Galectin-3 Blockade in Patients With High Blood Pressure

NCT ID: NCT01960946

Last Updated: 2021-02-21

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

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2018-08-30

Brief Summary

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This study will investigate if Modified Citrus Pectin (MCP) can help people with high blood pressure. MCP is a dietary supplement that is derived from plants, and therefore is not subject to approval by the U.S. Food and Drug Administration (FDA). However, MCP has been deemed as 'generally regarded as safe' by the FDA.

This study will examine whether Modified Citrus Pectin (MCP) can help people with high blood pressure. The study will help understand how MCP may affect the risk for heart disease in patients with high blood pressure.

Detailed Description

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Gal-3 appears to be a potential mediator of cardiac fibrosis, preceding the development of clinical heart failure. In this study, we seek to identify individuals at risk for the development of heart failure based on clinical hypertension and elevated Gal-3 concentrations. Participants will be randomized to receive a Gal-3 inhibitor (MCP) or placebo. The primary outcome will be the effect on collagen metabolism, and secondary outcomes include echocardiographic measures of cardiac structure and function, and non-invasive measures of vascular function.

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Modified Citrus Pectin (MCP)

Dietary Supplement: Modified Citrus Pectin (MCP, PectaSol-C), 5 grams by mouth three times a day

Group Type ACTIVE_COMPARATOR

Modified Citrus Pectin (MCP) vs placebo

Intervention Type DIETARY_SUPPLEMENT

5 grams by mouth three times a day

Placebo

Matched placebo 5 grams by mouth three times a day

Group Type PLACEBO_COMPARATOR

Modified Citrus Pectin (MCP) vs placebo

Intervention Type DIETARY_SUPPLEMENT

5 grams by mouth three times a day

Interventions

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Modified Citrus Pectin (MCP) vs placebo

5 grams by mouth three times a day

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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MCP PectaSol-C

Eligibility Criteria

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Inclusion Criteria

* Age 21-70 years
* Physician diagnosed hypertension on stable therapy for 3 months
* Elevated galectin-3 level (above sex-specific median based on Framingham Heart Study measures)
* Able to understand the protocol and provide informed consent in English

Exclusion Criteria

* Uncontrolled hypertension, defined as systolic blood pressure \> 170mmHg, diastolic blood pressure \> 100mmHg
* Evidence of secondary hypertension
* History of heart failure, coronary artery disease, stroke, atrial fibrillation
* Left ventricular ejection fraction \< 45% on echocardiography
* Use of aldosterone antagonists
* History of liver cirrhosis
* History of pulmonary fibrosis
* Kidney dysfunction, defined as estimated glomerular filtration rate \< 45 ml/min/1.73m2
* Anemia, defined as hematocrit \< 37% in men and \< 34% in women
* Use of chelating agents
* History of Active cancer or malignancy
* Known pregnancy, those unwilling to avoid pregnancy during the course of the study, or women currently breastfeeding
* Hyperkalemia on screening labs, defined as potassium \>5.2
* Anticipated inability to complete or comply with study protocol
* History of angioedema
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jennifer En-Sian Ho M.D.

Assistant in Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jennifer E Ho, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Lau ES, Liu E, Paniagua SM, Sarma AA, Zampierollo G, Lopez B, Diez J, Wang TJ, Ho JE. Galectin-3 Inhibition With Modified Citrus Pectin in Hypertension. JACC Basic Transl Sci. 2021 Jan 6;6(1):12-21. doi: 10.1016/j.jacbts.2020.10.006. eCollection 2021 Jan.

Reference Type RESULT
PMID: 33532663 (View on PubMed)

Other Identifiers

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K23HL116780

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2015P0023402

Identifier Type: -

Identifier Source: org_study_id

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