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HypertensionCHANGE-BPNCT05746117

Continual vs. Routine Home Blood Pressure Monitoring and Management in Diverse Community Practice: CHANGE-BP

A study testing Aktiia Device and Upper arm cuff in people with Hypertension, run by Aktiia SA at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of the CHANGE-BP study is to examine the change in in-office measured Blood Pressure (BP) from baseline to end of study (6-months) between participants randomized to either 1) Continual Blood Pressure Monitoring (CBPM), which includes receiving Aktiia's novel cuffless BP Research System that has an… Read more about this study

Who is it for?
Ages 21 to 80 years
Conditions the study is for
Hypertension
What is being tested?
Aktiia Device and Upper arm cuff
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
15 Dec 2024to 30 Dec 2026
Phase
Interventional
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 21 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 21-80 years old
  • Owns a smartphone that is an Android or iOS with a data plan
  • Fluent in written and spoken English as the technology is currently only available in English
  • Average of 3 BP readings in last 18 months of >140/90 OR last in-office BP >140/90 in the last 6 months as documented in their Electronic Health Record
  • Is a patient with Providence Health
  • Willing to attend the 2 in-person study visits
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  • Is not participating in another study that is designed to influence blood pressure
  • Willing to wear the Aktiia bracelet for 6 months
  • Willing to be randomized to either group
  • Had a BMP in the last 12 months or is willing to get one at the discretion of the clinical pharmacist as standard of care

Who cannot join

  • Blood pressure at the baseline in-office visit is too low (SBP <140 mmHg AND DBP <90 mmHg) OR is too high (SBP > 190 mmHg OR DBP > 120 mmHg)
  • Tachycardia (heart rate at rest > 120bpm)
  • Atrial fibrillation, persistent or chronic
  • Cardiomyopathy with LVEF <40% documented within the past year
  • Diabetes Mellitus
  • Under active treatment for hyperthyroidism
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  • Myxedema coma
  • Subclavian stenosis
  • Pheochromocytoma
  • Raynaud's disease
  • Trembling and shivering
  • Known pregnancy
  • Breastfeeding
  • Arteriovenous fistula
  • Arm amputation
  • Exfoliative skin disease
  • Lymphedema
  • Known allergy to silicone
  • Terminal medical condition with a life expectancy less than 2 years
  • CKD 4-5 (eGFR ≤ 30 mL/min)
  • Upper arm circumference < 22 cm or > 42 cm
  • Wrist circumference < 14 cm or > 21 cm
  • Adults unable to consent or who need a legally authorized representative to consent
  • Currently incarcerated or detained in accordance with federal regulations regarding prisoners (e.g., 45 CFR 46 Subpart C)
  • Diagnosed whitecoat hypertension
  • On hospice or going on hospice in the next 6-months
  • Currently undergoing or will undergo active IV infusions for chemotherapy
  • Any condition which, at the discretion of the enrolling investigator, would preclude their ability to comply with study procedures

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Providence Health & Services

    Portland, Oregon, 97225

Other trials in United States

About this study

The purpose of the CHANGE-BP study is to examine the change in in-office measured Blood Pressure (BP) from baseline to end of study (6-months) between participants randomized to either 1) Continual Blood Pressure Monitoring (CBPM), which includes receiving Aktiia's novel cuffless BP Research System that has an accompanying Aktiia Patient Interface smartphone application, and care delivered through a centralized Aktiia Provider Interface that displays device data and is accessible by a health care professional or 2) Home Blood Pressure Monitoring (HBPM), which includes a standard oscillometric blood pressure cuff and the standard blood pressure management care from a participant's primary care physician.

Read the detailed description

This is a prospective, unblinded, open-label, randomized clinical trial that will study the use of the investigational Aktiia Bracelet and an accompanying Provider Interface in hypertension management. The Aktiia Bracelet is a non-invasive blood pressure monitor intended to track systolic and diastolic blood pressure and heart rate.

Participants will attend a baseline visit, which will include a survey and blood pressure and anthropometric measurements. Participants will then be randomized to either the CBPM group, which includes the Aktiia Bracelet and care through a centralized Aktiia Provider Interface, or the HBPM group, which includes a standard blood pressure cuff and standard hypertension care. Individuals in the CBPM group will wear the Aktiia Bracelet for 6 months. During this time, a study-affiliated clinical pharmacist will monitor the individual's blood pressure through the Provider Interface and will potentially titrate the participant's blood pressure medications accordingly. After 6-months, all participants will return for an end of study visit that will include a survey and blood pressure and anthropometric measurements. Participants in the CBPM group will complete an additional survey to give their opinion on the Aktiia product.

Conditions
Hypertension
Being tested
Aktiia Device, Upper arm cuff
Keywords
Hypertension, Medical Device
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aktiia DeviceDevice

    The Aktiia Bracelet is a CE-marked medical device that will be used in accordance with its instructions for use. The bracelet non-invasively measures optical signals at the wrist, which are used to determine blood pressure. The bracelet comes with a bluetooth enabled upper arm cuff that can be used to take on-demand blood pressure measurements. All measurements are transmitted to a dashboard that a clinical pharmacist monitors during the participant's enrollment in the study.

  • Upper arm cuffDevice

    A standard upper arm oscillometric cuff that can be used to take blood pressure at home.

Study groups in NCT05746117
Study groupRoleWhat they receive
Continuous Blood Pressure Monitoring (CBPM)ExperimentalParticipants will wear the Aktiia Bracelet for 6-months and potentially receive blood pressure medication titrations during the 6-month period.
Receives: Device: Aktiia Device
Home Blood Pressure Monitoring (HBPM)Active comparatorParticipants will receive an upper arm cuff and standard hypertension care from their primary care physician.
Receives: Device: Upper arm cuff

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in blood pressure

    Determine if there is a statistically greater reduction in in-office measured blood pressure from baseline to 6-months in the CBPM arm when compared to the HBPM arm

    Measured: 6-months

Secondary outcomes (4)
  1. Participant perception

    Statistics on participants' perception of an optical BP monitoring modality as compared to an oscillometric cuff

    Measured: 6-months

  2. Participant engagement

    Statistics on participants' engagement with the Aktiia Research System over the 6-month period

    Measured: 6-months

  3. Participant compliance

    Statistics on participants' compliance, which is operationalized as the number of measurements made each day by the Aktiia Research System and the number of times the user syncs their Aktiia bracelet with the Patient Interface for the CBPM arm. Statistics on the number of upper arm cuff measurements reported to their PCP in the HBPM arm.

    Measured: 6-months

  4. Participant sociodemographics

    Statistics on the sociodemographic breakdown of the sample

    Measured: 6-months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Feb 2023
  2. Study start15 Dec 2024 (estimated)
  3. Primary completion31 May 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Why it stopped: Study aborted by the sponsor

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05746117
Sponsor's protocol ID
OBPM_CHANGE-BP2022
Acronym
CHANGE-BP
Status last verified
Jan 2024
First submitted
17 Feb 2023
Last updated
18 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Aktiia Device and Upper arm cuff in people with Hypertension, run by Aktiia SA at 1 site in United States.

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 10 inclusion and 28 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: withdrawn, as of the sponsor's last update on 18 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 was withdrawn before enrolling participants, so there are no results.

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?

Change in blood pressure (time frame: 6-months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Feb 2025.

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