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Streamlined Denervation With spYral For an Optimized Treatment (SPYRAL SWYFT) in Subjects With Uncontrolled Hypertension

Sponsor: Medtronic Vascular

NCT ID: NCT07115953

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Symplicity Spyral™ multi-electrode renal denervation system (device)
How long the study runs
Study runs about 51 months (dates as stated)
About the drug or intervention
Symplicity Spyral™ multi-electrode renal denervation system — device: After a renal angiography according to standard procedures, subjects are treated with the renal denervation procedure.
Patient visit burden
Not specified by the sponsor

In plain English

This study, called SPYRAL SWYFT, is looking at a treatment called renal denervation for people with uncontrolled high blood pressure (hypertension). The treatment is described as 'streamlined denervation', which uses a device to target nerves near the kidney arteries. The study is funded by Medtronic Vascular. Whether the treatment works or how it is done is Not stated — ask the trial team.

Who can take part

  • You have high blood pressure with a clinic (office) top number of 140 mmHg or higher.
  • Your clinic bottom number is 90 mmHg or higher.
  • Your home blood pressure readings, taken over at least 7 days, average 135 mmHg or higher for the top number.
  • You have a valid 24-hour blood pressure monitor reading taken before any procedure.

Who may not be able to

  • The arteries to your kidneys are not the right shape for the treatment.
  • You have had renal denervation before.
  • You have a condition that makes it hard to measure your blood pressure accurately.
  • You need oxygen or a ventilator during the day (night-time support for sleep apnoea is allowed).
  • Your kidney function (eGFR) is below 45 mL/min/1.73m².
  • You have had episodes of low blood pressure when standing up.
  • You are pregnant, breastfeeding, or planning to become pregnant.
  • You have pulmonary hypertension (high blood pressure in the lungs).
  • You have type 1 diabetes, or type 2 diabetes that is not well controlled (HbA1c above 8.0%).

What taking part involves

  • • Not stated — ask the trial team.

Time commitment: Number of visits, study length and what taking part involves are Not stated — ask the trial team.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
130
Started
2025-09-22
Last checked
2026-06

Plain English Summary

What is this study?

  • • Testing a new treatment for hypertension
  • • NA - 130 participants
  • • The purpose of the SPYRAL SWYFT sub-study is to evaluate whether renal denervation with the Symplicity Spyral system performed in the main and first order branch renal arteries yields a shorter procedure time and is as effective in reducing blood pressure than the procedural approach used in the SPYRAL HTN-ON MED and SPYRAL PIVOTAL - SPYRAL HTN-OFF MED clinical studies in an uncontrolled hypertensive population

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with hypertension

Where?

  • • Oxford - Oxford University Hospitals NHS Trust - John Radcliffe Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The purpose of the SPYRAL SWYFT sub-study is to evaluate whether renal denervation with the Symplicity Spyral system performed in the main and first order branch renal arteries yields a shorter procedure time and is as effective in reducing blood pressure than the procedural approach used in the SPYRAL HTN-ON MED and SPYRAL PIVOTAL - SPYRAL HTN-OFF MED clinical studies in an uncontrolled hypertensive population.

More detail

SPYRAL SWYFT will evaluate the long-term safety, efficacy, and durability of the Symplicity Spyral system to determine whether renal denervation performed in the main and first order branch renal arteries yields a shorter procedure time and is as effective in reducing blood pressure than the procedural approach used in the SPYRAL HTN-ON MED and SPYRAL PIVOTAL - SPYRAL HTN-OFF MED clinical studies (where all accessible renal arterial vessels between 3 and 8 mm in diameter including accessory, branch and main renal arteries (outside the kidney parenchyma) were targeted for ablation). SPYRAL SWYFT study is conducted under the overarching SPYRAL AFFIRM protocol (NCT05198674), focused on EU and APAC regions.

HypertensionVascular DiseasesCardiovascular DiseasesChronic Kidney DiseasesDiabetes Mellitus

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

Biomarkers mentioned

eGFR

What the study is looking for

  • ✓Individual is diagnosed with hypertension and has a baseline office systolic blood pressure ≥140 mmHg
  • ✓Individual has a baseline office diastolic blood pressure ≥ 90 mmHg
  • ✓Individual has an average systolic baseline home blood pressure ≥135 mmHg (with ≥7 days of valid pre-procedure...
  • ✓Individual has a valid 24-hour Ambulatory Blood Pressure Measurement at baseline

Who cannot take part

  • ✗Individual lacks appropriate kidney artery anatomy
  • ✗Individual has undergone prior kidney denervation
  • ✗Individual has a documented condition that would prohibit or interfere with ability to obtain an accurate blood...
  • ✗Individual requires chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for...
  • ✗Individual has an estimated glomerular filtration rate (eGFR) of \<45 mL/min/1.73m2
See the full criteria
Inclusion Criteria: 1. Individual is diagnosed with hypertension and has a baseline office systolic blood pressure ≥140 mmHg 2. Individual has a baseline office diastolic blood pressure ≥ 90 mmHg 3. Individual has an average systolic baseline home blood pressure ≥135 mmHg (with ≥7 days of valid pre-procedure measurements) 4. Individual has a valid 24-hour Ambulatory Blood Pressure Measurement at baseline Exclusion Criteria: 1. Individual lacks appropriate renal artery anatomy 2. Individual has undergone prior renal denervation 3. Individual has a documented condition that would prohibit or interfere with ability to obtain an accurate blood pressure measurement 4. Individual requires chronic oxygen support or mechanical ventilation other than nocturnal respiratory support for sleep apnea 5. Individual has an estimated glomerular filtration rate (eGFR) of \<45 mL/min/1.73m2 6. Individual has one or more episode(s) of orthostatic hypotension 7. Individual is pregnant, nursing or planning to become pregnant 8. Individual has documented primary pulmonary hypertension 9. Individual has documented type 1 diabetes mellitus or poorly-controlled type 2 diabetes mellitus with glycosylated hemoglobin greater than 8.0%

Where Is This Study? (1 UK site)

Oxford University Hospitals NHS Trust - John Radcliffe Hospital

Oxford, United Kingdom

Recruiting
Site contact (verified)
Giovanni Luigi De MariaPrincipal Investigator

How to Get in Touch

Kelsey Anderson

Sponsor contact

CONTACT

651 247 5268 rs.spyralaffirm@medtronic.com

Carly Loudoun

Sponsor contact

CONTACT

+31 43 356 6566 rs.spyralaffirm@medtronic.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-06