Nitrite Supplementation for Improving Physiological Function in Older Adults
NCT ID: NCT02393742
Last Updated: 2019-12-05
Study Results
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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COMPLETED
NA
49 participants
INTERVENTIONAL
2015-03-31
2019-05-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
TRIPLE
Study Groups
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Sodium Nitrite Supplementation
80 mg/day (40 mg 2x/day) slow release sodium nitrite (TheraVasc, Inc) for 3 months
Sodium nitrite
Placebo
placebo 2x/day for 3 months
Placebo
Interventions
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Sodium nitrite
Placebo
Eligibility Criteria
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Inclusion Criteria
* Ability to provide informed consent
* Score \>22 on the mini mental state exam (MMSE) to allow a broad range of normal and mildly-impaired cognitive abilities, but function adequate to understand and complete trials (214)
* Baseline brachial flow-mediated dilation (FMD) \< 7%Δ (rationale: non-invasive screening to ensure exclusion of subjects with exceptionally high baseline endothelial function(215))
* Blood pressure (BP) \>100/60 mmHg for past 3 mo (rationale: blood pressure below 100/60 mmHg may elevate the normally small risk of hypotension with sodium nitrite treatment)
* Ability to perform motor and cognitive tests (e.g., can rise from a chair, walk for 2 min, climb 10 stairs)
* Willing to accept random assignment to condition (older adults)
Exclusion Criteria
* Glucose-6-phosphate dehydrogenase deficiency or blood methemoglobin \>2%
* Current smoking
* Having past or present alcohol dependence or abuse, as defined by the American Psychiatry Association, Diagnostic and Statistical Manual of Mental Disorders
* Body mass index (BMI) \>40 kg/m2 (FMD measurements can be inaccurate in severely obese patients)
* Chronic clinical diseases (e.g., coronary artery/peripheral artery/cerebrovascular diseases, diabetes, chronic kidney disease requiring dialysis, neurological disorders or diseases that may affect motor/cognitive functions \[multiple sclerosis, Parkinson's disease, polio, Alzheimer's disease, dementia or other brain diseases of aging\]), except hypertension and hyperlipidemia.
* Regular vigorous aerobic/endurance exercise (\>3 vigorous bouts/week)
* Not weight stable in the prior 3 months (\>2 kg weight change) or unwilling to remain weight stable throughout study (rationale: recent weight change or weight loss can influence vascular function and small metabolite signature(216))
* Current treatment or recent cessation (\< 3 mo) of hormone replacement therapy.
* Moderate or severe peripheral artery disease (ankle-brachial index \<0.7)(183)
* A graded exercise test will be performed by all subjects, if there is physician concern or an adverse event, the subject will not participate in a maximal oxygen consumption test (this will be determined in accordance with stated contraindications for exercise testing provided by the American Heart Association)(217)
* Claustrophobia, metal implants, etc., affecting feasibility and/or safety of the fMRI scanning.
60 Years
79 Years
FEMALE
Yes
Sponsors
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University of Colorado, Boulder
OTHER
Responsible Party
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Douglas Seals
Professor
Principal Investigators
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Matthew J Rossman, PhD
Role: STUDY_DIRECTOR
University of Colorado, Boulder
Douglas R Seals, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Colorado, Boulder
Locations
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Clinical Translational Research Center
Boulder, Colorado, United States
Countries
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References
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Rossman MJ, Gioscia-Ryan RA, Santos-Parker JR, Ziemba BP, Lubieniecki KL, Johnson LC, Poliektov NE, Bispham NZ, Woodward KA, Nagy EE, Bryan NS, Reisz JA, D'Alessandro A, Chonchol M, Sindler AL, Seals DR. Inorganic Nitrite Supplementation Improves Endothelial Function With Aging: Translational Evidence for Suppression of Mitochondria-Derived Oxidative Stress. Hypertension. 2021 Apr;77(4):1212-1222. doi: 10.1161/HYPERTENSIONAHA.120.16175. Epub 2021 Mar 1.
Jones AM, Vanhatalo A, Seals DR, Rossman MJ, Piknova B, Jonvik KL. Dietary Nitrate and Nitric Oxide Metabolism: Mouth, Circulation, Skeletal Muscle, and Exercise Performance. Med Sci Sports Exerc. 2021 Feb 1;53(2):280-294. doi: 10.1249/MSS.0000000000002470.
Related Links
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description of our laboratory
Other Identifiers
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