RecruitingPhase 3NCT05546099

Patient-driven Management of BP in CKD

Pharmacist-guided, Patient-driven Management of High Blood Pressure in CKD: A Novel Approach

Sponsor

VA Office of Research and Development

Enrollment

160 participants

Start Date

Dec 15, 2022

Study Type

INTERVENTIONAL

Conditions

Chronic Kidney Disease

Summary

The proposed research will evaluate if patients managing their blood pressure medications under the guidance of a clinical pharmacist works better to lower blood pressure than patients monitoring their blood pressure at home and the standard care. 60 Veterans with chronic kidney disease (CKD) will be included in the study. The study will further evaluate factors that may influence the Veteran to accept the self-management approach and what factors in the VHA healthcare system affect the implementation of the self-management approach.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a program that lets patients take a more active role in managing their own blood pressure when they have chronic kidney disease (CKD). Researchers want to see if giving patients more control leads to better blood pressure control. **You may be eligible if...** - You are 18 years or older - You have chronic kidney disease (stage 2, 3, or 4) with a reduced kidney filtration rate - Your blood pressure is uncontrolled (average systolic over 140) - You have high levels of protein in the urine if you have stage 2 CKD **You may NOT be eligible if...** - Your systolic blood pressure is extremely high (over 180) - You are on 4 or more blood pressure medications and still not controlled - You have low blood pressure when standing up (orthostatic hypotension) - Your kidney function is severely impaired (GFR below 20) - You are pregnant, have severe liver disease, severe heart failure, or severe dementia Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALSelf-management of BP medications

Patients will be educated on how to manage their home BP based on a pre-determined protocol. They will then monitor home BP and adjust meds accordingly and under the guidance of the clinical pharmacist.

BEHAVIORALSelf-monitoring of home BP

Patients will be educated on how to monitor home BP and will be educated to contact their primary care provider/CKD provider if the BP is above the goal.