OUTREACH: Urine Analysis and Antihypertensive Treatment
NCT03293147 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2024-01-10
Summary
Non-adherence to antihypertensive treatment is one of the leading causes of suboptimal blood pressure control and translates into increased risk of cardiovascular morbidity and mortality. Currently, there is no effective intervention for therapeutic non-adherence. Our project will assess whether high performance liquid chromatography mass spectrometry (HPLC-MS/MS)-guided intervention (providing patients with information on the results of their HPLC-MS/MS-based urine analysis combined with targeting the main reason for non-adherence) leads to an improvement in blood pressure control, adherence and a reduction in healthcare costs. Our multicentre prospective randomised controlled trial consists of 6 stages (screening, recruitment, baseline phenotype assessment, intervention, short-term and long-term outcome visits). The study will fill in an important gap in knowledge on management of blood pressure in non-adherent hypertensive patients beyond the initial diagnostic step. It will also inform the development of a cost-effective model for the management of non-adherence in chronic disorders that require long-term drug therapy.
Conditions
- Hypertension
- Adherence, Medication
Interventions
- OTHER
-
HPLC-MS/MS-guided intervention
The HPLC-MS/MS-guided intervention consists of providing partially or totally non-adherent hypertensive patients with information on the results of their HPLC-MS/MS-based urine analysis combined with tailored targeting of the main reason(s) for the deviation from the prescribed antihypertensive treatment
- OTHER
-
Standard care
Standard care for hypertensive patients
Sponsors & Collaborators
-
British Heart Foundation
collaborator OTHER -
Manchester Academic Health Science Centre
collaborator OTHER -
Omron Healthcare Co., Ltd.
collaborator INDUSTRY -
University of Manchester
lead OTHER
Principal Investigators
-
Maciej Tomaszewski, Prof., MD · University of Manchester
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-12-18
- Primary Completion
- 2023-08-04
- Completion
- 2023-09-30
Countries
- United Kingdom
Study Locations
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