NCT07124728

Brief Summary

A prospective, single-arm, open-label study evaluating the impact of Syntrillo's telehealth program on stroke risk factors, particularly blood pressure, among 68 high-risk patients. The 6-month intervention includes personalized remote care with blood pressure monitoring, wearable tracking, and multidisciplinary telehealth visits.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
68

participants targeted

Target at P25-P50 for not_applicable hypertension

Timeline
Completed

Started Aug 2025

Shorter than P25 for not_applicable hypertension

Status
not yet 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 Start

First participant enrolled

August 1, 2025

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

August 8, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 15, 2025

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2026

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2026

Completed
Last Updated

August 15, 2025

Status Verified

August 1, 2025

Enrollment Period

7 months

First QC Date

August 8, 2025

Last Update Submit

August 8, 2025

Conditions

Keywords

stroke preventiontelehealthtelemedicineblood pressureremote patient monitoringdigital healthheart rate variabilityinflammationhypertension

Outcome Measures

Primary Outcomes (1)

  • Change in Systolic Blood Pressure

    This measure evaluates the average change in systolic blood pressure (SBP), which is the pressure in the arteries when the heart beats. Blood pressure is measured by participants at home using a Tenovi FDA-cleared digital blood pressure monitor. Baseline SBP is calculated using the first 10 valid readings taken during the initial week of monitoring. The 6-month value is calculated from the last 10 valid readings taken in the final week of the intervention. The study aims to observe a reduction of at least 10 mmHg in average SBP over the intervention period.

    Baseline to 6 months

Secondary Outcomes (6)

  • Change in Diastolic Blood Pressure

    Baseline to 6 months

  • Change in Systolic Blood Pressure Variability

    Baseline to 6 months

  • Change in Pulse Pressure

    Baseline to 6 months

  • Change in High-Sensitivity C-Reactive Protein (hs-CRP)

    Baseline to 6 months

  • Change in Resting Heart Rate

    Baseline to 6 months

  • +1 more secondary outcomes

Study Arms (1)

Telemedicine Stroke Prevention Program

EXPERIMENTAL

Participants will receive a 6-month personalized telehealth intervention including remote patient monitoring, blood pressure management, lifestyle counseling, wearable monitoring, and multidisciplinary telemedicine visits via the Healthie platform.

Behavioral: Technology-enabled Telehealth Care PlanDevice: Blood Pressure Monitoring DeviceDevice: Tenovi Smart PillboxDevice: Wearable Activity Trackers (Fitbit or Apple Watch)Other: Healthie EHROther: Secure Messaging Platforms (TigerConnect, Weave, AirCall)Drug: Antihypertensive Medication ManagementDrug: Statin Medication ManagementDrug: Antiplatelet or Anticoagulant TherapyProcedure: Laboratory Blood Test Collection

Interventions

Participants receive a 6 month personalized telehealth intervention via a multidisciplinary care team, delivering care via a secure digital platform, including education, risk assessment, lifestyle coaching, medical history review, and stroke risk reduction planning. The Healthie EHR is used for communication, documentation, and data integration. Syntrillo Navigators and neurology providers conduct onboarding, telemedicine visits, and coordination with patient's primary care providers and care team.

Telemedicine Stroke Prevention Program

Participants will receive a cellular-enabled, FDA-cleared blood pressure monitor supplied by Tenovi. Blood pressure is measured twice daily during baseline and at least once daily throughout the 6-month intervention. Data is transmitted via a secure gateway to the Healthie EHR for real-time monitoring and analysis.

Telemedicine Stroke Prevention Program

Participants receive a connected 7-day smart pillbox that detects compartment openings and refills. Medication adherence data is uploaded in real time to a secure dashboard and integrated into the EHR.

Telemedicine Stroke Prevention Program

Participants will utilize a commercially available wearable activity tracker to monitor step counts, resting heart rate, and heart rate variability. This data is integrated into the EHR. Devices will be provided if participants do not already own one.

Telemedicine Stroke Prevention Program

HIPAA-compliant electronic medical record system used for participant management, secure communication, clinical documentation, and device data integration, consisting of custom workflows used for risk tracking and care planning.

Telemedicine Stroke Prevention Program

Participants and providers may communicate using secure messaging platforms for appointment reminders, assessments, and care support, to enhance participation engagement and care coordination.

Telemedicine Stroke Prevention Program

Participants may be prescribed or have existing antihypertensive regimens adjusted (ACE inhibitors, beta blockers, calcium channel blockers, diuretics, etc) by neurologists or nurse practitioners based on individual risk assessments and clinical findings during the study. Changed will be recorded in EHR.

Telemedicine Stroke Prevention Program

Lipid-lowering medications, including statins, may be initiated or adjusted as part of participants' care plans. Medication use is guided by cardiovascular risk and AHA guidelines. Changed will be recorded in EHR.

Telemedicine Stroke Prevention Program

Participants with atrial fibrillation or elevated cardiovascular risk may be started on or have changes to antiplatelet or anticoagulant therapy. Medication decisions are made by neurologist or nurse practitioners during telemedicine visits. Changed will be recorded in EHR.

Telemedicine Stroke Prevention Program

Blood samples may be collected at baseline and at 6 months to assess inflammation through high-sensitivity C-reactive protein.

Telemedicine Stroke Prevention Program

Eligibility Criteria

Age30 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age greater than or equal to 30
  • Diagnosis of hypertension
  • One or more of the following:
  • Dtrial fibrillation
  • Diabetes
  • Chronic kidney disease (stage 2+)
  • Obesity (class 2+)
  • Obstructive sleep apnea
  • Coronary artery disease
  • Hyperlipidemia
  • Carotid stenosis (greater than or equal to 50%)
  • Congestive heart failure

You may not qualify if:

  • History of stroke or TIA
  • Inability to consent or understand study
  • Residence in long-term acute care facility
  • Inability to ambulate independently
  • Non-English speaking
  • No internet access
  • Not residing in Virginia
  • Pregnancy or suspected pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

HypertensionInflammation

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Central Study Contacts

Research Coordinator

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 8, 2025

First Posted

August 15, 2025

Study Start

August 1, 2025

Primary Completion

March 1, 2026

Study Completion

May 1, 2026

Last Updated

August 15, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

De-identified data may be used internally for algorithm development and clinical workflow optimization, but will not be publicly shared.