RecruitingNot ApplicableNCT06907147

SPYRAL GEMINI Pilot Study

Global Pilot Study of rEnal and Hepatic coMbINed denervatIon in Subjects With Uncontrolled Hypertension With and Without High Cardiovascular Risk


Sponsor

Medtronic Vascular

Enrollment

175 participants

Start Date

May 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of the SPYRAL GEMINI Pilot Study is to evaluate that multi-organ denervation with the Gemini System is safe and provide evidence of blood pressure reduction when studied in an uncontrolled hypertensive population with and without high cardiovascular risk.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria4

  • All Subjects (both cohorts):
  • ≥18 and ≤80 years of age.
  • Diagnosed with HTN and has a baseline office SBP ≥150 mmHg and \<180 mmHg and an office DBP ≥ 90 mmHg.
  • hour average SBP ≥140 mmHg and \<170 mmHg measured by ABPM at Baseline.

Exclusion Criteria11

  • Individual lacks appropriate renal artery OR common hepatic artery anatomy.
  • Prior renal or hepatic denervation.
  • Prior stroke or transient ischemic attack (TIA).
  • Documented Type 1 diabetes or use of insulin or sulfonylureas within 6 months.
  • Secondary cause of hypertension.
  • Documented condition that would prohibit or interfere with ability to obtain an accurate blood pressure measurement.
  • Estimated glomerular filtration rate (eGFR) of \<40
  • Pregnant, nursing or planning to become pregnant during the study.
  • Primary pulmonary arterial hypertension.
  • History or evidence of active / suspected chronic liver or biliary disease.
  • Current or chronic pancreatitis.

Interventions

DEVICEMulti-Organ Denervation Gemini System

After angiography according to standard procedures, subjects are treated with renal denervation followed by hepatic denervation.


Locations(13)

Stanford Hospital and Clinics

Stanford, California, United States

Piedmont Heart Institute

Atlanta, Georgia, United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Henry Ford Providence Hospital

Southfield, Michigan, United States

North Mississippi Medical Center

Tupelo, Mississippi, United States

Renown Regional Medical Center

Reno, Nevada, United States

Virtua Our Lady of Lourdes Hospital

Camden, New Jersey, United States

Baylor Heart & Vascular Hospital

Dallas, Texas, United States

UT Health East Texas

Tyler, Texas, United States

Royal Perth Hospital (Dobney Hypertension Centre)

Perth, Australia

Hippokration General Hospital

Athens, Greece

University Hospital of Galway

Galway, Ireland

University Hospital Basel

Basel, Switzerland

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NCT06907147


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