The Home Blood Pressure (BP) Trial

Description

The main study will be a two arm 10-month, cross-over randomized controlled trial of 200 participants treated with end-stage-kidney-disease treated with in-center hemodialysis in the Seattle and San Francisco area comparing a strategy of targeting home vs. pre-dialysis systolic blood pressure \<140 mmHg to reduce rates of intradialytic hypotension. The target systolic blood pressure of \<140 mmHg in both treatment groups will be achieved using an algorithm of dry weight adjustment and anti-hypertensive medication adjustment.

Conditions

End Stage Renal Disease on Dialysis

Study Overview

Study Details

Study overview

The main study will be a two arm 10-month, cross-over randomized controlled trial of 200 participants treated with end-stage-kidney-disease treated with in-center hemodialysis in the Seattle and San Francisco area comparing a strategy of targeting home vs. pre-dialysis systolic blood pressure \<140 mmHg to reduce rates of intradialytic hypotension. The target systolic blood pressure of \<140 mmHg in both treatment groups will be achieved using an algorithm of dry weight adjustment and anti-hypertensive medication adjustment.

The Home Blood Pressure (BP) Trial

The Home Blood Pressure (BP) Trial

Condition
End Stage Renal Disease on Dialysis
Intervention / Treatment

-

Contacts and Locations

San Francisco

University of California San Francisco, San Francisco, California, United States, 94143

Seattle

University of Washington, Seattle, Washington, United States, 98104

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Aged 18 years or older
  • * Undergoing in-center, thrice weekly hemodialysis for treatment of end stage renal disease (ESRD)
  • * Greater than 3 months since initiation of dialysis
  • * No anticipated change to peritoneal dialysis or kidney transplant within 10 months
  • * Life expectancy greater than 10 months
  • * Hypertension (defined as mean pre-dialysis SBP \> 140 mmHg over prior 2 weeks or taking BP medications)
  • * Able to obtain/measure a brachial blood pressure at dialysis and at home (e.g., no left ventricular assist device, blood pressure not been taken routinely in lower extremity at dialysis unit)
  • * No condition that the primary nephrologist or PIs feel precludes participation
  • * Incarcerated or institutionalized (prohibits home blood pressure measurement)
  • * Participating in another intervention study that may affect blood pressure
  • * Pregnant or anticipated pregnancy or breastfeeding (as this will require increase to more than three times a week dialysis and/or preclude use of some classes of blood pressure medications)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Washington,

Nisha Bansal, MD, PRINCIPAL_INVESTIGATOR, University of Washington

Chi-yuan Hsu, MD, PRINCIPAL_INVESTIGATOR, University of California, San Francisco

Study Record Dates

2026-04-30