UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062657
Receipt number R000070521
Scientific Title Effect of salt-reduction support at community pharmacies on home systolic blood pressure: a pharmacy-cluster, two-period, two-sequence crossover trial
Date of disclosure of the study information 2026/09/01
Last modified on 2026/08/22 16:19:39

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Basic information

Public title

Effect of salt-reduction support at community pharmacies on home systolic blood pressure: crossover trial

Acronym

COMPASS Salt-Reduction Trial

Scientific Title

Effect of salt-reduction support at community pharmacies on home systolic blood pressure: a pharmacy-cluster, two-period, two-sequence crossover trial

Scientific Title:Acronym

COMPASS Salt-Reduction Trial

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to evaluate whether the provision of low-salt foods and brief pharmacist-led information on salt reduction at community pharmacies improves home systolic blood pressure among patients receiving oral antihypertensive treatment, compared with a control period involving home blood pressure monitoring alone. The study will also assess changes in knowledge, attitudes, and confidence regarding lifestyle behaviors for blood pressure control, as well as step counts and body weight, to examine the feasibility of implementing this blood pressure management support program in community pharmacies.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The difference in home systolic blood pressure between the intervention period and the control period. Home systolic blood pressure will be evaluated using the mean value during each period, based on morning and evening home blood pressure measurements, or the within-period change. The primary analysis will include participants who complete at least 70% of the scheduled home blood pressure measurements.

Key secondary outcomes

1. Changes in scores for knowledge, attitudes, and confidence regarding lifestyle behaviors for blood pressure control, including salt reduction, from baseline to the end of the study
2. Changes in step counts
3. Changes in body weight
4. Adherence to the intervention meals
5. Home blood pressure monitoring


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Sequence AB: During the intervention period, participants replace one meal per day, preferably dinner, with a low-salt food, low-salt soup, and 150 g of rice for 5 days. On the first day, a pharmacist provides brief education on salt reduction using a leaflet for approximately 3 minutes. Participants record morning and evening home blood pressure, body weight, step counts, and meal timing. After a 2-day washout period, participants enter the control period and perform home blood pressure monitoring only for 7 days.

Interventions/Control_2

Sequence BA: During the control period, participants perform home blood pressure monitoring only for the first 7 days. After a 2-day washout period, participants enter the intervention period and replace one meal per day, preferably dinner, with a low-salt food, low-salt soup, and 150 g of rice for 5 days. On the first day, a pharmacist provides brief education on salt reduction using a leaflet for approximately 3 minutes. Participants record morning and evening home blood pressure, body weight, step counts, and meal timing.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adults aged 20 years or older
Patients taking oral antihypertensive medication and regularly visiting a participating community pharmacy
Patients who measure home blood pressure or are able to perform home blood pressure monitoring during the study period
Patients who understand the study explanation and provide written informed consent

Key exclusion criteria

Patients who are expected to have difficulty continuing participation during the study period, such as due to relocation
Patients requiring strict dietary restrictions, including salt or protein restriction, because of severe cardiac disease, renal disease, or other serious conditions
Patients who are pregnant or may be pregnant
Patients judged by the principal investigator or study staff to be inappropriate for participation in the study

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Okada

Organization

National Hospital Organization Kyoto Medical Center, Clinical Research Center

Division name

Department of Preventive Medicine

Zip code

612-0861

Address

1-1 Fukakusamukaihata-cho, Fushimi-ku, Kyoto

TEL

0756419161

Email

okada.hiroshi.28z@kyoto-u.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Okada

Organization

National Hospital Organization Kyoto Medical Center, Clinical Research Center

Division name

Preventive Medicine

Zip code

612-0861

Address

1-1 Fukakusamukaihata-cho, Fushimi-ku, Kyoto

TEL

075-641-9161

Homepage URL


Email

okada.hiroshi.28z@kyoto-u.jp


Sponsor or person

Institute

National Hospital Organization Kyoto Medical Center

Institute

Department

Personal name

Hiroshi Okada


Funding Source

Organization

National Hospital Organization Kyoto Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Japan Community Pharmacy Association

Address

1-6-23 Meguro Meguro-ku, Tokyo

Tel

03-6303-9181

Email

info@ja-cp.org


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 09 Month 01 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

Open public recruiting

Date of protocol fixation

2026 Year 03 Month 31 Day

Date of IRB

2026 Year 04 Month 30 Day

Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2027 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

2026 Year 08 Month 22 Day

Last modified on

2026 Year 08 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070521