No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Pivotal Trial
This treatment is in the last trial phase before FDA approval.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 3
Study type
Interventional
Purpose
Treatment
Participants needed
160 (estimated)
Sponsor
VA Office of Research and Development · Federal
Who this trial is looking for
This trial is looking for Veterans with chronic kidney disease who have trouble managing their blood pressure. Participants will work with a pharmacist to help manage their blood pressure medications and compare it to standard care.
Are You a Good Fit for This Trial?
You may be able to join if
I am at least 18 years old
I have chronic kidney disease stage 2, 3, or 4
I have uncontrolled high blood pressure
My kidney function is in a specific range
You may not be able to join if
I have severely high blood pressure
I take 4 or more medications for high blood pressure
I have a significant drop in blood pressure when standing
I have severe chronic kidney disease
My life expectancy is less than 1 year
I have severe liver disease
I have severe heart failure
I have severe cognitive decline
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
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 a…
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.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Age \>= 18 years,
* CKD stage 3 or 4 (estimated GFR: 15-59 mL/min/1.73m2) or
* Stage 2 CKD (estimated GFR 60-89 mL/min/1.73m2) with urinary albumin/creatinine ratio (ACR 300 mg/g if no DM and 30 mg/g if with DM), and
* Uncontrolled hypertension defined as the avg of 2 readings…
Inclusion Criteria:
* Age \>= 18 years,
* CKD stage 3 or 4 (estimated GFR: 15-59 mL/min/1.73m2) or
* Stage 2 CKD (estimated GFR 60-89 mL/min/1.73m2) with urinary albumin/creatinine ratio (ACR 300 mg/g if no DM and 30 mg/g if with DM), and
* Uncontrolled hypertension defined as the avg of 2 readings \> 140 systolic.
Exclusion Criteria:
* Severely uncontrolled hypertension defined as systolic BP \>180,
* Patients with resistant hypertension and taking 4 BP medications,
* Orthostatic hypotension defined as reduced systolic BP by 20 mmHg or diastolic BP by 10 mmHg after 3 minutes of standing,
* Severe CKD defined as estimated GFR \< 20 mL/min/1.73m2,
* Life expectancy \<1 year,
* Severe liver disease,
* Severe congestive heart failure,
* Severe cognitive decline due to dementia,
* Pregnant, breastfeeding, or unwilling to use adequate birth control
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