Effect of 6R-BH4 Treatment in Coronary Artery Disease (OXBIO Study)

NCT ID: NCT00423280

Last Updated: 2008-08-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2009-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine the effect of 6R-BH4 on vascular function in patients with coronary artery disease. We hypothesize that 6R-BH4 will improve vascular function in these patients.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Decreased production of nitric oxide (NO) from the endothelium (the layer of cells that forms the lining of all blood vessels) has been shown to contribute to atherosclerosis. NO has multiple beneficial effects on vascular function. Endothelial function can be measured in humans via a number of methods, and endothelial dysfunction has been shown to be a strong adverse predictor of cardiovascular events and mortality.

Tetrahydrobiopterin (BH4) is essential for the production of NO in endothelial cells. 6R-BH4 is a synthetic version of naturally occurring BH4. We aim to investigate the effects of oral 6R-BH4 supplementation on endothelial function in patients with coronary artery disease.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Coronary Artery Disease

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Endothelium Nitric Oxide Magnetic Resonance Imaging Tetrahydrobiopterin

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

1

700mg/day 6R-BH4

Group Type ACTIVE_COMPARATOR

6R-BH4

Intervention Type DRUG

6R-BH4 tablets 700mg/day, 6R-BH4 tablets 400mg/day or placebo

2

400mg/day 6R-BH4

Group Type ACTIVE_COMPARATOR

6R-BH4

Intervention Type DRUG

6R-BH4 tablets 700mg/day, 6R-BH4 tablets 400mg/day or placebo

3

Placebo

Group Type PLACEBO_COMPARATOR

6R-BH4

Intervention Type DRUG

6R-BH4 tablets 700mg/day, 6R-BH4 tablets 400mg/day or placebo

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

6R-BH4

6R-BH4 tablets 700mg/day, 6R-BH4 tablets 400mg/day or placebo

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Sapropterin dihydrochloride

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Multi-vessel coronary artery disease scheduled for coronary artery bypass surgery (CABG)

Exclusion Criteria

* Inability to provide informed consent
* Female subject who is pregnant, lactating or planning pregnancy during course of study
* Prior clinical diagnosis of heart failure requiring diuretic therapy with evidence of severe left ventricular dysfunction
* Recent acute coronary event (\<4 weeks)
* Emergency CABG
* Newly diagnosed diabetes mellitus (\<1 month)
* Body weight \>130kg
* Impaired renal function (creatinine \>180umol/l)
* Elevated liver function tests (ALT \>50umol/l or AST \>2x normal)
* Pacemakers, ICDs or metallic implants not compatible with MRI scanning
* Subjects receiving experimental medications or participating in another study
* Terminally ill subjects
* Known hypersensitivity to 6R-BH4
* Concomitant treatment with methotrexate, levodopa, PDE-3 or PDE-5 inhibitors
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

BioMarin Pharmaceutical

INDUSTRY

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

University of Oxford

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Keith M Channon, MD FRCP

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Department of Cardiovascular Medicine, University of Oxford

Oxford, , United Kingdom

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

United Kingdom

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Colin Cunnington, MBChB MRCP

Role: CONTACT

Phone: +44-1865-221866

Email: [email protected]

References

Explore related publications, articles, or registry entries linked to this study.

Cunnington C, Van Assche T, Shirodaria C, Kylintireas I, Lindsay AC, Lee JM, Antoniades C, Margaritis M, Lee R, Cerrato R, Crabtree MJ, Francis JM, Sayeed R, Ratnatunga C, Pillai R, Choudhury RP, Neubauer S, Channon KM. Systemic and vascular oxidation limits the efficacy of oral tetrahydrobiopterin treatment in patients with coronary artery disease. Circulation. 2012 Mar 20;125(11):1356-66. doi: 10.1161/CIRCULATIONAHA.111.038919. Epub 2012 Feb 7.

Reference Type DERIVED
PMID: 22315282 (View on PubMed)

Cunnington C, Channon KM. Tetrahydrobiopterin: pleiotropic roles in cardiovascular pathophysiology. Heart. 2010 Dec;96(23):1872-7. doi: 10.1136/hrt.2009.180430. Epub 2010 Sep 13.

Reference Type DERIVED
PMID: 20837663 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

06/Q1604/114

Identifier Type: -

Identifier Source: org_study_id