Uncontrolled Essential HypertensionNCT05795829
Ultrasound Ablation for Essential Hypertension(FIM)
A study testing disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument in people with Uncontrolled Essential Hypertension, run by Lepu Medical Technology (Beijing) Co., Ltd. at 2 sites in China.
Trial summary
To evaluate the safety and feasibility of disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument in the treatment of essential hypertension. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Uncontrolled Essential Hypertension
- What is being tested?
- disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 2 sitesChina
- Study dates
- 16 Jan 2023to 29 Feb 2024
- 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
- Age≥18 and≤80 years old, no gender limitation;
- Two or more antihypertensive drugs should be statically taken for at least 4 weeks before randomization and the prescribed dose should be ≥ 50% of the manufacturer's maximum dose, angiotensin-converting enzyme inhibitor (ACEI) (or angiotensin-Ⅱ receptor antagonist (ARB)) and calcium channel blocker (CCB) (or thiazide diuretic) are required to be used in combination. Blood pressure meets the following conditions: 1) office systolic blood pressure (SBP)≥150mmHg and<180mmHg; 2) office diastolic blood pressure (DBP) ≥90mmHg;
- 24-hour ambulatory systolic blood pressure: ≥135 mmHg and <170 mmHg;
- A recorded history of essential hypertension;
- Understands the purpose of this study, and is willing to sign the Informed Consent and complete clinical follow-up.
Who cannot join
- Ineligible renal artery anatomy including : (1) multiple renal arteries, (2) main renal artery diameter <4mm or length <20mm, (3) renal artery stenosis > 50% in the main renal artery, (4) atherosclerosis of the renal artery, renal artery aneurysm, fibromuscular dysplasia or calcification, (5) pre-existing renal stent, (6) single kidney
- Estimated glomerular filtration rate (eGFR) <45 mL/min/1.73 m2
- Type Ⅰ diabetes mellitus or poorly controlled type Ⅱ diabetes mellitus (defined as plasma Hb1Ac≥ 9.0% or 24-hour urinary protein quantification >1g/24h or proliferative retinopathy)
- Postural hypotension
- Recent vascular events: Experienced acute myocardial infarction, unstable angina, syncope, or cerebrovascular accident within 3 months of the screening period
- Possible secondary hypertension
Show all 12Show fewer
- Respiratory support: The individual requires long-term oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea
- Life expectancy <1 year
- Female who is pregnant, nursing, or planning to become pregnant
- Subjects who are currently enrolled in another clinical trial and have not completed their primary endpoint
- Subjects who are allergic to contrast medium
- Subjects who are unsuitable for the trial ,because of poor patient compliance or other reasons judged by the investigator
Trial locations and contacts
2 sites in 1 country.
China2 sites, 2 recruiting
- Recruiting
The Second Affiuated Hospital of Chongqing Medical University
Chongqing
Jing huang, 023-63693083
- Recruiting
The Second Affiliated Hospital of Harbin Medical University
Harbin
Bo Yu, 0451-86605180
About this study
Official title: First in Man Study to Evaluate the Safety and Efficacy of Disposable Intravascular Ultrasound Ablation Catheters and Ultrasound Ablation Instrument in the Treatment of Essential Hypertension
To evaluate the safety and feasibility of disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument in the treatment of essential hypertension.
Read the detailed description
Feasibility Research This is a prospective, small-sample, single-group study. A total of 10 subjects are planned to be included in this study. Disposable intravascular catheter and instrument are used for intravascular ultrasound ablation. All participants will be followed up by telephone or outpatient at 1, 2 and 6 months post-procedure, with procedural success rate as the primary endpoint. At the same time, the incidence of adverse events will be observed to make a preliminary evaluation of the safety and feasibility of disposable intravascular catheter and instrument, and to provide data support for the second-stage confirmatory study.
In feasibility research, statistical analysis of data will be performed after 30 days postoperative follow-up of the subjects, and the safety and feasibility of disposable intravascular catheter and instrument will be preliminarily evaluated before entering the stage of confirmatory trial.
- Conditions
- Uncontrolled Essential Hypertension
- Being tested
- disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument
- Keywords
- Ultrasound Ablation Catheter, Renal Sympathetic Denervation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
disposable intravascular ultrasound ablation catheter and ultrasound ablation instrumentDevice
Disposable intravascular ultrasound ablation catheters (used with an ultrasound ablation instrument) can use ultrasound energy to block sympathetic activity in the renal arteries.
| Study group | Role | What they receive |
|---|---|---|
| Disposable Intravascular Ultrasound Ablation Catheter and Ultrasound Ablation Instrument | Experimental | All subjects will receive treatment from the disposable intravascular ultrasound ablation catheter. Receives: Device: disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument |
What is being measured
The primary outcome is the main question the study is designed to answer.
Procedural success
Procedural success was defined as the absence of renal arterial related complication during the subject's hospitalization based on the device success.
Measured: Before discharge (post-procedure), up to 7 days
Secondary outcomes (16)
Change in average 24-hour/night-time ambulatory Systolic Blood Pressure (SBP)
Measured: 1 month, 2months, 6 months post-procedure
Change in average 24-hour/daytime/night-time ambulatory Diastolic Blood Pressure (DBP)
Measured: 1 month, 2months, 6 months post-procedure
Change in average daytime ambulatory Systolic Blood Pressure (SBP)
Measured: 1 month, 2months, 6 months post-procedure
Change in office systolic blood pressure
Measured: 1 month, 2 months, 6 months post-procedure
Change in office diastolic blood pressure
Measured: 1 month, 2 months, 6 months post-procedure
Device success
Measured: immediate post-procedure
Incidence of achieving target office systolic blood pressure
Measured: 1 month, 2 months, 6 months post-procedure
Significant embolic events resulting in end-organ damage
Measured: 1 month, 2 months, 6 months post-procedure
Incidence of acute myocardial infarction, stroke, transient ischemic attack, cerebrovascular accident
Measured: 1 month, 2 months, 6 months post-procedure
End-stage renal disease
Measured: 1 month, 2 months, 6 months post-procedure
Renal artery or vascular complications requiring intervention
Measured: 1 month, 2 months, 6 months post-procedure
Significant (50%) and severe (75%) new onset renal stenosis
Measured: 6 months post-procedure
Severe access site complications
Measured: 1 month, 2 months, 6 months post-procedure
Incidence of adverse events
Measured: 1 month, 2 months, 6 months post-procedure
Stability of ultrasonic ablation instrument
Whether the instrument has failed during the use of the device, and whether the fault can be recovered.
Measured: immediate post-procedure
Interface friendliness of ultrasonic ablation instrument
It is defined as whether the operation interface and difficulty of operation of the instrument are convenient.
Measured: immediate post-procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2023
- Study start16 Jan 2023
- Primary completion31 Dec 2023 (estimated)
- Study completion29 Feb 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Uncontrolled Essential 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bo Yu, Study chair, The Second Affiliated Hospital of Harbin Medical UniversityJing Huang, Study chair, The Second Affiuated Hospital of Chongqing Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05795829
- Sponsor's protocol ID
- LPCTP-2021-004
- Status last verified
- Mar 2023
- First submitted
- 8 Mar 2023
- Last updated
- 3 Apr 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- First in Man Study to Evaluate the Safety and Efficacy of Disposable Intravascular Ultrasound Ablation Catheters and Ultrasound Ablation Instrument in the Treatment of Essential Hypertension
- ClinicalTrials.gov ID
- NCT05795829
- Acronym / sponsor ID
- LPCTP-2021-004
- Conditions
- Uncontrolled Essential Hypertension
- Keywords
- Ultrasound Ablation Catheter, Renal Sympathetic Denervation
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 10 participants (estimated)
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 16 Jan 2023 (actual)
- Primary completion
- 31 Dec 2023 (estimated)
- Study completion
- 29 Feb 2024 (estimated)
- First posted
- 3 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and feasibility of disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument in the treatment of essential hypertension.
Detailed description
Feasibility Research This is a prospective, small-sample, single-group study. A total of 10 subjects are planned to be included in this study. Disposable intravascular catheter and instrument are used for intravascular ultrasound ablation. All participants will be followed up by telephone or outpatient at 1, 2 and 6 months post-procedure, with procedural success rate as the primary endpoint. At the same time, the incidence of adverse events will be observed to make a preliminary evaluation of the safety and feasibility of disposable intravascular catheter and instrument, and to provide data support for the second-stage confirmatory study.
In feasibility research, statistical analysis of data will be performed after 30 days postoperative follow-up of the subjects, and the safety and feasibility of disposable intravascular catheter and instrument will be preliminarily evaluated before entering the stage of confirmatory trial.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Disposable Intravascular Ultrasound Ablation Catheter and Ultrasound Ablation Instrument | Experimental | Device: disposable intravascular ultrasound ablation catheter and ultrasound ablation instrumentAll subjects will receive treatment from the disposable intravascular ultrasound ablation catheter. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age≥18 and≤80 years old, no gender limitation;
- Two or more antihypertensive drugs should be statically taken for at least 4 weeks before randomization and the prescribed dose should be ≥ 50% of the manufacturer's maximum dose, angiotensin-converting enzyme inhibitor (ACEI) (or angiotensin-Ⅱ receptor antagonist (ARB)) and calcium channel blocker (CCB) (or thiazide diuretic) are required to be used in combination. Blood pressure meets the following conditions: 1) office systolic blood pressure (SBP)≥150mmHg and<180mmHg; 2) office diastolic blood pressure (DBP) ≥90mmHg;
- 24-hour ambulatory systolic blood pressure: ≥135 mmHg and <170 mmHg;
- A recorded history of essential hypertension;
- Understands the purpose of this study, and is willing to sign the Informed Consent and complete clinical follow-up.
Key exclusion criteria (12 listed)
- Ineligible renal artery anatomy including : (1) multiple renal arteries, (2) main renal artery diameter <4mm or length <20mm, (3) renal artery stenosis > 50% in the main renal artery, (4) atherosclerosis of the renal artery, renal artery aneurysm, fibromuscular dysplasia or calcification, (5) pre-existing renal stent, (6) single kidney
- Estimated glomerular filtration rate (eGFR) <45 mL/min/1.73 m2
- Type Ⅰ diabetes mellitus or poorly controlled type Ⅱ diabetes mellitus (defined as plasma Hb1Ac≥ 9.0% or 24-hour urinary protein quantification >1g/24h or proliferative retinopathy)
- Postural hypotension
- Recent vascular events: Experienced acute myocardial infarction, unstable angina, syncope, or cerebrovascular accident within 3 months of the screening period
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 |
|---|---|---|
| disposable intravascular ultrasound ablation catheter and ultrasound ablation instrumentDisposable intravascular ultrasound ablation catheters (used with an ultrasound ablation instrument) can use ultrasound energy to block sympathetic activity in the renal arteries. | Device | Disposable Intravascular Ultrasound Ablation Catheter and Ultrasound Ablation Instrument |
Primary outcome
Procedural success
Time frame: Before discharge (post-procedure), up to 7 days
Procedural success was defined as the absence of renal arterial related complication during the subject's hospitalization based on the device success.
16 secondary outcomes
Change in average 24-hour/night-time ambulatory Systolic Blood Pressure (SBP)
Time frame: 1 month, 2months, 6 months post-procedure
Change in average 24-hour/daytime/night-time ambulatory Diastolic Blood Pressure (DBP)
Time frame: 1 month, 2months, 6 months post-procedure
Change in average daytime ambulatory Systolic Blood Pressure (SBP)
Time frame: 1 month, 2months, 6 months post-procedure
Change in office systolic blood pressure
Time frame: 1 month, 2 months, 6 months post-procedure
Change in office diastolic blood pressure
Time frame: 1 month, 2 months, 6 months post-procedure
Device success
Time frame: immediate post-procedure
Incidence of achieving target office systolic blood pressure
Time frame: 1 month, 2 months, 6 months post-procedure
Significant embolic events resulting in end-organ damage
Time frame: 1 month, 2 months, 6 months post-procedure
Incidence of acute myocardial infarction, stroke, transient ischemic attack, cerebrovascular accident
Time frame: 1 month, 2 months, 6 months post-procedure
End-stage renal disease
Time frame: 1 month, 2 months, 6 months post-procedure
Renal artery or vascular complications requiring intervention
Time frame: 1 month, 2 months, 6 months post-procedure
Significant (50%) and severe (75%) new onset renal stenosis
Time frame: 6 months post-procedure
Severe access site complications
Time frame: 1 month, 2 months, 6 months post-procedure
Incidence of adverse events
Time frame: 1 month, 2 months, 6 months post-procedure
Stability of ultrasonic ablation instrument
Time frame: immediate post-procedure
Interface friendliness of ultrasonic ablation instrument
Time frame: immediate post-procedure
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Apr 2023.
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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.
Bo Yu study chair
The Second Affiliated Hospital of Harbin Medical University
Jing Huang study chair
The Second Affiuated Hospital of Chongqing Medical University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing disposable intravascular ultrasound ablation catheter and ultrasound ablation instrument in people with Uncontrolled Essential Hypertension, run by Lepu Medical Technology (Beijing) Co., Ltd. at 2 sites in China.
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 5 inclusion and 12 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: status not confirmed, as of the sponsor's last update on 3 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in China. 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. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Ting Zhang (010-80120666, ting_zhang@lepumedical.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Procedural success (time frame: Before discharge (post-procedure), up to 7 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Apr 2023.