Arterial HypertensionTELEBPMETNCT01541566
Blood Pressure Control and Compliance to Treatment in Hypertensive Patients With Metabolic Syndrome: a Study Based on Home Blood Pressure Telemonitoring and Assessment of Psychological Determinants
An observational study of Arterial Hypertension and Metabolic Syndrome, run by Italian Institute of Telemedicine at 12 sites in Italy.
Trial summary
The purpose of this study is to assess whether, in patients at high cardiovascular risk (hypertension with metabolic syndrome), long-term (1-year) blood pressure control is most effective when based on home blood pressure telemonitoring and on the feedback to the patient by the doctor between visits, or when based… Read more about this study
- Who is it for?
- Ages 18 to 74 years
- Conditions the study is for
- Arterial Hypertension, Metabolic Syndrome
- How many people
- 254 participants
- Where
- 12 sitesItaly
- Study dates
- Nov 2007to Dec 2010
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 74 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients referring to 12 Hypertension Centers (Hospitals) and suffering from arterial hypertension associated to metabolic syndrome
Who may be able to join
- Treated or untreated uncontrolled essential arterial hypertension (office systolic blood pressure >140 or diastolic >90 mmHg + day-time systolic blood pressure >135 or day-time diastolic blood pressure >85 mmHg)
- Metabolic syndrome (ATP III criteria)
Who cannot join
- Secondary arterial hypertension
- Severe liver or kidney disease
- Immunological disease
- Cardiac arrhythmias
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
Italy12 sites
Policlinico Universitario
Bari, Bari, 70124
Spedali Civili
Brescia, Brescia, 25123
Ospedale di Broni
Broni, Pavia, 27043
Fondazione Maugeri
Lumezzane, Brescia, 25066
Istituto Auxologico Italiano
Milan, Milano, 20149
Policlinico Universitario
Padova, Padova, 35128
Fondazione Maugeri
Pavia, Pavia, 27100
Ospedale Santa Chiara
Pisa, Pisa, 56100
Ospedale Fatebenefratelli
Roma, Roma, 00186
Casa di Cura Tortorella
Salerno, Salerno, 84122
Ospedale San Felice a Cancello
San Felice A Cancello, Caserta, 81027
Ospedale di Circolo
Varese, Varese, 21100
About this study
Official title: Blood Pressure Control and Compliance to Treatment in Hypertensive Patients With Metabolic Syndrome: a Study Based on Home Blood Pressure Telemonitoring
The purpose of this study is to assess whether, in patients at high cardiovascular risk (hypertension with metabolic syndrome), long-term (1-year) blood pressure control is most effective when based on home blood pressure telemonitoring and on the feedback to the patient by the doctor between visits, or when based only on blood pressure determination during quarterly office visits.
- Conditions
- Arterial Hypertension, Metabolic Syndrome
- Keywords
- arterial hypertension, metabolic syndrome, home blood pressure, ambulatory blood pressure, office blood pressure, telemedicine
- Medical subject headings
- Hypertension, Metabolic Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Home blood pressure telemonitoring | Patients regularly monitoring their blood pressure at home with an electronic validated upper arm device, transmitting blood pressure values at monthly intervals to the doctors office through the Internet. | |
| Conventional blood pressure measurement | Blood pressure measured only in the doctor's office during quarterly visits, without regular home blood pressure monitoring. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of subjects with average day-time ambulatory blood pressure <135/85 mmHg
Measured: 6 months
Percentage of subjects with average day-time ambulatory blood pressure <135/85 mmHg
Measured: 12 months
Secondary outcomes (26)
Psychological determinats of therapeutic adherence
Measured: 6 months
Percentage of subjects with office blood pressure <140/90 mmHg
Measured: 6 months
Changes in home blood pressure
Measured: 6 months
Number of additional medical visits
Measured: 6 months
Direct costs of intervention
Measured: 6 months
Number of antihypertensive drugs
Measured: 6 months
Level of cardiovascular risk by ESC Heart Score and Framingham
Measured: 6 months
Target organ damage and outcomes
Measured: 6 months
Percentage of patients with metabolic syndrome
Measured: 6 months
Psychological determinats of therapeutic adherence
Measured: 12 months
Percentage of subjects with office blood pressure <140/90 mmHg
Measured: 12 months
Changes in home blood pressure
Measured: 12 months
Number of additional medical visits
Measured: 12 months
Direct costs of intervention
Measured: 12 months
Number of antihypertensive drugs
Measured: 12 months
Level of cardiovascular risk by ESC Heart Score and Framingham
Measured: 12 months
Target organ damage and outcomes
Measured: 12 months
Percentage of patients with metabolic syndrome
Measured: 12 months
Percentage of subjects with home blood pressure <135/85 mmHg
Measured: 6 months
Percentage of subjects with home blood pressure <135/85 mmHg
Measured: 12 months
Changes in 24h blood pressure
Measured: 6 months
Changes in 24h blood pressure
Measured: 12 months
Changes in office blood pressure
Measured: 6 months
Changes in office blood pressure
Measured: 12 months
Adherence to treatment
Measured: 6 months
Adherence to treatment
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Mar 2012 (estimated)
- Study startNov 2007
- Primary completionDec 2010
- Study completionDec 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Arterial HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 254 participants (actual)
Sponsor and investigators
- Lead sponsor
- Italian Institute of Telemedicine
- Sponsor type
- University, hospital or other
- Collaborators
- Bracco Corporate, Istituto Auxologico Italiano
- Responsible party
- Sponsor
- Investigators
- Gianfranco Parati, MD, Principal investigator, Istituto Auxologico Italiano
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01541566
- Sponsor's protocol ID
- TELEBPMET
- Acronym
- TELEBPMET
- Status last verified
- Feb 2016
- First submitted
- 17 Feb 2012
- Last updated
- 26 Feb 2016
- Results posted
- No
- Data monitoring committee
- No
Publications
Brugnera A, Compare A, Omboni S, Greco A, Carrara S, Tasca GA, Poletti B, Parati G. Psychological covariates of blood pressure among patients with hypertension and metabolic syndrome. Health Psychol. 2022 Dec;41(12):946-954. doi: 10.1037/hea0001205. Epub 2022 Jul 21.
PubMed 35862126Parati G, Omboni S, Compare A, Grossi E, Callus E, Venco A, Destro M, Villa G, Palatini P, Rosei EA, Scalvini S, Taddei S, Manfellotto D, Favale S, De Matteis C, Guglielmi M; TELEBPMET Study Group; Lonati L, Della Rosa F, Tosazzi E, Grandi AM, Maresca AM, Mongiardi C, Mare M, Ricci AR, Cagnoni F, Georgatos J, Besostri V, Ferrari V, Omodeo O, Dorigatti F, Bonso E, Guarnieri C, Muiesan L, Paini A, Stassaldi D, Cinelli A, Bernocchi P, Rocchi S, Magagna A, Ghiadoni L, Del Frate I, Boresi F, Guidi A, Re MA, Pellicciotti L, Florio A, Morani G, Di Lillo S, Ambrosio A, Casciello A, Quaglia M, Forleo C, Ardito MA, Gerunda S, Panunzio M. Blood pressure control and treatment adherence in hypertensive patients with metabolic syndrome: protocol of a randomized controlled study based on home blood pressure telemonitoring vs. conventional management and assessment of psychological determinants of adherence (TELEBPMET Study). Trials. 2013 Jan 23;14:22. doi: 10.1186/1745-6215-14-22.
PubMed 23343138
Study at a glance
From the registry record, last updated by the sponsor on 26 Feb 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Blood Pressure Control and Compliance to Treatment in Hypertensive Patients With Metabolic Syndrome: a Study Based on Home Blood Pressure Telemonitoring
- ClinicalTrials.gov ID
- NCT01541566
- Acronym / sponsor ID
- TELEBPMET / TELEBPMET
- Conditions
- Arterial Hypertension, Metabolic Syndrome
- Keywords
- arterial hypertension, metabolic syndrome, home blood pressure, ambulatory blood pressure, office blood pressure, telemedicine
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 254 participants (actual)
- Lead sponsor
- Italian Institute of TelemedicineUniversity, hospital or other
- Collaborators
- Bracco Corporate, Istituto Auxologico Italiano
- Study start
- Nov 2007
- Primary completion
- Dec 2010 (actual)
- Study completion
- Dec 2010 (actual)
- First posted
- 1 Mar 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess whether, in patients at high cardiovascular risk (hypertension with metabolic syndrome), long-term (1-year) blood pressure control is most effective when based on home blood pressure telemonitoring and on the feedback to the patient by the doctor between visits, or when based only on blood pressure determination during quarterly office visits.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Home blood pressure telemonitoring | – | –Patients regularly monitoring their blood pressure at home with an electronic validated upper arm device, transmitting blood pressure values at monthly intervals to the doctors office through the Internet. |
| Conventional blood pressure measurement | – | –Blood pressure measured only in the doctor's office during quarterly visits, without regular home blood pressure monitoring. |
Who may qualify
- Ages
- 18 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients referring to 12 Hypertension Centers (Hospitals) and suffering from arterial hypertension associated to metabolic syndrome
Key inclusion criteria (2 listed)
- Treated or untreated uncontrolled essential arterial hypertension (office systolic blood pressure >140 or diastolic >90 mmHg + day-time systolic blood pressure >135 or day-time diastolic blood pressure >85 mmHg)
- Metabolic syndrome (ATP III criteria)
Key exclusion criteria (4 listed)
- Secondary arterial hypertension
- Severe liver or kidney disease
- Immunological disease
- Cardiac arrhythmias
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of subjects with average day-time ambulatory blood pressure <135/85 mmHg
Time frame: 6 months
Percentage of subjects with average day-time ambulatory blood pressure <135/85 mmHg
Time frame: 12 months
26 secondary outcomes
Psychological determinats of therapeutic adherence
Time frame: 6 months
Percentage of subjects with office blood pressure <140/90 mmHg
Time frame: 6 months
Changes in home blood pressure
Time frame: 6 months
Number of additional medical visits
Time frame: 6 months
Direct costs of intervention
Time frame: 6 months
Number of antihypertensive drugs
Time frame: 6 months
Level of cardiovascular risk by ESC Heart Score and Framingham
Time frame: 6 months
Target organ damage and outcomes
Time frame: 6 months
Percentage of patients with metabolic syndrome
Time frame: 6 months
Psychological determinats of therapeutic adherence
Time frame: 12 months
Percentage of subjects with office blood pressure <140/90 mmHg
Time frame: 12 months
Changes in home blood pressure
Time frame: 12 months
Number of additional medical visits
Time frame: 12 months
Direct costs of intervention
Time frame: 12 months
Number of antihypertensive drugs
Time frame: 12 months
Level of cardiovascular risk by ESC Heart Score and Framingham
Time frame: 12 months
Target organ damage and outcomes
Time frame: 12 months
Percentage of patients with metabolic syndrome
Time frame: 12 months
Percentage of subjects with home blood pressure <135/85 mmHg
Time frame: 6 months
Percentage of subjects with home blood pressure <135/85 mmHg
Time frame: 12 months
Changes in 24h blood pressure
Time frame: 6 months
Changes in 24h blood pressure
Time frame: 12 months
Changes in office blood pressure
Time frame: 6 months
Changes in office blood pressure
Time frame: 12 months
Adherence to treatment
Time frame: 6 months
Adherence to treatment
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Feb 2016.
- Derived from this study: PubMed 35862126Brugnera A, Compare A, Omboni S, Greco A, Carrara S, Tasca GA, Poletti B, Parati G. Psychological covariates of blood pressure among patients with hypertension and metabolic syndrome. Health Psychol. 2022 Dec;41(12):946-954. doi: 10.1037/hea0001205. Epub 2022 Jul 21.
- Derived from this study: PubMed 23343138Parati G, Omboni S, Compare A, Grossi E, Callus E, Venco A, Destro M, Villa G, Palatini P, Rosei EA, Scalvini S, Taddei S, Manfellotto D, Favale S, De Matteis C, Guglielmi M; TELEBPMET Study Group; Lonati L, Della Rosa F, Tosazzi E, Grandi AM, Maresca AM, Mongiardi C, Mare M, Ricci AR, Cagnoni F, Georgatos J, Besostri V, Ferrari V, Omodeo O, Dorigatti F, Bonso E, Guarnieri C, Muiesan L, Paini A, Stassaldi D, Cinelli A, Bernocchi P, Rocchi S, Magagna A, Ghiadoni L, Del Frate I, Boresi F, Guidi A, Re MA, Pellicciotti L, Florio A, Morani G, Di Lillo S, Ambrosio A, Casciello A, Quaglia M, Forleo C, Ardito MA, Gerunda S, Panunzio M. Blood pressure control and treatment adherence in hypertensive patients with metabolic syndrome: protocol of a randomized controlled study based on home blood pressure telemonitoring vs. conventional management and assessment of psychological determinants of adherence (TELEBPMET Study). Trials. 2013 Jan 23;14:22. doi: 10.1186/1745-6215-14-22.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gianfranco Parati, MD principal investigator
Istituto Auxologico Italiano
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Arterial Hypertension and Metabolic Syndrome, run by Italian Institute of Telemedicine at 12 sites in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of subjects with average day-time ambulatory blood pressure <135/85 mmHg (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01541566, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Feb 2016.