systems

    Miami, Florida, 33176

  • Aurora St. Luke's Medical Center

    Milwaukee, Wisconsin, 53215

  • Abbott Northwestern/Minneapolis Heart Institute Foundation

    Minneapolis, Minnesota, 55407

  • Morristown Medical Center

    Morristown, New Jersey, 07962

  • Vanderbilt Medical Center

    Nashville, Tennessee, 37232-7235

  • Jersey Shore University Medical Center

    Neptune City, New Jersey, 07753

  • Ochsner Medical Center

    New Orleans, Louisiana, 70121

  • New York University Medical Center

    New York, New York, 10015

  • Weill Cornell Medical College

    New York, New York, 10021

  • Mount Sinai Medical Center-Manhattan

    New York, New York, 10029

  • Columbia University Medical Center

    New York, New York, 10032

  • Midwest Heart Foundation

    Oakbrook Terrace, Illinois, 60181

  • St. Joseph Hospital

    Orange, California, 92868

  • Thomas Jefferson University Hospitals, Inc

    Philadelphia, Pennsylvania, 19107

  • University of Pennsylvania Health System

    Philadelphia, Pennsylvania, 19130

  • UPMC

    Pittsburgh, Pennsylvania, 15213

  • The Heart Hospital Baylor Plano

    Plano, Texas, 75093

  • St Joseph Mercy Oakland Hospital

    Pontiac, Michigan, 48341

  • Vascular Disease Research Center at Rhode Island Hospital

    Providence, Rhode Island, 02903

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Saint Mary's Mayo Clinic

    Rochester, Minnesota, 55905

  • St. Francis Hospital

    Roslyn, New York, 11576

  • San Diego Cardiac Center

    San Diego, California, 92123

  • Providence Hospital

    Southfield, Michigan, 48075

  • Prairie Heart Institute

    Springfield, Illinois, 62701

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Stanford University

    Stanford, California, 94305

  • Stony Brook University Hospital and Medical Center

    Stony Brook, New York, 11794

  • Tampa General Hospital

    Tampa, Florida, 33606

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • Howard University Hospital

    Washington D.C., District of Columbia, 20060

  • Wake Forest Baptist Health

    Winston-Salem, North Carolina, 27157

  • UMass Memorial Medical Center

    Worcester, Massachusetts, 01655

  • Lankenau Medical Center

    Wynnewood, Pennsylvania, 19096

  • Michigan Heart, St. Joseph Mercy Health System

    Ypsilanti, Michigan, 48197

Other trials in United States

About this study

Official title: Renal Denervation in Patients With Uncontrolled Hypertension (SYMPLICITY HTN-3)

The Symplicity HTN-3 study is a, multi-center, prospective, single-blind, randomized, controlled study of the safety and effectiveness of renal denervation in subjects with uncontrolled hypertension. Bilateral renal denervation will be performed using the Symplicity Catheter - a percutaneous system that delivers radiofrequency (RF)energy through the luminal surface of the renal artery.

Read the detailed description

The Symplicity HTN-3 study is a, multi-center, prospective, single-blind, randomized, controlled study of the safety and effectiveness of renal denervation in subjects with uncontrolled hypertension. Bilateral renal denervation will be performed using the Symplicity Catheter - a percutaneous system that delivers radiofrequency (RF)energy through the luminal surface of the renal artery.

Being tested
Renal denervation (Symplicity Catheter System), Renal angiogram
Keywords
uncontrolled hypertension, renal denervation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Renal denervation (Symplicity Catheter System)Device

  • Renal angiogramDiagnostic test

Study groups in NCT01418261
Study groupRoleWhat they receive
Renal DenervationExperimentalSubjects are treated with the renal denervation procedure after randomization and maintained baseline anti-hypertensive medications
Receives: Device: Renal denervation (Symplicity Catheter System); Diagnostic Test: Renal angiogram
Control groupSham comparatorSubjects go through renal angiogram and Subjects maintained baseline anti-hypertensive medications
Receives: Diagnostic Test: Renal angiogram

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Office Systolic Blood Pressure

    Primary Effectiveness Outcome Measure

    Measured: Baseline to 6 months post-randomization

Secondary outcomes (1)
  1. Change in average 24-hour Systolic Blood Pressure by ambulatory blood pressure monitoring

    Measured: Baseline to 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Aug 2011 (estimated)
  2. Study startSep 2011
  3. Primary completionDec 2013
  4. Study completion17 Feb 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
535 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01418261
Sponsor's protocol ID
IP125
Status last verified
Apr 2017
First submitted
15 Aug 2011
Last updated
26 Apr 2017
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Bhatt DL, Vaduganathan M, Kandzari DE, Leon MB, Rocha-Singh K, Townsend RR, Katzen BT, Oparil S, Brar S, DeBruin V, Fahy M, Bakris GL; SYMPLICITY HTN-3 Steering Committee Investigators. Long-term outcomes after catheter-based renal artery denervation for resistant hypertension: final follow-up of the randomised SYMPLICITY HTN-3 Trial. Lancet. 2022 Oct 22;400(10361):1405-1416. doi: 10.1016/S0140-6736(22)01787-1. Epub 2022 Sep 18.

    PubMed 36130612
  • Mahfoud F, Bakris G, Bhatt DL, Esler M, Ewen S, Fahy M, Kandzari D, Kario K, Mancia G, Weber M, Bohm M. Reduced blood pressure-lowering effect of catheter-based renal denervation in patients with isolated systolic hypertension: data from SYMPLICITY HTN-3 and the Global SYMPLICITY Registry. Eur Heart J. 2017 Jan 7;38(2):93-100. doi: 10.1093/eurheartj/ehw325.

    PubMed 28158510
  • Pocock SJ, Bakris G, Bhatt DL, Brar S, Fahy M, Gersh BJ. Regression to the Mean in SYMPLICITY HTN-3: Implications for Design and Reporting of Future Trials. J Am Coll Cardiol. 2016 Nov 1;68(18):2016-2025. doi: 10.1016/j.jacc.2016.07.775.

    PubMed 27788856
  • Kario K, Bhatt DL, Brar S, Cohen SA, Fahy M, Bakris GL. Effect of Catheter-Based Renal Denervation on Morning and Nocturnal Blood Pressure: Insights From SYMPLICITY HTN-3 and SYMPLICITY HTN-Japan. Hypertension. 2015 Dec;66(6):1130-7. doi: 10.1161/HYPERTENSIONAHA.115.06260. Epub 2015 Oct 5.

    PubMed 26558819
  • Bakris GL, Townsend RR, Flack JM, Brar S, Cohen SA, D'Agostino R, Kandzari DE, Katzen BT, Leon MB, Mauri L, Negoita M, O'Neill WW, Oparil S, Rocha-Singh K, Bhatt DL; SYMPLICITY HTN-3 Investigators. 12-month blood pressure results of catheter-based renal artery denervation for resistant hypertension: the SYMPLICITY HTN-3 trial. J Am Coll Cardiol. 2015 Apr 7;65(13):1314-1321. doi: 10.1016/j.jacc.2015.01.037.

    PubMed 25835443
  • Kandzari DE, Bhatt DL, Brar S, Devireddy CM, Esler M, Fahy M, Flack JM, Katzen BT, Lea J, Lee DP, Leon MB, Ma A, Massaro J, Mauri L, Oparil S, O'Neill WW, Patel MR, Rocha-Singh K, Sobotka PA, Svetkey L, Townsend RR, Bakris GL. Predictors of blood pressure response in the SYMPLICITY HTN-3 trial. Eur Heart J. 2015 Jan 21;36(4):219-27. doi: 10.1093/eurheartj/ehu441. Epub 2014 Nov 16.

    PubMed 25400162
  • Bakris GL, Townsend RR, Liu M, Cohen SA, D'Agostino R, Flack JM, Kandzari DE, Katzen BT, Leon MB, Mauri L, Negoita M, O'Neill WW, Oparil S, Rocha-Singh K, Bhatt DL; SYMPLICITY HTN-3 Investigators. Impact of renal denervation on 24-hour ambulatory blood pressure: results from SYMPLICITY HTN-3. J Am Coll Cardiol. 2014 Sep 16;64(11):1071-8. doi: 10.1016/j.jacc.2014.05.012. Epub 2014 May 20.

    PubMed 24858423
  • Bhatt DL, Kandzari DE, O'Neill WW, D'Agostino R, Flack JM, Katzen BT, Leon MB, Liu M, Mauri L, Negoita M, Cohen SA, Oparil S, Rocha-Singh K, Townsend RR, Bakris GL; SYMPLICITY HTN-3 Investigators. A controlled trial of renal denervation for resistant hypertension. N Engl J Med. 2014 Apr 10;370(15):1393-401. doi: 10.1056/NEJMoa1402670. Epub 2014 Mar 29.

    PubMed 24678939

Questions about this trial

What is this clinical trial studying?

A study testing Renal denervation (Symplicity Catheter System) and Renal angiogram in people with Uncontrolled Hypertension, run by Medtronic Vascular at 79 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 79 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Office Systolic Blood Pressure (time frame: Baseline to 6 months post-randomization). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01418261, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Apr 2017.

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