About this trial
This multicenter, prospective, open-label randomized controlled trial evaluates the efficacy and safety of CART BP Pro-guided blood pressure management in Korean patients with uncontrolled hypertension. CART BP Pro is a wearable cuffless blood pressure monitoring device based on photoplethysmography technology that enables continuous ambulatory blood pressure monitoring.
Eligible participants with uncontrolled hypertension despite ongoing antihypertensive therapy will be randomly assigned in a 1:1 ratio to either a CART BP Pro-guided management group or a usual care group based on conventional office blood pressure measurements. Antihypertensive treatment in both groups will follow guideline-based therapy using standard agents including angiotensin receptor blockers, calcium channel blockers, and thiazide diuretics.
The primary efficacy endpoint is the between-group difference in 24-hour mean systolic blood pressure at 24 weeks measured using ambulatory blood pressure monitoring. Safety will be assessed by the incidence of treatment-emergent adverse events during the study period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 19 years
Uncontrolled hypertension defined as office systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg
Ability and willingness to provide written informed consent and comply with study procedures
Disqualifiers
History of intolerance or contraindication to olmesartan, amlodipine, or hydrochlorothiazide
Suspected secondary hypertension
Atrial fibrillation
Pregnancy or lactation
Trial design
Parallel
Treatments tested in this trial
CART BP Pro
DeviceCART BP Pro is a wearable cuffless continuous blood pressure monitoring device based on photoplethysmography technology that enables 24-hour ambulatory blood pressure measurement.
Usual Care
Other interventionAntihypertensive medication adjustments are based on office blood pressure measurements obtained during routine outpatient visits.
Treatment groups
Trial outcomes
Primary outcomes
24-hour mean systolic blood pressure
Between-group difference in 24-hour mean systolic blood pressure measured using ambulatory blood pressure monitoring at 24 weeks.
Secondary outcomes
Incidence of treatment-emergent adverse events (TEAEs)
Proportion of participants experiencing treatment-emergent adverse events during the study period.
24-hour blood pressure load
Percentage of ambulatory blood pressure measurements exceeding predefined systolic or diastolic blood pressure thresholds over a 24-hour monitoring period.
Target blood pressure achievement rate
Proportion of participants achieving predefined ambulatory blood pressure targets.
Mean daytime and nighttime blood pressure
Mean systolic and diastolic blood pressure values during daytime and nighttime periods measured using ambulatory blood pressure monitoring.
Sponsors and contacts
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Korea University Anam Hospital
Lead sponsor
Daewoong Pharmaceutical Co. LTD.
Collaborator