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Tests kidney nerve procedure for high diastolic blood pressure

Tests renal denervation against a sham procedure in adults with isolated diastolic hypertension.

Plain-language title generated from the registry record
Registry title: Efficacy and Safety of Renal Denervation on Isolated Diastolic Hypertension

Key facts

Where
Shanghai, ChinaSee the site

Where in China

  • Department of Cardiology, Shanghai Tenth People's HospitalShanghai, ChinaNo longer taking part

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Trial details

Who runs it
Shanghai 10th People's Hospital
Trial code
NCT06783296
Record updated
2 February 2026
Original description
This study aims to evaluate the efficacy and safety of renal denervation (RDN) in patients with isolated diastolic hypertension (IDH). The randomized, double-blind, sham-controlled, multicenter clinical trial will recruit 124 participants (62 in the treatment group and 62 in the sham control group) to assess changes in mean 24-hour ambulatory diastolic blood pressure over a 6-month follow-up period. The study is expected to provide evidence for the use of RDN as a treatment for IDH.Read full original descriptionShow less

Efficacy and Safety of Renal Denervation on Isolated Diastolic Hypertension: A Multicenter, Double-Blind, Randomized, Sham-Controlled Clinical Trial

This study aims to evaluate the efficacy and safety of renal denervation (RDN) in patients with isolated diastolic hypertension (IDH). The randomized, double-blind, sham-controlled, multicenter clinical trial will recruit 124 participants (62 in the treatment group and 62 in the sham control group) to assess changes in mean 24-hour ambulatory diastolic blood pressure over a 6-month follow-up period. The study is expected to provide evidence for the use of RDN as a treatment for IDH.

Inclusion: Age ≥18 years, with no restriction on sex or ethnicity; Diagnosis of primary hypertension, with no prior use of antihypertensive medication, and in the untreated state presenting with office systolic blood pressure (SBP) <140 mmHg and diastolic blood pressure (DBP) ≥90 mmHg, as well as 24-hour ambulatory blood pressure monitoring (ABPM) showing SBP <130 mmHg and DBP ≥80 mmHg; Willingness to participate and provision of written informed consent.

Exclusion: Secondary hypertension; Requirement for antihypertensive or blood pressure-lowering medications due to comorbid conditions (e.g., SGLT2 inhibitors, GLP-1 receptor agonists); Cardiac arrhythmias interfering with blood pressure measurement (e.g., atrial fibrillation); Contraindications to RDN, including renal transplantation, renal insufficiency (eGFR <45 mL/min/1.73 m²), renal artery anatomy unsuitable for the procedure (inability to access the renal vasculature; renal artery diameter <4 mm or length <20 mm; hemodynamically or anatomically significant renal artery abnormalities or stenosis; prior coronary or renal artery interventions including angioplasty or stenting), and severe hepatic impairment; DBP ≥110 mmHg; Contraindications to interventional procedures such as coagulopathy; Pregnancy, planning pregnancy, or breastfeeding; Life expectancy <1 year; Participation in another clinical trial.

ClinicalTrials.gov NCT06783296