Remote Patient Monitoring for Chronic Hypertension During Pregnancy (REACH)

Starting soon · Not applicable

Conditions studied: Chronic Hypertension in Pregnancy

In brief

We hypothesize that frequent remote monitoring of blood pressure and real-time antihypertensive medication titration will optimize pregnancy outcomes in a clinically meaningful and cost-effective manner compared to the current standard of care. Therefore, this pilot study, as part of the K12 training support, will evaluate the feasibility of a randomized clinical trial to treat mild chronic hypertension with medication therapy to a blood pressure goal of less than 140/90 mmHg based on remote daily patient monitoring compared to in-office blood pressure readings.

Key facts

Study ID

NCT07115199

Run by

Rutgers, The State University of New Jersey

People needed

50

Starts

2026-11-01

Expected to finish

2029-06-30

Last updated by the study team

2026-07-08

Who can join

Age: 18 and older, up to 55. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• Age 18 or older
• Patients with a viable pregnancy <23 weeks of gestation
• Chronic hypertension is defined as: 1) Currently receiving treatment for hypertensive disorders OR 2) Newly diagnosed or untreated chronic hypertension is defined as systolic blood pressure >=140 mm Hg or diastolic blood pressure >=90 mm Hg prior to 20 weeks of gestation
• Viable pregnancy <23 weeks of gestation
• Ability to follow directions
• Ability to consent
• Speak English or Spanish

You may not qualify if…

• Known secondary cause of hypertension
• Known major fetal anomaly
• Known fetal demise
• Suspected fetal growth restriction
• Membrane rupture
• Planned termination
• Plan to deliver outside of the RWJ Barnabas Health system
• Known sensitivity to labetalol or nifedipine
• Unlikely to follow up, in the opinion of the study staff.
• Any medical condition that the providers feel is a contraindication to the REACH algorithm.
• Unwillingness to take blood pressure at home

Where it is running

• Rutgers Robert Wood Johnson Medical School — New Brunswick, New Jersey, United States

Full record on ClinicalTrials.gov

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