NCT05937685

Brief Summary

BP-REACH is a study of a team-based (pharmacist and health coach) program for lowering blood pressure for people with a prior stroke or heart attack in the Los Angeles Department of Health Services healthcare system. The goal of this clinical trial is to test if this team based program is better at helping people reduce their blood pressure than usual care for people with prior heart attack or stroke. The main questions it aims to answer are:

  • Do people in the REACH BP program have lower blood pressure at 12 months compared to those getting usual care?
  • Do people in the REACH BP program have better Life's Essential 8 scores and patient experience compared to those getting usual care?

Trial Health

77
On Track

Trial Health Score

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

Enrollment
546

participants targeted

Target at P75+ for not_applicable

Timeline
0mo left

Started Sep 2023

Typical duration for not_applicable

Geographic Reach
1 country

4 active sites

Status
recruiting

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

Study Progress98%
Sep 2023Jul 2026

First Submitted

Initial submission to the registry

June 30, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 10, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2023

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Last Updated

May 14, 2025

Status Verified

May 1, 2025

Enrollment Period

2.8 years

First QC Date

June 30, 2023

Last Update Submit

May 9, 2025

Conditions

Myocardial InfarctionHypertensionStroke

Keywords

strokemyocardial infarctionhypertensionself-managementchronic disease

Outcome Measures

Primary Outcomes (1)

  • Systolic blood pressure (SBP) mmHG

    Collected by study staff using blood pressure monitor

    12 months

Secondary Outcomes (7)

  • Life's Essential 8

    12 months

  • BMI (body mass index)

    12 months

  • Total cholesterol

    12 months

  • HgbA1c (hemoglobin A1C)

    12 months

  • Diet

    12 months

  • +2 more secondary outcomes

Study Arms (2)

Usual Care

NO INTERVENTION

Participants receive the usual care received by patients of the medical center

Intervention

EXPERIMENTAL

Participants follow the intervention protocol, including receiving educational materials, a home blood pressure monitor, coaching calls from BP REACH coaches and medication management from a pharmacist.

Behavioral: BP REACH Intervention

Interventions

BP REACH InterventionBEHAVIORAL

Educational materials, written and digital. Home blood pressure monitor and self management education from BP REACH coach. Monthly coaching calls from BP REACH coach. Medication management by pharmacist

Intervention

Eligibility Criteria

Age35 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients of LA General Medical Center, Rancho Los Amigos, Olive Medical Center or Harbor-UCLA Medical Center with ischemic stroke, hemorrhagic stroke, or myocardial infarction
  • English or Spanish speaking
  • Systolic blood pressure (SBP) ≥ 130 mm Hg

You may not qualify if:

  • Age \< 35 years
  • SBP \< 130 mm Hg
  • Only speaks a language other than English or Spanish
  • Cannot provide informed consent due to dementia or aphasia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Rancho Los Amigos National Rehabilitation Center

Downey, California, 90242, United States

RECRUITING

LA General Medical Center

Los Angeles, California, 90033, United States

RECRUITING

Olive View Medical Center

Sylmar, California, 91342, United States

NOT YET RECRUITING

Harbor UCLA Medical Center

Torrance, California, 90502, United States

RECRUITING

MeSH Terms

Conditions

Myocardial InfarctionHypertensionStrokeChronic Disease

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosisCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesDisease Attributes

Study Officials

  • Alejandra Casillas, MD

    University of California, Los Angeles

    PRINCIPAL INVESTIGATOR

  • Amytis Towfighi, MD

    University of Southern California

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Monica Ayala-Rivera

CONTACT

(323) 442-0934ayalariv@usc.edu

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 30, 2023

First Posted

July 10, 2023

Study Start

September 1, 2023

Primary Completion (Estimated)

July 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

May 14, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations

US(4)