HypertensionNCT04307836
DENEX, Renal Denervation Therapy, in Patients With Hypertension on no or 1-3 Antihypertensive Medications
A study testing Renal Denervation in people with Hypertension and Vascular Diseases, run by Kalos Medical at 30 sites in South Korea.
Trial summary
The objective of this study is to show that the safety and efficacy of renal denervation using DENEX, are superior to those of control group for the patients with hypertension on no or 1 to 3 antihypertensive medications. Read more about this study
- Who is it for?
- Ages 19 to 75 years
- Conditions the study is for
- Hypertension, Vascular Diseases, Cardiovascular Diseases
- What is being tested?
- Renal Denervation
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 140 participants
- Where
- 30 sitesSouth Korea
- Study dates
- 9 Jul 2020to 17 Apr 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 19 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject aged 19 to 75 years old
- Subject should maintain the 0 to 3 antihypertensive medications of different classes, ACE-I, ARB, beta blocker, CCB or diuretics, without change for at least 4 weeks of run-in period between primary screening and secondary screening and for at least 3 months after the procedure
- Subject with 140 mmHg ≤ average office SBP < 180 mmHg and 90 mmHg ≤ office DBP < 120 mmHg at primary and secondary screening
- Subject with 135 mmHg ≤ average daytime ambulatory SBP <170 mmHg and 85 mmHg ≤ average daytime ambulatory DBP < 105 mmHg at secondary screening after the run-in period for at least 4 weeks
Who cannot join
- Subject with the anatomical findings in kidney or renal artery which preclude renal denervation
- Subject with type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus
- Subject with eGFR less than 40mL/min/1.73㎡
- Subject with a brachial circumference greater than 42 cm.
- Subject with secondary hypertension (except for sleep apnea patients)
- Subject with a medical history of cerebrovascular disease or severe cardiovascular disease within 12 months prior to obtaining the consent or patients newly diagnosed with such diseases before enrollment.
Show all 9Show fewer
- Subject rehospitalized two or more times for hypertensive crisis within 12 months prior to obtaining consent or hospitalized for hypertensive crisis within three months prior to obtaining consent.
- Subject with chronic oxygen therapy or mechanical ventilation (except for sleep apnea)
- Subject with primary pulmonary hypertension
Trial locations and contacts
30 sites in 1 country.
30 sites in 1 country
South Korea30 sites, 30 recruiting
- Recruiting
Bucheon St.Mary's Hospital
Bucheon-si
Sang Hyun Ihm, MD
- Recruiting
Hyewon Medical Foundation Sejong General Hospital
Bucheon-si
Young Jin Choi, MD
- Recruiting
Inje University Busan Paik Hospital
Busan
Tae Hyun Yang, MD
- Recruiting
Chungbuk National University Hospital
Cheongju-si
Jang Whan Bae, MD
- Recruiting
Inje University Ilsan Paik Hospital
Ilsan
Sang Yun Lee, MD
- Recruiting
Gachon University Gil Medical Center
Incheon
Woong Chol Kang, MD
- Recruiting
Incheon St.Mary's Hospital
Incheon
Ik Jun Choi, MD
- Recruiting
Chonbuk National University Hospital
Jeonju
Sang Rok Lee, MD
- Recruiting
Chonnam National University Hospital
Kwangju
Ju Han Kim, MD
- Recruiting
Pusan National University Hospital
Pusan
Han Cheol Lee, MD
- Recruiting
Seoul National University Bundang Hospital
Seongnam-si
Dong Ju Choi, MD
- Recruiting
Korea University Anam Hospital
Seoul, 02841
Soon Jun Hong, MD
- Recruiting
Seoul National University Hospital
Seoul, 03080
Hae-young Lee, MD
- Recruiting
Severance Hospital, Yonsei University Health System
Seoul, 03722
Byeong-Keuk Kim, MD
- Recruiting
Gangnam Severance Hospital, Yonsei University Health System
Seoul, 06273
Young Won Yoon, MD
- Recruiting
Asan Medical Center
Seoul
Pil Hyung Lee, MD
- Recruiting
Ewha Womans University Seoul Hospital
Seoul
Wook Bum Pyun, MD
- Recruiting
Hallym University Kangdong Sacred Heart Hospital
Seoul
Jun Hee Lee, MD
- Recruiting
Hallym University Kangnam Sacred Heart Hospital
Seoul
Jung-Rae Cho, MD
- Recruiting
Hanyang University Seoul Hospital
Seoul
Jin Ho Shin, MD
- Recruiting
Korea University Guro Hospital
Seoul
Cheol Ung Choi, MD
- Recruiting
Kyung Hee University Hospital at Gangdong
Seoul
Jin Man Cho, MD
- Recruiting
Samsung Medical Center
Seoul
Seung Hyuk Choi, MD
- Recruiting
Seoul St. Mary's Hospital
Seoul
Ki Yuk Chang, MD
- Recruiting
Yeouido St.Mary's Hospital
Seoul
Chul Soo Park, MD
- Recruiting
St. Carollo Hospital
Suncheon
Jang Hyun Cho, MD
- Recruiting
St. Vincent's Hospital
Suwon
Ki Dong Yoo, MD
- Recruiting
Uijeongbu St.Mary's Hospital
Uijeongbu-si
Chan Joon Kim, MD
- Recruiting
Ulsan University Hospital
Ulsan
Eun-Seok Shin, MD
- Recruiting
Wonju Severance Christian Hospital
Wŏnju
SungGyun Ahn, MD
About this study
Official title: A Prospective, Multicenter, No-treatment Controlled, Randomized, Open-label, Pivotal Study to Evaluate the Safety and Efficacy of DENEX, Renal Denervation Therapy, in Patients With Hypertension on no or 1-3 Antihypertensive Medications
The objective of this study is to show that the safety and efficacy of renal denervation using DENEX, are superior to those of control group for the patients with hypertension on no or 1 to 3 antihypertensive medications.
Read the detailed description
DENEX system developed by Handok Kalos Medical Inc. is a renal denervation system to efficiently block the sympathetic nerve of the kidney with minimal invasive procedure. It was developed to block the sympathetic nerves distributed in blood vessel wall by delivering high frequency energy to the renal artery for the purpose of treating hypertension.
- Conditions
- Hypertension, Vascular Diseases, Cardiovascular Diseases
- Being tested
- Renal Denervation
- Keywords
- Hypertension, Renal Denervation, Uncontrolled hypertension
- Medical subject headings
- Hypertension, Vascular Diseases, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Renal DenervationDevice
Renal Denervation: DENEX system
| Study group | Role | What they receive |
|---|---|---|
| DENEX Renal denervation | Experimental | Subjects are treated with the renal denervation procedure after randomization and maintained baseline anti-hypertensive medications Receives: Device: Renal Denervation |
| Control group | No intervention | Subjects are not treated with the renal denervation, not sham, after randomization and maintained baseline anti-hypertensive medications |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in average daytime ambulatory systolic blood pressure at 3 months
Changes in average daytime ambulatory systolic blood pressure from baseline at 3 months after the procedure
Measured: from baseline at 3 months after the procedure
Secondary outcomes (3)
Changes in average 24hr ambulatory systolic blood pressure and diastolic blood pressure at 3, 6 and 12 months
Changes in average 24hr ambulatory systolic blood pressure and diastolic blood pressure from baseline at 3, 6 and 12 months after the procedure
Measured: from baseline at 3, 6 and 12 months after the procedure
Changes in average office systolic blood pressure and diastolic blood pressure at 1, 3, 6 and 12 months
Changes in average office systolic blood pressure and diastolic blood pressure from baseline at 1,3, 6 and 12 months after the procedure
Measured: from baseline at 1, 3, 6 and 12 months after the procedure
Changes in average daytime and nighttime ambulatory systolic blood pressure and diastolic blood pressure at 3, 6 and 12 months
Changes in average daytime and nighttime ambulatory systolic blood pressure and diastolic blood pressure from baseline at 3, 6 and 12 months after the procedure
Measured: from baseline at 3, 6 and 12 months after the procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Mar 2020
- Study start9 Jul 2020
- Primary completion17 Jul 2023
- Study completion17 Apr 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- None (open label)
- Enrolment
- 140 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kalos Medical
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ki Yuk Chang, MD, Ph.D, Principal investigator, Seoul St. Mary's Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04307836
- Sponsor's protocol ID
- DN_P101
- Status last verified
- Feb 2023
- First submitted
- 11 Mar 2020
- Last updated
- 6 Oct 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multicenter, No-treatment Controlled, Randomized, Open-label, Pivotal Study to Evaluate the Safety and Efficacy of DENEX, Renal Denervation Therapy, in Patients With Hypertension on no or 1-3 Antihypertensive Medications
- ClinicalTrials.gov ID
- NCT04307836
- Acronym / sponsor ID
- DN_P101
- Conditions
- Hypertension, Vascular Diseases, Cardiovascular Diseases
- Keywords
- Hypertension, Renal Denervation, Uncontrolled hypertension
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 140 participants (estimated)
- Lead sponsor
- Kalos MedicalIndustry (pharma, biotech, devices)
- Study start
- 9 Jul 2020 (actual)
- Primary completion
- 17 Jul 2023 (actual)
- Study completion
- 17 Apr 2024 (estimated)
- First posted
- 13 Mar 2020 (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.
The objective of this study is to show that the safety and efficacy of renal denervation using DENEX, are superior to those of control group for the patients with hypertension on no or 1 to 3 antihypertensive medications.
Detailed description
DENEX system developed by Handok Kalos Medical Inc. is a renal denervation system to efficiently block the sympathetic nerve of the kidney with minimal invasive procedure. It was developed to block the sympathetic nerves distributed in blood vessel wall by delivering high frequency energy to the renal artery for the purpose of treating hypertension.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| DENEX Renal denervation | Experimental | Device: Renal DenervationSubjects are treated with the renal denervation procedure after randomization and maintained baseline anti-hypertensive medications |
| Control group | No intervention | –Subjects are not treated with the renal denervation, not sham, after randomization and maintained baseline anti-hypertensive medications |
Who may qualify
- Ages
- 19 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Subject aged 19 to 75 years old
- Subject should maintain the 0 to 3 antihypertensive medications of different classes, ACE-I, ARB, beta blocker, CCB or diuretics, without change for at least 4 weeks of run-in period between primary screening and secondary screening and for at least 3 months after the procedure
- Subject with 140 mmHg ≤ average office SBP < 180 mmHg and 90 mmHg ≤ office DBP < 120 mmHg at primary and secondary screening
- Subject with 135 mmHg ≤ average daytime ambulatory SBP <170 mmHg and 85 mmHg ≤ average daytime ambulatory DBP < 105 mmHg at secondary screening after the run-in period for at least 4 weeks
Key exclusion criteria (9 listed)
- Subject with the anatomical findings in kidney or renal artery which preclude renal denervation
- Subject with type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus
- Subject with eGFR less than 40mL/min/1.73㎡
- Subject with a brachial circumference greater than 42 cm.
- Subject with secondary hypertension (except for sleep apnea patients)
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 |
|---|---|---|
| Renal DenervationRenal Denervation: DENEX system | Device | DENEX Renal denervation |
Primary outcome
Changes in average daytime ambulatory systolic blood pressure at 3 months
Time frame: from baseline at 3 months after the procedure
Changes in average daytime ambulatory systolic blood pressure from baseline at 3 months after the procedure
3 secondary outcomes
Changes in average 24hr ambulatory systolic blood pressure and diastolic blood pressure at 3, 6 and 12 months
Time frame: from baseline at 3, 6 and 12 months after the procedure
Changes in average office systolic blood pressure and diastolic blood pressure at 1, 3, 6 and 12 months
Time frame: from baseline at 1, 3, 6 and 12 months after the procedure
Changes in average daytime and nighttime ambulatory systolic blood pressure and diastolic blood pressure at 3, 6 and 12 months
Time frame: from baseline at 3, 6 and 12 months after the procedure
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Oct 2023.
- Individual participant dataSharing planned: No
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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.
Ki Yuk Chang, MD, Ph.D principal investigator
Seoul St. Mary's Hospital
30 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Renal Denervation in people with Hypertension and Vascular Diseases, run by Kalos Medical at 30 sites in South Korea.
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 4 inclusion and 9 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 6 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 30 sites in 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. 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 EunHa Choi (82-2-527-5593, Eunha.Choi@kalosmedical.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in average daytime ambulatory systolic blood pressure at 3 months (time frame: from baseline at 3 months after the procedure). 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 6 Oct 2023.