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Not yet recruitingNCT07785895Huawei-SunU1Updated Oct 28, 2026

Real-World Validation of Huawei Wearable Technologies for Hypertension Risk Screening in Malaysia

An observational study in Hypertension, sponsored by Sunway University. Not yet recruiting at 1 site in Malaysia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Sunway University · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Cross-sectional
Enrollment
500
Ages
18 Years and older
Sex
All
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Study summary

Background:

Hypertension (high blood pressure) is a major risk factor for heart disease and stroke, yet many people do not know they have it. In Malaysia, nearly half of all adults with elevated blood pressure are unaware of their condition. Standard clinic blood pressure checks can miss cases of high blood pressure or falsely flag temporary stress-related spikes. While 24-hour Ambulatory Blood Pressure Monitoring (ABPM) is the standard method for an accurate diagnosis, it is not practical for large-scale screening.

Purpose:

The purpose of this study is to evaluate whether a novel Huawei smartwatch, which uses photoplethysmography (PPG) technology to estimate blood pressure, can accurately identify individuals at high risk for hypertension in a real-world setting.

Study Design \& Procedures:

Participants: Approximately 500 adults will be enrolled over a 24-month study period.

Screening: All participants will use the Huawei smartwatch screening tool to monitor their blood pressure estimates.

Validation: A subgroup of approximately 50 participants identified as high-risk by the smartwatch will undergo 24-hour ABPM (the clinical gold standard) to confirm whether they have high blood pressure.

Goal:

Researchers aim to validate the accuracy of the smartwatch screening tool against 24-hour ABPM to determine if wearable technology can support early detection and timely treatment of undiagnosed hypertension in the community.

02

Conditions studied

  • Hypertension

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Keywords

  • Hypertension
  • High Blood Pressure
  • Photoplethysmography (PPG)
  • Ambulatory Blood Pressure Monitoring (ABPM)
  • 24-Hour Ambulatory Blood Pressure
  • Wearable Health Devices
  • Smartwatch Blood Pressure Screening
  • Cardiovascular Disease Risk
  • Screening and Early Detection
  • Masked Hypertension
  • White-Coat Hypertension
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In context

Hypertension

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

This study's planned enrollment of 500 is above the median of 350 across 1,163 observational studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Sunway University is the lead sponsor of 11 studies on the registry; 7 are open to participants now.

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
Sampling method
Non-probability sample

Study population

Community-based sample of multi-ethnic Malaysian adults aged 18 years and older. Participants are recruited across Malaysia using digital advertisements via the Huawei Research Platform app, Sunway University community outreach programs, health screening events, corporate wellness initiatives, social media, and primary care clinic referrals. The population includes individuals with compatible smartphones who are willing to wear monitoring devices continuously to assess hypertension risk.

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

  • Possesses the specific Huawei wearable required for the study
  • Aged ≥18 years
  • Malaysian citizen/permanent resident
  • Understands English, Malay, or Chinese
  • Able to download the required application on a compatible smartphone
  • Willing to wear devices continuously
  • Able to provide .

Exclusion criteria

Exclusion Criteria:

  • Current pregnancy
  • Implantable cardiac devices (e.g., permanent pacemakers, implantable cardioverter-defibrillators [ICDs])
  • Uncontrolled arrhythmias (e.g., active atrial fibrillation, frequent premature ventricular contractions [PVCs])
  • Movement disorders or active tremors that interfere with signal acquisition (e.g., severe Parkinson's disease, essential tremor)
  • Acute medical conditions, including:
  • Acute coronary syndromes (e.g., recent myocardial infarction or unstable angina within the past 3 months)
  • Acute cerebrovascular events (e.g., stroke or [TIA] within the past 3 months)
  • Acute decompensated heart failure or severe respiratory distress
  • Active, severe acute infections or systemic inflammatory illness (e.g., sepsis, acute pneumonia)
  • Hypertensive emergencies or urgency
  • Currently on antihypertensive medications
  • Resting BP ≥180/110 mmHg.
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Observational model
Ecologic or community
Time perspective
Cross-sectional
Enrollment
500 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes

Groups and cohorts

  • Screening Population

    Adults enrolled in the community screening phase who undergo non-invasive blood pressure estimation using the Huawei PPG smartwatch over the 24-month study period.

  • High-Risk Validation Cohort

    A targeted subset of participants (n = 50) identified as high-risk for hypertension by the Huawei smartwatch screening tool, who undergo 24-hour Ambulatory Blood Pressure Monitoring (ABPM) to confirm their diagnostic status.

06

What researchers measure

Primary outcomes

  1. Diagnostic Accuracy (AUC-ROC) of the Huawei PPG Smartwatch Hypertension Risk Algorithm Compared to 24-Hour Ambulatory Blood Pressure Monitoring (ABPM)

    Measure Description: Area Under the Receiver Operating Characteristic Curve (AUC-ROC) evaluated by comparing the binary high-risk classification flags generated by the Huawei PPG smartwatch algorithm directly against diagnostic confirmation from clinical 24-hour ABPM. Unit of Measure: Score on a scale from 0.0 to 1.0 (where 0.5 represents chance performance and 1.0 represents perfect discrimination)

    Time frame: Month 11 through Month 18.

  2. Diagnostic Sensitivity of the Huawei PPG Smartwatch Hypertension Risk Algorithm

    Measure Description: The proportion of participants with true ABPM-confirmed hypertension who are correctly identified as high-risk by the Huawei PPG smartwatch algorithm. Unit of Measure: Percentage of true positive cases

    Time frame: Month 11 through Month 18.

  3. Diagnostic Specificity of the Huawei PPG Smartwatch Hypertension Risk Algorithm

    Measure Description: The proportion of participants without ABPM-confirmed hypertension who are correctly identified as low-risk by the Huawei PPG smartwatch algorithm. Unit of Measure: Percentage of true negative cases

    Time frame: Month 11 through Month 18.

  4. Positive Predictive Value (PPV) of the Huawei PPG Smartwatch Hypertension Risk Algorithm

    Measure Description: The probability that a participant flagged as high-risk by the Huawei PPG smartwatch algorithm actually has hypertension confirmed by 24-hour ABPM. Unit of Measure: Percentage

    Time frame: Month 11 through Month 18

  5. Negative Predictive Value (NPV) of the Huawei PPG Smartwatch Hypertension Risk Algorithm

    Measure Description: The probability that a participant flagged as low-risk by the Huawei PPG smartwatch algorithm actually does not have hypertension confirmed by 24-hour ABPM. Unit of Measure: Percentage

    Time frame: Month 11 through Month 18

Secondary outcomes

  1. Participant Adherence to Huawei Wearable Monitoring Protocols

    Measure Description: The proportion of enrolled participants who achieve minimum complete wearable datasets, defined as continuous daily wear of the Huawei smartwatch to track PPG, heart rate, physical activity, and sleep metrics. Unit of Measure: Percentage of enrolled participants

    Time frame: Month 1 through Month 12 (up to 12 months per participant)

  2. Participant Usability and Acceptance Score Measured via Post-Monitoring Questionnaire

    Measure Description: Total score evaluating participant satisfaction, device comfort, and acceptance of the Huawei wearable for hypertension screening, measured using a standardized post-monitoring user experience questionnaire. Unit of Measure: Mean score on a 1 to 5 Likert scale (where 1 = Strongly Disagree/Poor and 5 = Strongly Agree/Excellent)

    Time frame: At the completion of the wearable monitoring phase (Month 12).

Other outcomes

  1. Prevalence of Wearable-Identified High-Risk Flags in the Study Population

    Measure Description: The percentage of participants flagged as high-risk for hypertension by the Huawei wearable platform within the total recruited screening cohort. Unit of Measure: Percentage of total participants

    Time frame: Month 3 through Month 12 (during community-based wearable data collection).

  2. Association Between Wearable Digital Biomarkers and ABPM-Confirmed Hypertension Risk

    Measure Description: Adjusted Odds Ratios derived from logistic regression models assessing the relationship between wearable physiological parameters (heart rate, heart rate variability, sleep duration/quality, physical activity, and PPG blood pressure estimates) and ABPM-confirmed hypertension status. Unit of Measure: Adjusted Odds Ratio (OR) with 95% Confidence Intervals

    Time frame: Month 17 through Month 20 (during data cleaning and analytical modelling).

07

Study locations

1 site
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References and documents

Publications

  • Wang Y, Zhou SS, Liu YQ, Li DD, Hu SY, Wang X, Yi L, Yu YN, Chen YD. Accessibility and usage patterns of wearable devices among Chinese adults: the Huawei Blood Pressure Health Study. Eur Heart J Digit Health. 2025 Aug 5;6(6):1264-1272. doi: 10.1093/ehjdh/ztaf088. eCollection 2025 Nov. PubMed 41267836 ↗
  • Stergiou GS, Menti A, Mariglis D, Kollias A. The quest for accurate wearable blood pressure monitors. Hypertens Res. 2026 Mar;49(3):1025-1029. doi: 10.1038/s41440-025-02410-w. Epub 2025 Nov 5. PubMed 41193706 ↗
  • Odeh VA, Chen Y, Wang W, Ding X. Recent Advances in the Wearable Devices for Monitoring and Management of Heart Failure. Rev Cardiovasc Med. 2024 Oct 28;25(10):386. doi: 10.31083/j.rcm2510386. eCollection 2024 Oct. PubMed 39484130 ↗
  • McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, Christodorescu RM, Daskalopoulou SS, Ferro CJ, Gerdts E, Hanssen H, Harris J, Lauder L, McManus RJ, Molloy GJ, Rahimi K, Regitz-Zagrosek V, Rossi GP, Sandset EC, Scheenaerts B, Staessen JA, Uchmanowicz I, Volterrani M, Touyz RM; ESC Scientific Document Group. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024 Oct 7;45(38):3912-4018. doi: 10.1093/eurheartj/ehae178. No abstract available. PubMed 39210715 ↗
  • Islam SMS, Chow CK, Daryabeygikhotbehsara R, Subedi N, Rawstorn J, Tegegne T, Karmakar C, Siddiqui MU, Lambert G, Maddison R. Wearable cuffless blood pressure monitoring devices: a systematic review and meta-analysis. Eur Heart J Digit Health. 2022 May 2;3(2):323-337. doi: 10.1093/ehjdh/ztac021. eCollection 2022 Jun. PubMed 36713001 ↗
  • Chia J, Bhatia KS, Mihailidou AS, Kanagaratnam LB. The Role of Ambulatory Blood Pressure Monitoring in Current Clinical Practice. Heart Lung Circ. 2022 Oct;31(10):1333-1340. doi: 10.1016/j.hlc.2022.06.670. Epub 2022 Aug 4. PubMed 35934633 ↗

Individual participant data

Plan to share: Yes — De-identified individual participant data (including physiological measurements, demographic data, and algorithm predictions) may be made available to qualified researchers for academic research purposes upon reasonable request and completion of a Data Transfer/Use Agreement.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be available starting 6 months after publication of the primary manuscript and for up to 3 years following study completion.

Access criteria: Data requests will be reviewed by the Principal Investigators (Sunway University). Requesters must submit a formal research proposal and sign a data use agreement to ensure participant confidentiality under PDPA guidelines.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    Minor edits only
    + 1 other change: verification date

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
NCT07785895
Lead sponsor
Sunway University
Collaborators
Huawei Device Co., Ltd
Responsible party
YookChin Chia (Professor Emeritus, Sunway University) — Principal investigator
First posted
Aug 25, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Sep 30, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Oct 28, 2026

Study contacts

Yook Chin Chia
Contact
ycchia@sunway.edu.my
+60374918622
Yee How Say
Contact
yeehows@sunway.edu.my
+60374918622
Yook Chin Chia
principal investigator · Sunway University

Oversight

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

Not currently enrolling

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

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