Status:

COMPLETED

Pediatric Primary Hypertension and the Renin-Angiotensin System (PHRAS)

Lead Sponsor:

Wake Forest University Health Sciences

Conditions:

Pediatric Disorder

Pediatric Obesity

Eligibility:

All Genders

5-17 years

Brief Summary

Pediatric primary hypertension is increasingly common, occurring in 5-10% of normal-weight children and up to 25% of children with obesity. It is a risk factor for adult cardiovascular and renal disea...

Detailed Description

This proposal is to begin to elucidate the origins of pediatric primary hypertension and determine how it causes cardiac and renal disease. The primary hypothesis is than an altered renin-angiotensin ...

Eligibility Criteria

Inclusion

  • Hypertension cohort: 5 to 17 years old with a new diagnosis of pediatric primary hypertension (systolic or diastolic blood pressure \>=95th percentile for age/sex/height or \>=130/80 mmHg.
  • Normotensive controls with obesity: 5 to 17 years old with normal systolic and diastolic blood pressure (\<90th percentile for age/sex/height or \<120/80 mmHg) and BMI \>=85th percentile for age/sex.
  • Normotensive controls: 5 to 17 years old with normal systolic and diastolic blood pressure (\<90th percentile for age/sex/height or \<120/80 mmHg).

Exclusion

  • Secondary hypertension
  • Confounding medical condition (e.g. diabetes mellitus, chronic kidney disease, heart disease, vascular disease, inflammatory or rheumatologic disease)
  • Non-English and non-Spanish speaking
  • Inability to complete assessments

Key Trial Info

Start Date :

December 3 2018

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 26 2023

Estimated Enrollment :

35 Patients enrolled

Trial Details

Trial ID

NCT03310684

Start Date

December 3 2018

End Date

April 26 2023

Last Update

February 28 2025

Active Locations (1)

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1

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, United States, 27157