Trial Outcomes & Findings for Role of Nitric Oxide in the Impact of Aging on Myocardial Remodeling (NCT NCT00603720)

NCT ID: NCT00603720

Last Updated: 2018-09-12

Results Overview

Determine in young healthy volunteers the extent to which acute inhibition of nitric oxide production will effect a shift in myocardial substrate utilization characterized as a decline in myocardial fatty acid oxidation, and perhaps myocardial fatty acid utilization, and increase in myocardial glucose uptake, and whether these changes are associated with a decline in LV function.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

54 participants

Primary outcome timeframe

1-3 months

Results posted on

2018-09-12

Participant Flow

Participant milestones

Participant milestones
Measure
L-Name in Young
20 individuals age 18-35 will be getting an infusion of L-NAME (a nitric oxide inhibitor) during 3 separate PET study days, then a 10-minute infusion of L-arginine to reverse effects of L-NAME. L-NAME: nitric oxide synthase inhibitor 4mg/kg infusion over 30-60 minutes prior to PET imaging
Phenylephrine
25 individuals age 18-35 will be getting an infusion of phenylephrine (primarily an alpha agonist) during 3 separate PET study days Phenylephrine: alpha agonist; 10 μg/kg/min infusion during PET study
L-arginine in Young
20 individuals age 18-35 will be getting an infusion of L-arginine 125 mcg/kg/min for 120 to 140 minutes during 3 separate PET study days L-Arginine: aids in nitric oxide production
L-arginine in Old
20 individuals age 60-75 will be getting an infusion of L-arginine 125 mcg/kg/min for 120 to 140 minutes during 3 separate PET study days L-Arginine: aids in nitric oxide production
L-NAME in Old
20 individuals age 60-75 will be getting an infusion of L-NAME (a nitric oxide inhibitor) during 3 separate PET study days, then a 10-minute infusion of L-arginine to reverse effects of L-NAME L-NAME: nitric oxide synthase inhibitor 4mg/kg infusion over 30-60 minutes prior to PET imaging
Overall Study
STARTED
10
10
12
10
12
Overall Study
COMPLETED
10
10
12
10
12
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
L-Name in Young
n=10 Participants
20 individuals age 18-35 will be getting an infusion of L-NAME (a nitric oxide inhibitor) during 3 separate PET study days, then a 10-minute infusion of L-arginine to reverse effects of L-NAME. L-NAME: nitric oxide synthase inhibitor 4mg/kg infusion over 30-60 minutes prior to PET imaging
Phenylephrine
n=10 Participants
25 individuals age 18-35 will be getting an infusion of phenylephrine (primarily an alpha agonist) during 3 separate PET study days Phenylephrine: alpha agonist; 10 μg/kg/min infusion during PET study
L-arginine in Young
n=12 Participants
20 individuals age 18-35 will be getting an infusion of L-arginine 125 mcg/kg/min for 120 to 140 minutes during 3 separate PET study days L-Arginine: aids in nitric oxide production
L-arginine in Old
n=10 Participants
20 individuals age 60-75 will be getting an infusion of L-arginine 125 mcg/kg/min for 120 to 140 minutes during 3 separate PET study days L-Arginine: aids in nitric oxide production
L-NAME in Old
n=12 Participants
20 individuals age 60-75 will be getting an infusion of L-NAME (a nitric oxide inhibitor) during 3 separate PET study days, then a 10-minute infusion of L-arginine to reverse effects of L-NAME L-NAME: nitric oxide synthase inhibitor 4mg/kg infusion over 30-60 minutes prior to PET imaging
Total
n=54 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=12 Participants
0 Participants
n=10 Participants
0 Participants
n=12 Participants
0 Participants
n=54 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=10 Participants
10 Participants
n=10 Participants
12 Participants
n=12 Participants
10 Participants
n=10 Participants
12 Participants
n=12 Participants
54 Participants
n=54 Participants
Age, Categorical
>=65 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=12 Participants
0 Participants
n=10 Participants
0 Participants
n=12 Participants
0 Participants
n=54 Participants
Sex: Female, Male
Female
10 Participants
n=10 Participants
10 Participants
n=10 Participants
12 Participants
n=12 Participants
10 Participants
n=10 Participants
12 Participants
n=12 Participants
54 Participants
n=54 Participants
Sex: Female, Male
Male
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=12 Participants
0 Participants
n=10 Participants
0 Participants
n=12 Participants
0 Participants
n=54 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 participants
n=10 Participants
10 participants
n=10 Participants
12 participants
n=12 Participants
10 participants
n=10 Participants
12 participants
n=12 Participants
54 participants
n=54 Participants

PRIMARY outcome

Timeframe: 1-3 months

Population: PI left institution. Efforts were made to access the data, without success so there is no access to the data.

Determine in young healthy volunteers the extent to which acute inhibition of nitric oxide production will effect a shift in myocardial substrate utilization characterized as a decline in myocardial fatty acid oxidation, and perhaps myocardial fatty acid utilization, and increase in myocardial glucose uptake, and whether these changes are associated with a decline in LV function.

Outcome measures

Outcome measures
Measure
L-Name in Young
n=10 Participants
20 individuals age 18-35 will be getting an infusion of L-NAME (a nitric oxide inhibitor) during 3 separate PET study days, then a 10-minute infusion of L-arginine to reverse effects of L-NAME. L-NAME: nitric oxide synthase inhibitor 4mg/kg infusion over 30-60 minutes prior to PET imaging
Phenylephrine
n=10 Participants
25 individuals age 18-35 will be getting an infusion of phenylephrine (primarily an alpha agonist) during 3 separate PET study days Phenylephrine: alpha agonist; 10 μg/kg/min infusion during PET study
L-arginine in Young
n=12 Participants
20 individuals age 18-35 will be getting an infusion of L-arginine 125 mcg/kg/min for 120 to 140 minutes during 3 separate PET study days L-Arginine: aids in nitric oxide production
L-arginine in Old
n=10 Participants
20 individuals age 60-75 will be getting an infusion of L-arginine 125 mcg/kg/min for 120 to 140 minutes during 3 separate PET study days L-Arginine: aids in nitric oxide production
L-NAME in Old
n=12 Participants
20 individuals age 60-75 will be getting an infusion of L-NAME (a nitric oxide inhibitor) during 3 separate PET study days, then a 10-minute infusion of L-arginine to reverse effects of L-NAME L-NAME: nitric oxide synthase inhibitor 4mg/kg infusion over 30-60 minutes prior to PET imaging
Effect of NO Inhibition on Myocardial Substrate Metabolism in Humans
NA percentage of substrate
PI left institution. There is no access to the data.
NA percentage of substrate
PI left institution. There is no access to the data.
NA percentage of substrate
PI left institution. There is no access to the data.
NA percentage of substrate
PI left institution. There is no access to the data.
NA percentage of substrate
PI left institution. There is no access to the data.

Adverse Events

L-Name in Young

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Phenylephrine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

L-arginine in Young

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

L-arginine in Old

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

L-NAME in Old

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Robert Gropler, MD, Chief of Cardiovascular Imaging Laboratory

Washington University School of Medicine

Phone: 314-747-3877

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place