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CompletedNCT03934255Updated Jun 8, 2023

Circadian Mechanisms Underlying Non-Dipping Blood Pressure in Blacks

An interventional study of Constant Routine Protocol in Circadian Rhythm and Blood Pressure, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-08.

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study seeks to examine central and peripheral circadian mechanisms in Blacks with appropriately dipping systolic blood pressure (blood pressure that dips by at least 10%) compared with non-dipping systolic blood pressure (blood pressure that dips by less than 10%) using a constant routine protocol. Constant routine protocols are commonly used in the field of circadian biology to examine rhythms in biological processes while controlling the entraining effects of light, activity, and diet.

Read the detailed description

This study will enroll a total of 40 participants (n=20 non-dippers; n=20 dippers) to complete a 30-hour constant routine protocol. Participants will undergo baseline testing that includes anthropometric measurements, clinic blood pressure measurements, completion of self-report questionnaires on sleep and mood, be fitted with an ambulatory blood pressure monitor and actigraphy watch, and be provided with home sleep testing (HST) equipment.

Following completion of baseline assessment, eligible participants will be scheduled for the 30-hour constant routine protocol. The 30-hour constant routine protocol will allow for the hourly collection of saliva, collection of buccal cells every 4 hours, and constant monitoring of core body temperature, all of which are primary outcomes in the assessment of central and peripheral circadian clock markers. Amplitude and phase of these outcomes will be assessed in non-dippers versus dippers.

02

Conditions studied

  • Circadian Rhythm
  • Blood Pressure
03

In context

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,397 studies on the registry; 285 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 124 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Black or African American race
  • Age 18 years or older

Exclusion criteria

Exclusion Criteria:

  • Work alternating or night shifts
  • Pregnant or nursing
  • Current illicit drug use
  • History of severe mental illness
  • Medical conditions that would be contraindicated for a constant routine protocol
  • Take anti-hypertensive medications or beta-blockers
  • Severe obstructive sleep apnea
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Constant Routine Protocol

    Participants will be kept in constant conditions for 30 hours to observe circadian physiology in the absence of light, physical activity, and meals.

    Other: Constant Routine Protocol

Interventions

  • OtherConstant Routine Protocol

    Constant routine protocols are used in circadian research to examine underlying circadian rhythms in the absence of light, activity, and meals

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What researchers measure

Primary outcomes

  1. Melatonin phase

    Circadian phase of melatonin obtained from saliva

    Time frame: Melatonin phase during a 30-hour constant routine protocol

  2. Melatonin amplitude

    Circadian amplitude of melatonin obtained from saliva

    Time frame: Melatonin amplitude during a 30-hour constant routine protocol

  3. Core body temperature phase

    Circadian phase of core body temperature recorded and transmitted wirelessly

    Time frame: Core body temperature phase during a 30-hour constant routine protocol

  4. Core body temperature amplitude

    Circadian amplitude of core body temperature recorded and transmitted wirelessly

    Time frame: Core body temperature amplitude during a 30-hour constant routine protocol

  5. Buccal cell mRNA expression

    Expression of Bmal1 and Period 3 obtained from buccal cell mRNA

    Time frame: Expression of Bmal1 and Period 3 during a 30-hour constant routine protocol

Secondary outcomes

  1. Cortisol phase

    Circadian phase of cortisol obtained rom saliva

    Time frame: Cortisol phase during a 30-hour constant routine protocol

  2. Cortisol amplitude

    Circadian amplitude of cortisol obtained rom saliva

    Time frame: Cortisol amplitude during a 30-hour constant routine protocol

07

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294-0017, United States
08

References and documents

Individual participant data

Plan to share: Undecided — Details regarding sharing IPD are undecided. Protocols and consent forms will be shared. Requests may be made to the study PI.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2023, 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
NCT03934255
Lead sponsor
University of Alabama at Birmingham
Collaborators
American Heart Association
Responsible party
Stephen Justin Thomas, PhD (Assistant Professor, University of Alabama at Birmingham) — Principal investigator
First posted
May 1, 2019
Start date
Jan 1, 2020
Primary completion
May 1, 2023
Completion
May 1, 2023
Last update
Jun 8, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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