Unique ID issued by UMIN | UMIN000028937 |
---|---|
Receipt number | R000033113 |
Scientific Title | Reduction of Uncontrolled Hypertension by Remote Monitoring and Telemedicine (REMOTE) Study |
Date of disclosure of the study information | 2017/10/01 |
Last modified on | 2025/04/23 17:24:11 |
Reduction of Uncontrolled Hypertension by Remote Monitoring and Telemedicine (REMOTE) Study
Reduction of Uncontrolled Hypertension by Remote Monitoring and Telemedicine (REMOTE) Study
Reduction of Uncontrolled Hypertension by Remote Monitoring and Telemedicine (REMOTE) Study
Reduction of Uncontrolled Hypertension by Remote Monitoring and Telemedicine (REMOTE) Study
Japan |
hypertension
Medicine in general |
Others
NO
Benefits and efficacy of telemonitoring and telemedicine are reported for various health conditions in recent years, and in Japan, the application of telemedicine is becoming allowed for wider circumstances. Nevertheless, large-scale randomized clinical trial on the use of telemonitoring and telemedicine has not been reported from Japan, and it is unclear whether telemonitoring and telemedicine would provide comparable or better blood pressure control, quality of life, cost benefits, and/or prognosis compared to conventional hypertension treatment with office visits and patient self-report of blood pressure. Therefore, this study aimed to compare standard medical care, face-to-face care with blood pressure telemonitoring, and telemedicine with time-to-control of blood pressure as the primary outcome.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
time-to-control of blood pressure
Rate of blood pressure control, quality of life (EQ-5D), adherence (Morisky score), types and amounts of antihypertensive medication, medical costs, major adverse cardiovascular events, indices of atherosclerosis, serum creatinine, urinary protein, adverse events.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
3
Treatment
Behavior,custom |
Control group
Telemonitoring group
Telemedicine group
20 | years-old | <= |
80 | years-old | > |
Male and Female
Uncontrolled hypertension (home blood pressure >= 135/85 mmHg)
Untreated or antihyperntensive medication unchanged for >= 4 weeks
Capable of measuring blood pressure at home
Owns and capable of using smartphone or equivalent device
Able to give written informed consent
Unable to measure home blood pressure
Pregnant women and those expecting to become pregnant
Cardiovascular events within 6 months
History of coma due to hyper or hypoglycemia
Type 1 diabetes with inadequate glycemic control
Diabetic patients on insulin
Chronic kidney disease with eGFR < 30 mL/min/1.73m2
Secondary hypertension excluding non-operative primary aldosteronism
Sleep apnea with indication for positive airway pressure treatment
Atrial fibrillation
Scheduled for operation or intervention
Psychiatric conditions including alcoholism and substance abuse
Serious medical condition
Subject of other clinical trial
Judged unfit by the investigators
444
1st name | Junichi |
Middle name | |
Last name | Yatabe |
Tokyo Women's Medical University
Department of Internal Medicine II, Endocrinology and Hypertension
162-8666
8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan
+81333538111
jyatabe@endm.twmu.ac.jp
1st name | Junichi |
Middle name | |
Last name | Yatabe |
Tokyo Women's Medical University
Department of Internal Medicine II, Endocrinology and Hypertension
162-8666
8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan
+81333538111
jyatabe@endm.twmu.ac.jp
Tokyo Women's Medical University
Department of Internal Medicine II, Endocrinology and Hypertension
PORT, INC.
Profit organization
Tokyo Women's Medical University
8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan
+81333538111
jyatabe@fmu.ac.jp
YES
170803
Tokyo Women's Medical University
東京女子医科大学病院
TMクリニック西新宿
2017 | Year | 10 | Month | 01 | Day |
Unpublished
Preinitiation
2017 | Year | 08 | Month | 29 | Day |
2017 | Year | 10 | Month | 01 | Day |
2017 | Year | 08 | Month | 31 | Day |
2025 | Year | 04 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033113