ClinicalTrials.gg
RecruitingNCT07013929Spyral InSightUpdated Oct 20, 2026

Spyral InSight Study

An interventional study of Renal nerve stimulation in Hypertension, Vascular Diseases and Cardiovascular Diseases, sponsored by Medtronic Vascular. Recruiting at 2 sites in 2 countries. Open to participants aged 20 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-20.

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

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
20 Years to 70 Years
Sex
All
01

Study summary

The purpose of the Spyral InSight Early Clinical Feasibility Study is to characterize the physiological response to renal nerve stimulation (RNS) in humans prior to and post renal denervation.

Read the detailed description

This study is exploratory in nature and an early-stage clinical assessment that will evaluate procedural and long-term safety of renal nerve stimulation (RNS) when performed prior to and post renal artery denervation (RDN) with the Symplicity Spyral system, with follow-up at 1, 3, 6 and 12 months.

There is no pre-specified primary endpoint. However, the objectives of the Spyral InSight ECF study are as follows:

  • To assess safety of RNS when performed prior to and post RDN.
  • To characterize and quantify the physiological response to renal nerve stimulation in humans undergoing renal denervation per approved labeling.
02

Conditions studied

  • Hypertension
  • Vascular Diseases
  • Cardiovascular Diseases

Keywords

  • Hypertension
  • Cardiovascular Diseases
  • Vascular Diseases
  • Denervation
  • Renal Denervation
03

In context

Hypertension

6,114 studies on the registry are indexed under Hypertension; 912 are open to participants now.

This study's planned enrollment of 19 is below the median of 100 across 4,575 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
20 Years to 70 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

  1. 20 - 70 years of age
  2. Office SBP ≥150 mmHg and \<180 mmHg and DBP ≥90 mmHg
  3. Individual is prescribed with one, two, or three antihypertensive medication classes
  4. 24-hour ABPM average of SBP ≥135 and \<170 mmHg at Baseline

Exclusion criteria

Exclusion Criteria:

  1. Prior renal denervation.
  2. Individual lacks appropriate renal artery Anatomy
  3. Has a renal artery stent
  4. Individual has an estimated (eGFR) of \<60 mL/min/1.73m2
  5. Individual is taking SGLT2 inhibitors or GLP-1 agonists
  6. Individual requires chronic oxygen support or mechanical ventilation
  7. Primary pulmonary hypertension.
  8. Secondary cause of hypertension
  9. Pregnant, nursing or planning to become pregnant during the study.
  10. Individual has a documented condition that would prohibit or interfere with ability to obtain an accurate blood pressure measurement
  11. Individual is currently taking anti-mineralocorticoid drugs.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

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

Study arms

  • Experimental
    Renal nerve stimulation performed prior to and post renal artery denervation (RDN)

    Device: Renal nerve stimulation

Interventions

  • DeviceRenal nerve stimulation

    Renal nerve stimulation will be performed prior to and post renal denervation.

06

What researchers measure

Primary outcomes

  1. All-cause mortality

    Time frame: Through study completion, from enrollment to 12-month follow-up

  2. End-stage renal disease

    Time frame: Through study completion, from enrollment to 12-month follow-up

  3. Myocardial infarction

    Time frame: Through study completion, from enrollment to 12-month follow-up

  4. Incidence of stroke

    Time frame: Through study completion, from enrollment to 12-month follow-up

  5. Hospitalization for hypertensive crisis not related to non-adherence with medications

    Time frame: Through study completion, from enrollment to 12-month follow-up

  6. Significant embolic event resulting in end-organ damage

    Time frame: Through study completion, from enrollment to 12-month follow-up

  7. Renal artery intervention

    Time frame: Through study completion, from enrollment to 12-month follow-up

  8. New renal artery stenosis >70%, confirmed by angiography and as determined by the angiographic core lab

    Time frame: Through study completion, from enrollment to 12-month follow-up

  9. Vascular complications

    Time frame: Through study completion, from enrollment to 12-month follow-up

  10. Major bleeding according to TIMI definition

    Time frame: Through study completion, from enrollment to 12-month follow-up

  11. Prolonged renal vasoconstriction requiring intervention

    Time frame: Through study completion, from enrollment to 12-month follow-up

  12. Contrast induced nephropathy

    Time frame: Through study completion, from enrollment to 12-month follow-up

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — There is not a plan to make IPD available.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07013929
Lead sponsor
Medtronic Vascular
Responsible party
Sponsor
First posted
Jun 10, 2025
Start date
Jun 9, 2025
Primary completion
Feb 28, 2027 (estimated)
Completion
Jul 1, 2027 (estimated)
Last update
Oct 20, 2026

Study contacts

Sjors Wijnands
Contact
sjors.wijnands@medtronic.com
+31 6 1113 5502
Marianne Wanten
Contact
marianne.wanten@medtronic.com
+31 613703414

Oversight

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

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