Purpose

This observational study will assess the long-term effectiveness of the RDN procedure for lowering blood pressure in Medicare patients with uncontrolled hypertension. This research will be conducted using de-identified electronic health records (EHR) and administrative health insurance claims data. Patients are enrolled through the submission of claims or encounter data to CMS.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Enrolled in a Medicare plan - Diagnosis of uncontrolled hypertension - On a stable regimen of antihypertensive therapy

Exclusion Criteria

  • A prior RDN procedure - Diagnosis of secondary hypertension - Any condition for which RDN is contraindicated

Study Design

Phase
Study Type
Observational
Observational Model
Cohort
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
Symplicity RDN + SOC Medicare patients on a stable antihypertension medication regimen and received RDN with a Symplicity RDN system
  • Device: Renal Denervation (Symplicity Spyral™)
    Symplicity Spyral™ multi-electrode renal denervation system
SOC Medicare patients on a stable antihypertension medication regimen
  • Device: Renal Denervation (Symplicity Spyral™)
    Symplicity Spyral™ multi-electrode renal denervation system

Recruiting Locations

Beth Israel Deaconess Medical Center
Boston, Massachusetts 02215
Contact:
Eric A. Secemsky, MD, MSc
617-632-7753
esecemsk@bidmc.harvard.edu

More Details

Status
Recruiting
Sponsor
Medtronic Vascular

Study Contact

Kael Wherry, PhD, MS
612-229-0714
kael.wherry@medtronic.com

Detailed Description

The SPYRAL CARE study is an observational, non-interventional study of the Medicare population with uncontrolled hypertension treated with either the Symplicity RDN system plus standard of care (SOC) or with SOC alone. SOC reflects active management of hypertension. The study will evaluate real-world clinical outcomes by examining deidentified, longitudinal data from administrative health insurance claims linked with EHR. The primary objective is to assess the change in office systolic blood pressure at two years for patients treated with Symplicity RDN plus SOC compared to similar patients receiving SOC alone. The secondary objective is to describe major adverse cardiac events over a two-year period in both groups. The study analysis is subject to a central Institutional Review Board (IRB) review. However, individual hospitals are not engaged in research, and local IRB oversight is not necessary.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.