The Home Blood Pressure (BP) Trial
NCT05159999 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2025-10-14
Summary
The main study will be a two arm 10-month, cross-over randomized controlled trial of 200 participants treated with end-stage-kidney-disease treated with in-center hemodialysis in the Seattle and San Francisco area comparing a strategy of targeting home vs. pre-dialysis systolic blood pressure \<140 mmHg to reduce rates of intradialytic hypotension. The target systolic blood pressure of \<140 mmHg in both treatment groups will be achieved using an algorithm of dry weight adjustment and anti-hypertensive medication adjustment.
Conditions
- End Stage Renal Disease on Dialysis
Interventions
- OTHER
-
Dry weight target adjustment
Target dry weight will be adjusted every 2 weeks to reach the home or pre-dialysis systolic blood pressure target.
- DRUG
-
Anti-hypertensive medications
Anti-hypertensive medications will be adjusted every 2 weeks to reach the home or pre-dialysis systolic blood pressure target. Adjustment of currently prescribed anti-hypertensive medications will be prioritized before starting new medications. Only standard anti-hypertensive medications will be used, such as RAAS inhibitors, beta-blockers, calcium channel blockers and diuretics.
Sponsors & Collaborators
-
University of California, San Francisco
collaborator OTHER -
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
collaborator NIH - lead OTHER
Principal Investigators
-
Nisha Bansal, MD · University of Washington
-
Chi-yuan Hsu, MD · University of California, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-02
- Primary Completion
- 2026-04-30
- Completion
- 2026-04-30
Countries
- United States
Study Locations
More Related Trials
-
Study of the Effect of Intradialytic Vasopressin on Chronic Hypertension in Patients With End Stage Renal Disease
NCT01247090 ·Status: COMPLETED ·Phase: PHASE2
-
Mechanisms and Treatment of Intradialytic Hypertension
NCT00827775 ·Status: COMPLETED ·Phase: PHASE4
-
Sodium-restricted Diets and Symptoms in End Stage Renal Disease: An RCT
NCT02778516 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Increased Ambulatory Blood Pressure in Patients With Intradialytic Hypertension
NCT01862497 ·Status: COMPLETED
-
Angiotensin-Neprilysin Inhibition in Hemodialysis Initiation
NCT05498181 ·Status: RECRUITING ·Phase: PHASE2
-
A Research Study to Show Aprocitentan is Efficacious and Safe to Treat Patients With Uncontrolled Blood Pressure and Chronic Kidney Disease.
NCT04162366 ·Status: WITHDRAWN ·Phase: PHASE3
-
Renal Denervation for Resistant Hypertension
NCT01865240 ·Status: TERMINATED ·Phase: PHASE4
-
ACEi ARB Withdrawal in CKD Patients
NCT03957161 ·Status: WITHDRAWN ·Phase: NA
-
Pulmonary Hypertension Prevention in Hemodialysis
NCT01350687 ·Status: UNKNOWN
-
Dialysate Sodium Individualization in Hemodialysis
NCT00259714 ·Status: TERMINATED ·Phase: PHASE1
-
Endothelin Receptor Antagonism in Proteinuric Nephropathy
NCT00722215 ·Status: COMPLETED ·Phase: PHASE1
-
Effect of Low Versus Standard Dialysate Sodium on 48h Ambulatory BP in Patients With Intradialytic Hypertension
NCT05430438 ·Status: COMPLETED ·Phase: NA
-
A Study in Male and Female Participants (After Menopause) With Mild to Moderate High Blood Pressure to Learn How Safe the Study Treatment BAY3283142 is, How it Affects the Body and How it Moves Into, Through and Out of the Body After Taking Single and Multiple Doses
NCT05491642 ·Status: COMPLETED ·Phase: PHASE1
-
Domperidone and the Risk of Serious Adverse Events
NCT07098078 ·Status: COMPLETED
-
Mineralocorticoid Receptor Antagonists in End Stage Renal Disease
NCT01691053 ·Status: COMPLETED ·Phase: PHASE2
-
Nicotinamide Riboside Supplementation for Treating Arterial Stiffness and Elevated Systolic Blood Pressure in Patients With Moderate to Severe CKD
NCT04040959 ·Status: RECRUITING ·Phase: PHASE2
-
Safety and Cardiovascular Efficacy of Spironolactone in Dialysis-Dependent ESRD Trial
NCT02285920 ·Status: COMPLETED ·Phase: PHASE2
-
Aldosterone Blockade in Chronic Kidney Disease: Influence on Arterial Stiffness and Kidney Function
NCT01100203 ·Status: TERMINATED ·Phase: PHASE3
-
Mineralocorticoid Antagonism and Endothelial Dysfunction in Autosomal Dominant Polycystic Kidney Disease (ADPKD)
NCT01853553 ·Status: COMPLETED ·Phase: PHASE3
-
Acute Salt Handling in Orthostatic Intolerance
NCT00581633 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effect of Sodium Rinsing Fluid on Blood Pressure and Interdialytic Weight Change in Hemodialysis Patients
NCT02590081 ·Status: UNKNOWN ·Phase: PHASE4
-
Are we Loading Our Patients With Sodium During Hemodialysis Treatments?
NCT01454193 ·Status: COMPLETED
-
Hemodialysis.-Induced Hypotension Therapy for End Stage Kidney Disease
NCT05297786 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Lowering Salt Intake in Chronic Kidney Disease: A Pilot Randomized Crossover Trial
NCT00974636 ·Status: COMPLETED ·Phase: NA
-
Proof-of-concept for the Aldosterone Synthase Inhibitor LCI699 in Patients With Primary Hyperaldosteronism
NCT00732771 ·Status: COMPLETED ·Phase: PHASE2