Trial Outcomes & Findings for Red Blood Cell ATP Release and Vascular Function in Humans (NCT NCT03404843)

NCT ID: NCT03404843

Last Updated: 2020-02-27

Results Overview

Forearm blood flow measured using Doppler ultrasound before and after 5 minutes of exposure to hypoxia (breathing a mix of low-oxygen gas and room air to achieve oxygen saturations of \~80%).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

31 participants

Primary outcome timeframe

Within 4 hours after administration of intervention

Results posted on

2020-02-27

Participant Flow

Participant milestones

Participant milestones
Measure
Fasudil, Then Saline
Participants were randomized to receive a single 100 mL intravenous infusion of 60 mg fasudil hydrocholoride + saline in 60 minutes prior to measurements of vascular function and ATP release. After a washout period of at least 5 days, participants received a single 100 mL intravenous infusion of saline (placebo) in 60 minutes prior to measurements of vascular function and ATP release.
Saline, Then Fasudil
Participants were randomized to receive a single 100 mL intravenous infusion of saline (placebo) in 60 minutes prior to measurements of vascular function and ATP release. After a washout period of at least 5 days, participants received a single 100 mL intravenous infusion of 60 mg fasudil hydrocholoride + saline in 60 minutes prior to measurements of vascular function and ATP release.
Overall Study
STARTED
17
14
Overall Study
COMPLETED
13
13
Overall Study
NOT COMPLETED
4
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Fasudil, Then Saline
Participants were randomized to receive a single 100 mL intravenous infusion of 60 mg fasudil hydrocholoride + saline in 60 minutes prior to measurements of vascular function and ATP release. After a washout period of at least 5 days, participants received a single 100 mL intravenous infusion of saline (placebo) in 60 minutes prior to measurements of vascular function and ATP release.
Saline, Then Fasudil
Participants were randomized to receive a single 100 mL intravenous infusion of saline (placebo) in 60 minutes prior to measurements of vascular function and ATP release. After a washout period of at least 5 days, participants received a single 100 mL intravenous infusion of 60 mg fasudil hydrocholoride + saline in 60 minutes prior to measurements of vascular function and ATP release.
Overall Study
Study difficulties unrelated to Tx
4
1

Baseline Characteristics

Red Blood Cell ATP Release and Vascular Function in Humans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fasudil, Then Saline
n=13 Participants
Participants were randomized to receive a single 100 mL intravenous infusion of 60 mg fasudil hydrocholoride + saline in 60 minutes prior to measurements of vascular function and ATP release. After a washout period of at least 5 days, participants received a single 100 mL intravenous infusion of saline (placebo) in 60 minutes prior to measurements of vascular function and ATP release.
Saline, Then Fasudil
n=13 Participants
Participants were randomized to receive a single 100 mL intravenous infusion of saline (placebo) in 60 minutes prior to measurements of vascular function and ATP release. After a washout period of at least 5 days, participants received a single 100 mL intravenous infusion of 60 mg fasudil hydrocholoride + saline in 60 minutes prior to measurements of vascular function and ATP release.
Total
n=26 Participants
Total of all reporting groups
Age, Customized
18-30 years
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Age, Customized
60-80 years
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Race/Ethnicity, Customized
White
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Body Mass Index
24.9 kg/m^2
STANDARD_DEVIATION 4.0 • n=5 Participants
23.7 kg/m^2
STANDARD_DEVIATION 1.6 • n=7 Participants
24.3 kg/m^2
STANDARD_DEVIATION 3.0 • n=5 Participants

PRIMARY outcome

Timeframe: Within 4 hours after administration of intervention

Population: All participants who completed both interventions (crossover design) with outcome data collected

Forearm blood flow measured using Doppler ultrasound before and after 5 minutes of exposure to hypoxia (breathing a mix of low-oxygen gas and room air to achieve oxygen saturations of \~80%).

Outcome measures

Outcome measures
Measure
Young Saline
n=11 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Young Fasudil
n=11 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Older Saline
n=13 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Older Fasudil
n=13 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Forearm Blood Flow Responses to Hypoxia After Administration of Intervention
6.3 mL/min
Standard Error 1.2
6.2 mL/min
Standard Error 1.2
2.1 mL/min
Standard Error 0.6
8.4 mL/min
Standard Error 1.9

PRIMARY outcome

Timeframe: Within 4 hours after administration of intervention

Population: All participants who completed both interventions (crossover design) with outcome data collected

Forearm blood flow measured using Doppler ultrasound before and during continuous rhythmic handgrip exercise at a low, moderate, and high intensity workload (4 minutes at each workload for 12 minutes in total).

Outcome measures

Outcome measures
Measure
Young Saline
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Young Fasudil
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Older Saline
n=13 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Older Fasudil
n=13 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Forearm Blood Flow Responses to Exercise After Administration of Intervention
315.4 mL/min
Standard Error 31.0
283.0 mL/min
Standard Error 25.4
255.3 mL/min
Standard Error 19.9
304.2 mL/min
Standard Error 25.2

PRIMARY outcome

Timeframe: Within 4 hours after administration of intervention

Population: All participants who completed both interventions (crossover design) with outcome data collected

Venous plasma concentrations of ATP measured using a luminometer before and after 5 minutes of exposure to hypoxia (breathing a mix of low-oxygen gas and room air to achieve oxygen saturations of \~80%).

Outcome measures

Outcome measures
Measure
Young Saline
n=9 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Young Fasudil
n=9 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Older Saline
n=11 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Older Fasudil
n=11 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Change in ATP Release to Hypoxia After Administration of Intervention
21.6 nmol/L
Standard Error 10.5
5.3 nmol/L
Standard Error 8.0
5.3 nmol/L
Standard Error 5.4
17.4 nmol/L
Standard Error 13.2

PRIMARY outcome

Timeframe: Within 4 hours after administration of intervention

Population: All participants who completed both interventions (crossover design) with outcome data collected

Venous plasma concentrations of ATP measured using a luminometer before and during continuous rhythmic handgrip exercise at a low, moderate, and high intensity workload (4 minutes at each workload for 12 minutes in total).

Outcome measures

Outcome measures
Measure
Young Saline
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Young Fasudil
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Older Saline
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Older Fasudil
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Change in ATP Release to Exercise After Administration of Intervention
45.6 nmol/L
Standard Error 16.8
42.2 nmol/L
Standard Error 15.1
28.4 nmol/L
Standard Error 7.9
46.2 nmol/L
Standard Error 15.2

SECONDARY outcome

Timeframe: Immediately following administration of intervention

Population: All participants who completed both interventions (crossover design) with outcome data collected

Arterial stiffness measured non-invasively using a SphygmoCor system after administration of saline (placebo) and fasudil. This is a randomized crossover design study, so participants will receive 1 treatment (saline or fasudil) on their first visit and the other treatment on their second visit.

Outcome measures

Outcome measures
Measure
Young Saline
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Young Fasudil
n=12 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Older Saline
n=13 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of saline (placebo) prior to outcome measurements
Older Fasudil
n=13 Participants
Participants received a 100 mL intravenous infusion (in 60 minutes) of 60 mg of fasudil hydrochloride + saline prior to outcome measurements
Arterial Stiffness After Administration of Intervention
5.4 m/s
Standard Error 0.2
5.2 m/s
Standard Error 0.2
7.8 m/s
Standard Error 0.4
7.6 m/s
Standard Error 0.4

Adverse Events

Young Saline

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

Young Fasudil

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

Older Saline

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

Older Fasudil

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Frank Dinenno

Colorado State University

Phone: 970-491-3203

Results disclosure agreements

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