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Night Ambulatory Monitoring Of Blood Pressure

0

Studies

Study First Submitted Date 2019-10-04
Study First Posted Date 2019-10-08
Last Update Posted Date 2023-01-26
Start Month Year January 1, 2019
Primary Completion Month Year December 30, 2021
Verification Month Year January 2023
Verification Date 2023-01-31
Last Update Posted Date 2023-01-26

Detailed Descriptions

Sequence: 20787899
Description Elevated Blood Pressure (BP) is a chronic medical condition with a prevalence of about 45% in the middle-aged population.

The particular interest of this project is given to the diagnosis and treatment of so-called nocturnal hypertension. Unfortunately, current monitoring practice relies on the use of occlusive pneumatic cuffs inflated around the arm to assess BP. Based on oscillometric technique, occlusive cuffs perform intermittent BP measurements every 20 minutes, thus providing only a limited view of the BP regulation landscape. In addition, oscillometric measurement performs a full occlusion of the measured arm inducing awakening reactions, and leading to non-representative overestimated BP values. The non-occlusive measurement of BP is thus an unsolved problem of modern medicine.

The aim of the NAMBP (Night Ambulatory Monitoring of Blood Pressure) project is to develop, implement and test in clinical trials a first-ever non-occlusive BP sensor to be used during sleep.

A novel technology for the non-occlusive measurement of BP from photoplethysmographic (optical) signals, known as Pulse Wave Analysis (PWA), has been investigated for the past decade by the Centre Suisse d’Electronique et de Microtechnique (CSEM, Neuchâtel, Switzerland). The herein proposed system – the CSEM Pulse Watch – consists in a single sensor (watch-like device) attached at the wrist that measures photoplethysmographic waveforms induced by the pulsatility of the skin arteries of the wrist. These waveforms are then post-processed via PWA: The system will detect features in the measured waveforms that correlate, through the phenomenon of wave reflections, to the underlying BP of the patient.

Facilities

Sequence: 200658786
Name Inselspital
City Bern
Zip 3010
Country Switzerland

Conditions

Sequence: 52340620
Name Blood Pressure
Downcase Name blood pressure

Id Information

Sequence: 40279905
Id Source org_study_id
Id Value 2016-00614

Countries

Sequence: 42700082
Name Switzerland
Removed False

Design Groups

Sequence: 55781927
Group Type Other
Title Healthy and hypertensive subjects
Description Subjects will be enrolled to be monitored for 24 hours via: the non-occlusive CSEM Pulse Watch, and a gold standard oscillometric device (Spacelabs OnTrak Ambulatory Blood Pressure monitor, Spacelabs Healthcare, Washington, USA) internationally validated for the 24h ABPM.

Interventions

Sequence: 52651349
Intervention Type Device
Name CSEM Pulse Watch
Description Comparison of CSEM Pulse Watch with a gold standard oscillometric device Spacelabs OnTrak Ambulatory Blood Pressure monitor.

Design Outcomes

Sequence: 178004597 Sequence: 178004598
Outcome Type primary Outcome Type secondary
Measure Assessment of the accuracy Measure Assessment of the acceptability
Time Frame Day 0 for 24 hours Time Frame Day 1
Description Continuous blood pressure measurement of the novel device will be compared to measurements assessed by a standard 24h blood pressure monitor at normal out of hospital conditions during night periods. Description Acceptability of the novel blood pressure device in patients when used during 24 hours will be assessed by means of a questionnaire filled in by patients at day 1. The scale title is: Fragebogen. The minimum value is -1 and the maximum value is 10. The higher score means worse outcome.

Sponsors

Sequence: 48477651 Sequence: 48477652
Agency Class OTHER Agency Class INDUSTRY
Lead Or Collaborator lead Lead Or Collaborator collaborator
Name Insel Gruppe AG, University Hospital Bern Name CSEM Centre Suisse d’Electronique et de Microtechnique SA – Recherche et Developpement

Overall Officials

Sequence: 29375338
Role Study Director
Name Emrush Rexhaj, MD
Affiliation University Hospital Inselspital

Design Group Interventions

Sequence: 68378963
Design Group Id 55781927
Intervention Id 52651349

Eligibilities

Sequence: 30863464
Gender All
Minimum Age 18 Years
Maximum Age N/A
Healthy Volunteers Accepts Healthy Volunteers
Criteria Inclusion Criteria:

Patients > 18y
Good understanding of written and oral German
Signed informed consent
Scheduled for 24h blood pressure exam

Exclusion Criteria:

Patients with unhealthy mental state
Patients with an active implantable medical device (AIMD)
Arteriopathy of the upper limbs with/without stenosis
Severe congestive heart failure (LV-EF ≤25%)
Sever aortic-valve stenosis mean gradient >40mmHg, valve area <1cm2)
Congenital heart disease including aortic isthmus stenosis
Untreated heart rhythm disorders, heart rate at rest > 120/bpm
Severe untreated arterial hypertension (BPsyst > 180mmHg, BPdiast > 100mmHg)
Atrial fibrillation
Instable angina pectoris
Malcompliance concerning medication intake
Active alcohol or drug abuse
Pregnancy or lactation (women of childbearing age will be asked to performed urinary pregnancy test before the screening phase)

Adult True
Child False
Older Adult True

Calculated Values

Sequence: 253936951
Number Of Facilities 1
Registered In Calendar Year 2019
Actual Duration 36
Were Results Reported False
Has Us Facility False
Has Single Facility True
Minimum Age Num 18
Minimum Age Unit Years
Number Of Primary Outcomes To Measure 1
Number Of Secondary Outcomes To Measure 1

Designs

Sequence: 30609286
Allocation N/A
Intervention Model Single Group Assignment
Observational Model
Primary Purpose Other
Time Perspective
Masking None (Open Label)
Intervention Model Description Prospective, method-comparison, proof of concept, single centre study

Responsible Parties

Sequence: 28975824
Responsible Party Type Sponsor