UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058382
Receipt number R000066748
Scientific Title An Exploratory Study of the Personal Health Record Application for Self-Management of Hypertension Detected at Health Screening
Date of disclosure of the study information 2025/07/07
Last modified on 2025/07/07 10:42:56

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Basic information

Public title

An Exploratory Study of the Personal Health Record Application for Self-Management of Hypertension Detected at Health Screening

Acronym

Ex-SMART trial

Scientific Title

An Exploratory Study of the Personal Health Record Application for Self-Management of Hypertension Detected at Health Screening

Scientific Title:Acronym

Ex-SMART trial

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Medicine in general Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to introduce a lifestyle-related disease (hypertension) management application to subjects who have been found to have hypertension during health screenings, and to examine the effects of the application on the subjects' daily vital signs such as blood pressure, pulse rate, and weight, responses to a lifestyle-related self-check, and daily symptoms.The purpose of this study is to test whether a system that promotes awareness and behavioral change through the use of patient-reported outcome (PRO) and learning content is useful in the management of hypertension by comparing the traditional paper-based hypertension diary with a randomized trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Mean change in systolic blood pressure (SBP) at 24-hour ambulatory blood pressure monitoring (ABPM) at 12 weeks

Key secondary outcomes

Mean change in ABPM diastolic blood pressure (DBP), percentage achieving -5 mmHg systolic and diastolic respectively, change in home blood pressure, change in office blood pressure, change in quality of life (QOL), app use/medication adherence rate, change in urinary sodium/potassium ratio


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom Other

Interventions/Control_1

Intervention group: self-management through a dedicated smartphone app

Interventions/Control_2

Control group: Self-management using conventional blood pressure diary

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Age 18 years or older
2. Blood pressure measured at physical examination or in the examination room: 140-179/90-109 mmHg
3. SBP 130 mmHg or higher as measured by ABPM
4. Ownership of a smartphone that can be connected to the Internet environment and on which this application can be installed
5. The patient's free and voluntary written consent to participate in this study has been obtained after sufficient informed consent

Key exclusion criteria

1. Those who do not have access to an Internet environment or do not have a smartphone capable of installing this application
2. Those who are unable to use a smartphone due to cognitive or physical decline or disability
3. Those who have withdrawn their consent to the installation of this application, the terms of use, and the consent form.
4. Those whose inclusion in the study is deemed inappropriate by the principal investigator or co-investigator
5. Those who are participating in other clinical studies that may affect the treatment of hypertension, or who are scheduled to participate in this study while participating in this study.
6. Patients with marked hypertension (equivalent to degree III hypertension) or those in need of emergency antihypertensive treatment.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Kaoru
Middle name
Last name Dohi

Organization

Mie University Graduate School of Medicine

Division name

Department of Cardiology and Nephrology

Zip code

514-8503

Address

Edobashi 2-174, Tsu, Mie, Japan

TEL

059-231-5015

Email

dohik@med.mie-u.ac.jp


Public contact

Name of contact person

1st name Hiromasa
Middle name
Last name ito

Organization

Mie University Hospital

Division name

Depatment of Cardiology

Zip code

514-8507

Address

Edobashi 2-174, Tsu, Mie, Japan

TEL

059-231-5015

Homepage URL


Email

h-ito@med.mie-u.ac.jp


Sponsor or person

Institute

Mie University

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

the Clinical Research Ethics Review Committiee of Mie University Hospital

Address

Edobashi 2-174, Tsu, Mie, Japan

Tel

059-231-5246

Email

kk-sien@med.mie-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 07 Month 07 Day

Last modified on

2025 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066748