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NCT06297291Recruiting

Global Paradise System US Post Approval Study

ReCor Medical, Inc.

Start Date

6/28/2024

Completion Date

7/1/2031

Summary

The objective of the Global Paradise® System US Post Approval Study (US GPS) is to evaluate the real-world use of the Paradise Ultrasound Renal Denervation System indicated for patients who are unable to lower their blood pressure with lifestyle changes and medication. This system is comprised of a catheter, cable, balloon, and generator and has received FDA approval in the United States. Information collected in this study will be analyzed to better understand the long-term safety and effectiveness of treatment with the Paradise System for patients with high blood pressure.

Detailed Description

In some patients with high blood pressure, the nerves surrounding the blood vessels leading to the kidneys are overactive, which may cause blood pressure to increase. Renal denervation is a procedure where a catheter is placed inside these blood vessels and heat is used to ablate and disable the nerve activity and lower blood pressure. Hypertension patients that meet the study eligibility criteria will undergo the ultrasound renal denervation procedure using the Paradise System and will be asked to measure their blood pressure throughout the study, including measuring BP out of the clinic setting using a home BP monitoring device provided by the study. Participants will also be asked to answer some questions about their quality of life, health, sleep and emotions. Additional demographic data, medical history and socio-economic data may also be collected. As part of study participation, everyone who receives ultrasound renal denervation will be seen by the study doctor and designated study team members for 60 months (5 years) following the procedure.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Signed and dated study informed consent * Documented history of hypertension * Documented history of prior or current antihypertensive medication(s) * Mean seated office systolic BP at screening ≥ 140 mmHg * Mean pre-procedure home systolic BP of ≥ 135 mmHg * Estimated glomerular filtration rate (eGFR) of ≥30 mL/min/m2 RADIANCE CAP patients must provide signed and dated informed consent for inclusion in long-term follow-up. No other criteria are required for inclusion. Exclusion Criteria: Patients who meet the following will be excluded from participation: * Patient lacks appropriate renal anatomy for any treatment with the Paradise Catheter * Patient under the age of 18 years old at the time of consent * Patient is pregnant * Patients with transplanted kidney * Presence of abnormal kidney (or secreting adrenal) tumors To confirm eligibility for treatment with the Paradise System, the following contraindications listed in the IFU may be determined at the time of procedure prior to treatment: * Renal arteries with diameter \< 3mm and \> 8mm * Renal artery with fibromuscular dysplasia (FMD) * Stented renal artery * Renal artery aneurysm * Renal artery diameter stenosis \>30% * Iliac/femoral artery stenosis precluding insertion of the Paradise Catheter

Interventions

DEVICE

Paradise Ultrasound Renal Denervation Treatment

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Conditions

HypertensionCardiovascular DiseasesVascular Diseases

Locations

Sutter Institute for Medical Research

Sacramento, California 95816

United States

UC Davis Medical Center

Sacramento, California 95817

United States

Pacific Heart Institute

Santa Monica, California 90404

United States

Rocky Mountain Regional VAMC

Aurora, Colorado 80045

United States

Bridgeport Hosptial

Bridgeport, Connecticut 06610

United States

The Cardiac & Vascular Institute

Gainesville, Florida 32605

United States

University of Miami Health System

Miami, Florida 33136

United States

Ascension Sacred Heart

Pensacola, Florida 32504

United States

Tampa Cardiovascular Interventions and Research

Tampa, Florida 33614

United States

Wellstar Kennestone Hospital

Marietta, Georgia 30060

United States

Southern Illinois University, Memorial Medical Center

Springfield, Illinois 62702

United States

Ascension via Christi St. Francis

Wichita, Kansas 67214

United States

Touro Infirmary

New Orleans, Louisiana 70112

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

The Brigham and Women's Hospital

Boston, Massachusetts 02115

United States

Henry Ford Health

Detroit, Michigan 48202

United States

Metropolitan Heart & Vascular Institute

Coon Rapids, Minnesota 55433

United States

Saint Luke's Mid America Heart Institute

Kansas City, Missouri 64111

United States

Virtua Health

Marlton, New Jersey 08053

United States

Albany Medical Center

Albany, New York 12208

United States

NewYork-Presbyterian Brooklyn Methodist Hospital

Brooklyn, New York 11215

United States

University at Buffalo

Buffalo, New York 14203

United States

NYU Langone Health - Bellevue Hosptial

New York, New York 10016

United States

Columbia University Medical Center/New York Presbyterian Hospital

New York, New York 10032

United States

Stony Brook Medicine

Stony Brook, New York 11794

United States

University of North Carolina at Chapel Hill School of Medicine

Chapel Hill, North Carolina 27599

United States

Durham VA Health System

Durham, North Carolina 27705

United States

UPMC Harrisburg

Harrisburg, Pennsylvania 17110

United States

Penn Medicine

Phildelphia, Pennsylvania 19104

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

Prisma Health Richland Hospital

Columbia, South Carolina 29203

United States

Spartanburg Regional Medical Center

Spartanburg, South Carolina 29303

United States

Ascension Saint Thomas

Nashville, Tennessee 37205

United States

Ascension Seton

Austin, Texas 78705

United States

Dallas VAMC

Dallas, Texas 75216

United States

TCR Institute

Kingwood, Texas 77339

United States

St. Mark's Hospital

Salt Lake City, Utah 84124

United States

Inova Fairfax Hospital

Fairfax, Virginia 22042

United States

Swedish Medical Center

Seattle, Washington 98122

United States