China Salt Substitute Study
1 other identifier
interventional
600
1 country
6
Brief Summary
Cardiovascular disease is a leading cause of death and disability worldwide, and blood pressure is a leading determinant of this risk. To date, strategies for blood pressure lowering have focused on drug treatment but dietary interventions such as reducing sodium intake and increasing potassium intake may also be effective. Such interventions may be particularly suitable for low- and middle-income countries in which significant dietary changes may be more easily achieved. This study will test the effect of a salt substitute on blood pressure, among individuals at high-risk from cardiovascular disease in Northern China.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable hypertension
Started May 2004
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 2, 2005
CompletedFirst Posted
Study publicly available on registry
September 5, 2005
CompletedSeptember 5, 2005
September 1, 2005
September 2, 2005
September 2, 2005
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical blood pressure
Secondary Outcomes (3)
Spot urine sodium and potassium levels
Food taste
Preferred level of saltiness
Interventions
Eligibility Criteria
You may qualify if:
- A doctor-confirmed high risk of future vascular disease defined as a history of any one of:
- Stroke or transient ischaemic attack
- Hospitalisation for management of any acute coronary syndrome
- Surgery or angioplasty for peripheral vascular disease
- Treated diabetes and age 55 years or older
- Systolic blood pressure \>160mmHg
- Estimated daily sodium intake of 260mmol/24hrs (about 15g/24hrs of NaCl) or above and expectation that at least 50% of daily dietary salt intake can be replaced with the salt-substitute. This will be estimated through interview of the potential participant and the individual responsible for daily food preparation (if this is not the patient) using a structured questionnaire.
- Provision of informed consent
You may not qualify if:
- Potential participants will be excluded if:
- they are on potassium-sparing medication
- there is an established history of significant renal impairment that would preclude the use of the salt-substitute in the opinion of the responsible physician.
- there is any reason why either the salt-substitute or normal salt are definitely indicated or definitely contra-indicated.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The George Institutelead
- Fu Wai Cardiovascular Institute and Hospitalcollaborator
- University of Auckland, New Zealandcollaborator
- James Cook University, Queensland, Australiacollaborator
Study Sites (6)
The Institute for Medical Science of Mudangjiang
Mudanjiang, Heilongjiang, 157000, China
The First Affiliated Hospital of China Medical University
Shenyang, Liaoning, 110000, China
The People's Hospital of YuXian
Yangquan, Shanxi, 045100, China
The Health Center of Fengbo,ShunYi District
Beijing, 101300, China
The Health Center of YingHai, DaXing District
Beijing, 102600, China
The First Affiliated Hospital of Medical College of China's people Armed Police Force
Tianjin, 300000, China
Related Publications (1)
Kissock K, Neal B, Yuan Y, Sundstrom J, Jonsson H, Rodgers A, Wang N, Huang L, Wu Y. Consistency of Blood Pressure Response to Potassium-Enriched Salt in the China Salt Substitute Study. Hypertension. 2026 Jan;83(1):167-176. doi: 10.1161/HYPERTENSIONAHA.125.24723. Epub 2025 Nov 20.
PMID: 41263071DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bruce C Neal, PhD
The George Institute
- PRINCIPAL INVESTIGATOR
Yangfeng Wu, PhD
Fu Wai Cardiovascular Institute, Beijing, China
- PRINCIPAL INVESTIGATOR
Rachel Huxley, PhD
The George Institute
- PRINCIPAL INVESTIGATOR
John Prescott, PhD
James Cook University, Queensland, Australia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 2, 2005
First Posted
September 5, 2005
Study Start
May 1, 2004
Study Completion
September 1, 2005
Last Updated
September 5, 2005
Record last verified: 2005-09