Effects of Heart Rate Reduction on Central Arterial Pressure in Healthy Individuals

NCT ID: NCT00825123

Last Updated: 2020-08-17

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2011-11-08

Brief Summary

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The purpose of this project is to determine the effects of slowing heart rate upon both central and peripheral blood pressures using Ivabradine. The effects of Ivabradine will be compared to Metoprolol and placebo.

Participants will attend the hospital for 3 visits where they will be randomised to receive either Ivabradine, Metoprolol and placebo on each visit. Non-invasive measures of blood pressure will be recorded before and after consuming the study drug.

Detailed Description

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Participants will undergo three days of laboratory testing, each visit separated by at least seven days.

In order to assess each potential participant's suitability for the study based upon the relevant inclusion and exclusion criteria, the first visit will involve a medical consultation (history and physical examination), venepuncture (for full blood examination, lipid profile and biochemistry) and a 12-lead surface electrocardiogram. Baseline measurements of central and peripheral arterial and pulse wave velocity will be made at baseline, and 4 hours following the administration of either placebo, 50mg of metoprolol or a 10mg oral dose of ivabradine. The placebo will contain lactose powder.

Subjects will be randomized according to a 3-by-3 Latin square design. Central pulse pressure will be assessed using carotid artery tonometry using a non-invasive Millar Mikro-tip pressure transducer. The transducer is used to applanate the carotid artery and calibrated using brachial mean and diastolic blood pressure (automated oscillometric sphygmomanometer).

Pressure waveforms will also be recorded at the radial, brachial and femoral arteries to permit study of wave reflection at these sites.

Measurements will be taken be taken before and 4 hours following the oral administration of metoprolol/ivabradine/placebo.

Bias will be minimized by blinding both the participants and research staff responsible for data collection to the administered drug.

Any potential patient-specific confounding factors will have minimal impact, as the same participants will be studied after the administration of the three agents.

Conditions

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Central Arterial Pressure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Ivabradine

Group Type EXPERIMENTAL

Ivabradine

Intervention Type DRUG

Ivabradine 10 mg once

Metoprolol

Group Type ACTIVE_COMPARATOR

Metoprolol

Intervention Type DRUG

Metoprolol 50 mg once

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Lactose powder

Interventions

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Ivabradine

Ivabradine 10 mg once

Intervention Type DRUG

Metoprolol

Metoprolol 50 mg once

Intervention Type DRUG

Placebo

Lactose powder

Intervention Type DRUG

Other Intervention Names

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Coralan

Eligibility Criteria

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Inclusion Criteria

Healthy volunteers:

* aged 18 - 25 years OR
* aged \>60 years

Exclusion Criteria

* Chronic disease
* Unable to give informed consent
* Treated or untreated systemic arterial hypertension (SBP \>160mmHg and/or DBP \> 90mmHg)
* Resting bradycardia (heart rate \< 60 beats/minute)
* Pregnancy or active lactation
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Baker Heart and Diabetes Institute

OTHER

Sponsor Role collaborator

Bayside Health

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bronwyn A Kingwell, PhD

Role: PRINCIPAL_INVESTIGATOR

Baker IDI Hearte & Diabetes Institute

Locations

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The Alfred Hospital

Melbourne, Victoria, Australia

Site Status

Countries

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Australia

Other Identifiers

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141/07 bayside health

Identifier Type: -

Identifier Source: org_study_id

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