Implementation of Intensive Hypertension Management Approaches: Cleveland Clinic

Part of paid clinical trials in Cleveland, Ohio.

Sponsor
Anita Misra-Hebert
Study ID
NCT07232017
Status
Recruiting
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Conditions

  • Hypertension (HTN)

Eligibility Criteria

Sex
ALL
Age
18 Years - 85 Years
Healthy Volunteers
Not accepted

Interventions

  • IN-HOME BP — OTHER
    A team-based approach with a primary care provider (PCP) collaborating with pharmacists and advanced practice providers (APP) and will use a mechanism (frequent follow-up- phone or virtual appointments) that allows titrating blood pressure medications based on patient-recorded home blood pressure readings.

Study Details

The primary objective of the Implementation of Effective Hypertension Management Approaches: Cleveland Clinic program is to improve blood pressure control for patients diagnosed with hypertension (HTN) and uncontrolled blood pressure, specifically defined as a blood pressure greater than 150/95, across all Cleveland Clinic Northeast Ohio primary care practices. The project will scale up the availability of resources for treating hypertension in 56 primary care practices within the Cleveland Clinic Health System in Northern Ohio, reaching up to approximately 3800 patients. This project will utilize evidence from a randomized controlled trial by Margolis et al.(1) to build upon Cleveland Clinic's existing team-based primary care provider (PCP) collaboration with pharmacists and advanced practice providers (APP) and will use a mechanism that allows titrating blood pressure medications based on patient-recorded home blood pressure readings.

Key Dates

Start date
Jan 6, 2026
Status verified
Jan 2026
Primary completion
Apr 30, 2029
Completion
Jul 31, 2029

Study Design

Enrollment
1,520 participants (estimated)

Arms

  • Arm: IN-HOME BP: titrating BP medications based on patient-recorded home blood pressure readings
    This project will utilize evidence from a randomized controlled trial by Margolis et al.(1) to build upon Cleveland Clinic's existing team-based primary care provider (PCP) collaboration with pharmacists and advanced practice providers (APP) and will use a mechanism that allows titrating blood pressure medications based on patient-recorded home blood pressure readings.

Primary Outcome Measure

Systolic Blood Pressure Change [ Time Frame: Patients will be followed for up to 33 months: 24-month implementation/intervention period and 9-month maintenance period. ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Cleveland ClinicClevelandOhio44195-

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