NCT05396001

Brief Summary

This research is being done to learn if a smartphone app with and without a just in time adaptive intervention (JITAI) can help patients with hypertension manage their sodium intake and improve their blood pressure.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
410

participants targeted

Target at P75+ for not_applicable hypertension

Timeline
Completed

Started Aug 2022

Typical duration for not_applicable hypertension

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 24, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 27, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

August 15, 2022

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2025

Completed
Last Updated

November 18, 2025

Status Verified

November 1, 2025

Enrollment Period

3.2 years

First QC Date

May 24, 2022

Last Update Submit

November 14, 2025

Conditions

Keywords

Dietary sodium

Outcome Measures

Primary Outcomes (1)

  • Change in systolic blood pressure (SBP)

    SBP measured by a wireless home blood pressure monitor

    Baseline, 2 months

Secondary Outcomes (5)

  • Change in weight over 2 months

    Baseline, 2 months

  • Change in estimated sodium intake

    Baseline, 2 months

  • Change in dietary nutrient intake

    Baseline, 2 months

  • Changes in blood pressure (BP) medications

    Baseline, 2 months

  • Percent of participants at a goal blood pressure (BP)

    2 months

Study Arms (2)

LowSalt4Life

ACTIVE COMPARATOR
Behavioral: LowSalt4Life Application

LowSalt4Life + just-in-time adaptive intervention (JITAI)

EXPERIMENTAL
Behavioral: LowSalt4Life ApplicationBehavioral: Just-In-time Adaptive Intervention (JITAI)

Interventions

LowSalt4Life is a dietary sodium intervention mobile application that promotes lower sodium intake.

LowSalt4LifeLowSalt4Life + just-in-time adaptive intervention (JITAI)

LowSalt4Life is a dietary sodium application with a just-in-time adaptive intervention (JITAI) component enabled.

LowSalt4Life + just-in-time adaptive intervention (JITAI)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with essential hypertension (HTN) by a medical provider and are on stable doses of antihypertensive therapy for at least three months prior to enrollment as documented in the electronic health record (EHR) and confirmed by participant self-report.
  • A smartphone with a compatible Apple or Android operating system installed and able to download and use LowSalt4Life app including accepting all permissions and willing to allow the mobile applications to send push notifications
  • A valid email address
  • Fluent in spoken and written English

You may not qualify if:

  • Unstable symptoms or markedly elevated blood pressure (BP) at enrollment (defined as systolic BP\>180 mmHg, diastolic BP\>120 mmHg)
  • Contraindication to a sodium restriction diet
  • An estimated sodium intake less than 1,500mg per day
  • Known secondary causes of HTN (e.g., adrenal insufficiency, pheochromocytoma)
  • Estimated glomerular filtration rate (EGFR) \<30 or end-stage renal disease on dialysis
  • Heart failure
  • Inability to use Withings devices (blood pressure cuff and scale) due to equipment limitations or contraindications
  • Currently pregnant or intent to become pregnant during the study period

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Officials

  • Brahmajee Nallamothu

    University of Michigan

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Participants randomized to the App+JITAI will receive push notifications throughout the study, while those in the App alone group will not. The participants will not be told the group in which they are randomized, but they may know the group because of the number of push notifications.
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Stevo Julius Research Professor of Cardiovascular Medicine and Professor of Internal Medicine

Study Record Dates

First Submitted

May 24, 2022

First Posted

May 27, 2022

Study Start

August 15, 2022

Primary Completion

October 31, 2025

Study Completion

October 31, 2025

Last Updated

November 18, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will share

The aim is to prepare data for deposit into the National Heart, Lung, and Blood Institute (NHLBI) supported Biologic Specimen and Data Repositories Information Coordinating Center (BioLINCC).Unique research data be made available to the scientific community after the conclusion of a study. The de-identified analytic data will be prepared as SAS transport files or ASCII comma-delimited files with accompanying codebooks that describe the data and data structure. The redaction will employ best practices and will be consistent with National Heart, Lung, and Blood Institute data sharing policies.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Unique research data be made available to the scientific community after the conclusion of a study. No later than 3 years after the end of the study or 2 years after the main paper reporting the results of the trial, whichever comes first.
Access Criteria
The scientific community will have access to the data deposited into the National Heart, Lung, and Blood Institute (NHLBI) supported Biologic Specimen and Data Repositories Information Coordinating Center (BioLINCC). Researchers at institutions with a Federal Wide Assurance will be able to gain access to repository data by submitting a data access request in accordance with applicable policies.
More information

Locations