The Safety and Efficacy of Carotid Body Modulation Therapy in Hypertensive Patients by External U⦠(NCT06116357) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
The Safety and Efficacy of Carotid Body Modulation Therapy in Hypertensive Patients by External Ultrasonic Micro-bubble
China200 participantsStarted 2023-12-01
Plain-language summary
The investigators intend to find a noninvasive method for CB modulation therapy and find a simple and convenient indicator for assessing CB activity. This study was designed to evaluate the safety and efficacy of carotid body modulation therapy in hypertensive patients by external ultrasonic micro-bubble and also identify the association between CB volume and CB activity.
Who can participate
Age range18 Years ā 75 Years
SexALL
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Inclusion criteria
ā. Two or more antihypertensive medications that had been prescribed at least 50% of the manufacturer's maximum dose for at least 2 consecutive weeks before study; Patients take an angiotensin-converting enzyme inhibitor (ACEI) (or angiotensin-ā ± receptor antagonist (ARB)) and calcium channel blocker (CCB) (or thiazide diuretic) ; Office systolic blood pressure (SBP)ā„150 mmHg and \<180mmHg.
ā.24-hour ambulatory systolic blood pressure: ā„135 mmHg and \<170 mmHg
ā.A history of primary hypertension was recorded. 4.Patients who can understand the purpose of the trial, voluntarily participate and sign informed consent, and are willing to cooperate with clinical follow-up
ā. Primary hypertension patients agrees to take part in this study and perform CB MRI, ultrasound, CB activity tests and sign the informed consent.
ā. The office blood pressure of patients ā„ 140/90 mmHg; the patents were diagnosed hypertension and are taking anti-hypertensive drugs could also include, although the office blood pressure \< 140/90 mmHg.
ā. The CB could be detected by carotid ultrasound or MRI. Control group
ā. The volunteers agree to take part in this study and perform CB MRI, ultrasound, CB activity tests and sign the informed consent.
ā. The volunteers are healthy.
Exclusion criteria
ā. Carotid body anatomy is not eligible for treatment: ultrasound examination before treatment fail to find carotid body at carotid artery bifurcation.
What they're measuring
1
The change from baseline 24-hour mean ambulatory SBP at 6 months
Timeframe: 6 months
2
The change from baseline daytime mean ambulatory SBP at 6 months