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The Effects of Blood Pressure Reduction on Cerebral Perfusion and Cognition in the Elderly Population (MBRACE)

Primary Purpose

Hypertension

Status
Unknown status
Phase
Phase 4
Locations
Netherlands
Study Type
Interventional
Intervention
anti-hypertensive medication
Sponsored by
Radboud University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hypertension focused on measuring blood pressure, aging, cerebrovascular circulation, hypertension

Eligibility Criteria

70 Years - undefined (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age >= 70 years
  • Systolic office blood pressure >= 160 mmHg
  • Systolic home blood pressure >= 155 mmHg

Exclusion Criteria:

  • Diabetes Mellitus
  • Atrial fibrillation
  • Dementia
  • Renal failure requiring dialysis
  • Life expectancy of less than 1 year
  • Disabling stroke
  • Contraindication for MRI or anti-hypertensive medication
  • Systolic blood pressure > 220 mmHg

Sites / Locations

  • Radboud University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hypertensive elderly

Arm Description

community dwelling hypertensive elderly from general practices

Outcomes

Primary Outcome Measures

Cerebral blood flow

Secondary Outcome Measures

Cognitive functioning assessed by neuropsychological testing

Full Information

First Posted
August 17, 2009
Last Updated
August 25, 2009
Sponsor
Radboud University Medical Center
Collaborators
Dutch Heart Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT00966199
Brief Title
The Effects of Blood Pressure Reduction on Cerebral Perfusion and Cognition in the Elderly Population
Acronym
MBRACE
Official Title
Medication Induced Blood Pressure Reduction; Assessment of Cerebral Perfusion and Cognition in Hypertensive Elderly
Study Type
Interventional

2. Study Status

Record Verification Date
August 2009
Overall Recruitment Status
Unknown status
Study Start Date
September 2009 (undefined)
Primary Completion Date
December 2013 (Anticipated)
Study Completion Date
December 2013 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Radboud University Medical Center
Collaborators
Dutch Heart Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if a reduction in systolic blood pressure induced by anti-hypertensive medication results in changes in cerebral perfusion and cognition in hypertensive elderly. Hypertensive elderly will be treated using open-label anti-hypertensive medication for 8-12 weeks. Changes in cerebral perfusion and cognition will be assessed before and after treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension
Keywords
blood pressure, aging, cerebrovascular circulation, hypertension

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Hypertensive elderly
Arm Type
Experimental
Arm Description
community dwelling hypertensive elderly from general practices
Intervention Type
Drug
Intervention Name(s)
anti-hypertensive medication
Intervention Description
8-12 weeks of anti-hypertensive treatment with 2 weekly titration using registered hypertensive medication
Primary Outcome Measure Information:
Title
Cerebral blood flow
Time Frame
T1, 8-12 weeks of treatment, T2
Secondary Outcome Measure Information:
Title
Cognitive functioning assessed by neuropsychological testing
Time Frame
T1, 8-12 weeks of treatment, T2-3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age >= 70 years Systolic office blood pressure >= 160 mmHg Systolic home blood pressure >= 155 mmHg Exclusion Criteria: Diabetes Mellitus Atrial fibrillation Dementia Renal failure requiring dialysis Life expectancy of less than 1 year Disabling stroke Contraindication for MRI or anti-hypertensive medication Systolic blood pressure > 220 mmHg
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jaap C Sijbesma, MD
Phone
0243616772
Ext
+31
Email
J.Sijbesma@ger.umcn.nl
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jurgen A Claassen, MD, PhD
Organizational Affiliation
Radboud University Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Radboud University
City
Nijmegen
State/Province
Gelderland
ZIP/Postal Code
6500HB
Country
Netherlands
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jaap C Sijbesma, MD
Phone
0243616772
Ext
+31
Email
J.Sijbesma@ger.umcn.nl
First Name & Middle Initial & Last Name & Degree
Jaap C Sijbesma, MD
First Name & Middle Initial & Last Name & Degree
Jurgen A Claassen, MD, PhD

12. IPD Sharing Statement

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The Effects of Blood Pressure Reduction on Cerebral Perfusion and Cognition in the Elderly Population

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