ClinicalTrials.gg
RecruitingNCT05660226TECHUpdated Apr 13, 2023

Telemonitoring and E-Coaching in Hypertension

An interventional study of Home blood pressure monitoring (telemonitoring) and Standard care in Hypertension, sponsored by Maasstad Hospital. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-13.

Sponsored by Maasstad Hospital · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Primary completion was expected by Mar 2025, 1 year 8 months ago, but the record still lists the study as recruiting.
  • Started Apr 2023; still recruiting 3 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 152 studies in Hypertension with a site in Netherlands — 23 open to participants now, 32 under way, 7 of them phase 3. Hypertension · Netherlands.

Planned enrollment
44th of 127
400 · median 139
Started
2023
with 8 others
No phase
44 of 152
6 open now
Primary completion
2025-03
later than 6 of 31 live
Registered
128th of 152
by date

Among the 152 studies in Hypertension with a site in Netherlands, this one is the 44th largest by planned enrollment of the 127 interventional ones, is one of 9 that started in 2023, is one of 44 with no phase, reaches primary completion later than 6 of the 31 other live ones, and was the 128th registered.

By phase

152 studies; the count open now beside each. This study's row is marked.

Phase 348 · 5 open
No phasethis study44 · 6 open
Observational25 · 8 open
Phase 418 · 3 open
Phase 213 · 1 open
Phase 12 · 0 open
Phase 2/32 · 0 open

By the year they started

First in 1997; this study’s year is marked. 9 started in 2023.

Size and results

Median enrollment 139 across the 127 interventional studies, 626 across the 25 observational. Of the 103 that completed or were terminated, 38 (37%) have results posted.

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02

Study summary

Rationale: Hypertension is the most significant risk factor for cardiovascular disease and can be mitigated by lifestyle and medical management. Telemonitoring as a novel management approach to perform hypertension management at distance has been thriving but became indispensable during the COVID-19 pandemic. However, evidence of an effective implementation for telemonitoring remains to be elucidated.

Hypothesis: Telemonitoring with a smartphone application, which includes mixed automated services for a personal counselling program (PCP), on top of self-monitoring (SM) will lead to improvement of hypertension control rates, medication adherence and lifestyle behaviors and lower health care costs in patients with hypertension when compared to usual care.

Objective: To investigate the effects of PCP+SM on hypertension control rate and lifestyle behaviors as compared with usual care.

Study design: The study is a non-blinded randomized controlled clinical trial in adults with hypertension, in a multicenter hospital setting . We will randomize participants in a 1:1 fashion to the intervention group (PCP+SM), or to the control group (usual care).

Study population: 400 patients, patients, aged ≥18 years with hypertension (RR >140/90) Main study outcome: hypertension control rate (%\<140/90mmHg) after 6 months (as measured by the SPRINT protocol)

03

Conditions studied

  • Hypertension

Browse trials for

Keywords

  • Telemonitoring
  • Hypertension
  • E-Health
  • Coaching
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years
  • Hypertension (>140/90)
  • Have and use a smartphone or a partner/caregiver who is able to provide the necessary technical support
  • Able to provide written prior to participation in the study

Exclusion criteria

Exclusion Criteria:

  • Current user of a blood pressure monitor apporoved by the Dutch Heart foundation in combination with the Luscii app
  • Persistent atrial fibrillation as indicated in the electronic health record (EHR)
  • Pregnant or planning to become pregnant during the study period
  • Severe kidney disease, defined as estimated \<30 per 1.73 m2 or currently on renal replacement therapy (i.e. hemodialysis or peritoneal dialysis)
  • Unable to communicate (not language specific)
  • Recent cardiovascular event (ischemic stroke, , myocardial infarction, coronary artery bypass grafting) in the past 3 months
  • Diagnosis of dementia, psychosis as indicated in the electronic health record
  • \<1 year, for instance in terminal cancer or III or IV heart failure
  • Individuals requiring BP monitor cuff size larger than 42cm
  • Patients with proven secondary cause of hypertension for which drug treatment is not first choice (e.g. excessive licorice use, proven renal artery stenosis etc)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    Intervention

    Home blood pressure monitoring + E-coaching

    Other: Home blood pressure monitoring (telemonitoring)

  • Placebo comparator
    Control

    Standard care in patients with hypertension

    Other: Standard care

Interventions

  • OtherHome blood pressure monitoring (telemonitoring)

    Using a digital mobile phone based telemonitoring platform to A: monitor patients and adjust their treatment accordingly based on the remote monitoring outcomes and B: provide E-Coaching/self learning modules (lifestyle)

  • OtherStandard care

    Standard outpatient blood pressure management

06

What researchers measure

Primary outcomes

  1. Hypertension control rate

    Percentage of patients with blood pressure on target (RR\<135/85)

    Time frame: 6 months

Secondary outcomes

  1. Blood pressure control

    Mean systolic and diastolic blood pressures for both groups

    Time frame: 6 weeks, 6 months and 12 months

  2. Medication use

    Biochemical assessment of antihypertensive medication concentrations in blood. Number of antihypertensive agents used at 6 months. Number of antihypertensive medication changes at 6 months.

    Time frame: 6 weeks, 6 months and 12 months

  3. Self-management

    Self-efficacy to monitor blood pressure, effect of coaching on disease insight and skills using PAM 13 and EQ5DL questionnaires

    Time frame: baseline and 6 months

  4. Patient and Healthcare provider Satisfaction

    Patients and health-care provider satisfaction as measured with TUQ and MAUQ questionnaires. The scales are from 1 to 7 (disagree to agree)

    Time frame: 6 months and 12 months

  5. Hospitalizations

    Hospitalizations resulting from poor blood pressure control or cardiovascular complications resulting from poor blood pressure control (hypertensive emergencies, MI's, stroke)

    Time frame: 6 months and 12 months

  6. Adverse cardiovascular events

    Myocardial infarction, cerebrovascular events and hypertensive emergencies.

    Time frame: 6 months and 12 months

  7. Hypertension control rate

    Percentage of patients with blood pressure on target (RR\<140/90)

    Time frame: 6 weeks and 12 months

  8. Direct Medical Costs

    * Costs related to HBPT (blood pressure monitor costs) * Costs related to additional prescribing of antihypertensive drugs * Costs related to a physical appointment for patients in a hypertension care pathway * Costs related to reimbursement for patients in a HBPT program * Costs related to hospital admissions resulting primarily from poorly controlled hypertension or hypertensive emergencies. * Costs related to hospital admissions or required care pathways following a cardiovascular complication as a result from poorly controlled hypertension * Future related medical costs

    Time frame: 6 weeks, 6 months and 12 months

  9. Direct Non-Medical Costs

    * Training costs related to the use of HBPT for both telenurses, nurse specialists and clinicians * Development and exploitation costs (time spent developing the HBPT protocol, license costs for the application) * Salaries for involved health care providers during HBPT

    Time frame: 6 weeks, 6 months and 12 months

  10. Indirect Non-Medical costs

    * Costs related to work absence (loss of productivity for short-term absence, friction cost for long-term absence) * Costs related to the hospital visit (travel costs, parking costs)

    Time frame: 6 weeks, 6 months and 12 months

  11. Indirect medical costs

    o Future unrelated medical costs (as calculated using the iMTA PAID module: costs related to other diseases due to improved life expectancy

    Time frame: 6 weeks, 6 months and 12 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for Mar 2025, 23 months after the start.

Of 1,403 non-industry interventional studies with no phase under Hypertension, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's planned 23 months is close to that.

Counting every sponsor, half of 1,498 studies reached it within 23 months; a quarter within 10 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 8, 2022
First posted
Dec 21, 2022
StartActual
Apr 1, 2023
Primary completionEst.
Mar 2025
CompletionEst.
Mar 2026
Last update
Apr 13, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05660226
Lead sponsor
Maasstad Hospital
Collaborators
Erasmus Medical Center, Albert Schweitzer Hospital, Sint Franciscus Gasthuis
Responsible party
Sponsor
First posted
Dec 21, 2022
Start date
Apr 1, 2023
Primary completion
Mar 2025 (estimated)
Completion
Mar 2026 (estimated)
Last update
Apr 13, 2023

Study contacts

Job van Steenkiste, MD
Contact
jobvansteenkiste@gmail.com
+31631799089
Sjaam Jainandunsing, MD,PhD
Contact
jainandunsingS@maasstadziekenhuis.nl

Oversight

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

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