Ocular Hemodynamic Effects of Nitrovasodilators in Healthy Subjects

NCT ID: NCT00810381

Last Updated: 2008-12-18

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-01-31

Study Completion Date

1999-06-30

Brief Summary

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Glaucoma, one of the most common causes of blindness, is associated with increased intraocular pressure (IOP) and optic nerve head ischemia. Nitrovasodilators are discussed in the treatment of glaucoma. Nitrates relax smooth muscle cells in the vasculature by liberating the vasodilator nitric oxide.

The IOP lowering potential and the vasodilator action in retinal and choroidal vessels of nitrates is still a matter of controversy. Previous studies on the ocular hemodynamic effects of nitrates showed partially contradicting results. In addition the IOP lowering effect of nitrates is still unclear. However, recent studies show that long acting nitrates may preserve optic nerve deterioration and visual field loss.

Therefore, the role of nitrovasodilators in control of ocular blood flow and intraocular pressure has to be elucidated. For this purpose the investigators plan to test the hypothesis that nitrovasodilators improve ocular blood supply to the optic nerve head at doses which do not affect systemic hemodynamics.

Detailed Description

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Conditions

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Glaucoma

Keywords

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Nitrovasodilators ONH blood flow Choroidal blood flow Nitroglycerin Isosorbide Dinitrate Sodium nitroprusside Laser-Doppler Flowmetry Regional Blood Flow

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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1

Nitroglycerin: (Perlinganit, Nycomet Heilmittelwerke, Vienna, Austria):

0, 0.25, 0.5, 1, 1.5 and 2 µg/kg/min, each infusion step for 20 minutes

Group Type ACTIVE_COMPARATOR

Nitroglycerin

Intervention Type DRUG

intravenous infusion; 0, 0.125, 0.25, 0.5, 1 and 2 µg/kg/min; 20 minutes per infusion step

2

Isosorbide-Dinitrate: (Isoket 0,1 %, Gebro Broschek, Fieberbrunn, Austria):

0, 0.5, 1, 2, 4 and 6 µg/kg/min , each infusion step for 20 minutes

Group Type ACTIVE_COMPARATOR

Isosorbide-Dinitrate

Intervention Type DRUG

intravenous infusion; 0, 0.5, 1, 2, 4, and 6 µg/kg/min; 20 minutes per infusion step

3

Sodium-Nitroprusside: (Nipruss, Sanol-Schwarz, Monheim, Germany):

0, 0.25, 0.5, 1, 2 and 4 µg/kg/min, each infusion step for 20 minutes

Group Type ACTIVE_COMPARATOR

Sodium-nitroprusside

Intervention Type DRUG

intravenous infusion; 0, 0.25, 0.5, 1, 2, and 4 µg/kg/min; 20 minutes per infusion step

4

Physiologic saline solution

Group Type PLACEBO_COMPARATOR

Physiologic saline solution (control substance)

Intervention Type DRUG

intravenous infusion, infusion period 120 minutes

Interventions

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Nitroglycerin

intravenous infusion; 0, 0.125, 0.25, 0.5, 1 and 2 µg/kg/min; 20 minutes per infusion step

Intervention Type DRUG

Isosorbide-Dinitrate

intravenous infusion; 0, 0.5, 1, 2, 4, and 6 µg/kg/min; 20 minutes per infusion step

Intervention Type DRUG

Sodium-nitroprusside

intravenous infusion; 0, 0.25, 0.5, 1, 2, and 4 µg/kg/min; 20 minutes per infusion step

Intervention Type DRUG

Physiologic saline solution (control substance)

intravenous infusion, infusion period 120 minutes

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men aged between 19 and 35 years, nonsmokers
* Body mass index between 15th and 85th percentile (Must et al. 1991)
* Normal findings in the medical history and physical examination unless the investigator considers an abnormality to be clinically irrelevant
* Normal laboratory values unless the investigator considers an abnormality to be clinically irrelevant
* Normal ophthalmic findings, ametropia \< 3 Dpt.

Exclusion Criteria

* Regular use of medication, abuse of alcoholic beverages, participation in a clinical trial in the 3 weeks preceding the study
* Treatment in the previous 3 weeks with any drug
* Symptoms of a clinically relevant illness in the 3 weeks before the first study day
* History of hypersensitivity to the trial drug or to drugs with a similar chemical structure
* History or presence of gastrointestinal, liver or kidney disease, or other conditions known to interfere with, distribution, metabolism or excretion of study drugs
* History of migraine
* Blood donation during the previous 3 weeks
Minimum Eligible Age

19 Years

Maximum Eligible Age

35 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Department of Clinical Pharmacology, Medical University of Vienna

Principal Investigators

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Hans-Georg Eichler, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Clinical Pharmacology, Medical University of Vienna

Locations

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Department of Clinical Pharmacology, Medical University of Vienna

Vienna, , Austria

Site Status

Countries

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Austria

Other Identifiers

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OPHT-211097

Identifier Type: -

Identifier Source: org_study_id