ClinicalTrials.gg
CompletedNCT00888433HTN-2Updated May 20, 2015Results posted

Renal Denervation in Patients With Uncontrolled Hypertension (Symplicity HTN-2)

An interventional study of Renal Denervation (Symplicity® Renal Denervation System) in Uncontrolled Hypertension, sponsored by Medtronic Vascular. Completed at 20 sites in 10 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2015-05-20.

Sponsored by Medtronic Vascular (part of Medtronic) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

An international, multi-center, prospective, randomized, controlled study of the safety and effectiveness of renal denervation in patients with uncontrolled hypertension.

02

Conditions studied

  • Uncontrolled Hypertension

Browse trials for

Keywords

  • hypertension
  • renal denervation
  • sympathetic nervous system
  • RDN
03

In context

Hypertension

6,834 studies on the registry are indexed under Hypertension; 971 are open to participants now.

This study's enrollment of 106 is above the median of 90 across 5,095 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Medtronic Vascular is the lead sponsor of 60 studies on the registry; 7 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • systolic blood pressure >=160mmHg (>=150 mmHg for type 2 diabetics);
  • on 3 or more antihypertensive medications
  • >= 18 and =\< 85 years of age.

Exclusion criteria

Exclusion Criteria:

  • renal artery abnormalities
  • eGFR \< 45mL/min
  • MI, angina, CVA within 6 months
  • Type 1 diabetes
  • ICD or pacemaker, or any other metallic implant not compatible with MRI
  • others
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
106 participants (actual)

Study arms

  • Experimental
    Renal Denervation

    Renal Denervation and maintenance of anti-hypertensive medications

    Device: Renal Denervation (Symplicity® Renal Denervation System)

  • No intervention
    Control

    Maintenance of anti-hypertensive medications with option for cross-over treatment after 6-months

Interventions

  • DeviceRenal Denervation (Symplicity® Renal Denervation System)

    Catheter-based renal denervation

06

What researchers measure

Primary outcomes

  1. Office Systolic Blood Pressure Reduction

    The primary effectiveness endpoint is change in Office Systolic Blood Pressure (SBP) from baseline to 6 months post-randomization.

    Time frame: Baseline to 6 months

07

Results

Posted Feb 24, 2014

Participant flow

190 patients screened as eligible for study inclusion between June 9, 2009 and January 15, 2010.

Participant flow — Overall Study
MilestoneRenal DenervationControl
Started5254
Completed4951
Not completed33
Withdrew: Withdrawal by subject12
Withdrew: Missed visit21

Outcome measures

PrimaryOffice Systolic Blood Pressure Reduction

The primary effectiveness endpoint is change in Office Systolic Blood Pressure (SBP) from baseline to 6 months post-randomization.

Time frame:
Baseline to 6 months
Reported as:
Mean · mmHg
Office Systolic Blood Pressure Reduction
mmHgRenal DenervationControl
Office Systolic Blood Pressure Reduction-31.7 ± 23.10.9 ± 20.6

Adverse events

Collected over 12 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
1. DENERVATION—5/52 (9.6%)18/52 (34.6%)
2. CONTROL—4/54 (7.4%)7/54 (13%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
Event1. DENERVATION2. CONTROL
Hypertensive CrisisVascular disorders2/520/54
VertigoEar and labyrinth disorders1/520/54
NauseaGastrointestinal disorders1/520/54
VomitingGastrointestinal disorders1/520/54
AstheniaGeneral disorders1/520/54
OedemaGeneral disorders1/520/54
ArthralgiaMusculoskeletal and connective tissue disorders1/520/54
DysarthriaNervous system disorders1/520/54
HypertensionVascular disorders1/521/54
HypotensionVascular disorders1/520/54
Most frequent other events
Most frequent other events
Event1. DENERVATION2. CONTROL
Back PainMusculoskeletal and connective tissue disorders5/520/54
DizzinessNervous system disorders4/520/54
Hypertensive CrisisVascular disorders0/524/54
BradycardiaCardiac disorders3/520/54
Oedema PeripheralGeneral disorders3/520/54
HypotensionVascular disorders3/520/54
HeadacheNervous system disorders0/523/54

Baseline characteristics

Age, Continuous
Age, Continuous(years)Renal DenervationControlTotal
Mean58.2 ± 11.958.3 ± 12.358.2 ± 12.0
Sex: Female, Male
Sex: Female, Male(Participants)Renal DenervationControlTotal
Female182745
Male342761
Region of Enrollment
Region of Enrollment(participants)Renal DenervationControlTotal
France134
Poland112
Belgium426
Spain224
Australia5510
Austria123
Latvia347
Germany322961
Switzerland011
United Kingdom358
08

Study locations

20 sites
  • Alfred Hospital
    Melbourne, Australia
  • Vienna General Hospital
    Vienna, Austria
  • Cliniques Universitaires Saint Luc
    Brussels, Belgium
  • Hopital Européen Georges Pompidou
    Paris, France
  • Herzzentrum Bad Krozingen
    Bad Krozingen, Germany
  • Universität zu Köln
    Cologne, Germany
  • Universitaetsklinikum Dusseldorf
    Düsseldorf, Germany
  • University of Erlangen at Nuremburg
    Erlangen, Germany
  • Universitaetsklinikum Essen
    Essen, Germany
  • CardioVascular Center Frankfurt
    Frankfurt, Germany
  • Universitatskliniken des Saarlandes
    Homburg, Germany
  • University of Leipzig - Herzzentrum
    Leipzig, Germany
  • Universitatsklinikum Schleswig-Holstein, Luebeck Campus
    Leubeck, Germany
  • Pauls Stradins Clinical University Hospital
    Riga, Latvia
  • Samodzielna Pracownia Hemodynamiczna
    Warsaw, Poland
  • Hospital 12 de Octubre
    Madrid, Spain
  • Universitaatsspital Zurich
    Zurich, Switzerland
  • Kent and Canterbury Hospital
    Canterbury, United Kingdom
  • University of Glasgow
    Glasgow, United Kingdom
  • Barts and the London School of Dentistry & Medicine
    London, United Kingdom
09

References and documents

Publications

  • Symplicity HTN-2 Investigators; Esler MD, Krum H, Sobotka PA, Schlaich MP, Schmieder RE, Bohm M. Renal sympathetic denervation in patients with treatment-resistant hypertension (The Symplicity HTN-2 Trial): a randomised controlled trial. Lancet. 2010 Dec 4;376(9756):1903-9. doi: 10.1016/S0140-6736(10)62039-9. Epub 2010 Nov 17. PubMed 21093036 ↗
  • Xu J, Sesa-Ashton G, Eikelis N, Walton A, Lambert EA, Esler MD, Kiuchi MG, Carnagarin R, Lambert GW, Schlaich MP. Increased plasma levels of erythropoietin after renal denervation in patients with resistant hypertension. Hypertens Res. 2025 Oct;48(10):2631-2640. doi: 10.1038/s41440-025-02317-6. Epub 2025 Aug 14. PubMed 40813485 ↗
  • Eikelis N, Hering D, Marusic P, Duval J, Hammond LJ, Walton AS, Lambert EA, Esler MD, Lambert GW, Schlaich MP. The Effect of Renal Denervation on Plasma Adipokine Profile in Patients with Treatment Resistant Hypertension. Front Physiol. 2017 May 30;8:369. doi: 10.3389/fphys.2017.00369. eCollection 2017. PubMed 28611687 ↗
  • Schmieder RE, Ott C, Schmid A, Friedrich S, Kistner I, Ditting T, Veelken R, Uder M, Toennes SW. Adherence to Antihypertensive Medication in Treatment-Resistant Hypertension Undergoing Renal Denervation. J Am Heart Assoc. 2016 Feb 12;5(2):e002343. doi: 10.1161/JAHA.115.002343. PubMed 26873693 ↗
  • Esler MD, Bohm M, Sievert H, Rump CL, Schmieder RE, Krum H, Mahfoud F, Schlaich MP. Catheter-based renal denervation for treatment of patients with treatment-resistant hypertension: 36 month results from the SYMPLICITY HTN-2 randomized clinical trial. Eur Heart J. 2014 Jul;35(26):1752-9. doi: 10.1093/eurheartj/ehu209. Epub 2014 Jun 4. PubMed 24898552 ↗
  • Mahfoud F, Ukena C, Schmieder RE, Cremers B, Rump LC, Vonend O, Weil J, Schmidt M, Hoppe UC, Zeller T, Bauer A, Ott C, Blessing E, Sobotka PA, Krum H, Schlaich M, Esler M, Bohm M. Ambulatory blood pressure changes after renal sympathetic denervation in patients with resistant hypertension. Circulation. 2013 Jul 9;128(2):132-40. doi: 10.1161/CIRCULATIONAHA.112.000949. Epub 2013 Jun 18. PubMed 23780578 ↗
  • Esler MD, Krum H, Schlaich M, Schmieder RE, Bohm M, Sobotka PA; Symplicity HTN-2 Investigators. Renal sympathetic denervation for treatment of drug-resistant hypertension: one-year results from the Symplicity HTN-2 randomized, controlled trial. Circulation. 2012 Dec 18;126(25):2976-82. doi: 10.1161/CIRCULATIONAHA.112.130880. PubMed 23248063 ↗
  • Ukena C, Mahfoud F, Kindermann I, Barth C, Lenski M, Kindermann M, Brandt MC, Hoppe UC, Krum H, Esler M, Sobotka PA, Bohm M. Cardiorespiratory response to exercise after renal sympathetic denervation in patients with resistant hypertension. J Am Coll Cardiol. 2011 Sep 6;58(11):1176-82. doi: 10.1016/j.jacc.2011.05.036. PubMed 21884958 ↗
  • Mahfoud F, Schlaich M, Kindermann I, Ukena C, Cremers B, Brandt MC, Hoppe UC, Vonend O, Rump LC, Sobotka PA, Krum H, Esler M, Bohm M. Effect of renal sympathetic denervation on glucose metabolism in patients with resistant hypertension: a pilot study. Circulation. 2011 May 10;123(18):1940-6. doi: 10.1161/CIRCULATIONAHA.110.991869. Epub 2011 Apr 25. PubMed 21518978 ↗
  • Schlaich MP, Straznicky N, Grima M, Ika-Sari C, Dawood T, Mahfoud F, Lambert E, Chopra R, Socratous F, Hennebry S, Eikelis N, Bohm M, Krum H, Lambert G, Esler MD, Sobotka PA. Renal denervation: a potential new treatment modality for polycystic ovary syndrome? J Hypertens. 2011 May;29(5):991-6. doi: 10.1097/HJH.0b013e328344db3a. PubMed 21358414 ↗

Related links

10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2009, a primary completion of Sep 2010 and a completion of May 2015. It does not say whether these dates are actual or estimated.

Results were first posted in Feb 2014, 3 years 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 24, 2009
First posted
Apr 27, 2009
Start
Jun 2009
Primary completionActual
Sep 2010
CompletionActual
May 2015
Results first posted
Feb 24, 2014
Last update
May 20, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 20, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00888433
Lead sponsor
Medtronic Vascular
Responsible party
Sponsor
First posted
Apr 27, 2009
Start date
Jun 2009
Primary completion
Sep 2010
Completion
May 2015
Results posted
Feb 24, 2014
Last update
May 20, 2015

Study contacts

Murray Esler, MBBS
principal investigator · The Baker IDI Heart & Diabetes Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.

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