- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03700775
Hypertension Management Using Telemonitoring
July 16, 2020 updated by: University of Mississippi Medical Center
Remote Hypertension Management Using Home Blood Pressure Telemonitoring and a Standardized Treatment Protocol
This is a prospective study evaluating the feasibility and safety of remote hypertension management using a central telemonitoring program among patients with elevated blood pressure (BP) at the University of Mississippi Medical Center (UMMC).
Study Overview
Detailed Description
Patients with elevated BP, identified by the electronic medical record, will be recruited for study enrollment.
Patients will be mailed a telemonitoring kit including an electronic tablet equipped with a wireless BP cuff that transmits measurements directly to the UMMC electronic medical record and monitored by the UMMC Center for Telehealth.
Patients will participate in a 6 month intervention period during which they will transmit daily BP recordings with regular contact by a Telehealth nurse coordinator who will provide education and encourage healthy lifestyle habits.
Every 2 weeks BP medications will be adjusted according to an evidence-based treatment algorithm managed by the Center for Telehealth pharmacist using a standardized physician-approved protocol.
Data analysis will track metrics of study enrollment, study completion, safety, therapeutic intensification, and BP change from baseline.
Study Type
Interventional
Enrollment (Actual)
120
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Mississippi
-
Jackson, Mississippi, United States, 39216
- University of Mississippi Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age greater than 18 years
- Patient of UMMC clinician approving the study
- At least 2 clinic encounters in the past 12 months with systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg
Exclusion Criteria:
- Stage 4 or 5 chronic kidney disease
- Systolic heart failure (LVEF <50%) or major cardiovascular event (MI, stroke) within 3 months
- Resistant hypertension (prescribed 3 or more antihypertensive medications at target doses) or known secondary cause of hypertension
- Pregnancy or inability/unwillingness to use birth control for women of child-bearing potential
- Institutionalized, dementia, limited life expectancy, uncontrolled mental illness, substance abuse, or other conditions that would prohibit ability to perform regular home BP monitoring
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Telemonitoring intervention
|
Using the telemedicine kit, participants will record a daily health session including 2 BP measurements obtained one minute apart.
Participants are encouraged to record a health session every day, with a minimum of 5 days per week.
Participants are also encouraged to equally divide health session recordings between the mornings and evenings.
Every 2 weeks BP measurements will be assessed.
If less than 75% of measurements are at goal <130/80 mmHg, the central Telehealth pharmacist will designate drug-therapy intensification according to an evidence-based treatment algorithm that is physician approved.
Regardless of BP control, participants will be contacted by their nurse coordinator every 2 weeks.
During all telephone visits nurse coordinators emphasize healthy lifestyle habits.
Safety protocols are in place for dangerously high or low BP recordings.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse events
Time Frame: 6 months
|
Adverse event data will primarily be collected through self-report during each nursing coordinator contact with the patient.
Participants will report any hospitalization longer than 12 hours, emergency room visits, or some-day clinic visits and reasons for those visits since the prior nurse coordinator encounter.
Study staff will obtain and review medical records related to all adverse events including: deaths, hospitalizations, major cardiac events, incident kidney failure, and urgent evaluations for hypertension, hypotension, loss of consciousness or fainting, allergic reactions, hives, and angioedema.
These events are evaluated for severity, expectedness, and potential relatedness to the intervention and study participation.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
BP control rates
Time Frame: 12 months
|
Number of participants with systolic BP <130 mmHg and diastolic BP <80 mmHg at the first clinic visit following completion of the protocol
|
12 months
|
Antihypertensive medication adjustments
Time Frame: 6 months
|
Quantify dose adjustments of existing medications and initiation of new medications
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
September 17, 2018
Primary Completion (ACTUAL)
June 22, 2020
Study Completion (ACTUAL)
June 22, 2020
Study Registration Dates
First Submitted
October 3, 2018
First Submitted That Met QC Criteria
October 5, 2018
First Posted (ACTUAL)
October 9, 2018
Study Record Updates
Last Update Posted (ACTUAL)
July 20, 2020
Last Update Submitted That Met QC Criteria
July 16, 2020
Last Verified
July 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018-0012 (Other Identifier: M D Anderson Cancer Center)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
This is a prospective pilot study assessing safety and feasibility.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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