Effect of Pharmacological Heart Rate Reduction on Visco-elastic Properties of the Arterial Wall (BRADYVASC)

NCT ID: NCT02584439

Last Updated: 2016-12-07

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Study Completion Date

2017-09-30

Brief Summary

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The conduit arteries exhibit a viscoelastic behavior. Visco-elasticity is partially regulated by endothelium and contributes to the optimization of the heart-vessel coupling. Aging or high resting heart rate (HR) could alter visco-elastic properties leading to increase stiffness of the conduit arteries, an independent cardiovascular risk factor, and degradation of heart-vessel coupling. Lowering HR with ivabradine could reduce these effects.

The objective of this study is to assess the effect of HR reduction by repeated administration of ivabradine on visco-elastic properties, vascular geometry and function of common carotid artery, and on cardiovascular hemodynamic in healthy subject. The influence of aging on ivabradine effects are studied too.

30 healthy volunteers aged between 25 and 65 years old, with a HR ≥ 70 bpm, will receive ivabradine or placebo during 8 days in a single center, randomized, cross-group, double blinded, placebo-controlled study. Each period of treatment will be separate by 12 to 16 days of wash-out. Each subject will participate in an exploration visit, including evaluation of visco-elastic properties, vascular geometry and function of common carotid artery, and cardiovascular hemodynamic, before and after ivabradine or placebo taking.

Detailed Description

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Conditions

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Healthy Vascular Stiffness Aging

Keywords

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ivabradine heart rate aging visco-elasticity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ivabradine-placebo

Volunteers will receive, at meal, ivabradine 5 mg morning and evening for the first period of treatment during 8 days (1 capsule on day 1 and then 1 capsule 2 times a day from day 2 to day 7 and 1 capsule on day 8). A wash out period (12 to 16 days) will follow this first period of treatment. of wash-out . Then, volunteers will receive, at meal, lactose capsule (placebo) morning and evening for the first period of treatment during 8 days (1 capsule on day 1 and then 1 capsule 2 times a day from day 2 to day 7 and 1 capsule on day 8).

Group Type OTHER

ivabradine

Intervention Type DRUG

It is a cross over study with two arms : either ivabradine-placebo or placebo-ivabradine. The capsules containing the placebo or ivabradine are completely identical.

lactose capsule (placebo)

Intervention Type DRUG

It is a cross over study with two arms : either ivabradine-placebo or placebo-ivabradine. The capsules containing the placebo or ivabradine are completely identical.

placebo-ivabradine

Volunteers will receive, at meal, lactose capsule (placebo) morning and evening for the first period of treatment during 8 days (1 capsule on day 1 and then 1 capsule 2 times a day from day 2 to day 7 and 1 capsule on day 8). A wash out period (12 to 16 days) will follow this first period of treatment. of wash-out . Then, volunteers will receive, at meal, ivabradine 5 mg morning and evening for the first period of treatment during 8 days (1 capsule on day 1 and then 1 capsule 2 times a day from day 2 to day 7 and 1 capsule on day 8).

Group Type OTHER

ivabradine

Intervention Type DRUG

It is a cross over study with two arms : either ivabradine-placebo or placebo-ivabradine. The capsules containing the placebo or ivabradine are completely identical.

lactose capsule (placebo)

Intervention Type DRUG

It is a cross over study with two arms : either ivabradine-placebo or placebo-ivabradine. The capsules containing the placebo or ivabradine are completely identical.

Interventions

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ivabradine

It is a cross over study with two arms : either ivabradine-placebo or placebo-ivabradine. The capsules containing the placebo or ivabradine are completely identical.

Intervention Type DRUG

lactose capsule (placebo)

It is a cross over study with two arms : either ivabradine-placebo or placebo-ivabradine. The capsules containing the placebo or ivabradine are completely identical.

Intervention Type DRUG

Other Intervention Names

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Procoralan

Eligibility Criteria

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Inclusion Criteria

* Healthy volunteers
* Caucasian
* Resting heart rate ≥70 bpm (mean of 3 measures after 15 minutes of rest)
* No significant EKG abnormality
* No significant biological abnormalities at inclusion
* Healthy volunteers able to read and understand information letter and to give written informed consent
* Healthy volunteers with medical insurance
* Contraception for two months for women of childbearing age (Estrogen contraceptive or intrauterine device or tubal ligation) (NB : women with amenorrhea for more than 2 years will be considered postmenopausal)

Exclusion Criteria

* Subjects who don't understand french language
* Person deprived of liberty by an administrative or judicial decision or protected adult subject (under guardianship)
* Pregnant women, nursing mother or women without contraception
* Healthy volunteers who participate to an other trial / participated to an other trial without drugs during the last month or a trial with drugs during the last 3 months
* Hypersensitivity to the active substance or to any of the excipients
* Congenital galactosemia, lactase deficiency, or glucose-galactose malabsorption
* Body mass index (BMI) \< 18 kg/m² or \> 30 kg/m²
* Severe hypotension (\< 90/50 mmHg) (3 measures after 15 minutes of rest)
* Essential or secondary Hypertension (SBP ≥140 mmHg and/or DBP ≥90 mmHg) (3 measures after 15 minutes of rest)
* Active smoking at the day of inclusion (\>5 cigarettes/day)
* Severe hypercholesterolemia (Total cholesterol \>2,5 g/L)
* Practice sports intensively (≥ 1 hour/day)
* Renal insufficiency (creatinine clearance ≤ 60 ml/min/1,73 m² Cockroft and Gault formula)
* Known liver failure
* Known heart failure or suspected heart failure (congestive episode)
* Atrial fibrillation
* High-grade conduction block (Sick sinus syndrome, sino-atrial block or grade 2 or 3 atrio-ventricular block)
* Abnormal corrected QT with Bazett formula (cQT \> 450 ms (men) or \> 470 ms (women)).
* Pacemaker
* All cardiac or extra cardiac diseases, active or with sequelae, which, in the opinion of the investigator, is accompanied by a risk of cardiac or vascular consequences
* Retinal disease
* Taking any medication is prohibited during the study except oral contraceptive, acetaminophene or decision of the investigator. In addition, the administration of drugs listed in schedule 2 during the previous 4 weeks prohibits inclusion.
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

University Hospital, Rouen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frederic Roca, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Rouen

Robinson Joannides, MD,PhD

Role: STUDY_CHAIR

University Hospital, Rouen

Locations

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Department of Pharmacology, Rouen university Hospital

Rouen, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Frederic Roca, MD

Role: CONTACT

Phone: +33 2 32 88 56 34

Email: [email protected]

Robinson Joannides, MD,PhD

Role: CONTACT

Phone: +33 2 32 88 91 41

Email: [email protected]

Facility Contacts

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Frédéric Roca, MD

Role: primary

Robinson Joannides, MD, PhD

Role: backup

References

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Fox K, Ford I, Steg PG, Tendera M, Ferrari R; BEAUTIFUL Investigators. Ivabradine for patients with stable coronary artery disease and left-ventricular systolic dysfunction (BEAUTIFUL): a randomised, double-blind, placebo-controlled trial. Lancet. 2008 Sep 6;372(9641):807-16. doi: 10.1016/S0140-6736(08)61170-8. Epub 2008 Aug 29.

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Bellien J, Remy-Jouet I, Iacob M, Blot E, Mercier A, Lucas D, Dreano Y, Gutierrez L, Donnadieu N, Thuillez C, Joannides R. Impaired role of epoxyeicosatrienoic acids in the regulation of basal conduit artery diameter during essential hypertension. Hypertension. 2012 Dec;60(6):1415-21. doi: 10.1161/HYPERTENSIONAHA.112.201087. Epub 2012 Oct 22.

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Other Identifiers

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2015-002060-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2015/077/HP

Identifier Type: -

Identifier Source: org_study_id