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NCT04911049: DrépaPA

Prevalence and Pathophysiology of Systemic Arterial Pressure Abnormalities in Childhood Sickle Cell Disease

Status unknown Last updated 18 October 2021
What this trial tests

trial testing Blood Pressure measurement in Sickle Cell Disease in 200 participants. Status unknown.

Timeline
1 June 2021
Primary endpoint
1 June 2023
1 June 2023

Quick facts

Lead sponsorAssistance Publique - Hôpitaux de Paris
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment200
Start date1 June 2021
Primary completion1 June 2023
Estimated completion1 June 2023
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

Assistance Publique - Hôpitaux de Paris — full company profile →

Who can join

Adults 6 to 18, any sex, with Sickle Cell Disease. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

It is usually found that the blood pressure of adults with sickle cell disease is lower than in non-sickle cell patients. On the other hand, three recent prospective studies in children with sickle cell disease show prevalence of hypertension diagnosed by ambulatory blood pressure measurement (ABPM) ranging from 32 to 45% but on small numbers of patients (n = 54 at most). This hypertension appears to affect kidney function and has been previously associated with the risk of hemorrhagic stroke. It is therefore important to know the prevalence of hypertension in children with sickle cell disease and to determine its mechanisms. The factors which could explain this high prevalence are the increase in arterial stiffness and the increase in systemic vascular resistance linked to the alteration of the sympathovagal balance contributing to the regulation of vascular tone. Indeed, a disturbance of this balance with an increase in vasoconstrictor sympathetic tone has already been found. Hypothesis: In a subgroup of sickle cell children there is systemic hypertension (prevalence: main objective) linked to the alteration of the sympathovagal balance already established during sickle cell disease (increase in sympathetic tone and decrease in parasympathetic tone) affecting systemic vascular resistance (secondary pathophysiological objectives).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. No Increase in Masked Hypertension Prevalence in Children With Sickle Cell Disease in France.
    Bokov P, Koehl B, Benzouid C, Verlhac S, et al · · 2024 · cited 2× · PMID 38323455 · DOI 10.1093/ajh/hpae013

Verify or expand the search:

Other trials of Blood Pressure measurement

Trials testing the same drug.

Other recruiting trials for Sickle Cell Disease

Currently open trials in the same condition.

Other Assistance Publique - Hôpitaux de Paris trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing