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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02029885
Registration number
NCT02029885
Ethics application status
Date submitted
6/01/2014
Date registered
8/01/2014
Date last updated
8/01/2016
Titles & IDs
Public title
Sham Controlled Study of Renal Denervation for Subjects With Uncontrolled Hypertension
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Scientific title
Wave IV Study: Phase II Randomized Sham Controlled Study of Renal Denervation for Subjects With Uncontrolled Hypertension
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Secondary ID [1]
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KM14-001
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Universal Trial Number (UTN)
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Trial acronym
WAVE_IV
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypertension
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Condition category
Condition code
Cardiovascular
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: Investigational Therapy (Surround Sound) - Investigational Therapy using external focused ultrasound
Sham comparator: Sham Control - Blinded Sham Control Arm
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety at 6 weeks follow-up
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Assessment method [1]
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Safety will be assessed by incidence of Major Adverse Events (MAE), defined as a composite of the following events at 6-weeks follow-up.
* All cause mortality;
* End-stage Renal Disease defined as eGFR \< 15 ml/min or need for renal replacement therapy
* Hospitalization for hypertensive crisis not related to confirmed non-adherence with medications as assessed by toxicological and other medical analyses and testing.
OR
- New renal artery stenosis \> 70% confirmed by angiography within 6 months of randomization
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Timepoint [1]
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6 weeks
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Primary outcome [2]
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Change in OBP
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Assessment method [2]
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Change in Office Systolic Blood Pressure (OBP) as measured from screening visit one to the 6 month post randomization follow-up visit.
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Timepoint [2]
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6 months
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Secondary outcome [1]
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Change in ABPM
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Assessment method [1]
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Change in average 24-hour ambulatory blood pressure from screening to the 6 month follow-up visit
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Timepoint [1]
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6 months
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Eligibility
Key inclusion criteria
1. Subject is at least 18 years of age and no more than 90 years of age
2. Average SBP = 160 mmHg
3. 24 hour average ABPM daytime SBP = 135 mmHg.
4. No medication changes for a minimum of 1 months prior to screening.
5. At minimum, subject must be on at least three antihypertensive medications, with one being a diuretic, and each must meet one or more of the following full dose criteria:
1. Highest labeled dose according to medication's labeling;
2. Highest usual dose per clinical guidelines JNC-7;
3. Highest tolerated dose; and/or
4. Highest appropriate dose for the subject per the PI's clinical judgment.
6. Subject has two functioning kidneys.
7. Subject has an eGFR value of = 30 ml/min/1.73 m² (MDRD formula).
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Subject has any secondary cause of hypertension
2. Subject has evidence of clinically significant renal artery stenosis as determined by flow rate, velocity and Doppler analysis on ultrasound
3. Subject has kidney stones that are of a size and location that are determined at discretion of the investigator to potentially interfere with treatment
4. Subject has a history of intra-abdominal surgery within the past six months
5. Subject has heterogeneities in the kidney such as large cysts or tumors that are determined at discretion of the investigator to potentially interfere with treatment.
6. Stenotic valvular heart disease for which BP reduction would be hazardous as determined by referring physician.
7. MI, unstable angina, or CVA in the prior 6 months.
8. Known severe primary pulmonary HTN
9. Subject has a history of myocardial infarction, unstable angina pectoris, or cerebrovascular accident within the last six months.
10. Subject has hemodynamically significant valvular heart disease.
11. Subject has BMI over 40 km/m^2
12. Subject has a target treatment depth over 13 cm.
13. Subject has anatomy that precludes treatment with the Kona Medical Surround Sound System.
14. Subject is pregnant, nursing, or intends to become pregnant during the trial period.
15. Subject is currently enrolled in other potentially confounding research.
16. Subject has any condition that, at the discretion of the investigator, would preclude participation in the trial.
17. Subject is unable, or unwilling, to comply with the protocol-required follow-up schedule
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2018
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Actual
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Sample size
Target
132
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Monash Medical Centre - Clayton
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Recruitment postcode(s) [1]
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- Clayton
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Recruitment outside Australia
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Austria
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Vienna
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Colombia
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Cali
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Czech Republic
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Brno
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Country [4]
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Czech Republic
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State/province [4]
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Ostrava
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Country [5]
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Czech Republic
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State/province [5]
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Prague
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Germany
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State/province [6]
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Bonn
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Germany
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Erlangen
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Germany
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Frankfurt
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Germany
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Hamburg
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Germany
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Koln
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Germany
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Leipzig
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Germany
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Luebeck
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Germany
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Munich
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Germany
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State/province [14]
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Münster
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New Zealand
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Aukland
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Poland
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State/province [16]
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Krakow
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Poland
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Warsaw
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Country [18]
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United Kingdom
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State/province [18]
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Birmingham
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Country [19]
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United Kingdom
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State/province [19]
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Cardiff
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Country [20]
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United Kingdom
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State/province [20]
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Exeter
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Country [21]
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United Kingdom
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State/province [21]
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Glasgow
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Country [22]
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United Kingdom
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State/province [22]
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London
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Country [23]
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United Kingdom
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State/province [23]
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Southampton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Kona Medical Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To demonstrate that non-invasive renal denervation is safe and shows a net difference in blood pressure reduction when compared to sham in subjects with uncontrolled hypertension.
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Trial website
https://clinicaltrials.gov/study/NCT02029885
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Trial related presentations / publications
Saxena M, Shour T, Shah M, Wolff CB, Julu POO, Kapil V, Collier DJ, Ng FL, Gupta A, Balawon A, Pheby J, Zak A, Rull G, O'Brien B, Schmieder RE, Lobo MD. Attenuation of Splanchnic Autotransfusion Following Noninvasive Ultrasound Renal Denervation: A Novel Marker of Procedural Success. J Am Heart Assoc. 2018 Jun 12;7(12):e009151. doi: 10.1161/JAHA.118.009151.
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Public notes
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Contacts
Principal investigator
Name
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Roland Schmieder, MD
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Address
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University Hospital of University of Erlangen-Nuremberg
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Omar Dawood
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Address
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Country
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Phone
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02029885
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