Home Blood Pressure in Hypertension Management (HBP10)
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Purpose
This is a prospective randomized study with two arms: the Conventional and Ambulatory blood pressure monitoring arm and the Home blood pressure monitoring arm. The study will include both previously treated and untreated individuals.
Before randomization and in the end of the study, measurements will be performed using all three blood pressure monitoring methods (Conventional, Ambulatory and Home) as well as assessment of target organ damage (microalbuminuria, electrocardiogram, echocardiogram, carotid-femoral pulse wave velocity and central blood pressure).
The participants will be randomized into one of the two arms. Diagnosis and titration will be decided according to either Conventional and Ambulatory blood pressure measurements or according to Home blood pressure measurements. Subjects will be followed up for one year.
| Condition | Intervention | Phase |
|---|---|---|
|
Essential Hypertension |
Other: Decision to start and titrate drug treatment based only on home blood pressure monitoring |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Antihypertensive Drug Treatment Decisions Based on Home Blood Pressure Monitoring |
- Intermediate target organ damage (Left Ventricular Hypertrophy, Microalbuminuria, carotid-femoral Pulse Wave Velocity, Central blood pressure) [ Time Frame: Baseline and 12 months ] [ Designated as safety issue: No ]
- Blood Pressure Control, Cost-Effectiveness [ Time Frame: Baseline and 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 150 |
| Study Start Date: | February 2009 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Usual care |
Other: Decision to start and titrate drug treatment based only on home blood pressure monitoring
Drug Treatment according to current Hypertension Guidelines. Decision to start and titrate drug treatment based on clinic and ambulatory blood pressure ("Usual care" arm) versus based on home blood pressure monitoring only ("Home blood pressure monitoring" arm).
|
| Active Comparator: Home blood pressure monitoring |
Other: Decision to start and titrate drug treatment based only on home blood pressure monitoring
Drug Treatment according to current Hypertension Guidelines. Decision to start and titrate drug treatment based on clinic and ambulatory blood pressure ("Usual care" arm) versus based on home blood pressure monitoring only ("Home blood pressure monitoring" arm).
|
Eligibility| Ages Eligible for Study: | 25 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Untreated hypertensive adults
- Treated hypertensive adults with uncontrolled blood pressure
Exclusion Criteria:
- Stage III Hypertension
- Secondary Hypertension
- Cardiovascular or Renal disease
- Uncontrolled Diabetes
Contacts and Locations| Contact: George S Stergiou, MD | +30 210 7763117 | gstergi@med.uoa.gr |
| Greece | |
| Hypertension Center, Third Department of Medicine, University of Athens, Greece | Recruiting |
| Athens, Greece, 11527 | |
| Contact: George S Stergiou, MD +30 210 7763117 gstergi@med.uoa.gr | |
| Study Chair: | George S Stergiou, MD | Hypertension Center, Third Depertment of Medicine, University of Athens, Greece |
More Information
No publications provided
| Responsible Party: | George S. Stergiou, Associate Professor of Medicine and Hypertension, University of Athens |
| ClinicalTrials.gov Identifier: | NCT00841308 History of Changes |
| Other Study ID Numbers: | HBP10 |
| Study First Received: | February 10, 2009 |
| Last Updated: | May 24, 2012 |
| Health Authority: | Greece: Ethics Committee |
Additional relevant MeSH terms:
|
Hypertension Vascular Diseases Cardiovascular Diseases Antihypertensive Agents |
Cardiovascular Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013