Smart drug choice: matching pills to your heart type may beat standard BP care
NCT ID NCT07240909
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study tests whether choosing blood pressure medication based on a person's specific heart and blood vessel measurements (hemodynamic phenotyping) works better than the usual guideline-based approach. About 240 adults with mild-to-moderate hypertension who have never taken blood pressure drugs will receive either a personalized drug (amlodipine, metoprolol, or indapamide) or standard treatment for 8 weeks. The goal is to see if the personalized method leads to greater blood pressure reduction with similar safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- amlodipine, metoprolol, or indapamide
- What this could lead to
- If it works, this could show that matching blood pressure drugs to a person's specific heart and blood vessel type leads to better blood pressure control than the usual one-size-fits-all approach.
- What could go wrong
- This is a relatively small, early-phase trial (240 people) that hasn't started yet. The personalized approach may not prove better than standard care, and results may not apply to everyone with hypertension.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Aged ≥30 and \<80 years, regardless of gender; 2. Confirmed diagnosis of hypertension meeting the criteria outlined in the 2024 Chinese Hypertension Guidelines: office blood pressure ≥140/90 mmHg and home blood pressure ≥135/85 mmHg; 3. Mild to moderate hypertension, with office blood pressure ranging from 140-179/90-109 mmHg; 4. No prior use of antihypertensive medications; 5. Voluntary participation in the study with written informed consent obtained. Exclusion Criteria: 1. Diagnosed or highly suspected secondary hypertension; 2. Classified as mixed type according to hemodynamic typing; 3. Allergy to the intended antihypertensive medications; 4. Dysphagia; 5. Pregnant or lactating women; 6. Potential pregnancy plans during the trial period; 7. Uncorrected electrolyte disturbances; 8. Severe organ dysfunction; 9. Comorbid conditions leading to inaccurate blood pressure measurement; 10. Comorbid conditions or states unsuitable for noninvasive hemodynamic measurement via bioelectrical impedance; 11. Comorbid conditions contraindicating or requiring caution with trial medications; 12. Comorbid conditions affecting the absorption, distribution, metabolism, or excretion of trial drugs; 13. Concurrent or planned use of medications contraindicated or requiring caution with trial drugs; 14. Concurrent or planned use of medications interfering with trial outcomes; 15. Clinician's assessment deems the patient unsuitable for the trial's antihypertensive regimen; 16. Current participation in other clinical studies that may interfere with the conduct of this trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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