Effects of Telemonitoring and Telemedicine Service for Hypertensive Care

NCT ID: NCT01335984

Last Updated: 2020-01-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

440 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2013-08-31

Brief Summary

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This is a multi-centered, randomized, parallel group, interventional \& open label clinical trial accessing efficacy of intervention effect by smart care system over existing treatment group for lowering blood pressure of hypertension patients taking anti-hypertension drug.

Detailed Description

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1. Objectives : To evaluate superiority in blood pressure lowering effect of the Smart Care Service compared to the conventional treatment in hypertensive patients receiving any conventional antihypertensive medication
2. Test and control group

* Control group : The subject group who is receiving any conventional treatment (hospital visit).
* Test groups

Conventional treatment + remote monitoring group:

The subject group who is receiving the health care services using conventional treatment (hospital visit) and remote monitoring.

Remote visit + remote monitoring group:

The subject group who is receiving remote visit and remote monitoring using videotelephony
3. Target Subject: Hypertensive patients receiving any conventional antihypertensive medication

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Telemonitoring group

The subjects who are assigned in the Telemonitoring group should perform body composition measurement with self blood pressure measurement, and shall transmit the results to the Smart Care Serve via Smart Care PC. Telemonitoring group require site visit once per 2 months (8weeks)

Group Type EXPERIMENTAL

Telemonitoring

Intervention Type PROCEDURE

The subjects who are assigned in the Telemonitoring group will be provided Blood Pressure monitor, body composition analyzer, and remote monitoring device.

The subjects who are assigned in the Telemonitoring group should visit the site once per every 2 months (8 weeks), and they should measure their blood pressure using a provided blood pressure monitor twice a day during study period (once after first morning urination and once before going to bed). After measurement of blood pressure and body composition, the subjects should make the transmission terminals of remote monitoring device situate near transmission terminal of Smart Care PC and transmit measured information through Smart Care PC into a centralized server of Smart Care Center.

Telemonitoring & Telemedicine group

The subjects who are assigned in the Telemonitoring \& Telemedicine group should perform body composition measurement with self blood pressure measurement, and shall transmit the results to the Smart Care Serve via Smart Care PC. Telemonitoring \& Telemedicine group take remote medical treatment through video telephone instead of visiting study site.

Group Type EXPERIMENTAL

Telemonitoring & Telemedicine

Intervention Type PROCEDURE

The subjects who are assigned in the Telemonitoring \& Telemedicine group should perform the same remote monitoring procedures as the subjects in the Telemonitoring group.

Since the remote visit substitute for a face to face visit, subjects should reserve the time for remote visit in each clinical trial center. A primary doctor or remote medical doctor should provide medical consultation to the subjects through videotelephony using the remote monitoring device and then issue electronic prescriptions.

Control group

The subjects who are assigned in the Control group require site visit once per 2 months (8weeks)

Group Type OTHER

control group

Intervention Type OTHER

\- The subjects who are assigned in the control group will be provided blood Pressure Monitor (Self BP measuring).

The subjects who are assigned in the control group should perform the same blood pressure measurement (2 times a day) same as the test group during the study, and measured results should be recorded in a diary of self blood pressure measurement. In addition, the subjects should visit the site once per every two months (8 weeks).

Interventions

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Telemonitoring

The subjects who are assigned in the Telemonitoring group will be provided Blood Pressure monitor, body composition analyzer, and remote monitoring device.

The subjects who are assigned in the Telemonitoring group should visit the site once per every 2 months (8 weeks), and they should measure their blood pressure using a provided blood pressure monitor twice a day during study period (once after first morning urination and once before going to bed). After measurement of blood pressure and body composition, the subjects should make the transmission terminals of remote monitoring device situate near transmission terminal of Smart Care PC and transmit measured information through Smart Care PC into a centralized server of Smart Care Center.

Intervention Type PROCEDURE

Telemonitoring & Telemedicine

The subjects who are assigned in the Telemonitoring \& Telemedicine group should perform the same remote monitoring procedures as the subjects in the Telemonitoring group.

Since the remote visit substitute for a face to face visit, subjects should reserve the time for remote visit in each clinical trial center. A primary doctor or remote medical doctor should provide medical consultation to the subjects through videotelephony using the remote monitoring device and then issue electronic prescriptions.

Intervention Type PROCEDURE

control group

\- The subjects who are assigned in the control group will be provided blood Pressure Monitor (Self BP measuring).

The subjects who are assigned in the control group should perform the same blood pressure measurement (2 times a day) same as the test group during the study, and measured results should be recorded in a diary of self blood pressure measurement. In addition, the subjects should visit the site once per every two months (8 weeks).

Intervention Type OTHER

Other Intervention Names

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Smartcare System : Telemonitoring Smartcare System : Telemonitoring & Telemedicine Self-BP measuring

Eligibility Criteria

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Inclusion Criteria

1. Male and female patients who are able to receive outpatient treatment from over 20 to under 70 years of age.- Over SBP 140mmHg without diabetes or renal failure
2. Patients who are taking more than one kind of any antihypertensive medications

* Systolic blood pressure (SBP) ≥ 140mmHg in patient with diabetes mellitus and renal disease or
* Systolic blood pressure (SBP) ≥ 130mmHg in patient without diabetes mellitus and renal disease
3. Patients who are able to understand the purpose of this trial and to read and write
4. Patients who are able to use Smart Care PC for this trial
5. Patients who participate voluntarily and sign the informed consent

Exclusion Criteria

1. Patients with severe hypertension (mean of two seated SBP ≥200 mmHg) at screening visit blood pressure measurement.
2. Patients with secondary hypertension.
3. HbA1c\>11%.
4. Patients are currently being hospitalized or planning to hospitalize due to hypertension.
5. Patients with severe renal disease (above 1.5 times the upper limit of normal serum creatinine levels).
6. Patients with any severe liver disease including cirrhosis (AST or ALT: above 3 times the upper limit of normal).
7. Patients who have been suffered cardiac infarction or severe coronary artery disease within 6 months, or with clinically significant congestive heart failure or heart valve defects.
8. Patients with phthisis, autoimmune disease or connective tissue disease.
9. Patients on medication therapies which may interfere with their blood pressure.
10. Patients with known history of allergic reaction or contraindication to angiotensin II antagonists.
11. Pregnant or lactating woman.
12. Patients with known history of alcoholism, mental illness, or drug dependency.
13. Patients who have participated in other study within 12 weeks prior to screening visit.
14. Any clinically significant medical condition including neurologic disease, gastrointestinal disease or malignant tumor, etc., which may affect the test results, or any other medical condition which in the opinion of the investigator makes the patients unsuitable for participation in the trial.
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LG Electronics Inc.

INDUSTRY

Sponsor Role collaborator

Purdue University

OTHER

Sponsor Role collaborator

Chang Hee, Lee

INDUSTRY

Sponsor Role lead

Responsible Party

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Chang Hee, Lee

Chief Research Engineer

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sungha Park, M.D.

Role: PRINCIPAL_INVESTIGATOR

Yonsei University

Locations

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Keimyung University Dongsan Medical Center

Daegu, , South Korea

Site Status

Yeungnam University Medical Center

Daegu, , South Korea

Site Status

Yonsei University Health System

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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SmartCare-HTN

Identifier Type: -

Identifier Source: org_study_id

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