Trial Outcomes & Findings for Tissue Sodium in Pre-hypertensive Patients (NCT NCT02236520)

NCT ID: NCT02236520

Last Updated: 2019-05-22

Results Overview

NaMRI is a sensitive laboratory assessment of the concentration of sodium in tissue

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

71 participants

Primary outcome timeframe

baseline and 8 weeks

Results posted on

2019-05-22

Participant Flow

Participant milestones

Participant milestones
Measure
Spironolactone
50 mg capsule of Spironolactone administered orally 1 per day for 8 weeks Spironolactone
Chlorthalidone
25 mg capsule of Chlorthalidone administered orally 1 per day for 8 weeks Chlorthalidone
Diet
diet of 6 g salt per day for 8 weeks Diet
Placebo
placebo capsule administered orally 1 per day for 8 weeks Placebo
Overall Study
STARTED
16
13
15
15
Overall Study
COMPLETED
14
8
15
14
Overall Study
NOT COMPLETED
2
5
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Spironolactone
50 mg capsule of Spironolactone administered orally 1 per day for 8 weeks Spironolactone
Chlorthalidone
25 mg capsule of Chlorthalidone administered orally 1 per day for 8 weeks Chlorthalidone
Diet
diet of 6 g salt per day for 8 weeks Diet
Placebo
placebo capsule administered orally 1 per day for 8 weeks Placebo
Overall Study
Physician Decision
0
5
0
0
Overall Study
Withdrawal by Subject
1
0
0
1
Overall Study
Pregnancy
1
0
0
0

Baseline Characteristics

Tissue Sodium in Pre-hypertensive Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Spironolactone
n=16 Participants
50 mg capsule of Spironolactone administered orally 1 per day for 8 weeks Spironolactone
Chlorthalidone
n=13 Participants
25 mg capsule of Chlorthalidone administered orally 1 per day for 8 weeks Chlorthalidone
Diet
n=15 Participants
diet of 6 g salt per day for 8 weeks Diet
Placebo
n=15 Participants
placebo capsule administered orally 1 per day for 8 weeks Placebo
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
48 years
STANDARD_DEVIATION 11 • n=93 Participants
49 years
STANDARD_DEVIATION 9 • n=4 Participants
49 years
STANDARD_DEVIATION 13 • n=27 Participants
48 years
STANDARD_DEVIATION 14 • n=483 Participants
48 years
STANDARD_DEVIATION 12 • n=36 Participants
Sex: Female, Male
Female
11 Participants
n=93 Participants
10 Participants
n=4 Participants
9 Participants
n=27 Participants
10 Participants
n=483 Participants
40 Participants
n=36 Participants
Sex: Female, Male
Male
5 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
5 Participants
n=483 Participants
19 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=93 Participants
13 Participants
n=4 Participants
15 Participants
n=27 Participants
15 Participants
n=483 Participants
58 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=93 Participants
5 Participants
n=4 Participants
8 Participants
n=27 Participants
6 Participants
n=483 Participants
26 Participants
n=36 Participants
Race (NIH/OMB)
White
9 Participants
n=93 Participants
8 Participants
n=4 Participants
7 Participants
n=27 Participants
9 Participants
n=483 Participants
33 Participants
n=36 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Region of Enrollment
United States
16 participants
n=93 Participants
13 participants
n=4 Participants
15 participants
n=27 Participants
15 participants
n=483 Participants
59 participants
n=36 Participants

PRIMARY outcome

Timeframe: baseline and 8 weeks

NaMRI is a sensitive laboratory assessment of the concentration of sodium in tissue

Outcome measures

Outcome measures
Measure
Spironolactone
n=14 Participants
50 mg capsule of Spironolactone administered orally 1 per day for 8 weeks Spironolactone
Chlorthalidone
n=8 Participants
25 mg capsule of Chlorthalidone administered orally 1 per day for 8 weeks Chlorthalidone
Diet
n=15 Participants
diet of 6 g salt per day for 8 weeks Diet
Placebo
n=14 Participants
placebo capsule administered orally 1 per day for 8 weeks Placebo
Change in Tissue Sodium Concentration Measured Using Sodium Magnetic Resonance Imaging (NaMRI)
-0.202 mmol/L
Interval -0.973 to 1.667
0.430 mmol/L
Interval -1.085 to 1.285
-1.745 mmol/L
Interval -2.157 to -0.219
-0.407 mmol/L
Interval -2.108 to 1.088

Adverse Events

Spironolactone

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Chlorthalidone

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Diet

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Spironolactone
n=16 participants at risk
50 mg capsule of Spironolactone administered orally 1 per day for 8 weeks Spironolactone
Chlorthalidone
n=13 participants at risk
25 mg capsule of Chlorthalidone administered orally 1 per day for 8 weeks Chlorthalidone
Diet
n=15 participants at risk
diet of 6 g salt per day for 8 weeks Diet
Placebo
n=15 participants at risk
placebo capsule administered orally 1 per day for 8 weeks Placebo
Metabolism and nutrition disorders
hypokalemia
0.00%
0/16 • 8 weeks
7.7%
1/13 • Number of events 1 • 8 weeks
6.7%
1/15 • Number of events 1 • 8 weeks
0.00%
0/15 • 8 weeks
Metabolism and nutrition disorders
hyponatremia
0.00%
0/16 • 8 weeks
7.7%
1/13 • Number of events 1 • 8 weeks
0.00%
0/15 • 8 weeks
0.00%
0/15 • 8 weeks
Endocrine disorders
hypoglycemia
6.2%
1/16 • Number of events 1 • 8 weeks
0.00%
0/13 • 8 weeks
0.00%
0/15 • 8 weeks
0.00%
0/15 • 8 weeks
Gastrointestinal disorders
gastrointestinal upset
6.2%
1/16 • Number of events 1 • 8 weeks
0.00%
0/13 • 8 weeks
0.00%
0/15 • 8 weeks
0.00%
0/15 • 8 weeks
Gastrointestinal disorders
nausea
6.2%
1/16 • Number of events 1 • 8 weeks
0.00%
0/13 • 8 weeks
0.00%
0/15 • 8 weeks
0.00%
0/15 • 8 weeks
Cardiac disorders
tachycardia
6.2%
1/16 • Number of events 1 • 8 weeks
0.00%
0/13 • 8 weeks
0.00%
0/15 • 8 weeks
0.00%
0/15 • 8 weeks

Additional Information

Alp Ikizler

Vanderbilt University Medical Center

Phone: (615) 343-7592

Results disclosure agreements

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