Direct Renin Inhibition and the Kidney
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy adult male or female, 18-75 years of age
- Female subjects must be postmenopausal or surgically sterilized. Postmenopausal females must have had no regular menstrual bleeding for at least one (1) year prior to initial dosing. Menopause will be confirmed by plasma serum FSH level at screening between 23.0-116.3 mIU/ml. Female subjects who report surgical sterilization must have had the procedure at least six (6) months prior to initial dosing.
- Male subjects, able to father a child, must be willing to use approved birth control methods for 2 weeks following completion of study.
Exclusion Criteria:
- Subjects under 18 and subjects over 75 years
- Diabetes Mellitus and/or kidney disease
- Myocardial infarction, stroke, or cardiovascular revascularization/angioplasty within the last 6 months
- Unstable angina pectoris or CAD requiring treatment with an excluded concomitant medication
- History of/or symptoms consistent with congestive heart failure
- Hypertension
- History of left ventricular ejection fraction < 45%
- Current smokers or nicotine patch
- Pregnant or lactating females
- Cancer or any life threatening illness with expected death within 2 years or by completion of the study
- Serum creatinine >1.4 mg/dl
- Serum potassium <3.5 or >5.2 mmol/L without medication
- Serum albumin < 2.0 g/dL
- Hemoglobin < 11.5 g/dL or Hematocrit < 34%
- Any serum AST >/= 60 or ALT >/= 75 IU/L
- Use of any prescription drugs which may affect the renin-angiotensin-aldosterone system or with known effect on renal hemodynamics are not allowed within 10 days prior to dosing or during the study
- Use of CYP3A4 inhibitors (e.g. Diltiazem, Ketoconazole, Nifedipine, or Verapamil)
- Use of any prescription medication is prohibited within 14 days (or, if known, for at least 5 half-lives, if longer) prior to dosing, unless approved by both the Investigator and the Sponsor
- Use of any over-the-counter (OTC) medication, including herbal products, is prohibited within the 14 days prior to dosing, unless approved by both the Investigator and the Sponsor
- Donation or loss of 400 mL or more of blood within 8 weeks prior to first dosing
- A known hypersensitivity or contraindication to the study drugs (Aliskiren) or drugs similar to the study drugs or PAH, and inulin
- Any surgical or medical condition which alters absorption, distribution, metabolism or excretion of drugs or which may jeopardize the patient subject during this study, including gastric bypass
- History of drug or alcohol abuse within the 12 months prior to dosing, or evidence of such abuse as indicated by past medical history
- Acute infections and/or significant illness within 3 weeks of planned enrollment into this study
- Any medical condition in the investigator's opinion, which renders the subject unable to complete the study or which would produce significant risk to the subject
- Administration of any other investigational drug within 30 days of planned dosing in the study
- Poor intravenous (IV) access as determined by the study staff
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: placebo
|
single dose, tablet
|
|
Experimental: VTP-27999
|
single dose, tablet
|
|
Active Comparator: aliskiren
|
single dose, tablet
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
renal plasma flow
Time Frame: pre-dose to 6 hours post-dose
|
as measured by PAH clearance
|
pre-dose to 6 hours post-dose
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
glomerular filtration rate
Time Frame: pre-dose to 6 hours post-dose
|
pre-dose to 6 hours post-dose
|
|
|
RAAS pathway biomarkers
Time Frame: pre-dose to 24 hours post-dose
|
renin, prorenin, plasma renin activity, ang II
|
pre-dose to 24 hours post-dose
|
|
VTP-27999 concentrations
Time Frame: pre-dose to 24 hours post-dose
|
pre-dose to 24 hours post-dose
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Norman K Hollenberg, MD, PhD, Brigham and Women's Hospital, Boston, MA
Publications and helpful links
General Publications
- Barkoudah E, Danser AHJ, van Thiel BS, Fisher NDL, Gregg R, Hollenberg NK. Journal of the American Society of Hypertension 9(4)
- Barkoudah E, van Thiel BS, Fisher ND, Gregg RA, Danser AH, Moukarbel GV, Hollenberg NK. Maximum renal responses to renin inhibition in healthy study participants: VTP-27999 versus aliskiren. J Hypertens. 2016 May;34(5):935-41. doi: 10.1097/HJH.0000000000000860.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- VTP-27999-005
- 2010P001281 (Other Identifier: Partners Healthcare System)
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