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The purpose of this study is to demonstrate the safety and efficacy of the Rheos Baroreflex Hypertension Therapy System in patients with refractory hypertension.
The DEBuT-HT trial will investigate the safety and efficacy of Rheos Baroreflex Hypertension Therapy(TM) in patients with refractory hypertension despite full pharmacologic therapy. Enrolled patients will be carefully assessed prior to receiving a permanently implanted Rheos System. Once the system is implanted, these patients will be followed closely for 1 month to establish baseline information. The Rheos System will be programmed "ON" at the 1 month follow-up and incrementally increased at 2 and 3-month follow-up evaluations. An assessment of safety and efficacy will be made at the 4-month follow-up. Enrolled patients will be followed annually thereafter.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rheos Implant | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rheos Baroreflex Hypertension Therapy System | Device | This therapy uses implantable device-based electrical activation of the carotid sinus baroreflex to control blood pressure. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Demonstrate the safety of Rheos(TM) Baroreflex Hypertension Therapy (TM) System by evaluating all adverse events and estimating the system and procedure related adverse event rate. | 4 months post implant | |
| Demonstrate a 10 mmHg decrease from baseline (1-Month office cuff blood pressure) in systolic blood pressure after three months of incrementally optimized therapy. | 4 months post implant |
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Inclusion Criteria:
Exclusion Criteria:
Have been diagnosed with:
Have carotid atherosclerosis determined by ultrasound or angiographic evaluation with a stenosis of greater than 50%.
Have prior surgery or radiation in either carotid sinus region
Currently have implanted electrical medical devices such as cardiac pacing, defibrillation or neurologic stimulation systems.
Are pregnant or contemplating pregnancy during the 4-month follow-up period.
Are on dialysis
Have hypertension secondary to a treatable cause
Have clinically significant cardiac valvular disease
Are unable to comply with protocol requirements.
Are unlikely to survive the protocol follow-up period
Are enrolled in another concurrent clinical trial
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Baal, PhD | CVRx, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Hradec Kralove | Hradec Králové | Czechia | ||||
| University Hospital Bad Oeynhausen |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Bad Oeynhausen |
| Germany |
| Charité Campus Buch | Berlin | Germany |
| Uniklinik Essen | Essen | Germany |
| University Hospital Hannover | Hanover | Germany |
| Latvian Centre of Cardiology | Riga | Latvia |
| Academisch Ziekenhuis Maastricht | Maastricht | Netherlands |
| Medical University of Gdansk | Gdansk | Poland |
| Inselspital Bern | Bern | Switzerland |