Trial Outcomes & Findings for Nitric Oxide Bioavailability in Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT01398943)

NCT ID: NCT01398943

Last Updated: 2017-12-11

Results Overview

Brachial artery FMD induced by reactive hyperemia will be used to assess vascular endothelial function at baseline and several hours after each experimental intervention.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Post FMD was taken approximately 110 min after baseline

Results posted on

2017-12-11

Participant Flow

Participant milestones

Participant milestones
Measure
COPD: AOC First, Then Placebo
Patients with COPD Brachial artery flow-mediated dilation, direct assessment of oxidative stress via EPR spectroscopy (O2-) and biomarkers of oxidative stress (8-isoprostane, LH, SOD) were assessed at baseline and 2 hours following ingestion of an oral antioxidant cocktail (1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid.) Antioxidant Cocktail: 1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid. After a minimum of 2 days washout, patients returned to perform all measures again but were given microcrystalline cellulose capsules as a placebo.
COPD: Placebo First, Then AOC
Patients with COPD Brachial artery flow-mediated dilation, direct assessment of oxidative stress via EPR spectroscopy (O2-) and biomarkers of oxidative stress (8-isoprostane, LH, SOD) was assessed at baseline and 2 hours following ingestion of microcrystalline cellulose capsules as a placebo. After a minimum of 2 days washout, patients returned to perform all measures again but were given an oral antioxidant cocktail (1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid.) Antioxidant Cocktail: 1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid.
Controls: AOC First, Then Placebo
Healthy age- and sex- matched controls Brachial artery flow-mediated dilation, direct assessment of oxidative stress via EPR spectroscopy (O2-) and biomarkers of oxidative stress (8-isoprostane, LH, SOD) were assessed at baseline and 2 hours following ingestion of an oral antioxidant cocktail (1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid.) Antioxidant Cocktail: 1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid. After a minimum of 2 days washout, subjects returned to perform all measures again but were given microcrystalline cellulose capsules as a placebo.
Controls: Placebo First, Then AOC
Brachial artery flow-mediated dilation, direct assessment of oxidative stress via EPR spectroscopy (O2-) and biomarkers of oxidative stress (8-isoprostane, LH, SOD) was assessed at baseline and 2 hours following ingestion of microcrystalline cellulose capsules as a placebo. After a minimum of 2 days washout, subjects returned to perform all measures again but were given an oral antioxidant cocktail (1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid.) Antioxidant Cocktail: 1g of vitamin C, 600 IU of vitamin E, and 600 mg of alpha-lipoic acid.
First Intervention (1 Day)
STARTED
15
15
15
15
First Intervention (1 Day)
COMPLETED
15
15
15
15
First Intervention (1 Day)
NOT COMPLETED
0
0
0
0
Washout (2-7 Days)
STARTED
15
15
15
15
Washout (2-7 Days)
COMPLETED
15
15
15
15
Washout (2-7 Days)
NOT COMPLETED
0
0
0
0
Second Intervention (1 Day)
STARTED
15
15
15
15
Second Intervention (1 Day)
COMPLETED
15
15
15
15
Second Intervention (1 Day)
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nitric Oxide Bioavailability in Chronic Obstructive Pulmonary Disease (COPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All COPD Patients
n=30 Participants
Patients with COPD
All Controls
n=30 Participants
Healthy age- and sex- matched controls
Total
n=60 Participants
Total of all reporting groups
Age, Customized
Age
66 years
STANDARD_DEVIATION 2 • n=5 Participants
66 years
STANDARD_DEVIATION 2 • n=7 Participants
66 years
STANDARD_DEVIATION 2 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Height
169 cm
STANDARD_DEVIATION 2 • n=5 Participants
166 cm
STANDARD_DEVIATION 2 • n=7 Participants
168 cm
STANDARD_DEVIATION 2 • n=5 Participants

PRIMARY outcome

Timeframe: Post FMD was taken approximately 110 min after baseline

Population: Participants included patients diagnosed with COPD and healthy age-matched controls.

Brachial artery FMD induced by reactive hyperemia will be used to assess vascular endothelial function at baseline and several hours after each experimental intervention.

Outcome measures

Outcome measures
Measure
All COPD Patients
n=30 Participants
Patients with COPD
All Controls
n=30 Participants
Healthy age- and sex- matched controls
Flow-Mediated Dilation (FMD)
Placebo
3.1 percentage of change in FMD
Standard Deviation 0.5
6.7 percentage of change in FMD
Standard Deviation 0.6
Flow-Mediated Dilation (FMD)
AOC Treatment
4.7 percentage of change in FMD
Standard Deviation 0.6
6.9 percentage of change in FMD
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Post PWV was taken approximately 90 min after baseline

Population: Patients diagnosed with COPD compared to healthy age-matched controls.

A measure of vascular stiffness at baseline and several hours after each experimental intervention.

Outcome measures

Outcome measures
Measure
All COPD Patients
n=30 Participants
Patients with COPD
All Controls
n=30 Participants
Healthy age- and sex- matched controls
Pulse Wave Velocity
Placebo
14 m/sec
Standard Deviation 1
11 m/sec
Standard Deviation 2
Pulse Wave Velocity
AOC Treatment
11 m/sec
Standard Deviation 1
10 m/sec
Standard Deviation 1

Adverse Events

Controls

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

COPD Patients

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

Ryan Harris, Ph.D.

Augusta University

Phone: 706-721-5998

Results disclosure agreements

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