Patient-driven Management of BP in CKD
Eligible age
18+ yrs
Accepts
All genders
Locations
1 state
Healthy volunteers
No
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About this study
The proposed research will evaluate if patients managing their blood pressure medications under the guidance of a clinical pharmacist works better to lower blood pressure than patients monitoring their blood pressure at home and the standard care. 60 Veterans with chronic kidney disease (CKD) will be included in the study. The study will further evaluate factors that may influence the Veteran to accept the self-management approach and what factors in the VHA healthcare system affect the implementation of the self-management approach.
Sponsor: VA Office of Research and Development
You may qualify if…
- ✓ Age \>= 18 years,
- ✓ CKD stage 3 or 4 (estimated GFR: 15-59 mL/min/1.73m2) or
- ✓ Stage 2 CKD (estimated GFR 60-89 mL/min/1.73m2) with urinary albumin/creatinine ratio (ACR 300 mg/g if no DM and 30 mg/g if with DM), and
- ✓ Uncontrolled hypertension defined as the avg of 2 readings \> 140 systolic.
You may not qualify if…
- ✕ Severely uncontrolled hypertension defined as systolic BP \>180,
- ✕ Patients with resistant hypertension and taking 4 BP medications,
- ✕ Orthostatic hypotension defined as reduced systolic BP by 20 mmHg or diastolic BP by 10 mmHg after 3 minutes of standing,
- ✕ Severe CKD defined as estimated GFR \< 20 mL/min/1.73m2,
- ✕ Life expectancy \<1 year,
- ✕ Severe liver disease,
- ✕ Severe congestive heart failure,
- ✕ Severe cognitive decline due to dementia,
Where it's recruiting
Iowa City
Source: ClinicalTrials.gov · NCT05546099 · last updated 2025-10-30