Renal Nerve Stimulation to Help Blood Pressure in AF and HFpEF
Official title: A Pilot Study Evaluating Renal Denervation in Heart Failure Patients: A Two-Phase Prospective Study - Phase 1
Run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · NCT07893821 · Data updated 2026-11-12
This study tests whether stimulating the kidneys with a catheter can safely lower blood pressure in adults with atrial fibrillation and HFpEF who also have hypertension.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 10 (estimated) |
| Sponsor | London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Academic / other |
| Locations | 1 site (London, Ontario) |
| Status | Recruiting |
| Started | August 1, 2026 |
| Main results expected | August 2029 |
| Study ends | August 2029 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07893821 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older with atrial fibrillation scheduled for EP study or catheter ablation, and with eGFR ≥45 mL/min/1.73m².
✕Probably not a fit
Patients with significant renal artery disease, a single kidney, pregnancy, or other conditions that disallow safe catheter-based procedures may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This pilot, two-phase study explores the safety and feasibility of catheter-based renal artery electrical stimulation as a precursor to renal denervation. Phase 1 focuses on accessing the renal arteries and observing immediate blood pressure responses to brief stimulation in patients scheduled for electrophysiology studies or ablation. The study targets adults with atrial fibrillation, hypertension, and HFpEF, and excludes those with significant renal dysfunction or high-risk conditions. If safety and feasibility are demonstrated, subsequent phases would further evaluate the approach as a potential option to manage blood pressure in this patient group.
Why it matters
Potential benefit: If successful, this approach could offer a new way to lower blood pressure and possibly reduce heart strain in patients with AF and HFpEF.
How similar studies have gone: Renal denervation and renal nerve modulation have shown blood pressure reductions in other groups, but benefits in AF with HFpEF are not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age ≥18 years 2. Scheduled for EP study +/- catheter ablation 3. Adequate renal function (eGFR ≥45 mL/min/1.73m²) Exclusion Criteria: 1. Hemodynamic instability 2. Renal artery stenosis \>50% 3. Single functioning kidney 4. Previous renal artery intervention 5. Pregnancy or nursing 6. Life expectancy \<12 months 7. Unwilling or unable to provide informed consent 8. Participation in a clinical trial that may impact the outcomes of the current study
Where it's running
-
London Heart Rhythm Program
London, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Megan Smith
- Email: meganj.smith@lhsc.on.ca
- Phone: 519-685-8500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.