Local Haemodynamic Effects of Apelin Agonists and Antagonists in Man in Vivo

NCT ID: NCT02150694

Last Updated: 2014-05-30

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

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2013-08-31

Brief Summary

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Apelins are substances which occur naturally in the body, and have an important role in heart disease. They have been shown to make blood vessels dilate, and improve the way the heart works.

The investigators have devised 2 sets of experiments to investigate how the apelins affect blood vessels.

In the first group of experiments,the investigators will give healthy volunteers up to 3 different apelin substances, and use special research techniques to see how they affect the way that blood vessels work in the forearm.

In the second group of experiments, the apelins will be given along with another form of apelin which blocks the effects of apelin in laboratory experiments. The investigators want to see if it blocks the effects of apelin in healthy humans.

The investigators intend to test the hypothesis that:

Apelin agonists are vasodilators in human resistance vessels, this effect will be blocked by an apelin receptor antagonist.

This study will help us to understand more about how apelins work, and to suggest how they might be used to treat heart disease.

Detailed Description

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Conditions

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Cardiovascular Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Apelin agonist infusion

Studies to measure change in blood flow in response to apelin agonists (1/10/100nmol) using forearm venous occlusion plethysmography and Aellig hand vein technique.

Group Type EXPERIMENTAL

Forearm venous occlusion plethysmography

Intervention Type PROCEDURE

Forearm venous occlusion plethysmography to study to measure forearm blood flow during intra-arterial infusion of the apelin peptides.

Aellig hand vein technique

Intervention Type PROCEDURE

Hand vein measurements will be used to assess the response to apelin peptides and apelin receptor blocker in the human hand vein vascular bed.

Apelin agonist infusion

Intervention Type OTHER

Escalating doses of apelin (1/10/100nmol/min) will be administered.

Apelin receptor antagonist infusion

Aellig hand vein technique will be used to investigate the change in vein diameter in response to an apelin blocking agent

Group Type EXPERIMENTAL

Aellig hand vein technique

Intervention Type PROCEDURE

Hand vein measurements will be used to assess the response to apelin peptides and apelin receptor blocker in the human hand vein vascular bed.

Apelin receptor antagonist infusion

Intervention Type OTHER

Dose finding study (range 1-300nmol/min) and co-infusion study with apelin peptides

Apelin agonist/antagonist co-infusion

Forearm blood flow study to measure blood flow by forearm venous occlusion plethysmography following intraarterial infusion of apelin receptor agonists and antagonist.

Group Type EXPERIMENTAL

Forearm venous occlusion plethysmography

Intervention Type PROCEDURE

Forearm venous occlusion plethysmography to study to measure forearm blood flow during intra-arterial infusion of the apelin peptides.

Apelin agonist infusion

Intervention Type OTHER

Escalating doses of apelin (1/10/100nmol/min) will be administered.

Apelin receptor antagonist infusion

Intervention Type OTHER

Dose finding study (range 1-300nmol/min) and co-infusion study with apelin peptides

Interventions

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Forearm venous occlusion plethysmography

Forearm venous occlusion plethysmography to study to measure forearm blood flow during intra-arterial infusion of the apelin peptides.

Intervention Type PROCEDURE

Aellig hand vein technique

Hand vein measurements will be used to assess the response to apelin peptides and apelin receptor blocker in the human hand vein vascular bed.

Intervention Type PROCEDURE

Apelin agonist infusion

Escalating doses of apelin (1/10/100nmol/min) will be administered.

Intervention Type OTHER

Apelin receptor antagonist infusion

Dose finding study (range 1-300nmol/min) and co-infusion study with apelin peptides

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Between 18 and 70 years
* Non-regular smoking (\<5 cigarettes per week)
* If female, postmenopausal or on days 2-9 of menstrual cycle

Exclusion Criteria

* Hypertension (sustained BP \>160/100mmHg)
* Ischaemic Heart Disease
* Renal, respiratory or neurological disease
* Diabetes mellitus
* BMI \>30, BMI \<18
* Pregnant
* Smoker
* Use of vasoactive medication or NSAIDS/aspirin within 48 hours of study.
* Current involvement in other research studies
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Cambridge

OTHER

Sponsor Role lead

Responsible Party

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Dr Aimee Brame MRCP

Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ian B Wilkinson, FRCP DM

Role: STUDY_DIRECTOR

University of Cambridge

Anthony P Davenport, MA PhD

Role: STUDY_DIRECTOR

University of Cambridge

Locations

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Vascular Research Unit

Cambridge, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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HEAP Study

Identifier Type: -

Identifier Source: org_study_id