Safety and Efficacy of Remote Ischemic Conditioning in Patients With Essential Hypertension (SERIC-EH)
Primary Purpose
Essential Hypertension
Status
Not yet recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Remote Ischemic Conditioning
Sponsored by
About this trial
This is an interventional treatment trial for Essential Hypertension focused on measuring Essential Hypertension, Remote Ischemic Conditioning
Eligibility Criteria
Inclusion Criteria:
- Age≥18 years, < 80 years, regardless of sex;
- Patients with essential hypertension who are currently taking oral antihypertensive drugs and still have poor blood pressure control (> 130/80mmHg) ;
- the changing of antihypertensive drugs are avoided;
- Signed and dated informed consent is obtained
Exclusion Criteria:
- Concurrent use of anticoagulation drugs including Warfarin, dabigatran, rivaroxaban;
- Severe hematologic disease;
- Severe hepatic and renal dysfunction;
- The patients who had the contraindication of remote ischemic conditioning treatment, such as severe soft tissue injury, fracture or vascular injury in the upper limb;Acute or subacute venous thrombosis, arterial occlusive disease, subclavian steal syndrome, etc;
- Pregnant or lactating women;
- Coagulopathy defined as international normalized ratio (INR), activated partial thromboplastin time (APTT), and Prothrombin time (PT) beyond the upper limit of normal range;
- Patients being enrolled or having been enrolled in other clinical trial within 3 months prior to this clinical trial;
- A high likelihood that the patient will not adhere to the study treatment and follow up regimen;
- Patients unsuitable for enrollment in the clinical trial according to investigators decision making.
Sites / Locations
- First Hospital of Jilin University
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
RIC+ antihypertensive treatment
Arm Description
Baseline blood pressure and heart rate are measured 2 times a day for 3 days. And then the blood pressure and heart rate are measured before and after remote ischemic conditioning. Remote ischemic conditioning (RIC) is induced by 4 cycles of 5 min of upper limb ischemia followed by 5 min reperfusion. Limb ischemia was induced by inflations of a blood pressure cuff to 200 mm Hg. RIC will be conducted twice daily for 30±2 days.
Outcomes
Primary Outcome Measures
changes of blood pressure
systolic, diastolic and average blood pressure changes would be compared between baseline and RIC period.
Secondary Outcome Measures
changes of heart rate
heart rate would be compared between baseline and RIC period.
changes of blood pressure variability
blood pressure variability would be compared between baseline and RIC period.
changes of heart rate variability
heart rate variability would be compared between baseline and RIC period.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03945305
Brief Title
Safety and Efficacy of Remote Ischemic Conditioning in Patients With Essential Hypertension (SERIC-EH)
Official Title
Safety and Efficacy of Remote Ischemic Conditioning in Patients With Essential Hypertension
Study Type
Interventional
2. Study Status
Record Verification Date
October 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
January 3, 2023 (Anticipated)
Primary Completion Date
July 31, 2025 (Anticipated)
Study Completion Date
July 31, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Yi Yang
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine the efficacy and safety of remote ischemic conditioning for essential hypertension.
Detailed Description
In this study, 1000 cases of essential hypertension in changping district, Beijing, who are currently taking oral antihypertensive drugs and still have poor blood pressure control (> 130/80mmHg) are included. The duration of the study is 3+ (30±2) days, during which time the changing of antihypertensive drugs are avoided and the types and doses of drugs taken daily are recorded. Baseline blood pressure and heart rate are measured 2 times a day for 3 days. And then the blood pressure and heart rate are measured before and after remote ischemic conditioning for 200mmHg, twice a day, 30±2 days in a row to evaluate the efficacy and safety of remote ischemic conditioning on essential hypertension.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Essential Hypertension
Keywords
Essential Hypertension, Remote Ischemic Conditioning
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1000 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
RIC+ antihypertensive treatment
Arm Type
Experimental
Arm Description
Baseline blood pressure and heart rate are measured 2 times a day for 3 days. And then the blood pressure and heart rate are measured before and after remote ischemic conditioning. Remote ischemic conditioning (RIC) is induced by 4 cycles of 5 min of upper limb ischemia followed by 5 min reperfusion. Limb ischemia was induced by inflations of a blood pressure cuff to 200 mm Hg. RIC will be conducted twice daily for 30±2 days.
Intervention Type
Device
Intervention Name(s)
Remote Ischemic Conditioning
Intervention Description
Remote ischemic conditioning (RIC) is induced by 4 cycles of 5 min of upper limb ischemia followed by 5 min reperfusion. Limb ischemia was induced by inflations of a blood pressure cuff to 200 mm Hg. RIC will be conducted twice daily for 30±2 days.
Primary Outcome Measure Information:
Title
changes of blood pressure
Description
systolic, diastolic and average blood pressure changes would be compared between baseline and RIC period.
Time Frame
3+ (30±2) days
Secondary Outcome Measure Information:
Title
changes of heart rate
Description
heart rate would be compared between baseline and RIC period.
Time Frame
3+ (30±2) days
Title
changes of blood pressure variability
Description
blood pressure variability would be compared between baseline and RIC period.
Time Frame
3+ (30±2) days
Title
changes of heart rate variability
Description
heart rate variability would be compared between baseline and RIC period.
Time Frame
3+ (30±2) days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age≥18 years, < 80 years, regardless of sex;
Patients with essential hypertension who are currently taking oral antihypertensive drugs and still have poor blood pressure control (> 130/80mmHg) ;
the changing of antihypertensive drugs are avoided;
Signed and dated informed consent is obtained
Exclusion Criteria:
Concurrent use of anticoagulation drugs including Warfarin, dabigatran, rivaroxaban;
Severe hematologic disease;
Severe hepatic and renal dysfunction;
The patients who had the contraindication of remote ischemic conditioning treatment, such as severe soft tissue injury, fracture or vascular injury in the upper limb;Acute or subacute venous thrombosis, arterial occlusive disease, subclavian steal syndrome, etc;
Pregnant or lactating women;
Coagulopathy defined as international normalized ratio (INR), activated partial thromboplastin time (APTT), and Prothrombin time (PT) beyond the upper limit of normal range;
Patients being enrolled or having been enrolled in other clinical trial within 3 months prior to this clinical trial;
A high likelihood that the patient will not adhere to the study treatment and follow up regimen;
Patients unsuitable for enrollment in the clinical trial according to investigators decision making.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yi Yang, MD,PhD
Phone
0086-13756661217
Email
doctor_yangyi@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Zhen-Ni Guo, MD
Email
zhen1ni2@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yi Yang, MD,PhD
Organizational Affiliation
Department of Neurology, The First Hospital of Jilin University
Official's Role
Study Chair
Facility Information:
Facility Name
First Hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130000
Country
China
12. IPD Sharing Statement
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Safety and Efficacy of Remote Ischemic Conditioning in Patients With Essential Hypertension (SERIC-EH)
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