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Trial · NCT03461003

N-of-1 Trials In Children With Hypertension

NCT03461003, Phase 4, Completed, The University of Texas Health Science Center, Houston; results first posted 2022-09-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. N-of-1 Trials In Children With Hypertension. Trials, record NCT03461003. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03461003

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
N-of-1 Trials In Children With Hypertension
NCT number
NCT03461003
Status
Completed
Phases
Phase 4
Enrollment
49 participants, actual
Lead sponsor
The University of Texas Health Science Center, Houston
Conditions
Pediatric Hypertension
Interventions
NICHE method, Usual care, Amlodipine, Lisinopril, Hydrochlorothiazide, Losartan
First posted
2018-03-09
Last updated
2022-09-09
Results first posted
2022-09-09

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Ambulatory Blood Pressure (BP) Control at 6 Months6 months from enrollment
Blood pressure control is when ambulatory blood pressure is normal, with normal as defined by the American Heart Association (AHA) criteria \[the AHA criteria are systolic blood pressure and diastolic blood pressure (throughout wake and sleep) less than the 95th percentile based on the patient's gender and height\]. To assess ambulatory blood pressure, participants wear a 24-hour blood pressure monitor, which records blood pressure at regular intervals throughout a 24-hour period.
SecondaryChange in Mean 24-hour Ambulatory Systolic Blood Pressurebaseline, 6 months
To assess 24-hour mean ambulatory blood pressure, participants wear a 24-hour blood pressure monitor, which records blood pressure at regular intervals throughout a 24-hour period, while awake and while asleep. The mean of all recordings over the 24-hour period is calculated per participant for both baseline and 6 months, and then the mean 24-hour systolic blood pressure at 6 months minus the mean 24-hour systolic blood pressure at baseline is calculated per participant. The average difference is reported, with a negative value indicating a reduction in blood pressure over time.
SecondaryChange in Mean Wake Ambulatory Systolic Blood Pressurebaseline, 6 months
To assess mean wake ambulatory blood pressure, participants wear a 24-hour blood pressure monitor, which records blood pressure at regular intervals throughout a 24 hour period, throughout wake and sleep. The mean of all recordings that occur while the participant is awake during the 24-hour period is calculated for both baseline and 6 months, and then the mean wake systolic blood pressure at 6 months minus the mean wake systolic blood pressure at baseline is calculated per participant. The average difference is reported, with a negative value indicating a reduction in blood pressure over time.
SecondaryNumber of Participants Who Reported That Side Effects From Medication Led Them to Discontinue Medicationfrom baseline to 6 months
SecondaryNumber of Participants Who Self-reported Adherence to Interventionfrom month 5 to month 6Adherence is reported as the number of participants who self-reported at the 6-month visit that they had not missed any doses of their medication in the preceding month.
SecondaryPatient Satisfaction With Intervention as Assessed by a Survey6 monthsPatient satisfaction is scored from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Ambulatory Blood Pressure (BP) Control at 6 Months6 months from enrollmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange in Mean 24-hour Ambulatory Systolic Blood Pressurebaseline, 6 monthsOne patient in each arm was missing a baseline ambulatory blood pressure monitoring (ABPM), so change from baseline could not be calculated for each of those participantsmmHgMEAN
SECONDARYChange in Mean Wake Ambulatory Systolic Blood Pressurebaseline, 6 monthsOne patient in each arm was missing a baseline ambulatory blood pressure monitoring (ABPM), so change from baseline could not be calculated for each of those participantsmmHgMEAN
SECONDARYNumber of Participants Who Reported That Side Effects From Medication Led Them to Discontinue Medicationfrom baseline to 6 monthsData were not collected from 5 participants in the NICHE method arm, and data were not collected from 5 participants in the Usual Care armParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Self-reported Adherence to Interventionfrom month 5 to month 6Data were not collected for 3 participants in the NICHE method arm.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPatient Satisfaction With Intervention as Assessed by a Survey6 monthsData were not collected for 4 participants in the NICHE method arm. Data were not collected for 2 participants in the Usual Care arm.score on a scaleMEAN

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Ambulatory Blood Pressure (BP) Control at 6 MonthsNICHE MethodControlled8Participants
Number of Participants With Ambulatory Blood Pressure (BP) Control at 6 MonthsUsual CareControlled8Participants
Number of Participants With Ambulatory Blood Pressure (BP) Control at 6 MonthsNICHE MethodUncontrolled10Participants
Number of Participants With Ambulatory Blood Pressure (BP) Control at 6 MonthsUsual CareUncontrolled15Participants
Change in Mean 24-hour Ambulatory Systolic Blood PressureNICHE Method-10.6Standard Deviation 9.301mmHg
Change in Mean 24-hour Ambulatory Systolic Blood PressureUsual Care-5.1Standard Deviation 9.586mmHg
Change in Mean Wake Ambulatory Systolic Blood PressureNICHE Method-10.5Standard Deviation 7.747mmHg
Change in Mean Wake Ambulatory Systolic Blood PressureUsual Care-6.2Standard Deviation 10.123mmHg
Number of Participants Who Reported That Side Effects From Medication Led Them to Discontinue MedicationNICHE Method0Participants
Number of Participants Who Reported That Side Effects From Medication Led Them to Discontinue MedicationUsual Care3Participants

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDNICHE Method23
Overall StudySTARTEDUsual Care26
Overall StudyReceived InterventionNICHE Method21
Overall StudyReceived InterventionUsual Care22
Overall StudyCompleted 6-month Follow upNICHE Method18
Overall StudyCompleted 6-month Follow upUsual Care23
Overall StudyCOMPLETEDNICHE Method18
Overall StudyCOMPLETEDUsual Care23
Overall StudyNOT COMPLETEDNICHE Method5
Overall StudyNOT COMPLETEDUsual Care3

Adverse events6

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDizzinessGastrointestinal disordersNICHE Method023
otherDizzinessGastrointestinal disordersUsual Care126
otherTirednessGeneral disordersNICHE Method023
otherTirednessGeneral disordersUsual Care126
otherSleeping PoorlyGeneral disordersNICHE Method023
otherSleeping PoorlyGeneral disordersUsual Care126

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNICHE Method023
Total, all-cause mortalityUsual Care026
Total, other adverse eventsNICHE Method023
Total, other adverse eventsUsual Care326
Total, serious adverse eventsNICHE Method023
Total, serious adverse eventsUsual Care026

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
24591341BACKGROUNDPubMed
36227203DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
UL1TR003167Center for Clinical and Translational Sciences (CCTS)MCPHERSON, DAVID D; KARP, DANIEL DUNIVERSITY OF TEXAS HLTH SCI CTR HOUSTONNATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES2019 to 2023

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
NICHE Method vs Usual Care: Number of Participants Who Reported That Side Effects From Medication Led Them to Discontinue MedicationTrial comparisons
NICHE Method vs Usual Care: Number of Participants Who Self-reported Adherence to InterventionTrial comparisons
NICHE Method vs Usual Care: deaths from any causeTrial comparisons
NICHE Method vs Usual Care: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03461003

GET https://conductscience.org/api/trials/v1/NCT03461003/registered