| [January 30, 2013] |
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St. Jude Medical Announces First Patient Enrollment in EnligHTN II Renal Denervation Study
ST. PAUL, Minn. --(Business Wire)--
St. Jude Medical, Inc. (NYSE:STJ), a global medical device company,
today announced enrollment of the first patient in the EnligHTN II
trial. This post-market clinical study will further evaluate the safety
and efficacy of the EnligHTN™
Renal Denervation System in patients with uncontrolled hypertension.
According to the World
Health Organization (WHO), one in three adults worldwide has
elevated blood pressure - a condition that increases the risk of heart
attack, stroke and kidney failure.
The EnligHTN Renal Denervation System from St. Jude Medical. (Photo: Business Wire)
The EnligHTN II (IntErnational
non-randomized, single-arm, long-term
follow-up study of patients with uncontrolled HyperTensioN)
trial expands upon the research conducted in the EnligHTN
I trial, which demonstrated that patients with drug-resistant
hypertension treated with the St. Jude Medical EnligHTN system had a
rapid and sustained drop in blood pressure. After thirty days, systolic
blood pressure was reduced by an average of 28 mmHg that remained stable
with a reduction of 26 mmHg points six months after treatment, an
important finding as the risk of cardiovascular death drops by half with
every systolic decrease of 20 mmHg.
"There is convincing evidence from studies like the EnligHTN I trial
linking renal denervation to improved blood pressure in patients who
have drug-resistant hypertension," said Dr. Johannes Brachmann at
Klinikum Coburg in Coburg, Germany. "Expanding this research to patients
with less severe forms of hypertension is important as this minimally
invasive approach allows for a shorter procedure time and a potentially
faster recovery time, which may benfit more patients with uncontrolled
hypertension."
Hypertension occurs when blood pressure in the arteries is elevated,
requiring the heart to work harder than normal to circulate blood
throughout the body. A typical normal blood pressure reading is below
120 systolic and 80 diastolic - expressed as 120 / 80 mmHg. To date, the
majority of renal denervation studies have only tested the safety and
efficacy of this technology in patients with drug-resistant
hypertension, which is defined as systolic blood pressure above160 mmHg,
despite being on three or more anti-hypertensive medications including a
diuretic.
The EnligHTN II study aims to broaden this scope by evaluating the mean
reduction in systolic blood pressure at six months across all enrolled
patients post renal denervation and within sub-groups with varying
degrees of kidney functionality. The study will be conducted at 40 sites
in Europe and Australia and will enroll approximately 500 patients with
uncontrolled hypertension.
"St. Jude Medical is dedicated to conducting research that will
contribute to the body of evidence supporting the effectiveness of renal
denervation in reducing hypertension," said Frank J. Callaghan,
president of the St. Jude Medical Cardiovascular and Ablation
Technologies Division. "Through the course of the EnligHTN II study, we
expect to gain additional insights into the benefits and sustainability
of blood pressure reductions achieved through use of the EnligHTN Renal
Denervation System in an expanded patient population."
About Renal Denervation and the EnligHTN System
Renal denervation is a catheter-based ablation procedure that
potentially provides lasting reduction in blood pressure for patients
with resistant hypertension. A catheter is introduced through the
femoral artery in the leg to access the renal arteries that connect to
the kidneys, where radiofrequency (RF) energy is delivered to create
lesions (tiny scars) along the renal sympathetic nerves - a network of
nerves that help control blood pressure. This intentional disruption of
the nerve supply causes systolic and diastolic blood pressure to
decrease.
The EnligHTN system is a multi-electrode ablation technology that
features a unique, non-occlusive basket design that delivers a
predictable pattern of four evenly-spaced ablations with each catheter
placement. This allows for continuous blood flow to the kidney during
the procedure. Compared to single-electrode ablation systems, the
multi-electrode EnligHTN system has the potential to improve consistency
and save time, which may result in improved workflow and cost
efficiencies.
The renal denervation technology includes a guiding catheter, ablation
catheter and ablation generator. The generator uses a proprietary,
temperature-controlled algorithm to produce effective lesions.
Additionally, minimal catheter repositioning may result in a reduction
of contrast and fluoroscopic (X-ray) exposure.
In 2012, The EnligHTN Renal Denervation System earned European CE
Mark approval and was launched in several markets. It is not yet
approved for use in the U.S.
About St. Jude Medical
St. Jude Medical develops medical technology and services that focus on
putting more control into the hands of those who treat cardiac,
neurological and chronic pain patients worldwide. The company is
dedicated to advancing the practice of medicine by reducing risk
wherever possible and contributing to successful outcomes for every
patient. St. Jude Medical is headquartered in St. Paul, Minn. and has
four major focus areas that include: cardiac rhythm management, atrial
fibrillation, cardiovascular and neuromodulation. For more information,
please visit sjm.com.
Forward-Looking Statements
This news release contains forward-looking statements within the meaning
of the Private Securities Litigation Reform Act of 1995 that involve
risks and uncertainties. Such forward-looking statements include the
expectations, plans and prospects for the Company, including potential
clinical successes, anticipated regulatory approvals and future product
launches, and projected revenues, margins, earnings and market shares.
The statements made by the Company are based upon management's current
expectations and are subject to certain risks and uncertainties that
could cause actual results to differ materially from those described in
the forward-looking statements. These risks and uncertainties include
market conditions and other factors beyond the Company's control and the
risk factors and other cautionary statements described in the Company's
filings with the SEC (News - Alert), including those described in the Risk Factors and
Cautionary Statements sections of the Company's Annual Report on Form
10-K for the fiscal year ended December 31, 2011 and Quarterly Report on
Form 10-Q for the fiscal quarter ended September 29, 2012. The Company
does not intend to update these statements and undertakes no duty to any
person to provide any such update under any circumstance.

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