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Not yet recruitingNCT07840742HOME-SaltUpdated Nov 3, 2026

Household Salt Substitution for Hypertension Prevention and Control: The HOME-Salt Trial

An interventional study of Low-Sodium Salt Substitute and Regular Salt in Hypertension, sponsored by Shihezi University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Shihezi University · Not applicable, Interventional, and Other

Updated Nov 3, 2026Start date movedEligibility revised+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
800
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Hypertension is a major risk factor for cardiovascular disease. Excess sodium intake and insufficient potassium intake contribute to elevated blood pressure, while replacing regular salt with a potassium-enriched salt substitute may help lower blood pressure. Because cooking salt is commonly shared within households, a household-based salt substitution strategy may provide benefits not only for people with hypertension but also for family members who have not yet developed hypertension.

The HOME-Salt Trial is a cluster-randomized, double-blind controlled trial designed to evaluate the effects of household salt substitution on hypertension prevention and control. Eligible households will include at least one adult with diagnosed hypertension and at least one adult without hypertension at baseline. Households will be randomly assigned in a 1:1 ratio to receive either a low-sodium salt substitute or regular salt for 12 months.

Approximately 400 households, including at least 800 adults, will be enrolled. Participants, field staff, and outcome assessors will be unaware of treatment assignment. Follow-up assessments will be conducted at 3, 6, and 12 months. The study will evaluate whether household use of low-sodium salt improves blood pressure control among adults with hypertension and reduces the development of hypertension among adults without hypertension at baseline. Blood pressure, medication use, sodium and potassium intake indicators, safety outcomes, and other health-related measures will also be assessed.

02

Conditions studied

  • Hypertension

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03

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 800 is above the median of 100 across 4,575 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Shihezi University is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Sep 30, 2026. See what changed

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

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

Household-level criteria:

  • The household includes at least one adult aged 18 years or older with diagnosed hypertension.
  • The household includes at least one adult aged 18 years or older without hypertension at baseline.
  • Household members primarily share cooking and meals.
  • All adult household members intended to be included in study evaluations provide written .

Participant-level criteria:

  • Aged 18 years or older.
  • Long-term resident of the study area with no plan to move away during the following 12 months.
  • Consumes most meals at home.
  • Provides written informed consent.

Exclusion criteria

Exclusion Criteria:

Household-level criteria:

  • The household is currently using low-sodium salt or another potassium-containing salt substitute on a long-term basis.
  • Any household member who routinely shares meals has a to potassium-enriched salt or is at increased risk of hyperkalemia, including chronic kidney disease, estimated (eGFR) \<60 mL/min/1.73 m², a history of dialysis, or a history of hyperkalemia.
  • Any household member who routinely shares meals is pregnant.
  • Any household member who routinely shares meals has hyperthyroidism.

Participant-level criteria:

  • Currently participating in another interventional study that may affect blood pressure, sodium or potassium intake, or study outcomes.
  • Serious cardiovascular or cerebrovascular disease, severe liver disease, malignant tumor, severe mental illness, cognitive impairment, or another condition considered unsuitable for study participation.
  • Unable to complete follow-up visits, standardized blood pressure measurements, or required data collection.
  • Any other condition that, in the investigator's judgment, makes the individual unsuitable for participation.
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.

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
800 participants (estimated)

Study arms

  • Experimental
    Low-Sodium Salt Group

    Dietary Supplement: Low-Sodium Salt Substitute

  • Active comparator
    Regular Salt Group

    Dietary Supplement: Regular Salt

Interventions

  • Dietary supplementLow-Sodium Salt Substitute

    Low-sodium salt containing approximately 75% sodium chloride and 25% potassium chloride. It will replace the household's usual cooking and table salt throughout the 12-month intervention period.

  • Dietary supplementRegular Salt

    Regular salt containing approximately 99.8% sodium chloride. It will replace the household's usual cooking and table salt throughout the 12-month intervention period.

06

What researchers measure

Primary outcomes

  1. Proportion of Participants With Failure of Hypertension Prevention or Control

    A participant-level composite outcome. For participants with hypertension at baseline, failure of hypertension control is defined as a mean systolic blood pressure (SBP) ≥140 mmHg and/or mean diastolic blood pressure (DBP) ≥90 mmHg based on three standardized office blood pressure measurements at Month 12. For participants without hypertension at baseline, failure of hypertension prevention is defined as incident hypertension during follow-up, including a mean SBP ≥140 mmHg and/or mean DBP ≥90 mmHg based on three standardized office measurements, a new diagnosis of hypertension, or initiation of antihypertensive medication.

    Time frame: From randomization to Month 12

Secondary outcomes

  1. Proportion of Participants With Hypertension Who Have Controlled Blood Pressure at Month 12

    Time frame: Month 12

  2. Change in Systolic Blood Pressure Among Participants With Hypertension

    Time frame: Baseline to Month 12

  3. Change in Diastolic Blood Pressure Among Participants With Hypertension

    Time frame: Baseline to Month 12

  4. Proportion of Participants With Hypertension Who Have Controlled Mean Blood Pressure During Follow-up

    Time frame: Months 3, 6, and 12

  5. Incidence of Hypertension Among Participants Without Hypertension at Baseline

    Time frame: From randomization to Month 12

  6. Change in Systolic Blood Pressure Among Participants Without Hypertension at Baseline

    Time frame: Baseline to Month 12

  7. Change in Diastolic Blood Pressure Among Participants Without Hypertension at Baseline

    Time frame: Baseline to Month 12

  8. Proportion of Households With Successful Hypertension Prevention and Control

    Time frame: From randomization to Month 12

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — Deidentified individual participant data underlying the results reported in publications from this trial may be shared with qualified researchers upon reasonable request and approval by the study investigators. Data sharing will be subject to applicable ethical, privacy, and institutional requirements.

Supporting information: Study protocol, Statistical analysis plan, Analytic code

Time frame: Beginning 12 months after publication of the primary study results and available for 5 years

Access criteria: Deidentified individual participant data and supporting information may be made available to qualified researchers upon reasonable request. Requests will be reviewed by the study investigators and, where applicable, relevant institutional or ethics committees. Data will be shared only for scientifically appropriate purposes and subject to an appropriate data use agreement.

No publications or documents are linked to this record.

09

Timeline

3 registry updates 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

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

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 13 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.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Nov 2026, on Nov 3, 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
Sep 20, 2026
First posted
Sep 25, 2026
StartEst.
Nov 2026was Oct 2026
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Nov 3, 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.
Start date
Oct 2026→Nov 2026
Nov 3, 2026
Eligibility
3 inclusion criteria edited, 4 added; 2 exclusion criteria edited, 2 added
What changed in the criteria
Inclusion criteria
  • AddedHousehold members primarily share cooking and meals.
  • EditedHousehold members primarily share cooking and meals. All adult household members intended to be included in study evaluations provide written informed consent.
  • AddedParticipant-level criteria:
  • AddedAged 18 years or older.
  • Edited-Participant-level criteria: Aged 18 years or older. Long-term resident of the study area with no plan to move away during the following 12 months.
  • EditedConsumes most meals at home. Provides written informed consent.
  • AddedProvides written informed consent.
Exclusion criteria
  • EditedAny household member who routinely shares meals is pregnant. Any household member who routinely shares meals has hyperthyroidism.
  • AddedAny household member who routinely shares meals has hyperthyroidism.
  • AddedParticipant-level criteria:
  • Edited-Participant-level criteria: Currently participating in another interventional study that may affect blood pressure, sodium or potassium intake, or study outcomes.
Sep 30, 2026
Sponsor
Collaborators added: The General Hospital of the Eighth Division (The Third Affiliated Hospital of Shihezi University Medical College); collaborators removed: Shihezi City People's Hospital
Sep 30, 2026
Registered
First appeared on the registry
Sep 25, 2026
Show all 3 updates
  1. Nov 3, 2026
    Start date Oct 2026→Nov 2026
  2. Sep 30, 2026
    Eligibility 3 inclusion criteria edited, 4 added; 2 exclusion criteria edited, 2 added
    What changed in the criteria
    Inclusion criteria
    • AddedHousehold members primarily share cooking and meals.
    • EditedHousehold members primarily share cooking and meals. All adult household members intended to be included in study evaluations provide written informed consent.
    • AddedParticipant-level criteria:
    • AddedAged 18 years or older.
    • Edited-Participant-level criteria: Aged 18 years or older. Long-term resident of the study area with no plan to move away during the following 12 months.
    • EditedConsumes most meals at home. Provides written informed consent.
    • AddedProvides written informed consent.
    Exclusion criteria
    • EditedAny household member who routinely shares meals is pregnant. Any household member who routinely shares meals has hyperthyroidism.
    • AddedAny household member who routinely shares meals has hyperthyroidism.
    • AddedParticipant-level criteria:
    • Edited-Participant-level criteria: Currently participating in another interventional study that may affect blood pressure, sodium or potassium intake, or study outcomes.
    Sponsor Collaborators added: The General Hospital of the Eighth Division (The Third Affiliated Hospital of Shihezi University Medical College); collaborators removed: Shihezi City People's Hospital
  3. Sep 25, 2026
    First appeared on the registry

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
NCT07840742
Lead sponsor
Shihezi University
Collaborators
The General Hospital of the Eighth Division (The Third Affiliated Hospital of Shihezi University Medical College)
Responsible party
Xianghui Zhang (Associate Professor, Shihezi University) — Principal investigator
First posted
Sep 25, 2026
Start date
Nov 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Nov 3, 2026

Study contacts

Xianghui Zhang, PhD
Contact
zxh818@shzu.edu.cn
+8618999335467

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

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