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RecruitingNCT02827032CALM-DIEMUpdated Oct 6, 2023

Controlling and Lowering Blood Pressure With the MobiusHD™

An interventional study of MobiusHD™ in Hypertension, sponsored by Vascular Dynamics, Inc.. Recruiting at 22 sites in 3 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-10-06.

Sponsored by Vascular Dynamics, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started Jul 2016; still recruiting 10 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

To perform post-market surveillance and evaluate the performance of the MobiusHD System in subjects with primary resistant hypertension.

Read the detailed description

The CALM-DIEM Trial is an open-label, prospective, multicenter study for patients who have been selected for treatment with the MobiusHD.

02

Conditions studied

  • Hypertension

Browse trials for

Keywords

  • Hypertension
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's planned enrollment of 200 is above the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Vascular Dynamics, Inc. is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Mean 24-hour systolic ABPM is ≥130 mmHg following at least 30 days on a stable antihypertensive medication regimen (no changes in medication or dose), and no more than 28 days prior to implantation.

Exclusion Criteria:

  • Known or clinically suspected baroreflex failure or autonomic neuropathy

Substudy Eligibility Criteria: A maximum of 16 patients will be enrolled in the sub-study at one site (Universitair Medisch Centrum Utrecht)

Inclusion Criteria:

  • Patients must be eligible for the main study and must have passed all CALM-DIEM study inclusion and exclusion criteria at time of screening

Exclusion Criteria:

  • Use of anti-hypertensive drugs directly acting on the sympathetic nervous system that cannot be discontinued safely
  • Underlying conditions that prohibit microneurography, performance of a Valsalva maneuver and/or magnetic resonance imaging
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    MobiusHD™

    The MobiusHD device is a self-expanding nitinol implant that is delivered intravascularly to the internal carotid sinus via the delivery catheter.

    Device: MobiusHD™

Interventions

  • DeviceMobiusHD™

    The MobiusHD device is a self-expanding nitinol implant that is delivered intravascularly to the internal carotid sinus via the delivery catheter.

06

What researchers measure

Primary outcomes

  1. Evaluation of 24-hour systolic Ambulatory Blood Pressure Measurement (ABPM)

    Change in the mean 24-hours systolic Ambulatory Blood Pressure

    Time frame: Baseline to ninety (90) days post treatment

Secondary outcomes

  1. Incidence of Adverse Events

    Incidence of SAEs and UADEs reported from implantation through three years post treatment

    Time frame: Baseline to three (3) years post treatment

Other outcomes

  1. Substudy Outcome Measure - Change in sympathetic activity

    Change in muscle sympathetic nerve activity (burst frequency \[bursts/min\] and burst incidence \[burst/100 heartbeats\]) measured by microneurography, from baseline to 90 days post treatment

    Time frame: Baseline to 90 days post treatment

  2. Substudy Outcome Measure - Change in sympathetic activity

    Change in Blood Oxygen Level Dependent (BOLD) activity of central sympathetic nerve circuits (connectivity of the salience network) measured by resting state BOLD fMRI

    Time frame: Baseline to 90 days post treatment

  3. Substudy Outcome Measure - Change in sympathetic activity

    Change in Blood Oxygen Level Dependent (BOLD) activity of central sympathetic nerve circuits (brain(stem) response during the Valsalva maneuver) measured by task-based BOLD fMRI

    Time frame: Baseline to 90 days post treatment

  4. Substudy Outcome Measure - Change in baroreflex sensitivity

    Change sympathetic baroreflex sensitivity (change in muscle sympathetic nerve activity per mmHg blood pressure change) during spontaneous blood pressure fluctuations

    Time frame: Baseline to 90 days post treatment

  5. Substudy Outcome Measure - Change in baroreflex sensitivity

    Change in sympathetic baroreflex sensitivity (change in muscle sympathetic nerve activity per mmHg blood pressure change) during blood pressure changes evoked by the Valsalva maneuver

    Time frame: Baseline to 90 days post treatment

  6. Substudy Outcome Measure - Change in baroreflex sensitivity

    Change in cardiac baroreflex sensitivity (change in heartbeat interval per mmHg blood pressure change) during spontaneous blood pressure fluctuations

    Time frame: Baseline to 90 days post treatment

  7. Substudy Outcome Measure - Change in baroreflex sensitivity

    Change in cardiac baroreflex sensitivity (change in heartbeat interval per mmHg blood pressure change) during blood pressure changes evoked by the Valsalva maneuver

    Time frame: Baseline to 90 days post treatment

07

Study locations

3 of 22 sites recruiting
  • Universitätsmedizin Mannheim
    Mannheim, Baden-Württemberg 68167, Germany
    Withdrawn
  • CVC Frankfurt
    Frankfurt am Main, Hesse 60389, Germany
    Recruiting
  • Medizinische Hochschule Hannover
    Hannover, Lower Saxony 30451, Germany
    Withdrawn
  • Uniklinik Köln
    Cologne, North Rhine-Westphalia 50937, Germany
    Completed
  • Universitätsklinikum Düsseldorf
    Düsseldorf, North Rhine-Westphalia 40225, Germany
    Completed
  • Universitätsklinikum Schleswig-Holstein
    Kiel, Schleswig-Holstein 24105, Germany
    Withdrawn
  • Charite Berlin
    Berlin, 12200, Germany
    Withdrawn
  • Asklepiod Klinik Hamburg
    Hamburg, Germany
    Completed
  • Universitatsklinikum des Saarlandes
    Homburg, Germany
    Completed
  • HagaZiekenhuis
    The Hague, AA 2545, Netherlands
    Completed
  • St. Antonius Ziekenhuis
    Nieuwegein, EM 3435, Netherlands
    Completed
  • Maastricht UMC+
    Maastricht, HX 6229, Netherlands
    Completed
  • Radboud University Medical Center
    Nijmegen, 6525GA, Netherlands
    Active, not recruiting
  • Universitair Medisch Centrum Utrecht
    Utrecht, 3508 GA, Netherlands
    Recruiting
  • Isala
    Zwolle, 8025AB, Netherlands
    Completed
  • Queen Elizabeth University Hospital - Glasgo
    Glasgow, Scotland G51 4TF, United Kingdom
    Withdrawn
  • Golden Jubilee National Hospital
    Glasgow, Scotland G81 4DY, United Kingdom
    Withdrawn
  • The Royal Sussex County Hospital
    Brighton, BN2 5BE, United Kingdom
    Withdrawn
  • St. Bartholomew's Hospital
    London, EC1A 7BE, United Kingdom
    Completed
  • St. Thomas' Hospital
    London, SE1 7EH, United Kingdom
    Withdrawn
  • University College London Hospital
    London, WC1E 6HX, United Kingdom
    • Donna Moskal-Fitzpatrick · Contact · donna.moskal@ucl.ac.uk · +44 207 679 9007
    • Bryan Williams · Principal investigator
    • Joe Brookes · Sub investigator
    Recruiting
  • Manchester University
    Manchester, M13 9PL, United Kingdom
    Withdrawn
08

References and documents

Publications

  • van Kleef MEAM, Heusser K, Diedrich A, Oey PL, Tank J, Jordan J, Blankestijn PJ, Williams B, Spiering W. Endovascular baroreflex amplification and the effect on sympathetic nerve activity in patients with resistant hypertension: A proof-of-principle study. PLoS One. 2021 Nov 16;16(11):e0259826. doi: 10.1371/journal.pone.0259826. eCollection 2021. PubMed 34784359 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02827032
Lead sponsor
Vascular Dynamics, Inc.
Responsible party
Sponsor
First posted
Jul 11, 2016
Start date
Jul 2016
Primary completion
Dec 2024 (estimated)
Completion
Jun 2026 (estimated)
Last update
Oct 6, 2023

Study contacts

Lisa Green
Contact
lgreen@vasculardynamics.com
949.231.7602

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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