HypertensionRADIANCE-HTNNCT02649426
A Study of the ReCor Medical Paradise System in Clinical Hypertension
A study testing The Paradise® Renal Denervation Ultrasound System in people with Hypertension and Vascular Diseases, run by ReCor Medical, Inc. at 49 sites in 7 countries.
Trial summary
RADIANCE-HTN is a randomized, double-blind, sham controlled, 2-cohort study (TRIO and SOLO) designed to demonstrate efficacy and document the safety of the Paradise Renal Denervation System in two distinct populations of hypertensive subjects. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Hypertension, Vascular Diseases
- What is being tested?
- The Paradise® Renal Denervation Ultrasound System
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 282 participants
- Where
- 49 sitesin 7 countries
- Study dates
- Mar 2016to May 2027
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
TRIO and SOLO Inclusion Criteria:
- Appropriately signed and dated informed consent
- Age ≥18 and ≤75 years at time of consent
- Documented history of essential hypertension
- SOLO Cohort only: Either an average seated office BP < 180/110 mmHg at screening visit while on a stable regimen of 1 or 2 antihypertensive medications for at least 4 weeks prior to consent or an average seated office BP ≥ 140/90 mmHg <180/110 mmHg despite lifestyle measures on no antihypertensive medications
- TRIO Cohort only: Average seated office BP ≥ 140/90 mmHg at screening visit while on a stable regimen of at least 3 antihypertensive medications of different classes including a diuretic for at least 4 weeks prior to consent
- Documented daytime ABP ≥ 135/85 mmHg and < 170/105 mmHg after 4-week washout/run-in period (SOLO cohort) or after 4-week stabilization period (TRIO cohort)
- Suitable renal anatomy compatible with the renal denervation procedure and documented by renal CTA or MRA of good quality performed within one year prior to consent (a CTA or MRA will be obtained in patients without a recent (≤1 year) renal imaging)
- Able and willing to comply with all study procedures
Solo Exclusion Criteria:
- Renal artery anatomy on either side, ineligible for treatment including:
- Main renal artery diameter < 4 mm and > 8 mm
- Main renal artery length < 25 mm
- A single functioning kidney
- Presence of abnormal kidney (or secreting adrenal) tumors
- Renal artery with aneurysm
- Pre-existing renal stent or history of renal artery angioplasty
- Prior renal denervation procedure
- Fibromuscular disease of the renal arteries
- Presence of renal artery stenosis of any origin ≥ 30%
- Accessory arteries with diameter ≥ 2mm <4 mm and > 8 mm*
- Evidence of active infection within 7 days of procedure
- Iliac/femoral artery stenosis precluding insertion of the Paradise Catheter
- Type I diabetes mellitus or uncontrolled Type II diabetes (defined as a plasma Hb1Ac ≥ 9.0%)
- Documented history of chronic active inflammatory bowel disorders such as Chrohn's disease or ulcerative colitis
- eGFR of <40 mL/min/1.73 m2 (by Modification of Diet in Renal Disease formula)
- Brachial circumference ≥ 42 cm
- Any history of cerebrovascular event (e.g. stroke, transient ischemic event, cerebrovascular accident)
- Any history of severe cardiovascular event (myocardial infarction, CABG, acute heart failure requiring hospitalization (NYHA III-IV)
- Documented confirmed episode(s) of stable or unstable angina
- Documented repeat (>1) hospitalization for hypertensive crisis within the prior 12 months
- Prescribed to any standard antihypertensive of cardiovascular medication (e.g. beta blockers) for other chronic conditions (e.g. ischemic heart disease) such that discontinuation might pose serious risk to health
- Documented history of persistent or permanent atrial tachyarrhythmia
- Active implantable medical device (e.g. ICD or CRT-D; neuromodulator/spinal stimulator; baroreflex stimulator)
- Chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea.
- Primary pulmonary hypertension
- Documented contraindication or allergy to contrast medium not amenable to treatment
- Limited life expectancy of < 1 year at the discretion of the Investigator
- Any known, unresolved history of drug use or alcohol dependency, lacks the ability to comprehend or follow instructions, or for any reason in the opinion of the investigator, would be unlikely or unable to comply with study protocol requirements or whose participation may result in data analysis confounders (e.g. night shift workers)
- Pregnant, nursing or planning to become pregnant (negative pregnancy test required, documented within a maximum of 7 days prior to procedure for all women of child bearing potential. Documentation of effective contraception is also required for women of child bearing potential) Concurrent enrollment in any other investigational drug or device trial (participation in non-interventional Registries is acceptable)
TRIO Exclusion Criteria
- Renal artery anatomy on either side, ineligible for treatment including:
- Main renal artery diameter < 3.5 mm and > 8 mm
- Main renal artery length < 20 mm
- A single functioning kidney
- Presence of abnormal kidney tumors
- Renal artery with aneurysm
- Pre-existing renal stent or history of renal artery angioplasty
- Pre-existing aortic stent or history of aortic aneurysm
- Prior renal denervation procedure
- Fibromuscular disease of the renal arteries
- Presence of renal artery stenosis of any origin ≥ 30%
- Accessory arteries with diameter ≥2 mm <3.5 mm and > 8 mm*
- Iliac/femoral artery stenosis precluding insertion of the Paradise Catheter
- Evidence of active infection within 7 days of procedure
- Secondary hypertension not including sleep apnea (documented through clinical work up within the 12 months prior to consent- see protocol body for details)
- Type I diabetes mellitus or uncontrolled Type II diabetes (defined as a plasma Hb1Ac ≥ 9.0%)
- Documented history of chronic active inflammatory bowel disorders such as Crohn's disease or ulcerative colitis
- eGFR of <40 mL/min/1.73 m2 (by Modification of Diet in Renal Disease formula)
- Brachial circumference ≥ 42 cm
- Any history of cerebrovascular event (e.g. stroke, transient ischemic event, cerebrovascular accident) within 3 months prior to consent
- Any history of severe cardiovascular event (e.g. myocardial infarction, CABG, acute heart failure requiring hospitalization (NYHA III-IV) within 3 months prior to consent
- Documented repeat (>1) hospitalization for hypertensive crisis within the prior 3 months
- Documented confirmed episode(s) of unstable angina within 3 months prior to consent
- Documented intolerance or contraindication for any of the antihypertensive drugs prescribed as a requirement of the study protocol
- Prescribed to any standard anti-hypertensive CV medication (other than beta blockers) for other chronic conditions (e.g. ischemic heart disease) such that discontinuation might pose serious risk to health
- Documented history of persistent or permanent atrial tachyarrhythmia
- Active implantable medical device (e.g. ICD or CRT-D; neuromodulator/spinal stimulator; baroreflex stimulator)
- Chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea.
- Primary pulmonary hypertension
- Documented contraindication or allergy to contrast medium not amenable to treatment
- Limited life expectancy of < 1 year at the discretion of the Investigator
- Night shift workers
- Any known, unresolved history of drug use or alcohol dependency, lacks the ability to comprehend or follow instructions, or for any reason in the opinion of the investigator, would be unlikely or unable to comply with study protocol requirements or whose participation may result in data analysis confounders
- Pregnant, nursing or planning to become pregnant (documented negative pregnancy test required documented within a maximum of 7 days prior to procedure for all women of child bearing potential. Documentation of effective contraception is also required for women of child bearing potential)
- Concurrent enrollment in any other investigational drug or device trial (participation in non-interventional Registries is acceptable)
Trial locations and contacts
49 sites in 7 countries.
49 sites in 7 countries
United States24 sites
Emory University Hospital Midtown
Atlanta, Georgia, 30308
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Massachusetts General Hospital
Boston, Massachusetts, 02114
The Brigham and Women's Hospital
Boston, Massachusetts, 02120
Deborah Heart and Lung Center
Browns Mills, New Jersey, 08015
University of North Carolina at Chapel Hill School of Medicine
Chapel Hill, North Carolina, 27599-7075
Medical University of South Carolina
Charleston, South Carolina, 29403
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic
Cleveland, Ohio, 44195
The Cardiac and Vascular Institute
Gainesville, Florida, 32605
Franciscan Health Indianapolis
Indianapolis, Indiana, 46237
Cedars-Sinai Medical Center
Los Angeles, California, 90211
Minneapolis Heart Institute
Minneapolis, Minnesota, 55407
Vanderbilt University
Nashville, Tennessee, 37232
Ochsner Heart and Vascular Insitute
New Orleans, Louisiana, 70121
New York University School of Medicine
New York, New York, 10010
Columbia University / NewYork Presbyterian Hospital
New York, New York, 10032
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
The Heart Hospital Baylor Plano
Plano, Texas, 75093
Renown Institute for Heart& Vascular Health
Reno, Nevada, 89502
Sutter Health Medical Center
Sacramento, California, 95816
University of Utah
Salt Lake City, Utah, 84112
Southern Illinois University Medicine
Springfield, Illinois, 62794
Stamford Hospital
Stamford, Connecticut, 06904
Germany7 sites
University Clinic Dusseldorf
Düsseldorf, 40225
University Clinic Erlangen
Erlangen, 91054
Universitäts-Herzzentrum Freiburg-Bad Krozingen GmbH
Freiburg im Breisgau, D-91054
University Clinic of Saarland
Homburg, 66421
Leipzig Heart Center
Leipzig, 04289
Sana Kliniken Lübeck GmbH
Lübeck, 23560
Katholisches Klinikum Mainz
Mainz, 55131
United Kingdom7 sites
The Essex Cardiothoracic Centre - Basildon & Thurrock University Hospitals
Basildon
Royal Bournemouth Hospital
Bournemouth, England, BH7 7DW
Royal Devon and Exeter Hospital (Wonford)
Exeter, EX2 5DW
Conquest Hospital - Hastings
Hastings, TN37 7RD
Imperial College London, Hammersmith Hospital
London, England, SW7 2AZ
St Bartholomew's Hospital
London, EC1A 7BE
Nottingham University Hospitals NHS Trust
Nottingham, NG5 1PB
France5 sites
Hôpital Saint-André - CHU Bordeaux
Bordeaux, 33000
CHRU Lille - Institut Coeur Poumon
Lille, 59000
Hôpital de la Croix Rousse
Lyon, 69004
Hôpital Européen Georges-Pompidou
Paris, 75015
Clinique Pasteur
Toulouse, 31300
Netherlands3 sites
Maastricht University Hospital
Maastricht, 6229 HX
Erasmus Medical Center
Rotterdam, 3015 CE
University Medical Center Utrecht
Utrecht, 3584 CX
Poland2 sites
Medical University of Gdansk
Gdansk, 80-952
Institute of Cardiology
Warsaw, 04-628
About this study
Official title: The "RADIANCE-HTN" Study. A Study of the ReCor Medical Paradise System in Clinical Hypertension
RADIANCE-HTN is a randomized, double-blind, sham controlled, 2-cohort study (TRIO and SOLO) designed to demonstrate efficacy and document the safety of the Paradise Renal Denervation System in two distinct populations of hypertensive subjects.
Read the detailed description
Subjects with essential hypertension controlled on 1 or 2 antihypertensive medications or uncontrolled on 0-2 antihypertensive medications will be included in the RADIANCE Solo cohort while subjects with treatment resistant hypertension on a minimum of 3 antihypertensive medications will be included in the RADIANCE Trio cohort. Prior to randomization, subjects will be hypertensive in the absence of hypertension medication (SOLO) or despite the presence of a stabilized, single pill, triple, fixed dose antihypertensive medication regimen (TRIO).
- Conditions
- Hypertension, Vascular Diseases
- Being tested
- The Paradise® Renal Denervation Ultrasound System, Sham Procedure
- Keywords
- denervation, resistant hypertension, essential hypertension
- Medical subject headings
- Hypertension, Vascular Diseases, Essential Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The Paradise® Renal Denervation Ultrasound SystemDevice
Also called renal denervation
Randomization will occur following the diagnostic renal angiogram. Blinded patients randomized to treatment will receive the renal denervation procedure using the Paradise System to deliver ultrasound energy to thermally ablate and disrupt the renal sympathetic nerves while sparing the renal arterial wall.
Sham ProcedureDevice
Also called renal angiogram
Randomization will occur following the diagnostic renal angiogram. For blinded patients randomized to control, the diagnostic renal angiogram will be considered the sham procedure.
| Study group | Role | What they receive |
|---|---|---|
| Ultrasound Renal Denervation | Experimental | Subjects in the TRIO or SOLO cohorts that are randomized to treatment, will receive renal denervation following a renal angiogram Receives: Device: The Paradise® Renal Denervation Ultrasound System |
| Sham Procedure | Sham comparator | For subjects in TRIO or SOLO cohorts that randomize to the sham procedure, the diagnostic renal angiogram intervention will be considered the sham procedure. Receives: Device: Sham Procedure |
What is being measured
The primary outcome is the main question the study is designed to answer.
Solo Cohort - Mean Difference in Average Daytime Ambulatory Systolic BP
Mean difference in average daytime ambulatory systolic BP of the Solo cohort
Measured: from baseline to 2 months post procedure
Trio Cohort - Median Change in Daytime Ambulatory Systolic BP
Median change in daytime ambulatory systolic BP of the Trio cohort
Measured: from baseline to 2 months post procedure
Secondary outcomes (14)
Reduction in Average 24-hr/Night-time Ambulatory Systolic BP
Measured: from baseline to 2 months post procedure
Reduction in Average Daytime/24-hr/Night-time Diastolic BP
Measured: from baseline to 2 months post procedure
All-cause Mortality
Measured: from baseline to 36 months post-procedure
Hypertensive or Hypotensive Emergency Resulting in Hospitalization
Measured: up to 36 months
Hospitalization for Heart Failure
Measured: from baseline to 36 months post-procedure
Stroke, Transient Ischemic Attack, Cerebrovascular Accident
Measured: from baseline to 36 months post-procedure
Acute Myocardial Infarction
Measured: from baseline to 36 months post-procedure
End Stage Renal Disease
Measured: from baseline to 36 months post-procedure
Renal Artery or Vascular Complications Requiring Intervention
Measured: from baseline to 36 months post-procedure
Significant Embolic Events Resulting in End Organ Damage
Measured: from baseline to 1 month and 36 months post-procedure
Procedure Related Pain Lasting > 2 Days
Measured: from baseline to 1 month and 36 months post-procedure
Acute Renal Injury
Measured: from baseline to 1 month and 36 months post-procedure
Significant (>50%) and Severe (>75%) New Onset Renal Stenosis
as diagnosed by duplex ultrasound and confirmed by renal CTA/MRA or as diagnosed/confirmed by study defined renal CTA/MRA at 12 months
Measured: from baseline to 6, 12, 24 and 36 months post-procedure
Major Access Site Complications
Measured: from baseline to 1 month and 36 months post-procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jan 2016 (estimated)
- Study startMar 2016
- Primary completionSep 2020
- Study completionMay 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 282 participants (actual)
Sponsor and investigators
- Lead sponsor
- ReCor Medical, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Michel Azizi, MD, PhD, Principal investigator, Hôpital Européen Georges-PompidouAjay J Kirtane, M.D, Principal investigator, Columbia University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02649426
- Sponsor's protocol ID
- CLN 0777
- Acronym
- RADIANCE-HTN
- Status last verified
- Mar 2026
- First submitted
- 4 Jan 2016
- Last updated
- 21 Apr 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided: to be determined
Publications
Bytyqi V, Kannenkeril D, Striepe K, Bosch A, Karg MV, Schmid A, Schiffer M, Uder M, Schmieder RE. Predicting blood pressure response to renal denervation based on a new approach. J Hypertens. 2025 Mar 1;43(3):413-419. doi: 10.1097/HJH.0000000000003918. Epub 2024 Oct 29.
PubMed 39526682Azizi M, Sharp ASP, Fisher NDL, Weber MA, Lobo MD, Daemen J, Lurz P, Mahfoud F, Schmieder RE, Basile J, Bloch MJ, Saxena M, Wang Y, Sanghvi K, Jenkins JS, Devireddy C, Rader F, Gosse P, Claude L, Augustin DA, McClure CK, Kirtane AJ; RADIANCE Investigators. Patient-Level Pooled Analysis of Endovascular Ultrasound Renal Denervation or a Sham Procedure 6 Months After Medication Escalation: The RADIANCE Clinical Trial Program. Circulation. 2024 Mar 5;149(10):747-759. doi: 10.1161/CIRCULATIONAHA.123.066941. Epub 2023 Oct 26.
PubMed 37883784Kirtane AJ, Sharp ASP, Mahfoud F, Fisher NDL, Schmieder RE, Daemen J, Lobo MD, Lurz P, Basile J, Bloch MJ, Weber MA, Saxena M, Wang Y, Sanghvi K, Jenkins JS, Devireddy C, Rader F, Gosse P, Sapoval M, Barman NC, Claude L, Augustin D, Thackeray L, Mullin CM, Azizi M; RADIANCE Investigators and Collaborators. Patient-Level Pooled Analysis of Ultrasound Renal Denervation in the Sham-Controlled RADIANCE II, RADIANCE-HTN SOLO, and RADIANCE-HTN TRIO Trials. JAMA Cardiol. 2023 May 1;8(5):464-473. doi: 10.1001/jamacardio.2023.0338.
PubMed 36853627Azizi M, Mahfoud F, Weber MA, Sharp ASP, Schmieder RE, Lurz P, Lobo MD, Fisher NDL, Daemen J, Bloch MJ, Basile J, Sanghvi K, Saxena M, Gosse P, Jenkins JS, Levy T, Persu A, Kably B, Claude L, Reeve-Stoffer H, McClure C, Kirtane AJ; RADIANCE-HTN Investigators. Effects of Renal Denervation vs Sham in Resistant Hypertension After Medication Escalation: Prespecified Analysis at 6 Months of the RADIANCE-HTN TRIO Randomized Clinical Trial. JAMA Cardiol. 2022 Dec 1;7(12):1244-1252. doi: 10.1001/jamacardio.2022.3904.
PubMed 36350593Sanghvi K, Wang Y, Daemen J, Mathur A, Jain A, Dohad S, Sapoval M, Azizi M, Mahfoud F, Lurz P, Sayer J, Levy T, Zagoria R, Loening AM, Coleman L, Craig D, Horesh-Bar M, Kirtane AJ. Renal Artery Variations in Patients With Mild-to-Moderate Hypertension From the RADIANCE-HTN SOLO Trial. Cardiovasc Revasc Med. 2022 Jun;39:58-65. doi: 10.1016/j.carrev.2021.09.008. Epub 2021 Sep 30.
PubMed 34620570Fisher NDL, Kirtane AJ, Daemen J, Rader F, Lobo MD, Saxena M, Abraham J, Schmieder RE, Sharp ASP, Gosse P, Claude L, Song Y, Azizi M; RADIANCE-HTN Investigators. Plasma renin and aldosterone concentrations related to endovascular ultrasound renal denervation in the RADIANCE-HTN SOLO trial. J Hypertens. 2022 Feb 1;40(2):221-228. doi: 10.1097/HJH.0000000000002994.
PubMed 34433763Azizi M, Sanghvi K, Saxena M, Gosse P, Reilly JP, Levy T, Rump LC, Persu A, Basile J, Bloch MJ, Daemen J, Lobo MD, Mahfoud F, Schmieder RE, Sharp ASP, Weber MA, Sapoval M, Fong P, Pathak A, Lantelme P, Hsi D, Bangalore S, Witkowski A, Weil J, Kably B, Barman NC, Reeve-Stoffer H, Coleman L, McClure CK, Kirtane AJ; RADIANCE-HTN investigators. Ultrasound renal denervation for hypertension resistant to a triple medication pill (RADIANCE-HTN TRIO): a randomised, multicentre, single-blind, sham-controlled trial. Lancet. 2021 Jun 26;397(10293):2476-2486. doi: 10.1016/S0140-6736(21)00788-1. Epub 2021 May 16.
PubMed 34010611Gosse P, Cremer A, Kirtane AJ, Lobo MD, Saxena M, Daemen J, Wang Y, Stegbauer J, Weber MA, Abraham J, Kario K, Bangalore S, Claude L, Liu Y, Azizi M. Ambulatory Blood Pressure Monitoring to Predict Response to Renal Denervation: A Post Hoc Analysis of the RADIANCE-HTN SOLO Study. Hypertension. 2021 Feb;77(2):529-536. doi: 10.1161/HYPERTENSIONAHA.120.16292. Epub 2020 Dec 28.
PubMed 33356403Azizi M, Schmieder RE, Mahfoud F, Weber MA, Daemen J, Lobo MD, Sharp ASP, Bloch MJ, Basile J, Wang Y, Saxena M, Lurz P, Rader F, Sayer J, Fisher NDL, Fouassier D, Barman NC, Reeve-Stoffer H, McClure C, Kirtane AJ; RADIANCE-HTN Investigators. Six-Month Results of Treatment-Blinded Medication Titration for Hypertension Control After Randomization to Endovascular Ultrasound Renal Denervation or a Sham Procedure in the RADIANCE-HTN SOLO Trial. Circulation. 2019 May 28;139(22):2542-2553. doi: 10.1161/CIRCULATIONAHA.119.040451. Epub 2019 Mar 17.
PubMed 30880441Calhoun DA, Schiffrin EL, Flack JM. Resistant Hypertension: An Update. Am J Hypertens. 2019 Jan 1;32(1):1-3. doi: 10.1093/ajh/hpy156. No abstract available.
PubMed 30407514Azizi M, Schmieder RE, Mahfoud F, Weber MA, Daemen J, Davies J, Basile J, Kirtane AJ, Wang Y, Lobo MD, Saxena M, Feyz L, Rader F, Lurz P, Sayer J, Sapoval M, Levy T, Sanghvi K, Abraham J, Sharp ASP, Fisher NDL, Bloch MJ, Reeve-Stoffer H, Coleman L, Mullin C, Mauri L; RADIANCE-HTN Investigators. Endovascular ultrasound renal denervation to treat hypertension (RADIANCE-HTN SOLO): a multicentre, international, single-blind, randomised, sham-controlled trial. Lancet. 2018 Jun 9;391(10137):2335-2345. doi: 10.1016/S0140-6736(18)31082-1. Epub 2018 May 23.
PubMed 29803590
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The "RADIANCE-HTN" Study. A Study of the ReCor Medical Paradise System in Clinical Hypertension
- ClinicalTrials.gov ID
- NCT02649426
- Acronym / sponsor ID
- RADIANCE-HTN / CLN 0777
- Conditions
- Hypertension, Vascular Diseases
- Keywords
- denervation, resistant hypertension, essential hypertension
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 282 participants (actual)
- Lead sponsor
- ReCor Medical, Inc.Industry (pharma, biotech, devices)
- Study start
- Mar 2016 (actual)
- Primary completion
- Sep 2020 (actual)
- Study completion
- May 2027 (estimated)
- First posted
- 7 Jan 2016 (estimated)
- Results
- Posted 28 Jun 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RADIANCE-HTN is a randomized, double-blind, sham controlled, 2-cohort study (TRIO and SOLO) designed to demonstrate efficacy and document the safety of the Paradise Renal Denervation System in two distinct populations of hypertensive subjects.
Detailed description
Subjects with essential hypertension controlled on 1 or 2 antihypertensive medications or uncontrolled on 0-2 antihypertensive medications will be included in the RADIANCE Solo cohort while subjects with treatment resistant hypertension on a minimum of 3 antihypertensive medications will be included in the RADIANCE Trio cohort. Prior to randomization, subjects will be hypertensive in the absence of hypertension medication (SOLO) or despite the presence of a stabilized, single pill, triple, fixed dose antihypertensive medication regimen (TRIO).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Ultrasound Renal Denervation | Experimental | Device: The Paradise® Renal Denervation Ultrasound SystemSubjects in the TRIO or SOLO cohorts that are randomized to treatment, will receive renal denervation following a renal angiogram |
| Sham Procedure | Sham comparator | Device: Sham ProcedureFor subjects in TRIO or SOLO cohorts that randomize to the sham procedure, the diagnostic renal angiogram intervention will be considered the sham procedure. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The Paradise® Renal Denervation Ultrasound SystemAlso: renal denervationRandomization will occur following the diagnostic renal angiogram. Blinded patients randomized to treatment will receive the renal denervation procedure using the Paradise System to deliver ultrasound energy to thermally ablate and disrupt the renal sympathetic nerves while sparing the renal arterial wall. | Device | Ultrasound Renal Denervation |
| Sham ProcedureAlso: renal angiogramRandomization will occur following the diagnostic renal angiogram. For blinded patients randomized to control, the diagnostic renal angiogram will be considered the sham procedure. | Device | Sham Procedure |
Primary outcome
Solo Cohort - Mean Difference in Average Daytime Ambulatory Systolic BP
Time frame: from baseline to 2 months post procedure
Mean difference in average daytime ambulatory systolic BP of the Solo cohort
Trio Cohort - Median Change in Daytime Ambulatory Systolic BP
Time frame: from baseline to 2 months post procedure
Median change in daytime ambulatory systolic BP of the Trio cohort
14 secondary outcomes
Reduction in Average 24-hr/Night-time Ambulatory Systolic BP
Time frame: from baseline to 2 months post procedure
Reduction in Average Daytime/24-hr/Night-time Diastolic BP
Time frame: from baseline to 2 months post procedure
All-cause Mortality
Time frame: from baseline to 36 months post-procedure
Hypertensive or Hypotensive Emergency Resulting in Hospitalization
Time frame: up to 36 months
Hospitalization for Heart Failure
Time frame: from baseline to 36 months post-procedure
Stroke, Transient Ischemic Attack, Cerebrovascular Accident
Time frame: from baseline to 36 months post-procedure
Acute Myocardial Infarction
Time frame: from baseline to 36 months post-procedure
End Stage Renal Disease
Time frame: from baseline to 36 months post-procedure
Renal Artery or Vascular Complications Requiring Intervention
Time frame: from baseline to 36 months post-procedure
Significant Embolic Events Resulting in End Organ Damage
Time frame: from baseline to 1 month and 36 months post-procedure
Procedure Related Pain Lasting > 2 Days
Time frame: from baseline to 1 month and 36 months post-procedure
Acute Renal Injury
Time frame: from baseline to 1 month and 36 months post-procedure
Significant (>50%) and Severe (>75%) New Onset Renal Stenosis
Time frame: from baseline to 6, 12, 24 and 36 months post-procedure
Major Access Site Complications
Time frame: from baseline to 1 month and 36 months post-procedure
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39526682Bytyqi V, Kannenkeril D, Striepe K, Bosch A, Karg MV, Schmid A, Schiffer M, Uder M, Schmieder RE. Predicting blood pressure response to renal denervation based on a new approach. J Hypertens. 2025 Mar 1;43(3):413-419. doi: 10.1097/HJH.0000000000003918. Epub 2024 Oct 29.
- Derived from this study: PubMed 37883784Azizi M, Sharp ASP, Fisher NDL, Weber MA, Lobo MD, Daemen J, Lurz P, Mahfoud F, Schmieder RE, Basile J, Bloch MJ, Saxena M, Wang Y, Sanghvi K, Jenkins JS, Devireddy C, Rader F, Gosse P, Claude L, Augustin DA, McClure CK, Kirtane AJ; RADIANCE Investigators. Patient-Level Pooled Analysis of Endovascular Ultrasound Renal Denervation or a Sham Procedure 6 Months After Medication Escalation: The RADIANCE Clinical Trial Program. Circulation. 2024 Mar 5;149(10):747-759. doi: 10.1161/CIRCULATIONAHA.123.066941. Epub 2023 Oct 26.
- Derived from this study: PubMed 36853627Kirtane AJ, Sharp ASP, Mahfoud F, Fisher NDL, Schmieder RE, Daemen J, Lobo MD, Lurz P, Basile J, Bloch MJ, Weber MA, Saxena M, Wang Y, Sanghvi K, Jenkins JS, Devireddy C, Rader F, Gosse P, Sapoval M, Barman NC, Claude L, Augustin D, Thackeray L, Mullin CM, Azizi M; RADIANCE Investigators and Collaborators. Patient-Level Pooled Analysis of Ultrasound Renal Denervation in the Sham-Controlled RADIANCE II, RADIANCE-HTN SOLO, and RADIANCE-HTN TRIO Trials. JAMA Cardiol. 2023 May 1;8(5):464-473. doi: 10.1001/jamacardio.2023.0338.
- Derived from this study: PubMed 36350593Azizi M, Mahfoud F, Weber MA, Sharp ASP, Schmieder RE, Lurz P, Lobo MD, Fisher NDL, Daemen J, Bloch MJ, Basile J, Sanghvi K, Saxena M, Gosse P, Jenkins JS, Levy T, Persu A, Kably B, Claude L, Reeve-Stoffer H, McClure C, Kirtane AJ; RADIANCE-HTN Investigators. Effects of Renal Denervation vs Sham in Resistant Hypertension After Medication Escalation: Prespecified Analysis at 6 Months of the RADIANCE-HTN TRIO Randomized Clinical Trial. JAMA Cardiol. 2022 Dec 1;7(12):1244-1252. doi: 10.1001/jamacardio.2022.3904.
- Derived from this study: PubMed 34620570Sanghvi K, Wang Y, Daemen J, Mathur A, Jain A, Dohad S, Sapoval M, Azizi M, Mahfoud F, Lurz P, Sayer J, Levy T, Zagoria R, Loening AM, Coleman L, Craig D, Horesh-Bar M, Kirtane AJ. Renal Artery Variations in Patients With Mild-to-Moderate Hypertension From the RADIANCE-HTN SOLO Trial. Cardiovasc Revasc Med. 2022 Jun;39:58-65. doi: 10.1016/j.carrev.2021.09.008. Epub 2021 Sep 30.
- Derived from this study: PubMed 34433763Fisher NDL, Kirtane AJ, Daemen J, Rader F, Lobo MD, Saxena M, Abraham J, Schmieder RE, Sharp ASP, Gosse P, Claude L, Song Y, Azizi M; RADIANCE-HTN Investigators. Plasma renin and aldosterone concentrations related to endovascular ultrasound renal denervation in the RADIANCE-HTN SOLO trial. J Hypertens. 2022 Feb 1;40(2):221-228. doi: 10.1097/HJH.0000000000002994.
- Derived from this study: PubMed 34010611Azizi M, Sanghvi K, Saxena M, Gosse P, Reilly JP, Levy T, Rump LC, Persu A, Basile J, Bloch MJ, Daemen J, Lobo MD, Mahfoud F, Schmieder RE, Sharp ASP, Weber MA, Sapoval M, Fong P, Pathak A, Lantelme P, Hsi D, Bangalore S, Witkowski A, Weil J, Kably B, Barman NC, Reeve-Stoffer H, Coleman L, McClure CK, Kirtane AJ; RADIANCE-HTN investigators. Ultrasound renal denervation for hypertension resistant to a triple medication pill (RADIANCE-HTN TRIO): a randomised, multicentre, single-blind, sham-controlled trial. Lancet. 2021 Jun 26;397(10293):2476-2486. doi: 10.1016/S0140-6736(21)00788-1. Epub 2021 May 16.
- Derived from this study: PubMed 33356403Gosse P, Cremer A, Kirtane AJ, Lobo MD, Saxena M, Daemen J, Wang Y, Stegbauer J, Weber MA, Abraham J, Kario K, Bangalore S, Claude L, Liu Y, Azizi M. Ambulatory Blood Pressure Monitoring to Predict Response to Renal Denervation: A Post Hoc Analysis of the RADIANCE-HTN SOLO Study. Hypertension. 2021 Feb;77(2):529-536. doi: 10.1161/HYPERTENSIONAHA.120.16292. Epub 2020 Dec 28.
- Derived from this study: PubMed 30880441Azizi M, Schmieder RE, Mahfoud F, Weber MA, Daemen J, Lobo MD, Sharp ASP, Bloch MJ, Basile J, Wang Y, Saxena M, Lurz P, Rader F, Sayer J, Fisher NDL, Fouassier D, Barman NC, Reeve-Stoffer H, McClure C, Kirtane AJ; RADIANCE-HTN Investigators. Six-Month Results of Treatment-Blinded Medication Titration for Hypertension Control After Randomization to Endovascular Ultrasound Renal Denervation or a Sham Procedure in the RADIANCE-HTN SOLO Trial. Circulation. 2019 May 28;139(22):2542-2553. doi: 10.1161/CIRCULATIONAHA.119.040451. Epub 2019 Mar 17.
- Derived from this study: PubMed 30407514Calhoun DA, Schiffrin EL, Flack JM. Resistant Hypertension: An Update. Am J Hypertens. 2019 Jan 1;32(1):1-3. doi: 10.1093/ajh/hpy156. No abstract available.
- Derived from this study: PubMed 29803590Azizi M, Schmieder RE, Mahfoud F, Weber MA, Daemen J, Davies J, Basile J, Kirtane AJ, Wang Y, Lobo MD, Saxena M, Feyz L, Rader F, Lurz P, Sayer J, Sapoval M, Levy T, Sanghvi K, Abraham J, Sharp ASP, Fisher NDL, Bloch MJ, Reeve-Stoffer H, Coleman L, Mullin C, Mauri L; RADIANCE-HTN Investigators. Endovascular ultrasound renal denervation to treat hypertension (RADIANCE-HTN SOLO): a multicentre, international, single-blind, randomised, sham-controlled trial. Lancet. 2018 Jun 9;391(10137):2335-2345. doi: 10.1016/S0140-6736(18)31082-1. Epub 2018 May 23.
- Individual participant dataSharing planned: Undecided. to be determined
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michel Azizi, MD, PhD principal investigator
Hôpital Européen Georges-Pompidou
Ajay J Kirtane, M.D principal investigator
Columbia University
49 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The Paradise® Renal Denervation Ultrasound System in people with Hypertension and Vascular Diseases, run by ReCor Medical, Inc. at 49 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: under way, not looking for participants, as of the sponsor's last update on 21 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 49 sites in United States, Germany, United Kingdom, France, Netherlands and 2 more countries. 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?
Yes. Results are posted in the registry (first posted 28 Jun 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Solo Cohort - Mean Difference in Average Daytime Ambulatory Systolic BP (time frame: from baseline to 2 months post procedure). The study lists 2 primary outcomes in all. 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 NCT02649426, which also lists 11 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 21 Apr 2026.