An Interventional Multidisciplinary Approach to Individualize Blood Pressure Treatment
NCT ID: NCT03209154
Last Updated: 2025-03-25
Study Results
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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ACTIVE_NOT_RECRUITING
NA
1000 participants
INTERVENTIONAL
2017-11-01
2025-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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Study Group
Study Group intervention: Therapeutic drug monitoring.
Therapeutic drug monitoring
Therapeutic drug monitoring will be performed.
Control Group
Control Group intervention: No intervention first 3 months. After 3 months of follow-up, half of the patients in the Control Group will be randomized to perform home blood pressure monitoring as an intervention. No intervention in the other half.
Home blood pressure monitoring
Patients will perform home blood pressure monitoring at home.
Interventions
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Therapeutic drug monitoring
Therapeutic drug monitoring will be performed.
Home blood pressure monitoring
Patients will perform home blood pressure monitoring at home.
Eligibility Criteria
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Inclusion Criteria
* Uncontrolled hypertension
* A stable medication regimen for at least 4 weeks of ≥ 2 antihypertensive agents
* No planned changes in antihypertensive drugs
Exclusion Criteria
* 24-h systolic ambulatory blood pressure \>/= 170 mmHg
* Patients with inadequate Norwegian language skills
* Positive pregnancy test
* Known alcohol or drug abuse
* estimated glomerular filtration rate \<30 mL/min/1.73m2
* Albumin/creatinin ratio \>300 mg/mmol
* Any reason why, in the opinion of the investigator, the patient should not participate
18 Years
ALL
No
Sponsors
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University of Oslo
OTHER
Haukeland University Hospital
OTHER
University Hospital of North Norway
OTHER
St. Olavs Hospital
OTHER
Oslo University Hospital
OTHER
Responsible Party
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Sverre Erik Kjeldsen
Professor
Principal Investigators
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Sverre E Kjeldsen, MD PhD
Role: PRINCIPAL_INVESTIGATOR
Oslo University Hospital
Locations
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Oslo University Hospital
Oslo, , Norway
Countries
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References
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Rognstad S, Soraas CL, Brunborg C, Halvorsen LV, Brobak KM, Olsen E, Bergland OU, Aune A, Tuv SS, Svarstad AC, Clasen PE, Haldsrud R, Larstorp ACK, Helland A, Opdal MS. Pharmacokinetic Variability of Amlodipine Serum Concentration and Effect on Blood Pressure in Patients Treated for Hypertension. Pharmacol Res Perspect. 2025 Aug;13(4):e70140. doi: 10.1002/prp2.70140.
Halvorsen LV, Soraas CL, Larstorp ACK, Hjornholm U, Kjaer VN, Liestol K, Aune A, Olsen E, Brobak KM, Bergland OU, Rognstad S, Aarskog NR, Heimark S, Fadl Elmula FEM, Gerdts E, Mo R, Solbu MD, Opdal MS, Kjeldsen SE, Rostrup M, Hoieggen A. Effect of Therapeutic Drug Monitoring on Adherence and Blood Pressure: A Multicenter Randomized Clinical Trial. Am J Hypertens. 2024 Sep 16;37(10):826-836. doi: 10.1093/ajh/hpae059.
Brobak KM, Halvorsen LV, Aass HCD, Soraas CL, Aune A, Olsen E, Bergland OU, Rognstad S, Blom KB, Birkeland JAK, Hoieggen A, Larstorp ACK, Solbu MD. Novel biomarkers in patients with uncontrolled hypertension with and without kidney damage. Blood Press. 2024 Dec;33(1):2323980. doi: 10.1080/08037051.2024.2323980. Epub 2024 Apr 12.
Aune A, Ohldieck A, Halvorsen LV, Brobak KM, Olsen E, Rognstad S, Larstorp ACK, Soraas CL, Rossebo AB, Rosner A, Grytaas MA, Gerdts E. Gender Differences in Cardiac Organ Damage in Arterial Hypertension: Assessing the Role of Drug Nonadherence. High Blood Press Cardiovasc Prev. 2024 Mar;31(2):157-166. doi: 10.1007/s40292-024-00632-6. Epub 2024 Mar 26.
Bergland OU, Halvorsen LV, Soraas CL, Hjornholm U, Kjaer VN, Rognstad S, Brobak KM, Aune A, Olsen E, Fauchald YM, Heimark S, Thorstensen CW, Liestol K, Solbu MD, Gerdts E, Mo R, Rostrup M, Kjeldsen SE, Hoieggen A, Opdal MS, Larstorp ACK, Fadl Elmula FEM. Detection of Nonadherence to Antihypertensive Treatment by Measurements of Serum Drug Concentrations. Hypertension. 2021 Sep;78(3):617-628. doi: 10.1161/HYPERTENSIONAHA.121.17514. Epub 2021 Jul 19.
Other Identifiers
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2017/6534
Identifier Type: -
Identifier Source: org_study_id
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