HypertensionPhase 3REQUIRENCT02918305
Renal Denervation on Quality of 24-hr BP Control by Ultrasound In Resistant Hypertension
A Phase 3 study testing PRDS-001 Renal Denervation Ultrasound System in people with Hypertension and Vascular Diseases, run by JIMRO Co., Ltd. at 53 sites in 2 countries.
Trial summary
The REQUIRE STUDY is a multi-center, randomized, double-blind, sham-controlled study, which aims to confirm the efficacy and safety of PRDS-001 (ReCor Medical Inc. Paradise in Europe) for renal denervation therapy in patients with treatment resistance hypertension, in comparison with the sham procedure. Read more about this study
- Who is it for?
- Ages 20 to 75 years
- Conditions the study is for
- Hypertension, Vascular Diseases
- What is being tested?
- PRDS-001 Renal Denervation Ultrasound System
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 140 participants
- Where
- 53 sitesin 2 countries
- Study dates
- Jan 2017to Oct 2021
- Phase
- Phase 3
- 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 20 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- average office systolic BP of 150 mmHg or greater or office diastolic BP of 90 mmHg or greater (both in the sitting position)
- 24-hr ambulatory BP 140 mmHg or greater.
Who cannot join
- Secondary hypertension (sleep apnoea can be included.)
- Type I diabetes or uncontrolled Type II diabetes with HbA1c 8.4% or greater
- Known or concurrent chronic active inflammatory bowel diseases (e.g. Crohn's disease, ulcerative colitis etc.)
- eGFR<40 mL/min/1.73m2 (per predictive equation Japanese Society of Nephrology)
- Known severe cardiovascular events within 3 months or severe cerebrovascular events
- Patients those who are planned to receive PCI or other operation for iscaemic cardiovascular disease within 8 months
Show all 10Show fewer
- Concurrent persistent atrial fibrillation
- Patients those who are on active implantable medical devices
- Primary pulmonary hypertension
- Patients those who are contraindicated to, or confirmed to have intolerable anaphylactic reaction or uncontrollable allergy to contrast media
Trial locations and contacts
53 sites in 2 countries.
53 sites in 2 countries
Japan44 sites
Study site
Adachi City, Tokyo
Study site
Amagasaki, Hyōgo
Study site
Chikushino-shi, Fukuoka
Study site
Chiyoda City, Tokyo
Study site
Fukuoka
Study site
Hachiōji, Tokyo
Study site
Hirosaki, Aomori
Study site
Hiroshima
Study site
Kagoshima
Study site
Kahoku, Kanazawa
Study site
Kanazawa, Ishikawa-ken
Study site
Kasuga, Fukuoka
Study site
Kishiwada, Osaka
Study site
Kitakyushu, Fukuoka
Study site
Kobe, Hyōgo
Study site
Kōchi, Kochi
Study site
Kumamoto
Study site
Kurume, Fukuoka
Study site
Kyoto
Study site
Meguro City, Tokyo
Study site
Minato, Tokyo
Study site
Minato-Ku, Tokyo
Study site
Miyazaki
Study site
Morioka, Iwate
Study site
Musashino, Tokyo
Study site
Nakagami, Okinawa
Study site
Nayoro, Hokkaido
Study site
Niigata
Study site
Nishinomiya, Hyōgo
Study site
Okayama
Study site
Saga
Study site
Sakai, Osaka
Study site
Sakata, Yamagata
Study site
Sapporo, Hokkaido
Study site
Sayama, Saitama
Study site
Sekimachi, Gifu
Study site
Sendai, Miyagi
Study site
Shimotsuke, Tochigi
Study site
Suita, Osaka
Study site
Suzuka, Mie-ken
Study site
Tomakomai, Hokkaido
Study site
Tōon, Ehime
Study site
Urayasu, Chiba
Study site
Yokohama, Kanagawa
South Korea9 sites
Study site
Busan
Study site
Daegu
Study site
Daejeon
Study site
Gangneung
Study site
Gwangju
Study site
Gyeonggi-do
Study site
Incheon
Study site
Seoul
Study site
Yangsan
About this study
Official title: A Clinical Study of the Ultrasound Renal Denervation System in Patients With Resistant Hypertension
The REQUIRE STUDY is a multi-center, randomized, double-blind, sham-controlled study, which aims to confirm the efficacy and safety of PRDS-001 (ReCor Medical Inc. Paradise in Europe) for renal denervation therapy in patients with treatment resistance hypertension, in comparison with the sham procedure.
Read the detailed description
Patients with treatment resistance hypertension is defined patients being treated on 3 or more different classes of antihypertensive medications including diuretics.
- Conditions
- Hypertension, Vascular Diseases
- Being tested
- PRDS-001 Renal Denervation Ultrasound System, Sham Procedure
- Keywords
- denervation, resistant hypertension
- Medical subject headings
- Hypertension, Vascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PRDS-001 Renal Denervation Ultrasound SystemDevice
Also called renal denervation
Sham ProcedureProcedure or surgery
Also called renal angiography
| Study group | Role | What they receive |
|---|---|---|
| PRDS-001 Renal Denervation Ultrasound System | Sham comparator | Randomization will occur following the diagnostic renal angiogram. Blinded patients randomized to treatment will receive the renal denervation procedure using PRDS-001 System to deliver ultrasound energy to thermally ablate and disrupt the renal sympathetic nerves while sparing the renal arterial wall. Receives: Device: PRDS-001 Renal Denervation Ultrasound System |
| Sham Procedure | Sham comparator | Randomization will occur following the diagnostic renal angiography. For blinded patients randomized to control, the diagnostic renal angiography will be considered the sham procedure. Receives: Procedure: Sham Procedure |
What is being measured
The primary outcome is the main question the study is designed to answer.
a decrease of average 24-hr ambulatory systolic BP from the baseline
Measured: 3 month follow-up visit
Secondary outcomes (3)
a decrease of the average ambulatory systolic BP during the daytime and that during the nighttime, from the baseline, respectively
Measured: 3 month follow-up visit
a decrease of the average ambulatory diastolic BP during the daytime, and that during the nighttime, from the baseline, respectively
Measured: 3 month follow-up visit
a decrease of the average office BP (both systolic and diastolic) in the sitting position from the baseline
Measured: 3 month follow-up visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2016 (estimated)
- Study startJan 2017
- Primary completionJul 2020
- Study completionOct 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 140 participants (estimated)
Sponsor and investigators
- Lead sponsor
- JIMRO Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02918305
- Sponsor's protocol ID
- RDN-15-001
- Acronym
- REQUIRE
- Status last verified
- Nov 2021
- First submitted
- 27 Sep 2016
- Last updated
- 19 Nov 2021
- Results posted
- No
Publications
Kario K, Yokoi Y, Okamura K, Fujihara M, Ogoyama Y, Yamamoto E, Urata H, Cho JM, Kim CJ, Choi SH, Shinohara K, Mukai Y, Ikemoto T, Nakamura M, Seki S, Matoba S, Shibata Y, Sugawara S, Yumoto K, Tamura K, Yoshihara F, Nakamura S, Kang WC, Shibasaki T, Dote K, Yokoi H, Matsuo A, Fujita H, Takahashi T, Kang HJ, Sakata Y, Horie K, Inoue N, Sasaki KI, Ueno T, Tomita H, Morino Y, Nojima Y, Kim CJ, Matsumoto T, Kai H, Nanto S. Catheter-based ultrasound renal denervation in patients with resistant hypertension: the randomized, controlled REQUIRE trial. Hypertens Res. 2022 Feb;45(2):221-231. doi: 10.1038/s41440-021-00754-7. Epub 2021 Oct 15.
PubMed 34654905
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Clinical Study of the Ultrasound Renal Denervation System in Patients With Resistant Hypertension
- ClinicalTrials.gov ID
- NCT02918305
- Acronym / sponsor ID
- REQUIRE / RDN-15-001
- Conditions
- Hypertension, Vascular Diseases
- Keywords
- denervation, resistant hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 140 participants (estimated)
- Lead sponsor
- JIMRO Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Jan 2017 (actual)
- Primary completion
- Jul 2020 (actual)
- Study completion
- Oct 2021 (actual)
- First posted
- 28 Sep 2016 (estimated)
- 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.
The REQUIRE STUDY is a multi-center, randomized, double-blind, sham-controlled study, which aims to confirm the efficacy and safety of PRDS-001 (ReCor Medical Inc. Paradise in Europe) for renal denervation therapy in patients with treatment resistance hypertension, in comparison with the sham procedure.
Detailed description
Patients with treatment resistance hypertension is defined patients being treated on 3 or more different classes of antihypertensive medications including diuretics.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PRDS-001 Renal Denervation Ultrasound System | Sham comparator | Device: PRDS-001 Renal Denervation Ultrasound SystemRandomization will occur following the diagnostic renal angiogram. Blinded patients randomized to treatment will receive the renal denervation procedure using PRDS-001 System to deliver ultrasound energy to thermally ablate and disrupt the renal sympathetic nerves while sparing the renal arterial wall. |
| Sham Procedure | Sham comparator | Procedure: Sham ProcedureRandomization will occur following the diagnostic renal angiography. For blinded patients randomized to control, the diagnostic renal angiography will be considered the sham procedure. |
Who may qualify
- Ages
- 20 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- average office systolic BP of 150 mmHg or greater or office diastolic BP of 90 mmHg or greater (both in the sitting position)
- 24-hr ambulatory BP 140 mmHg or greater.
Key exclusion criteria (10 listed)
- Secondary hypertension (sleep apnoea can be included.)
- Type I diabetes or uncontrolled Type II diabetes with HbA1c 8.4% or greater
- Known or concurrent chronic active inflammatory bowel diseases (e.g. Crohn's disease, ulcerative colitis etc.)
- eGFR<40 mL/min/1.73m2 (per predictive equation Japanese Society of Nephrology)
- Known severe cardiovascular events within 3 months or severe cerebrovascular events
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 |
|---|---|---|
| PRDS-001 Renal Denervation Ultrasound SystemAlso: renal denervation | Device | PRDS-001 Renal Denervation Ultrasound System |
| Sham ProcedureAlso: renal angiography | Procedure or surgery | Sham Procedure |
Primary outcome
a decrease of average 24-hr ambulatory systolic BP from the baseline
Time frame: 3 month follow-up visit
3 secondary outcomes
a decrease of the average ambulatory systolic BP during the daytime and that during the nighttime, from the baseline, respectively
Time frame: 3 month follow-up visit
a decrease of the average ambulatory diastolic BP during the daytime, and that during the nighttime, from the baseline, respectively
Time frame: 3 month follow-up visit
a decrease of the average office BP (both systolic and diastolic) in the sitting position from the baseline
Time frame: 3 month follow-up visit
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2021.
- Derived from this study: PubMed 34654905Kario K, Yokoi Y, Okamura K, Fujihara M, Ogoyama Y, Yamamoto E, Urata H, Cho JM, Kim CJ, Choi SH, Shinohara K, Mukai Y, Ikemoto T, Nakamura M, Seki S, Matoba S, Shibata Y, Sugawara S, Yumoto K, Tamura K, Yoshihara F, Nakamura S, Kang WC, Shibasaki T, Dote K, Yokoi H, Matsuo A, Fujita H, Takahashi T, Kang HJ, Sakata Y, Horie K, Inoue N, Sasaki KI, Ueno T, Tomita H, Morino Y, Nojima Y, Kim CJ, Matsumoto T, Kai H, Nanto S. Catheter-based ultrasound renal denervation in patients with resistant hypertension: the randomized, controlled REQUIRE trial. Hypertens Res. 2022 Feb;45(2):221-231. doi: 10.1038/s41440-021-00754-7. Epub 2021 Oct 15.
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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.
The record lists no contact. Use the official record to reach the sponsor.
53 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing PRDS-001 Renal Denervation Ultrasound System in people with Hypertension and Vascular Diseases, run by JIMRO Co., Ltd. at 53 sites in 2 countries.
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 2 inclusion and 10 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 19 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 53 sites in Japan, South Korea. 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.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
a decrease of average 24-hr ambulatory systolic BP from the baseline (time frame: 3 month follow-up visit). 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 NCT02918305, which also lists 1 linked publication.
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 19 Nov 2021.