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Pilot to Examine Risk and Feasibility of Remote Management of BP From CKD Through ESRD — PERFORMANCE  

Hypertension Clinical Trial

Official title:
Pilot to Examine Risk and Feasibility of Remote Management of BP From CKD Through ESRD

Clinical Trial Summary

The transition from chronic kidney disease (CKD) to end-stage renal disease ESRD is a vulnerable and challenging period of time for patients and providers. Suboptimal control of blood pressure is known to be common in patients with the advanced stages of CKD, and may contribute to their elevated risk of progression to ESRD, cardiovascular morbidity, and mortality. This proposal is a pilot randomized controlled trial designed to test whether intensive blood pressure lowering is feasible and safe in patients with advanced CKD as they transition to ESRD.

Clinical Trial Description

The transition from advanced chronic kidney disease (CKD), when estimated glomerular filtration rate (eGFR) is <=30 mL/min/1.73m2, to end-stage renal disease (ESRD) represents a vulnerable period, when multiple physiologic and psychosocial changes occur as patients prepare for either dialysis or kidney transplant. This study is a pilot randomized controlled trial to test the safety and feasibility of studying strict versus usual BP control in a population of patients with advanced CKD (eGFR <=30 mL/min/1.73m2), including those with diabetes. For this pilot study, we will randomize 120 patients with advanced CKD who have elevated BP to either a home SBP target of <120 mm Hg (intervention group) versus 130-140 mm Hg (usual care group). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT02975505
Study type Interventional
Source University of California, San Francisco
Contact
Status Suspended
Phase N/A
Start date February 10, 2017
Completion date July 2026
View Details
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