Diabetes Mellitus, Hypertension, Resistant, Renal Denervation Therapy
Conditions
Keywords
Hypertension, Diabetes Mellitus
Brief summary
To demonstrate the efficacy of renal denervation therapy in treating resistant hypertension and its effect on glucose metabolism in patients with type 2 diabetes mellitus
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ranges from 18 to 70 years inclusive * Essential hypertension * Office Systolic BP (SBP) ≥ 150 mmHg or Diastolic BP (DBP) ≥ 90mmHg * 3 or more anti-hypertensive medications of different classes, including a diuretic, or documented intolerance to multiple medications * Type 2 Diabetes Mellitus on oral hypoglycaemic agent (OHA) * 2 functional kidneys; eGFR ≥ 45 mL/min/1.73m² (MDRD formula) * Suitable renal anatomy compatible with the endovascular denervation procedure
Exclusion criteria
* Individual has renal artery anatomy that is ineligible for treatment including: * Patients with secondary hypertension * Myocardial infarction, unstable angina pectoris, cerebrovascular accident within 6 months * Patient with type 1 diabetes mellitus * Patient on insulin due to oral drug failure * Renovascular abnormalities (including severe renal artery stenosis, previous renal stenting or angioplasty, or known dual renal arteries) * Pregnancy * Patient with any implantable device incompatible with radiofrequency energy delivery * Hemodynamically significant valvular heart disease for which reduction of BP would be considered hazardous * Any serious medical condition, which in the opinion of the investigator, may limit the life expectancy of patients or adversely
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in office systolic & diastolic blood pressure from baseline to 6 months | 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in office systolic and diastolic blood pressure up to 3 years | 3 years | — |
| Change in insulin sensitivity | 12 months | HOMA-IR index at baseline, 3-month and 12-month |
| Change in glucose metabolism | 3 years | — |
Countries
Hong Kong