ClinicalTrials.gg
CompletedNCT07049783XTIMEUpdated Oct 22, 2026

Examining the Circadian Timing Effects of the Hypotensive Response to Exercise

An interventional study of Exercise in Young Adults, Hypertension and Post-Exercise Hypotension, sponsored by Freda Patterson. Completed at 1 site in United States. Open to participants aged 18 Years to 39 Years. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Freda Patterson · Not applicable, Interventional, and Treatment

Updated Oct 22, 2026Now CompletedPrimary completion moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 39 Years
Sex
All
01

Study summary

The goal of this study is to learn how exercise timing affects blood pressure in adults with elevated or high blood pressure. Exercise can influence the body's natural 24-hour rhythms, including blood pressure patterns. A single exercise session can lower blood pressure for up to 24 hours, but it is not fully understood how the time-of-day for exercise affects this response. The main question this study aims to answer is:

  • When the same participant exercises at different times of day (morning, afternoon, or evening), how does this affect the participant's blood pressure over the next 24 hours?

Participants will:

  • Undergo an in-lab assessment of individual biological rhythm that will indicate the clock-time for an individual's biological night
  • Complete 3 supervised treadmill exercise sessions

    • 1 in the biological morning (biological night + 10 hours)
    • 1 in the biological afternoon (biological night + 15 hours)
    • 1 in the biological evening (biological night + 20 hours)
  • Complete a 24-hour blood pressure assessment before and after each exercise session
Read the detailed description

This fully counterbalanced, within-subject, randomized crossover trial will examine the time-of-day dependent hypotensive effect of exercise in adults aged 18-39 years with elevated blood pressure or stage 1 hypertension. To examine this, participants will complete an assessment of dim-light melatonin onset (DLMO), the gold standard assessment of individual circadian phase, which will be used to subsequently prescribe three exercise sessions in the morning (10 hours after DLMO), afternoon (15 hours after DLMO), and evening (20 hours after DLMO) with 24-hour blood pressure assessment before and after each exercise sessions.

02

Conditions studied

  • Young Adults
  • Hypertension
  • Post-Exercise Hypotension
  • Circadian Rhythm

Keywords

  • Young adults
  • Hypertension
  • Post-exercise hypotension
  • Circadian rhythm
03

In context

Hypertension

6,114 studies on the registry are indexed under Hypertension; 912 are open to participants now.

This study's enrollment of 8 is below the median of 100 across 4,575 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

This is the only study on the registry with Freda Patterson as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 39 Years
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

  • 18-39 Years old
  • Resting blood pressure greater than or equal to 120/80 mmHg or less than 140/90 mmHg

Exclusion criteria

Exclusion Criteria:

  • Diagnosis or history of chronic or disease (i.e., cardiovascular, metabolic, renal, endocrine, cancer)
  • Diagnosis or history of sleep disorder (i.e., obstructive sleep apnea, insomnia, restless leg syndrome)
  • Alcohol or drug dependence
  • Elevated risk for sleep disorders
  • Elevated risk for clinical depression
  • Normotensive (blood pressure less than 120/80 mmHg) or stage 2+ hypertension (blood pressure greater than or equal to 140/90 mmHg)
  • less than 18.5 or greater than 35 kg/m2
  • Self-reported use of sleep medications/supplements (e.g., melatonin)
  • Self-reported use of medications influencing vascular physiology (e.g., antihypertensive medications, weight loss medications)
  • Highly physically active (greater than or equal to 300 minutes moderate-to-vigorous physical activity per week)
  • Currently pregnant or breastfeeding
  • Current tobacco use (greater than or equal to 1 cigarette in the past month)
  • Nighttime or rotating shift work within the last 3 months
  • to aerobic exercise
Terms in these criteria, in plain language(3)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Morning

    Exercise 10 hours after dim-light melatonin onset

    Behavioral: Exercise

  • Experimental
    Afternoon

    Exercise 15 hours after dim-light melatonin onset

    Behavioral: Exercise

  • Experimental
    Evening

    Exercise 20 hours after dim-light melatonin onset

    Behavioral: Exercise

Interventions

  • BehavioralExercise

    A single standardized, in-lab, 30-minute monitored treadmill exercise session

06

What researchers measure

Primary outcomes

  1. Average daytime systolic blood pressure

    Change in average daytime systolic blood pressure (post-exercise - pre-exercise)

    Time frame: 24-hours

07

Study locations

1 site
  • University of Delaware
    Newark, Delaware 19713, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Ran from Jul 2025 to primary completion in Oct 2026, 14 months.

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 14 months is below that.

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

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 22, 2026: primary completion Sep 2026 → Oct 2026 and completion Sep 2026 → Oct 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jun 25, 2025
First posted
Jul 3, 2025
StartActual
Jul 22, 2025
Primary completionActual
Oct 1, 2026was Sep 2026
CompletionActual
Oct 1, 2026was Sep 2026
Last update
Oct 22, 2026
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.
Status
Recruiting→Completed
changed Oct 22, 2026
Primary completion
Sep 2026→Oct 1, 2026 (actual)
Oct 22, 2026
Study completion
Sep 2026→Oct 1, 2026 (actual)
Oct 22, 2026
Enrollment
30 (estimated)→8 (actual)
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    Recruiting→Completed
    Primary completion Sep 2026→Oct 1, 2026 (now actual)
    Study completion Sep 2026→Oct 1, 2026 (now actual)
    Enrollment 30 (estimated)→8 (actual)
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07049783
Lead sponsor
Freda Patterson
Responsible party
Freda Patterson (Professor, University of Delaware) — Sponsor-investigator
First posted
Jul 3, 2025
Start date
Jul 22, 2025
Primary completion
Oct 1, 2026
Completion
Oct 1, 2026
Last update
Oct 22, 2026

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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