Sodium, Nocturnal Blood Pressure and Nocturnal Pauses in Breathing
ROSA
2 other identifiers
interventional
16
1 country
2
Brief Summary
A reduction of dietary sodium intake reduces blood pressure and risk of cardiovascular disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2018
Typical duration for not_applicable
2 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
January 3, 2018
CompletedFirst Submitted
Initial submission to the registry
April 23, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2021
CompletedFirst Posted
Study publicly available on registry
September 1, 2023
CompletedSeptember 1, 2023
August 1, 2023
3.2 years
April 23, 2020
August 28, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in nocturnal systolic blood pressure
Comparison of blood pressure measured by 24 hour blood pressure measurements at baseline conditions (after two weeks of usual diet) and intervention (after two weeks of dietary sodium restriction)
from day 14 to day 28
Secondary Outcomes (5)
Changes in day (systolic and diastolic) and 24h blood pressure (systolic and diastolic)
from day 14 to day 28
Changes in number of nocturnal pauses in breathing (apnoea hypopnoea index, AHI)
from day 14 to day 28
Changes in day:night sodium urinary sodium excretion
from day 14 to day 28
Changes in urinary excretion of aquaporin-2 (U-AQP2) og epithelial sodium channel (u-ENaCɣ)
from day 14 to day 28
Changes in endothelial function (nitric oxide (NO), erythrocyte sodium sensitivity)
from day 14 to day 28
Study Arms (2)
Dietary sodium restriction
EXPERIMENTALDIetary sodium restriction
Usual diet
NO INTERVENTIONUsual diet
Interventions
Selfemployed dietary sodium restriction
Eligibility Criteria
You may qualify if:
- h blood pressure \> 130/80 mmHg under antihypertensive treatment with three agent, one of these being diuretic. Blood pressure measurement completed after observed intake of antihypertensive medication.
- unchanged antihypertensive treatment for three months
- estimated glomerular function \>45 mL/min/1.73 m2
You may not qualify if:
- Heart failure assessed from NYHA classification (grade 3-4)
- Presence of clinically significant peripheral edema
- In treatment for obstructive sleep apnea
- Chronic obstructive pulmonary disease (FEV1 \<50%)
- Antihypertensive therapy that can not be taken once daily
- Pregnancy or breastfeeding
- Β-albumin \<34 g / l
- U-albumin creatinine ratio\> 1000 mg / g
- INR\> 1.2 (if marevan treatment: ALAT\> 200)
- Gluten allergy (dietary guidelines are not adjusted to this group)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University clinic in Nephrology and hypertension, Regional Hospital Godstrup
Gødstrup, Herning, 7400, Denmark
Department of Medical Research and Medicine, Holstebro Regional Hospital
Holstebro, 7500, Denmark
Related Publications (1)
Hornstrup BG, Hoffmann-Petersen N, Lauridsen TG, Bech JN. Dietary sodium restriction reduces blood pressure in patients with treatment resistant hypertension. BMC Nephrol. 2023 Sep 19;24(1):274. doi: 10.1186/s12882-023-03333-9.
PMID: 37726656DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Bodil Hornstrup
M.D., Ph.D.
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Masking Details
- Binding not possible as patients needs to carry out dietary sodium restriction themselves.
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- M.D., PhD, head of University Clinic in Nephrology and Hypertension, Regeional Hospital Vest Justland and Aarhus university
Study Record Dates
First Submitted
April 23, 2020
First Posted
September 1, 2023
Study Start
January 3, 2018
Primary Completion
March 31, 2021
Study Completion
March 31, 2021
Last Updated
September 1, 2023
Record last verified: 2023-08
Data Sharing
- IPD Sharing
- Will not share