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CompletedNCT03015363CCVUpdated Aug 30, 2021Results posted

Clinical Calibration & Validation of a Next-Generation Blood Pressure Monitor for Patient Management

An observational study in Hypertension, sponsored by Cardiovascular Research New Brunswick. Completed at 1 site in Canada. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2021-08-30.

Sponsored by Cardiovascular Research New Brunswick · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
20
Ages
19 Years and older
Sex
All
01

Study summary

The objective of the Cloud DX Pulsewave Health Monitor study is to prospectively calibrate and validate a novel, non-invasive wrist cuff blood pressure device against the gold standard for hemodynamic monitoring (intra-arterial pressure) in voluntarily consented patient participants who are scheduled for an elective cardiac catheterization procedure for clinically valid reasons.

Read the detailed description

The Cloud DX Pulsewave Health Monitor is a non-invasive wrist cuff blood pressure device that is licensed by Health Canada with Food and Drug Administration approval. Systolic and diastolic pressures are measured via the arterial pulse waveform of the left radial artery. Initially, the blood pressure algorithm was created and calibrated using the auscultatory method. The purpose of this study is to calibrate the device to the clinical gold standard of peripheral and central intra-arterial pressures.

The device acquires a pulse signal in real-time, stores signal and measurement data, and displays stored signal and measurement data for interpretation via internet servers where it is accessible by end-users (physicians and/or patients). The system provides secure accounts for both in-patient and out-patient monitoring. Cloud DX's Pulsewave Health Monitor servers are housed in a secure data center. Privacy measures are to SSAE16 SOC-1 Type-II compliance: 1) restricted secure access, 2) dedicated firewall, 3) HTTPS channel communication via website, 4) self-encrypting hard-drives rendered useless if removed from the server.

02

Conditions studied

  • Hypertension

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Keywords

  • Hypertension
  • Telemonitoring
  • Vital signs
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 20 is below the median of 210 across 1,359 observational studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Cardiovascular Research New Brunswick is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients scheduled for an elective, non-emergent cardiac catheterization with right radial access; exclusion criteria being no history of peripheral vascular disease, no previous coronary artery bypass graft, no precious percutaneous coronary intervention, abdominal aortic aneurysm, arrhythmia, hand/body tremor, nor bilateral arm pressure inequality during history and physical.

Inclusion criteria

  • ≥ 19 years of age
  • Patients recommended by their cardiologist for a first-time, elective cardiac catheterization procedure
  • Wrist circumference between 13.5cm - 23cm (5.3 - 9.1in.)
  • Bilateral arm blood pressure equality (systolic within ±10mmHg; diastolic within ±5mmHg) on 2 separate readings (Nurse Associate \& TRA)
  • Willing to volunteer to participate and to sign the study specific informed consent form

Exclusion criteria

Exclusion Criteria:

  • No history of peripheral vascular disease, no previous percutaneous coronary intervention, nor previous coronary artery bypass graft
  • No arrhythmia
  • No abdominal aortic aneurysm
  • No hand/body tremor
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
20 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Systolic Pressure

    Central aortic pressure (mmHg)

    Time frame: Simultaneous non-invasive blood pressure device and intra-arterial fluid-filled pressure catheter measurements on day of cardiac catheterization procedure.

  2. Diastolic Pressure

    Central aortic pressure (mm Hg)

    Time frame: Simultaneous non-invasive blood pressure device and intra-arterial fluid-filled pressure catheter measurements on day of cardiac catheterization procedure.

  3. Systolic Pressure

    Peripheral arterial pressure (mm Hg)

    Time frame: Non-invasive blood pressure device measurements on day of cardiac catheterization procedure.

  4. Diastolic Pressure

    Peripheral arterial pressure (mm Hg)

    Time frame: Non-invasive blood pressure device measurements on day of cardiac catheterization procedure.

07

Results

Posted Aug 30, 2021
Limitations and caveats
This study was an iterative process in the calibration and validation of the Cloud DX, Inc. Pulsewave Health Monitor oscillometric (automatic) wrist cuff device. The device has not yet been calibrated and validated via the ISO 81060-2_2020 'universal' protocol, although this requirement is currently in progress.

Participant flow

Participant flow — Overall Study
MilestoneProspective Cohort (1)
Started37
Completed20
Not completed17
Withdrew: Physician decision14
Withdrew: Withdrawal by subject3

Outcome measures

PrimarySystolic Pressure

Central aortic pressure (mmHg)

Time frame:
Simultaneous non-invasive blood pressure device and intra-arterial fluid-filled pressure catheter measurements on day of cardiac catheterization procedure.
Reported as:
Mean · mmHg
Systolic Pressure
mmHgProspective Cohort (1)
Systolic Pressure133.4 ± 22.0
PrimaryDiastolic Pressure

Central aortic pressure (mm Hg)

Time frame:
Simultaneous non-invasive blood pressure device and intra-arterial fluid-filled pressure catheter measurements on day of cardiac catheterization procedure.
Reported as:
Mean · mmHg
Diastolic Pressure
mmHgProspective Cohort (1)
Diastolic Pressure67.4 ± 8.7
PrimarySystolic Pressure

Peripheral arterial pressure (mm Hg)

Time frame:
Non-invasive blood pressure device measurements on day of cardiac catheterization procedure.
Reported as:
Mean · mmHg
Systolic Pressure
mmHgProspective Cohort (1)
Systolic Pressure145.7 ± 20.2
PrimaryDiastolic Pressure

Peripheral arterial pressure (mm Hg)

Time frame:
Non-invasive blood pressure device measurements on day of cardiac catheterization procedure.
Reported as:
Mean · mmHg
Diastolic Pressure
mmHgProspective Cohort (1)
Diastolic Pressure66.2 ± 9.1

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Prospective Cohort (1)0/20 (0%)0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Prospective Cohort (1)
Mean62.0 ± 9.0
Sex: Female, Male
Sex: Female, Male(Participants)Prospective Cohort (1)
Female5
Male15
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Prospective Cohort (1)
Region of Enrollment
Region of Enrollment(participants)Prospective Cohort (1)
Canada20
Smoking (%)
Smoking (%)(Participants)Prospective Cohort (1)
Count of participants3
Diabetes (%)
Diabetes (%)(Participants)Prospective Cohort (1)
Count of participants7
Dyslipidemia (%)
Dyslipidemia (%)(Participants)Prospective Cohort (1)
Count of participants14
Hypertension (%)
Hypertension (%)(Participants)Prospective Cohort (1)
Count of participants15
08

Study locations

1 site
  • Horizon Health Network
    Saint John, New Brunswick, Canada
09

References and documents

Publications

  • Melville S, Teskey R, Philip S, Simpson JA, Lutchmedial S, Brunt KR. A Comparison and Calibration of a Wrist-Worn Blood Pressure Monitor for Patient Management: Assessing the Reliability of Innovative Blood Pressure Devices. J Med Internet Res. 2018 Apr 25;20(4):e111. doi: 10.2196/jmir.8009. PubMed 29695375 ↗

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03015363
Lead sponsor
Cardiovascular Research New Brunswick
Collaborators
Horizon Health Network, Dalhousie University, Cloud DX Inc., New Brunswick Health Research Foundation
Responsible party
Sohrab Lutchmedial, MD, FRCPC (Co-Director of CVR-NB/ Director of NBHC Catheterization Laboratory, Cardiovascular Research New Brunswick) — Principal investigator
First posted
Jan 10, 2017
Start date
Nov 2013
Primary completion
May 2016
Completion
Dec 2018
Results posted
Aug 30, 2021
Last update
Aug 30, 2021

Study contacts

Sohrab Lutchmedial, MD, FRCPC
principal investigator · Cardiovascular Research New Brunswick

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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