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CompletedNCT00811811Updated Dec 19, 2008

Behavioral Neurocardiac Training and Hypertension

An interventional study of Behavioral neurocardiac training and Autogenic relaxation training in Hypertension, sponsored by University Health Network, Toronto. Completed at 1 site in Canada. Open to participants aged 35 Years to 64 Years. Per ClinicalTrials.gov, last updated 2008-12-19.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
65
Allocation
Randomized
Ages
35 Years to 64 Years
Sex
All
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Study summary

This randomized controlled trial will examine whether behavioral neurocardiac training with heart rate variability biofeedback (BNT) augments reduction in ambulatory daytime and 24-hour SBP, DBP and PP, in comparison to an active control intervention (AC, autogenic relaxation training), among subjects diagnosed with hypertension, and following adjustment for medications. In addition, the independent association between the BNT and AC interventions on vagal-heart rate modulation and baroreflex sensitivity will be evaluated during a standardized assessment protocol of mental stress testing. This study extends a previous trial conducted at the UHN, in which we reported that the biofeedback intervention independently augments vagal-heart rate modulation, while reducing symptoms of stress and depressed mood, among subjects diagnosed with cardiovascular disease. Exploratory features of this trial will examine the association between ambulatory blood pressure, vagal-heart rate modulation, baroreflex sensitivity, and markers of inflammatory activity.

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Conditions studied

  • Hypertension

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Keywords

  • Hypertension
  • Biofeedback
  • Relaxation training
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 65 is below the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,411 studies on the registry; 292 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
35 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 35 to 64 years of age
  • diagnosis of Grade 1 or 2 hypertension (140-159 mmHg or 160-180 mmHg SBP; or 90-99 or 100-110 mmHg DBP, respectively).
  • among subjects not prescribed medication, hypertension confirmed by ambulatory BP monitoring: mean 24-hour SBP > 130 mmHg or DBP > 80 mmHg.
  • subjects prescribed antihypertensive pharmacotherapy are required to have a treatment regimen that was unchanged for at least 4 months prior to enrollment.

Exclusion criteria

Exclusion criteria:

  • diagnosis of cardiovascular disease, clinically significant arrhythmia, sleep disorder, psychiatric illness (eg. psychosis), alcohol/drug dependence within the previous year, or an inability to comprehend English or French
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
65 participants (actual)

Study arms

  • Experimental
    1

    Behavioral neurocardiac training

    Behavioral: Behavioral neurocardiac training

  • Active comparator
    2

    Autogenic relaxation training

    Behavioral: Autogenic relaxation training

Interventions

  • BehavioralBehavioral neurocardiac training

    6 training sessions scheduled over 8 weeks

  • BehavioralAutogenic relaxation training

    6 training sessions scheduled over 8 weeks

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What researchers measure

Primary outcomes

  1. Ambulatory daytime and 24-hour systolic blood pressure, diastolic blood pressure, and pulse pressure.

    Time frame: Baseline and Post-treatment (following 6 treatment sessions scheduled over an 8-week interval)

Secondary outcomes

  1. RR interval, vagal-heart rate modulation (high frequency power in RR interval variability [0.15-0.40 Hz/ms2]) and baroreflex sensitivity

    Time frame: 8 weeks

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Study locations

1 site
  • Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
08

References and documents

Publications

  • Nolan RP, Floras JS, Harvey PJ, Kamath MV, Picton PE, Chessex C, Hiscock N, Powell J, Catt M, Hendrickx H, Talbot D, Chen MH. Behavioral neurocardiac training in hypertension: a randomized, controlled trial. Hypertension. 2010 Apr;55(4):1033-9. doi: 10.1161/HYPERTENSIONAHA.109.146233. Epub 2010 Mar 1. PubMed 20194302 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00811811
Lead sponsor
University Health Network, Toronto
Collaborators
Unilever R&D
First posted
Dec 19, 2008
Start date
May 2005
Primary completion
Aug 2006
Completion
Dec 2007
Last update
Dec 19, 2008

Study contacts

Robert P Nolan, Ph.D.
principal investigator · University Health Network, Toronto

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2008. You cannot join it, but the record below documents what was studied.

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