Default BP Medication Intensification
NCT01994408 · Status: TERMINATED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 3
Last updated 2017-02-01
Summary
High blood pressure leads to heart attacks and strokes which can be prevented by blood pressure-lowering medication. However, the current office-based prescription of one pill and one dose at a time is ineffective. the investigators want to pilot-test a more effective patient-centered treatment approach, where patients will receive a prescription with gradual but automatic weekly increases of dose and number of pills. Patients will measure their blood pressure with an iPhone compatible cuff, which transmits readings to the doctor or pharmacist, who will stop escalation when the desired blood pressure level is reached. The investigators hypothesize that the intervention will decrease the time to control blood pressure and increase the overall rate of blood pressure control. Therefore, this new treatment model could prevent heart attacks and strokes, and reduce healthcare costs.
Conditions
Interventions
- OTHER
-
default intensification
The investigators will determine which blood pressure medications to use. No specific drug will be tested but rather the automatic intensification of medications is the intervention. Examples of drugs used in this study are calcium channel blockers (e.g., amlodipine 2.5 mg to 10 mg) or ACE-inhibitors (e.g., lisinopril 5 mg to 40 mg) or diuretics (HCTZ 25 mg).
Sponsors & Collaborators
-
University of California, Los Angeles
collaborator OTHER -
Cedars-Sinai Medical Center
lead OTHER
Principal Investigators
-
Florian Rader, MD · Cedars-Sinai Medical Center
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-11-30
- Primary Completion
- 2015-09-30
- Completion
- 2015-12-31
Countries
- United States
Study Locations
More Related Trials
-
Correlates and Control of Blood Pressure Variability
NCT06012487 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Blood Pressure in Dialysis Patients
NCT01421771 ·Status: COMPLETED ·Phase: NA
-
Study of the Effects of an Oral Nitric Oxide Supplement on Blood Pressure in Prehypertensive Adults
NCT01937754 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Diuretics and Angiotensin-Receptor Blocker Agents in Patients With Stage I Hypertension
NCT00971165 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Investigate the Effect of a Nitric Oxide Supplementation on Pre- and Mildly Hypertensive Adults
NCT02679248 ·Status: TERMINATED ·Phase: PHASE2
-
Effect of Inorganic Nitrate Supplement on Blood Pressure
NCT03909789 ·Status: COMPLETED ·Phase: NA
-
Impact of Reducing Antihypertensive Treatment on Mortality in Frail Subjects With Low Systolic Blood Pressure (SBP).
NCT03453268 ·Status: COMPLETED ·Phase: NA
-
Benidipine-based Comparison of Angiotensin Receptors, β-blockers, or Thiazide Diuretics in Hypertensive Patients
NCT00135551 ·Status: COMPLETED ·Phase: PHASE4
-
Management of Hypertension and Multiple Risk Factors to Enhance Cardiovascular Health
NCT02330224 ·Status: COMPLETED ·Phase: NA
-
Effects of Intensive Systolic Blood Pressure Lowering Treatment on Out-of-office Blood Pressure - an Ancillary Study to Effects of Intensive Systolic Blood Pressure Lowering Treatment in Reducing RIsk of Vascular evenTs (ESPRIT) Study
NCT05352633 ·Status: UNKNOWN ·Phase: NA
-
Optimal Blood Pressure for the prevenTIon of Major vAscuLar Events in Patients With DIABETES Mellitus (OPTIMAL-DIABETES)
NCT04040634 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Dose-finding Study With ACT-132577 (Aprocitentan) in Participants With Essential Hypertension
NCT02603809 ·Status: COMPLETED ·Phase: PHASE2
-
Potassium and Sodium to Control Blood Pressure in Hypertensives
NCT00000509 ·Status: COMPLETED ·Phase: PHASE3
-
Extended Therapy of Drotrecogin Alfa (Activated) 4 vs 7 Days Infusion
NCT00190788 ·Status: COMPLETED ·Phase: PHASE3
-
Predictors of Blood Pressure Control and Associations With Cardiovascular Diseases in Individuals With High Blood Pressure: a CALIBER Study
NCT02285322 ·Status: UNKNOWN
-
A Pilot Study of Plasma Renin Activity Guided vs Generic Combination Therapy for Hypertension
NCT01658657 ·Status: COMPLETED ·Phase: NA
-
Vascular Dysfunction in Hypertensive Postmenopausal Women
NCT03371823 ·Status: TERMINATED ·Phase: PHASE4
-
Stopping Antihypertensive Treatment amOng Hypertensive Patients in Primary Care (STOP-Trial)
NCT02268071 ·Status: COMPLETED ·Phase: NA
-
Intermittent Hypoxia 2: Cardiovascular and Metabolism
NCT02058823 ·Status: TERMINATED ·Phase: PHASE4
-
Study 1: Effect of Minocycline Treatment on Drug-Resistant Hypertensive Patients
NCT02133872 ·Status: COMPLETED ·Phase: PHASE2
-
Mechanism of Masked Hypertension - Intervention
NCT04121299 ·Status: WITHDRAWN ·Phase: PHASE3
-
Dietary Counseling or Potassium Supplement to Increase Potassium Intake in Patients With High Blood Pressure
NCT03809884 ·Status: COMPLETED ·Phase: PHASE3
-
Mechanism of Hypertension Treatments in Liver Transplant Recipients (BLOCK LTR-HTN)
NCT05275907 ·Status: WITHDRAWN ·Phase: PHASE4
-
Patient Preference in Blood Pressure Therapy
NCT03548623 ·Status: COMPLETED
-
Weight Loss in Pre-Hypertensive Patients With Diastolic Dysfunction
NCT00911209 ·Status: TERMINATED ·Phase: NA