Trial Outcomes & Findings for The Genetics of Evoked Responses to Niacin and Endotoxemia: The GENE Study (NCT NCT00953667)

NCT ID: NCT00953667

Last Updated: 2016-03-24

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

400 participants

Primary outcome timeframe

Baseline (-15 min, -5 min), and 1, 2, 4, 6, 12, 18, and 24 hours post LPS

Results posted on

2016-03-24

Participant Flow

400 subjects were enrolled over an approximate 3.5 year period in order to reach target of about 300 subjects completing all visits. Study ended with 277 subjects completing all visits.

All subjects received niacin and LPS doses. There were no separate arms.

Participant milestones

Participant milestones
Measure
Niacin and Endotoxin
Immediate Release Niacin, Extended Release Niacin, Endotoxin: Subjects receive a one-time 1000mg dose of immediate release Niacin (Niacor pills), a one-time 1000mg dose of extended release Niacin (Niaspan pill) and one-time 1ng/kg injection of endotoxin (LPS).
Overall Study
STARTED
400
Overall Study
COMPLETED
277
Overall Study
NOT COMPLETED
123

Reasons for withdrawal

Reasons for withdrawal
Measure
Niacin and Endotoxin
Immediate Release Niacin, Extended Release Niacin, Endotoxin: Subjects receive a one-time 1000mg dose of immediate release Niacin (Niacor pills), a one-time 1000mg dose of extended release Niacin (Niaspan pill) and one-time 1ng/kg injection of endotoxin (LPS).
Overall Study
Lost to Follow-up
11
Overall Study
Physician Decision
35
Overall Study
Withdrawal by Subject
63
Overall Study
Adverse Event
10
Overall Study
poor venous access,unable to draw blood
4

Baseline Characteristics

The Genetics of Evoked Responses to Niacin and Endotoxemia: The GENE Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Niacin and Endotoxin
n=400 Participants
Immediate Release Niacin, Extended Release Niacin, Endotoxin: Subjects receive a one-time 1000mg dose of immediate release Niacin (Niacor pills), a one-time 1000mg dose of extended release Niacin (Niaspan pill) and one-time 1ng/kg injection of endotoxin (LPS).
Age, Continuous
25.42 years
n=5 Participants
Sex: Female, Male
Female
198 Participants
n=5 Participants
Sex: Female, Male
Male
202 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
143 Participants
n=5 Participants
Race (NIH/OMB)
White
255 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (-15 min, -5 min), and 1, 2, 4, 6, 12, 18, and 24 hours post LPS

Population: This analysis population was categorized by race and gender as follows: European American (EA) male n=102, African American (AA) male n=41, EU female n=91, and AA female n=60. Results include measurements at baseline and peak levels of Tumor Necrosis Factor- alpha (TNF-alpha).

Outcome measures

Outcome measures
Measure
Niacin/Endotoxin
n=294 Participants
Niacin/Endotoxin: Subjects receive a one-time 1000mg dose of immediate release Niacin (Niacor pills), a one-time 1000mg dose of extended release Niacin (Niaspan pill) and one-time 1ng/kg injection of endotoxin (LPS).
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Baseline TNF-alpha in EA males (n=102)
1.08 pg/ml
Interval 0.9 to 1.51
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Peak TNF-alpha in EA males (n=102)
43.48 pg/ml
Interval 23.38 to 67.08
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Baseline TNF-alpha in AA males (n=41)
1.03 pg/ml
Interval 0.73 to 1.37
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Peak TNF-alpha in AA males (n=41)
37.28 pg/ml
Interval 17.78 to 51.64
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Baseline TNF-alpha in EA females (n=91)
1.06 pg/ml
Interval 0.82 to 1.45
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Peak TNF-alpha in EA females (n=91)
43.23 pg/ml
Interval 17.32 to 83.2
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Baseline TNF-alpha in AA females (n=60)
1.13 pg/ml
Interval 0.8 to 1.71
Baseline and Peak TNF-alpha Values as Categorized by Race and Gender
Peak TNF-alpha in AA females (n=60)
34.01 pg/ml
Interval 19.1 to 58.06

SECONDARY outcome

Timeframe: Baseline ( -15 min, -5 min), and 1, 2, 4, 6, 12, 18, and 24 hours post LPS

Population: This analysis population was categorized by race and gender as follows: European American (EA) male n=102, African American (AA) male n=41, EU female n=91, and AA female n=60. Results include measurements at baseline and peak levels of C-Reactive Protein (CRP).

Outcome measures

Outcome measures
Measure
Niacin/Endotoxin
n=294 Participants
Niacin/Endotoxin: Subjects receive a one-time 1000mg dose of immediate release Niacin (Niacor pills), a one-time 1000mg dose of extended release Niacin (Niaspan pill) and one-time 1ng/kg injection of endotoxin (LPS).
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Baseline CRP in EA females
0.62 mg/L
Interval 0.33 to 1.73
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Baseline CRP in EA males
0.34 mg/L
Interval 0.17 to 0.8
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Peak CRP in EA males
17.8 mg/L
Interval 11.23 to 24.23
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Baseline CRP in AA males
0.54 mg/L
Interval 0.34 to 1.19
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Peak CRP in AA males
14.25 mg/L
Interval 9.97 to 21.05
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Peak CRP in EA females
15.9 mg/L
Interval 9.88 to 21.9
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Baseline CRP in AA females
0.71 mg/L
Interval 0.21 to 1.92
Baseline and Peak C-Reactive Protein (CRP) Values as Categorized by Race and Gender
Peak CRP in AA females
10.8 mg/L
Interval 8.18 to 16.1

Adverse Events

Niacin and Endotoxin

Serious events: 0 serious events
Other events: 86 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Niacin and Endotoxin
n=400 participants at risk
Immediate Release Niacin, Extended Release Niacin, Endotoxin: Subjects receive a one-time 1000mg dose of immediate release Niacin (Niacor pills), a one-time 1000mg dose of extended release Niacin (Niaspan pill) and one-time 1ng/kg injection of endotoxin (LPS).
Nervous system disorders
Headache
3.2%
13/400 • Number of events 13 • AE data collected for approximately 3.5 years, during the course of all study visits
Gastrointestinal disorders
Vomitting
7.0%
28/400 • Number of events 28 • AE data collected for approximately 3.5 years, during the course of all study visits
Gastrointestinal disorders
Diarrhea
3.0%
12/400 • Number of events 12 • AE data collected for approximately 3.5 years, during the course of all study visits
Blood and lymphatic system disorders
>2g drop in Hgb or <10 g/dL
4.5%
18/400 • Number of events 18 • AE data collected for approximately 3.5 years, during the course of all study visits
Cardiac disorders
Lightheadedness
3.8%
15/400 • Number of events 15 • AE data collected for approximately 3.5 years, during the course of all study visits

Additional Information

Muredach Reilly

UPenn

Phone: 215-573-1214

Results disclosure agreements

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