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The SPYRAL AFFIRM Global Clinical Study of Renal Denervation With the Symplicity Spyral Renal Denervation System in Subjects With Uncontrolled Hypertension (SPYRAL AFFIRM)


Description

The purpose of this single-arm interventional study is to evaluate the long-term safety, efficacy, and durability of the Symplicity Spyral system in subjects treated with renal denervation. Additionally, long-term follow-up data will also be collected from eligible subjects previously treated in the SPYRAL PIVOTAL-SPYRAL HTN-OFF MED and SPYRAL HTN-ON MED studies.

Trial Eligibility

Inclusion Criteria: 1. Individual is diagnosed with hypertension and has a baseline office systolic blood pressure ≥140 mmHg 2. Individual has a baseline office diastolic blood pressure ≥ 90 mmHg 3. Individual has an average systolic baseline home blood pressure ≥135 mmHg Exclusion Criteria: 1. Individual lacks appropriate renal artery anatomy 2. Individual has undergone prior renal denervation 3. Individual has a documented condition that would prohibit or interfere with ability to obtain an accurate blood pressure measurement 4. Individual requires chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea 5. Individual has an estimated glomerular filtration rate (eGFR) of \<45 6. Individual has one or more episode(s) of orthostatic hypotension 7. Individual is pregnant, nursing or planning to become pregnant 8. Individual has primary pulmonary hypertension 9. Individual has documented type 1 diabetes mellitus or poorly-controlled type 2 diabetes mellitus with glycosylated hemoglobin greater than 8.0%

Study Info

Organization

Medtronic Vascular


Primary Outcome

The Primary endpoint of office Systolic Blood Pressure (SBP) change at 6 months.


Outcome Timeframe 6 months

NCTID NCT05198674

Phases NA

Primary Purpose TREATMENT

Start Date 2021-10-20

Completion Date 2026-11-30

Enrollment Target 1400

Interventions

DEVICE Renal Denervation (Symplicity Spyral™)

Locations Recruiting

University of Alabama at Birmingham (UAB) Hospital

United States, Alabama, Birmingham


Banner Heart Hospital

United States, Arizona, Mesa


Abrazo Arizona Heart Hospital/Biltmore Cardiology

United States, Arizona, Phoenix


HonorHealth Research Institute

United States, Arizona, Scottsdale


Arkansas Cardiology

United States, Arkansas, Little Rock


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