The Effect of Ischaemic-Reperfusion in Man - A Bradykinin Dependent Pathway

NCT ID: NCT00965120

Last Updated: 2010-10-25

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

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2010-10-31

Brief Summary

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Heart attacks are usually caused by a blood clot blocking an artery supplying blood to the heart. Current treatments are designed to relieve this blockage as quickly as possible to minimize damage to the heart muscle. However in restoring the supply of blood local damage known as "ischaemia-reperfusion injury" may occur. The aim of this study is to assess how clot forming and clot dissolving pathways are affected during this process, and examine the role of a natural inflammatory hormone, bradykinin. This will help the investigators to understand the mechanism by which ischaemia-reperfusion injury may occur and to devise new treatments for heart attacks.

Detailed Description

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Conditions

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Ischaemic Heart Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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1

Ischaemia 20 minutes. Blood pressure cuff will be inflated to 200mmHg around the upper arm for 20 minutes to induce ischaemia. Systemic infusion of placebo (saline).

Group Type PLACEBO_COMPARATOR

Forearm vascular study

Intervention Type PROCEDURE

Forearm blood flow measured by venous occlusion plethysmography during interarterial infusion of vasodilators (Ach). Venous blood sampling via cannula in antecubital fossa.

Placebo (saline)

Intervention Type DRUG

Systemic infusion of placebo (saline).

2

Ischaemia 20 minutes. Blood pressure cuff will be inflated to 200mmHg around the upper arm for 20 minutes to induce ischaemia. Systemic infusion of bradykinin receptor antagonist (HOE-140).

Group Type ACTIVE_COMPARATOR

Forearm vascular study

Intervention Type PROCEDURE

Forearm blood flow measured by venous occlusion plethysmography during interarterial infusion of vasodilators (Ach). Venous blood sampling via cannula in antecubital fossa.

bradykinin receptor antagonist (HOE-140)

Intervention Type DRUG

Systemic infusion of bradykinin receptor antagonist (HOE-140).

Interventions

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Forearm vascular study

Forearm blood flow measured by venous occlusion plethysmography during interarterial infusion of vasodilators (Ach). Venous blood sampling via cannula in antecubital fossa.

Intervention Type PROCEDURE

bradykinin receptor antagonist (HOE-140)

Systemic infusion of bradykinin receptor antagonist (HOE-140).

Intervention Type DRUG

Placebo (saline)

Systemic infusion of placebo (saline).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* healthy males between 18-65 years of ages
* non-smokers

Exclusion Criteria

* any concurrent illness or chronic medical condition
* concurrent use of vasoactive medication
* smoking history
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Aarhus

OTHER

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role collaborator

University of Edinburgh

OTHER

Sponsor Role lead

Responsible Party

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University of Edinburgh

Principal Investigators

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David E Newby, PhD, FRCP

Role: STUDY_DIRECTOR

University of Edinburgh

Rajesh K Kharbanda, PhD, FRCP

Role: STUDY_DIRECTOR

University of Oxford

Locations

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University of Edinburgh, 49 Little France Crescent

Edinburgh, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Pedersen CM, Schmidt MR, Barnes G, Botker HE, Kharbanda RK, Newby DE, Cruden NL. Bradykinin does not mediate remote ischaemic preconditioning or ischaemia-reperfusion injury in vivo in man. Heart. 2011 Nov;97(22):1857-61. doi: 10.1136/heartjnl-2011-300323. Epub 2011 Aug 26.

Reference Type DERIVED
PMID: 21873443 (View on PubMed)

Other Identifiers

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CMP 3

Identifier Type: -

Identifier Source: org_study_id