UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060419
Receipt number R000069116
Scientific Title Positional invariance of continuous noninvasive blood pressure monitoring versus oscillometric cuff blood pressure measurement in term pregnancy: a prospective simultaneous-measurement study
Date of disclosure of the study information 2026/01/21
Last modified on 2026/01/21 10:18:18

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Basic information

Public title

Comparison of Positional Invariance Between Continuous Noninvasive and Oscillometric Cuff Blood Pressure Measurements in Term Pregnant Women: A Prospective Simultaneous-Measurement Study

Acronym

Positional Invariance Study Of Term pregnancy: continuous noninvasive vs cuff

Scientific Title

Positional invariance of continuous noninvasive blood pressure monitoring versus oscillometric cuff blood pressure measurement in term pregnancy: a prospective simultaneous-measurement study

Scientific Title:Acronym

SIM-BP-PI study

Region

Japan


Condition

Condition

Pregnancy

Classification by specialty

Obstetrics and Gynecology Anesthesiology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We will simultaneously measure blood pressure using continuous noninvasive blood pressure monitoring (cNIBP) and a noninvasive oscillometric cuff device in term pregnant women, and compare the Position Invariance Index (PII) between the two methods (cNIBP vs cuff) across six commonly used clinical positions: supine, left lateral, right lateral, hands-and-knees, sitting, and standing.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Position invariance index (PII) of mean arterial pressure (MAP) for each device (cNIBP and the oscillometric cuff blood pressure monitor)

Key secondary outcomes

1. PII for systolic blood pressure (SBP) and diastolic blood pressure (DBP) (defined in the same manner as for MAP).

2. Position-specific absolute deviations for each device, i.e., the change from the supine value for each non-supine position.

3. Agreement between cNIBP and the oscillometric cuff blood pressure device for MAP measurements in each position.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

45 years-old >=

Gender

Female

Key inclusion criteria

Patients with ASA physical status II who are scheduled to undergo elective cesarean delivery at 37 weeks gestation or later and who provide written informed consent to participate in the study.

Key exclusion criteria

Pregnant women with a history of cardiac disease, hypertension, or arrhythmia.

Pregnant women with multiple gestation, threatened preterm labor, or fetal growth restriction and/or structural anomalies.

Pregnant women with abnormal vital signs on admission.

Target sample size

25


Research contact person

Name of lead principal investigator

1st name SHUNSUKE
Middle name
Last name HYUGA

Organization

Kitasato University School of Medicine

Division name

Department of Anesthesiology

Zip code

252-0375

Address

1-15-1 Kitasato, Minami-ku, Sagamihara City, Kanagawa Prefecture

TEL

0427788111

Email

shyuga@kitasato-u.ac.jp


Public contact

Name of contact person

1st name SHUNSUKE
Middle name
Last name HYUGA

Organization

Kitasato University School of Medicine

Division name

Department of Anesthesiology

Zip code

252-0375

Address

1-15-1, Kitasato, Minami-ku, Sagamihara Kanagawa 252-0374, Japan

TEL

0427788111

Homepage URL


Email

shyuga@kitasato-u.ac.jp


Sponsor or person

Institute

Kitasato University

Institute

Department

Personal name



Funding Source

Organization

Kitasato University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kitasato University Medical Ethics Organization

Address

1-15-1, Kitasato, Minami-ku, Sagamihara Kanagawa 252-0374, Japan

Tel

0427788111

Email

rinrib@med.kitasato-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

2026 Year 01 Month 21 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

2026 Year 01 Month 07 Day

Date of IRB

2026 Year 01 Month 21 Day

Anticipated trial start date

2026 Year 01 Month 22 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1 Eligible pregnant women who are admitted to our hospital without the onset of labor for elective cesarean delivery or for induction of labor will be informed about the study using the written information sheet (Appendix) and asked to provide written informed consent to participate.

2 After consent is obtained, participants will rest in bed. A conventional noninvasive oscillometric cuff blood pressure monitor will be placed on the upper arm of the dominant arm, and a cNIBP sensor will be applied to a fingertip. The fingertip cNIBP device will be calibrated to heart level in advance according to the manufacturers instructions.

3 Blood pressure will be continuously assessed using both devices in each of the following six positions: supine; lateral decubitus (two conditions: with the dominant arm uppermost and with the dominant arm lowermost);sitting; standing; and hands-and-knees. Measurements will be continued for 5 minutes immediately after each position change. The cuff device will measure blood pressure at 2.5 minute intervals. For analysis,the blood pressure value at 5 minutes after the position change will be used,defined as follows:

cNIBP:the value immediately before the cuff device begins its measurement at 5 minutes after the position change.
Cuff device:the value obtained from the measurement initiated at 5 minutes after the position change.

4 The order of the six positions will be determined by computer-generated randomization using a statistical software program.


Management information

Registered date

2026 Year 01 Month 21 Day

Last modified on

2026 Year 01 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069116