About this trial
The CHARGE-APP project will investigate whether an innovative management strategy of hypertension based on the combination of usual care visits and ESH CARE App compared to standard care, is associated with differences in outcome, including control rate of office, home and ambulatory BP, cardiovascular and renal intermediate end points at one year, and changes in a number of blood pressure-related variables throughout the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female subjects;
Age 18-80 years;
Either the patient or another person close to him/her should possess a smartphone compatible with the ESH CARE app and be capable of using it;
Uncontrolled (untreated or treated) hypertension, defined as office BP ≥140/90 mmHg, and Ambulatory 24h ABP ≥130/80 mmHg
Disqualifiers
eGFR <45 mL/min/1.73 m2 (CKD-EPI creatinine equation 2009);
Severe uncontrolled hypertension (i.e. BP ≥200/120 mmHg despite treatment);
Known secondary hypertension;
Orthostatic hypotension (SBP fall > 20 mmHg on standing);
Trial design
Parallel
Treatments tested in this trial
Usual care
Other interventionAntihypertensive therapy is adjusted every 3 months on the basis of office blood pressure values.
POST-strategy
Other interventionAntihypertensive therapy is adjusted every 15 days on the basis of home blood pressure values.
Treatment groups
Trial outcomes
Primary outcomes
Ambulatory Systolic Blood Pressure
Change in ambulatory 24h systolic blood pressure
Secondary outcomes
Ambulatory Diastolic Blood Pressure
Change in ambulatory 24h diastolic blood pressure
Difference between Office Blood Pressure and Home Blood Pressure
Differences between office blood pressure and home blood pressure (both systolic and diastolic)
Left ventricular mass index
Change in left ventricular mass index by ecocradiographic evaluation
Left ventricular hypertrophy
Change in ECG indices of left ventricular hypertrophy
Sponsors and contacts
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