Treatment of nighttime high blood pressure
Official title: A Prospective, Randomized, Open-label Clinical Trial on the Effects of Intensive Versus Conventional Control of Ambulatory-determined Asleep Systolic Blood Pressure Mean on Cardiovascular, Metabolic, and Renal Disease Risks
Run by University of Vigo · NCT03457168 · Data updated 2026-11-12
This study tests a new way to treat high blood pressure that happens at night to see if it can help improve heart health.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 5320 (estimated) |
| Sponsor | University of Vigo Academic / other |
| Locations | 9 sites (Ourense, Orense and 8 other locations) |
| Status | Recruiting |
| Started | February 1, 2019 |
| Main results expected | December 31, 2031 |
| Study ends | December 31, 2032 |
| Registry record updated | December 6, 2024 |
| Trial ID | NCT03457168 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men and women aged 18 and older who experience sleep-time hypertension with a mean asleep systolic blood pressure of 120 mmHg or higher.
✕Probably not a fit
Patients with certain cardiovascular disorders or secondary forms of hypertension may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the treatment of hypertension that occurs during sleep, focusing on the relationship between blood pressure measurements taken at night and cardiovascular health. It utilizes ambulatory blood pressure monitoring to assess patients' sleep-time blood pressure levels, aiming to establish effective treatment protocols based on these measurements. The study is grounded in recent guidelines that emphasize the importance of nighttime blood pressure control in reducing cardiovascular risks.
Why it matters
Potential benefit: If successful, this approach could lead to improved management of hypertension during sleep, potentially reducing cardiovascular disease risk for patients.
How similar studies have gone: Other studies have indicated the importance of nighttime blood pressure management, suggesting that this approach may yield beneficial results.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Men and women aged ≥18 years. 2. All participants must: (i) have at randomization sleep-time hypertension according to the current ESH/ESC guidelines, i.e., asleep SBP mean ≥120 mmHg;1 (ii) adhere to a routine of daytime activity and nighttime sleep; and (iii) provide their written informed consent to participate into the study. Exclusion Criteria: 1. Pregnancy. 2. History of drug/alcohol abuse within the last two years. 3. Night/shift-work employment. 4. Previous history of a systemic autoimmune disease or AIDS. 5. Evidence of a secondary form of hypertension, including coarctation of the aorta, hyperaldosteronism, renal artery stenosis, or pheochromocytoma 6. CVD disorders (unstable angina pectoris, heart failure, life-threatening arrhythmia, atrial fibrillation, kidney failure, and grade III-IV retinopathy). Previous CVD events will not be exclusionary if full physical and work activities are maintained. 7. Any surgical or medical condition which might alter the absorption, distribution, metabolism, or excretion of any drug, or, at the discretion of the investigator, might place the subject at higher risk from his/her participation in the study, or are likely to prevent the subject from complying with the requirements of the study or completing the trial period. 8. History of malignancy including leukemia and lymphoma (but not basal cell skin cancer), or any other severe, life-threatening disease within the past five years. 9. Inability to communicate and comply with all study requirements. 10. Intolerance to ABPM.
Where it's running
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Complexo Hospitalario Universitario de Ourense
Ourense, Orense, Spain Recruiting -
CS A Estrada
A Estrada, Pontevedra, Spain Recruiting -
CS Panxón
Nigrán, Pontevedra, Spain Recruiting -
Centro de Salud de A Doblada
Vigo, Pontevedra, Spain Recruiting -
Centro de Salud de Bembrive
Vigo, Pontevedra, Spain Recruiting -
Centro de Salud de Sardoma
Vigo, Pontevedra, Spain Recruiting
Show 3 more locations
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CS Teis
Vigo, Pontevedra, Spain Recruiting -
Bioengineering & Chronobilogy Labs., University of Vigo
Vigo, Pontevedra, Spain Recruiting -
CS San Roque
Vilagarcía de Arousa, Pontevedra, Spain Recruiting
Study contacts
- Principal investigator: Ramon C Hermida, PhD — University of Vigo
- Study coordinator: Ramon C Hermida, PhD
- Email: rhermida@uvigo.es
- Phone: 34986812148
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.