Caveolin-1 and Vascular Dysfunction
Caveolin-1 and Vascular Dysfunction
Thank you for your interest in the investigators Blood Pressure Research Study. The National Institutes of Health are sponsoring us to investigate why patients develop high blood pressure, atherosclerosis (hardening of the arteries), and heart disease. There are two parts of the investigators research program. The first part is a screening visit. At this visit you will be given a brief physical exam and will be asked questions concerning your medical history. During the same visit you will have your blood drawn for routine screening and genetic testing. You will also be asked to collect a urine sample for routine screening.
If the doctor finds that you are a healthy candidate you will be invited to participate in the second part of the study. During Phase II, the investigators will perform physiological tests after you are placed on a low salt diet and again after you are placed on a higher salt diet. If you are on blood pressure medication, it may be necessary to discontinue taking your present medication for up to three months before beginning the study. Patients discontinuing their current blood pressure medication may be placed on a different blood pressure medication during this 'washout' period if necessary to maintain blood pressure at pre-study levels.
Once your blood pressure medications are discontinued, you will be closely monitored. If you do not own a home blood pressure monitor, the investigators will provide one for you to use during the study so that you can keep a daily record of your blood pressure readings. The investigators will ask you to call us every three days to report your blood pressure readings. After you have stopped taking your medication, dieticians at the hospital will make you low salt meals to eat at home for about seven days. On the last day of the low salt diet, you will be asked to begin a 24-hour urine collection that you will bring with you when you are admitted to the hospital that evening. That morning, you will be required to come to the Center for Clinical Investigations (CCI) at Brigham and Women's Hospital for a one-hour test to check if your body is in the correct salt balance.
You will return that evening to the CCI where you will be admitted for your study that will occur the next morning. On the morning of your low salt study, the investigators will collect some blood samples. The investigators will also take ultrasound pictures of your heart to see how salt and hormones affect the way your heart and blood vessels functions. These tests will last approximately 5 hours and you will be discharged around 2:00 PM. For the next 5-7 days, you will be placed on a high salt diet. During this diet period, you will eat all your own food, but the investigators will give you some supplements to add to your meals. After 5-7 days on your high salt diet, on the morning of your second admission to the hospital, you will be asked to begin a final 24-hour urine collection. That morning, you will again be required to come to the CCI for a blood test, and you will return later that evening to the inpatient CCI where you will be admitted for your final overnight study. The same study that was done for the low salt diet will be repeated for the high salt study. You will be discharged at around 2:00 p.m. These studies will help to determine if you are salt-sensitive. In addition, the investigators hope to learn more about the hormones that regulate your blood pressure and the genes responsible for regulating those hormones.
You will have the option to spend a second night in the CCI after each diet phase in order to participate in an optional study of the blood vessels in the arm. This study also uses an ultrasound machine. It will last about 2 hours in the morning.
You will be placed back on your initial blood pressure medication (if you are on any) and returned to your regular physician for care. The investigators can also provide clinically relevant information to you.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
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
Description
Inclusion Criteria:
- age 18-65
- mild to moderate hypertension
- no other major illnesses
- BMI < or equal to 40
Exclusion Criteria:
- secondary illnesses
- BMI > 40
- taking 4 or more anti-hypertensive medications
- BP >160/100 on screening exam
- Alcohol intake >12 oz per week
- Current smoking
- Recreational drug use
- use of birth control pills or contraceptive hormone shots
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: major allele homozygous
we will compare this arm with the minor allele carrier arm
|
Aminohippurate sodium is an agent to measure effective renal plasma flow (ERPF).
It is the sodium salt of para-aminohippuric acid, commonly abbreviated "PAH".
Other Names:
Angiotensin II (Ang II) is a naturally occurring hormone whose primary purpose is to regulate the body's internal volume.
It accomplishes this task by influencing the function of a variety of organs and tissues.
It increases aldosterone secretion from the adrenal gland.
It causes blood vessels to contract, particularly renal blood vessels, and it modifies the way the heart works.
Other Names:
A hormone that is normally present in your body, which regulates your blood pressure.
Other Names:
|
|
Experimental: minor allele carriers
we will compare this arm with the major allele homozygous arm
|
Aminohippurate sodium is an agent to measure effective renal plasma flow (ERPF).
It is the sodium salt of para-aminohippuric acid, commonly abbreviated "PAH".
Other Names:
Angiotensin II (Ang II) is a naturally occurring hormone whose primary purpose is to regulate the body's internal volume.
It accomplishes this task by influencing the function of a variety of organs and tissues.
It increases aldosterone secretion from the adrenal gland.
It causes blood vessels to contract, particularly renal blood vessels, and it modifies the way the heart works.
Other Names:
A hormone that is normally present in your body, which regulates your blood pressure.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Genetic Variation at the Caveolin-1 Locus
Time Frame: 5 years
|
We are testing our hypothesis that genetic variation at the cav-1 locus is a determinant of vascular phenotypes in hypertensive subjects. We will recruit hypertensive subjects who will be classified into two groups according to genotype status at rs926198 of CAV-1. Vascular function status will be determined using four markers: renal blood flow (primary endpoint), brachial artery reactivity, aortic compliance, and blood pressure levels. We will assess these endpoints before and after two provocations: low vs. high salt intake and AngII infusion. |
5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Luminita Pojoga, PhD, Brigham and Women's Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Metabolic Diseases
- Glucose Metabolism Disorders
- Hyperinsulinism
- Nutritional and Metabolic Diseases
- Hypertension
- Insulin Resistance
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Peptide Hormones
- Neuropeptides
- Peptides
- Amino Acids, Peptides, and Proteins
- Oligopeptides
- Nerve Tissue Proteins
- Proteins
- Organic Chemicals
- Hydrocarbons
- Hydrocarbons, Cyclic
- Biological Factors
- Carboxylic Acids
- Hydrocarbons, Aromatic
- Amides
- Amines
- Catechols
- Phenols
- Benzene Derivatives
- Alcohols
- Amino Alcohols
- Ethanolamines
- Acids, Carbocyclic
- para-Aminobenzoates
- Aminobenzoates
- Benzoates
- Keto Acids
- Autacoids
- Inflammation Mediators
- Biogenic Monoamines
- Biogenic Amines
- Catecholamines
- Benzamides
- Angiotensins
- Aminohippuric Acids
- Hippurates
- Norepinephrine
- Angiotensin II
- p-Aminohippuric Acid
Other Study ID Numbers
Other Study ID Numbers
- 2010P002187
- 1R01HL104032-01 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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