[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100517049":3},{"organization":4,"armGroups":7,"interventions":13,"overallOfficials":19,"centralContacts":20,"locations":19,"responsibleParty":26,"collaborators":19,"id":29,"slug":30,"hasResults":31,"nctId":32,"briefTitle":33,"officialTitle":33,"acronym":19,"eligibilityCriteria":34,"healthyVolunteers":35,"sex":36,"minAge":37,"maxAge":19,"enrollmentInfo":38,"targetDuration":19,"studyType":41,"phases":42,"briefSummary":44,"conditions":45,"keywords":19,"overallStatus":47,"whyStopped":19,"lastUpdateSubmitDate":48,"lastUpdatePostDateStruct":49,"startDateStruct":52,"completionDateStruct":54,"leadSponsor":56,"locationsCount":19},{"fullName":5,"class":6},"Cedars-Sinai Medical Center","OTHER",[8],{"label":9,"type":6,"description":10,"interventionNames":11},"Ambulatory Blood Pressure Monitor (ABPM)","Participants on antihypertensive pharmacotherapy in the highest decile of BPV will be offered enrollment based on inclusion\u002Fexclusion criteria. Patient's will undergo a 48 hour ABPM to determine baseline BPV. Next, each patient's primary care physician will be guided through titrations to antihypertensive medications to a low BPV regimen (Amlodipine and Indapamide, with doses titrated to reach target blood pressure). Following this, patients will undergo repeat 48h ABPM to evaluate change in BPV. All medication decisions will be at the ultimate discretion of the treating physician.\n\nThe optional sub-study will test the hypothesize that ABPM and SKNA data can be simultaneously captured and that BPV will be positively correlated with SKNA. Participants who enroll in the optional sub-study will be fitted with a single patch ECG which will capture high-fidelity ECG tracings from which SKNA can be determine in post-test analysis.",[12],"Drug: Low BPV Regimen",[14],{"type":15,"name":16,"description":17,"armGroupLabels":18,"otherNames":19},"DRUG","Low BPV Regimen","Each the patients' physician will invite patients to complete a 48-hour ABPM, then undergo cross-titration from their current antihypertensive regimen to a low BPV regimen, consisting of Amlodipine and Indapamide. Study staff will suggest to the treating physician to initially start patients on Amlodipine 5mg daily, with uptitration to 10mg daily to a goal systolic blood pressure (SBP)\\\u003C130 mmHg. Indapamide will be suggested to be added at 1.25mg daily and increased to 2.5mg daily, as needed to meet target SBP. Other antihypertensive medications will be suggested to be discontinued as the SBP target is reached. Patients not meeting target SBP on maximally tolerated Amlodipine and Indapamide will be suggested to have a long acting angiotensin-converting enzyme (ACE)\u002F angiotensin receptor blocker (ARB) added to their therapy. Patients will complete another 48-hour ABPM after 1 week at target SBP on the low-BPV regimen.",[9],null,[21],{"name":22,"role":23,"phone":24,"phoneExt":19,"email":25},"Joseph Ebinger","CONTACT","3104230925","cda-research@cshs.org",{"type":27,"investigatorFullName":22,"investigatorTitle":28,"investigatorAffiliation":5,"oldNameTitle":19,"oldOrganization":19},"PRINCIPAL_INVESTIGATOR","Assistant Professor of Cardiology","100517049","phase-1-correlates-and-control-of-blood-pressure-variability-100517049",false,"NCT06012487","Correlates and Control of Blood Pressure Variability","Inclusion Criteria:\n\n* Individuals 18 years old or older are included.\n* Patients followed continuously at Cedars-Sinai for at least 5 years, defined as at least 1 outpatient visit with a Cedars-Sinai physician at which a blood pressure was measured each of the last 2 calendar years\n* Patients with a PCP in the Cedars-Sinai Medical Group or faculty practice\n* Patients on antihypertensive therapy other than a DPH-CCB or thiazide-like diuretic\n* Patients in the highest decile of BPV based on extracted BP data from the EHR\n\nExclusion Criteria:\n\n* Any records flagged \"break the glass\" or \"research opt out.\"\n* Pregnant or breastfeeding patients (due to guideline recommendations for specific medications for the treatment of hypertension during pregnancy and breastfeeding).",true,"ALL","18 Years",{"count":39,"type":40},10,"ESTIMATED","INTERVENTIONAL",[43],"PHASE1","The purpose the research is to prospectively demonstrate agreement between EHR and ambulatory blood pressure monitor (ABPM) derived blood pressure variability (BPV), as well as the feasibility of reducing BPV using a data-driven pharmacotherapeutic approach. To this end, this is a feasibility study that will make use of the Cedars-Sinai Health System including the Medical Delivery Network and the clinics of all practitioners who use the same EHR.",[46],"Blood Pressure Variability","NOT_YET_RECRUITING","2025-02-17",{"date":50,"type":51},"2025-02-19","ACTUAL",{"date":53,"type":40},"2026-05-01",{"date":55,"type":40},"2026-12-31",{"name":5,"class":6}]