Actively Recruiting

Phase Not Applicable
Age: 40Years +
All Genders
NCT04592445

Endovascular Ablation of the Right Greater Splanchnic Nerve in Subjects Having HFpEF

Led by Axon Therapies, Inc. · Updated on 2026-03-13

150

Participants Needed

20

Research Sites

451 weeks

Total Duration

On this page

Sponsors

A

Axon Therapies, Inc.

Lead Sponsor

N

NAMSA

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this clinical study is to evaluate the safety and early effectiveness of a catheter-based procedure that treats a nerve called the right greater splanchnic nerve. The study includes people who have heart failure with preserved ejection fraction (HFpEF). The goal is to learn whether this procedure, performed using the Satera Ablation System, may help improve symptoms and to better understand which patients may benefit most from this treatment in the future.

CONDITIONS

Official Title

Endovascular Ablation of the Right Greater Splanchnic Nerve in Subjects Having HFpEF

Who Can Participate

Age: 40Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Chronic heart failure with symptoms requiring diuretics treatment for more than 30 days
  • New York Heart Association (NYHA) class II with history of higher class, class III, or ambulatory class IV symptoms at screening
  • At least one of the following: one or more heart failure hospital admissions in past 12 months, elevated NT-proBNP or BNP levels within past 6 months, or right heart catheterization showing elevated pulmonary capillary wedge pressure
  • Stable guideline-directed medical therapy for heart failure for at least 1 month prior to screening and expected to remain stable for 6 months
  • Left ventricular ejection fraction of 50% or greater within past 6 months
  • Age 40 years or older
  • Ability and willingness to provide informed consent and follow study procedures
Not Eligible

You will not qualify if you...

  • Heart attack or cardiac intervention within 3 months prior to screening, or current need for coronary revascularization
  • Cardiac resynchronization therapy started within 3 months prior to screening
  • Advanced heart failure including non-ambulatory NYHA class IV, inotropic infusion within 6 months, on transplant list, or history of mechanical circulatory support
  • Poor left heart compliance or right heart dysfunction based on echocardiogram
  • Body mass index over 45 kg/m2
  • Six-minute walk test distance less than 100 meters or over 450 meters
  • Hospital admission for heart failure within 30 days before procedure
  • History or presence of orthostatic hypotension or related syndromes
  • Systolic blood pressure below 100 mmHg or above 170 mmHg despite treatment
  • Resting heart rate over 100 beats per minute or ventricular tachycardia
  • Catheter ablation for atrial fibrillation within 6 months prior or planned in next 12 months
  • Left ventricular ejection fraction below 40% within past 3 years unless transient
  • Significant valve disease as defined by cardiologist
  • Known cardiomyopathies such as hypertrophic or restrictive types
  • Significant liver cirrhosis
  • Prior weight loss surgery
  • Dialysis dependent or severely reduced kidney function
  • Low arterial oxygen saturation below 90% on room air
  • Chronic pulmonary disease requiring continuous oxygen or hospitalization in past year
  • Participation in conflicting investigational studies within 30 days prior
  • Life expectancy less than 12 months for non-cardiovascular reasons
  • Conditions or history that may affect study results or increase risk as judged by investigators
  • Pregnancy or lactation
  • Abnormal right heart catheterization measurements
  • Vascular anatomy or previous spine surgery that prevents safe procedure access

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 20 locations

1

Cardiology PC

Birmingham, Alabama, United States, 35211

Completed

2

Arizona Cardiovascular Research Center

Phoenix, Arizona, United States, 85016

Active, Not Recruiting

3

Scripps Health

La Jolla, California, United States, 92037

Active, Not Recruiting

4

University of California, San Francisco

San Francisco, California, United States, 94143

Actively Recruiting

5

Bluhm Cardiovascular Institute of Northwestern University

Chicago, Illinois, United States, 60611

Actively Recruiting

6

University of Chicago Medical Center

Chicago, Illinois, United States, 60637

Actively Recruiting

7

Prairie Education and Research Cooperative

Springfield, Illinois, United States, 62701

Active, Not Recruiting

8

Ascension St. Vincent - Cardiovascular Research Institute

Indianapolis, Indiana, United States, 46260

Completed

9

Cardiovascular Institute of the South

Houma, Louisiana, United States, 70360

Actively Recruiting

10

Michigan Medicine, University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

11

Mayo Clinic

Rochester, Minnesota, United States, 55905

Actively Recruiting

12

St. Louis Heart and Vascular

St Louis, Missouri, United States, 63136

Actively Recruiting

13

Weill Cornell Medicine

New York, New York, United States, 10021

Actively Recruiting

14

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Active, Not Recruiting

15

Columbia University Medical Center

New York, New York, United States, 10032

Actively Recruiting

16

Rochester General Hospital

Rochester, New York, United States, 14621

Actively Recruiting

17

Duke University Medical Center

Durham, North Carolina, United States, 27710

Actively Recruiting

18

Ohio State University Wexner Medical Center

Columbus, Ohio, United States, 43210

Actively Recruiting

19

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Actively Recruiting

20

Virginia Commonwealth University Medical Center

Richmond, Virginia, United States, 23298

Active, Not Recruiting

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Research Team

J

Judit Adorjan

CONTACT

J

Jennifer Moore, MS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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