Table 5. Summary of three second-generation renal denervation randomized sham-controlled proof-of-concept trials.
SPYRAL HTN-OFF MED | RADIANCE-HTN SOLO | SPYRAL HTN-ON MED | |
Patients (n) | 80 | 146 | 80 |
Age (years) | 54 | 54 | 53 |
System applied | SPYRAL (Medtronic) | PARADISE (ReCor Medical) | SPYRAL (Medtronic) |
Inclusion criteria | Office SBP ≥ 150 and < 180 mmHg, office DBP ≥ 90 mmHg, and 24-h SBP ≥ 140 and < 170 mmHg, no antihypertensive meds | Daytime ambulatory BP ≥ 135/85 mmHg and < 170/105 mmHg, no anti-hypertensive meds | Office SBP ≥ 150 and < 180 mmHg, office DBP ≥ 90 mmHg; and 24-h SBP ≥ 140 and < 170 mmHg, 1-3 antihypertensive meds |
Baseline office BP (mmHg)* | 162/101 ± 7/7 | 155/100 ± 14/8 | 164/101 ± 7/7 |
Baseline 24-h BP (mmHg)* | 153/99 ± 8/8 | 144/88 ± 9/6 | 152/98 ± 7/8 |
No. of antihypertensive meds* | 0 | 0 | 000.2.2 ± 0.9 |
Change 24-h SBP vs. sham (mmHg), # months of f/u | -4.6 (-9.2 to 0.1), 3 | -4.1 (-7.1 to -1.2), 2 | -7.0 (-12.0 to -2.1), 6 |
Change 24-h SBP vs. baseline (mmHg), # months of f/u | -5.5 (-9.1 to -2.0), 3 | -7.0 (-9.0 to -5.0), 2 | -9.0 (-12.7 to -5.3), 6 |
Change office SBP vs. sham (mmHg), # months of f/u | -7.1 (-13.2 to -1.1), 3 | -6.5 (-11.3 to -1.8), 2 | -6.6 (-12.4 to -0.9), 6 |
Change office SBP vs. baseline (mmHg), # months of f/u | -10.0 (-15.1 to -4.9), 3 | -10.8 (-13.9 to -7.7), 2 | -9.4 (-13.5 to -5.3), 6 |
Major adverse events (%) | 0 | 0 | 0 |
BP, blood pressure; DBP, diastolic blood pressure; f/u, follow-up; SBP, systolic blood pressure.
* Mean ± standard deviation, # Mean (95% confidence interval).