Renal Denervation in Patients After Acute Coronary Syndrome

Overview[ - collapse ][ - ]

Purpose This study is aimed to evaluate the effect of renal denervation to decreasing blood pressure and left ventricle remodeling progression in patients after acute coronary syndrome.
ConditionAcute Coronary Syndrome
Arterial Hypertension
InterventionProcedure: Renal denervation
Drug: Metoprolol
Drug: Lisinopril
PhasePhase 2
SponsorMeshalkin Research Institute of Pathology of Circulation
Responsible PartyMeshalkin Research Institute of Pathology of Circulation
ClinicalTrials.gov IdentifierNCT01901549
First ReceivedJuly 8, 2013
Last UpdatedFebruary 3, 2014
Last verifiedFebruary 2014

Tracking Information[ + expand ][ + ]

First Received DateJuly 8, 2013
Last Updated DateFebruary 3, 2014
Start DateJune 2013
Estimated Primary Completion DateJune 2016
Current Primary Outcome Measures
  • cardiovascular death [Time Frame: 1 year] [Designated as safety issue: Yes]
  • myocardium infarction [Time Frame: 1 year] [Designated as safety issue: Yes]
  • stroke [Time Frame: 1 year] [Designated as safety issue: Yes]
  • repeat revascularization [Time Frame: 1 year] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • blood pressure changes [Time Frame: 1 year] [Designated as safety issue: No]
  • CCS and NYHA [Time Frame: 1 year] [Designated as safety issue: No]
  • heart rhythm disturbances [Time Frame: 1 year] [Designated as safety issue: No]
  • intima-media index [Time Frame: 1 year] [Designated as safety issue: No]
  • IVS thickness [Time Frame: 1 year] [Designated as safety issue: No]
  • restenosis [Time Frame: 1 year] [Designated as safety issue: No]
  • diastolic disfunction [Time Frame: 1 year] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleRenal Denervation in Patients After Acute Coronary Syndrome
Official TitleRenal Denervation in Patients After Acute Coronary Syndrome
Brief Summary
This study is aimed to evaluate the effect of renal denervation to decreasing blood pressure
and left ventricle remodeling progression in patients after acute coronary syndrome.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
Condition
  • Acute Coronary Syndrome
  • Arterial Hypertension
InterventionProcedure: Renal denervation
The treatment catheter is introduced into each renal artery and is applied discrete, radiofrequency ablations lasting up to 2 min each and of 8 watts or less to obtain up to six ablations separated both longitudinally and rotationally within each renal artery. During ablation, the catheter system monitored tip temperature and impedance, altering radiofrequency energy delivery in response to a predetermined algorithm. After the procedure the control arterial angiogram should be done.
Drug: Metoprolol
Beta-blockers. Optimal mediсal therapy will be assigned according to ACS and STE guidelines.
Drug: Lisinopril
ACE inhibitors. Optimal mediсal therapy will be assigned according to ACS and STE guidelines.
Study Arm (s)
  • Active Comparator: PCI+Renal denervation
  • Active Comparator: PCI alone

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment80
Estimated Completion DateJune 2016
Estimated Primary Completion DateJune 2014
Eligibility Criteria
Inclusion Criteria:

- acute Q negative myocardium infarction (during first 14 days)

- non stable angina

- significant stenosis

- BP > 140/90 torr. during more than 1 year

Exclusion Criteria:

- absence of arterial hypertension

- Thrombolysis during previous 24 hours

- indications for CABG
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Evgeny Pokushalov, MD, PhD
+79139254858
e.pokushalov@gmail.com
Location CountriesRussian Federation

Administrative Information[ + expand ][ + ]

NCT Number NCT01901549
Other Study ID NumbersAMIRD
Has Data Monitoring CommitteeYes
Information Provided ByMeshalkin Research Institute of Pathology of Circulation
Study SponsorMeshalkin Research Institute of Pathology of Circulation
CollaboratorsNot Provided
Investigators Principal Investigator: Evgeny Pokushalov, MD, PhD State Research Institute of Circulation Pathology
Verification DateFebruary 2014

Locations[ + expand ][ + ]

State Research Institute of Circulation Pathology
Novosibirsk, Russian Federation, 630055
Contact: Evgeny Pokushalov, MD, PhD | +79139254858 | E.Pokushalov@gmail.com
Principal Investigator: Evgeny Pokushalov, MD, PhD
Recruiting