Trial Outcomes & Findings for ENAC Blockade and Arterial Stiffness (NCT NCT03837626)

NCT ID: NCT03837626

Last Updated: 2025-12-30

Results Overview

cfPWV is the gold standard of arterial stiffness. It was assessd during experimental visits, under the same conditions in a blinded manner

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

137 participants

Primary outcome timeframe

baseline, 3 and 6 mo

Results posted on

2025-12-30

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Overall Study
STARTED
47
90
Overall Study
COMPLETED
37
79
Overall Study
NOT COMPLETED
10
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Overall Study
Adverse Event
3
3
Overall Study
Withdrawal by Subject
2
4
Overall Study
Physician Decision
2
3
Overall Study
Lost to Follow-up
3
1

Baseline Characteristics

ENAC Blockade and Arterial Stiffness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=47 Participants
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
n=90 Participants
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Total
n=137 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=174 Participants
0 Participants
n=166 Participants
0 Participants
n=167 Participants
Age, Categorical
Between 18 and 65 years
42 Participants
n=174 Participants
86 Participants
n=166 Participants
128 Participants
n=167 Participants
Age, Categorical
>=65 years
5 Participants
n=174 Participants
4 Participants
n=166 Participants
9 Participants
n=167 Participants
Sex: Female, Male
Female
28 Participants
n=174 Participants
59 Participants
n=166 Participants
87 Participants
n=167 Participants
Sex: Female, Male
Male
19 Participants
n=174 Participants
31 Participants
n=166 Participants
50 Participants
n=167 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=174 Participants
3 Participants
n=166 Participants
6 Participants
n=167 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
44 Participants
n=174 Participants
87 Participants
n=166 Participants
131 Participants
n=167 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=174 Participants
0 Participants
n=166 Participants
0 Participants
n=167 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=174 Participants
0 Participants
n=166 Participants
1 Participants
n=167 Participants
Race (NIH/OMB)
Asian
0 Participants
n=174 Participants
2 Participants
n=166 Participants
2 Participants
n=167 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=174 Participants
0 Participants
n=166 Participants
0 Participants
n=167 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=174 Participants
6 Participants
n=166 Participants
11 Participants
n=167 Participants
Race (NIH/OMB)
White
40 Participants
n=174 Participants
80 Participants
n=166 Participants
120 Participants
n=167 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=174 Participants
2 Participants
n=166 Participants
3 Participants
n=167 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=174 Participants
0 Participants
n=166 Participants
0 Participants
n=167 Participants
Region of Enrollment
United States
47 participants
n=174 Participants
90 participants
n=166 Participants
137 participants
n=167 Participants

PRIMARY outcome

Timeframe: baseline, 3 and 6 mo

Population: Number of participants that finished clinical trial

cfPWV is the gold standard of arterial stiffness. It was assessd during experimental visits, under the same conditions in a blinded manner

Outcome measures

Outcome measures
Measure
Placebo
n=37 Participants
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
n=97 Participants
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Carotid Femoral Pulse Wave Velocity
6 months
7.12 m/s
Interval 6.73 to 7.51
6.81 m/s
Interval 6.54 to 7.08
Carotid Femoral Pulse Wave Velocity
3 months
7.25 m/s
Interval 6.85 to 7.65
6.80 m/s
Interval 6.53 to 7.07

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 and 6 mo

Systolic blood pressure obtained during experimental visits at the different time points

Outcome measures

Outcome measures
Measure
Placebo
n=37 Participants
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
n=79 Participants
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Systolic Blood Pressure
3 mo
127.53 mmHg
Interval 123.07 to 132.0
122.90 mmHg
Interval 119.85 to 125.94
Systolic Blood Pressure
6 mo
125.51 mmHg
Interval 121.11 to 129.92
120.27 mmHg
Interval 117.25 to 123.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 3 months (interim) and 6 months (final)

Brachial artery flow-mediated dilation will be assessed at baseline, 12, and 24 weeks. FMD is a measurement of conduit artery endothelial function.

Outcome measures

Outcome measures
Measure
Placebo
n=32 Participants
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
n=70 Participants
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Brachial Artery Flow Mediated Dilation (FMD)
3 months (interim)
6.03 Percentage
95% Confidence Interval 0.62 • Interval 4.9 to 7.17
6.25 Percentage
95% Confidence Interval 0.42 • Interval 5.49 to 7.02
Brachial Artery Flow Mediated Dilation (FMD)
Delta 6 months (final)
5.59 Percentage
95% Confidence Interval 0.56 • Interval 4.5 to 6.68
6.16 Percentage
95% Confidence Interval 0.44 • Interval 5.42 to 6.9

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 3 months (interim) and 6 months (final)

Popliteal artery flow-mediated dilation will be assessed at baseline, 12, and 24 weeks. FMD is a measurement of conduit artery endothelial function.

Outcome measures

Outcome measures
Measure
Placebo
n=14 Participants
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
n=34 Participants
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Popliteal Artery Flow Mediated Dilation (FMD)
3 months (interim)
1.71 Percentage
95% Confidence Interval 0.30 • Interval 0.74 to 2.69
2.22 Percentage
95% Confidence Interval 0.29 • Interval 1.59 to 2.84
Popliteal Artery Flow Mediated Dilation (FMD)
6 months (final)
1.80 Percentage
95% Confidence Interval 0.31 • Interval 0.91 to 2.69
2.55 Percentage
95% Confidence Interval 0.34 • Interval 2.02 to 3.09

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Amiloride

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=47 participants at risk
6 months of daily placebo Placebo - Cap: 6 months of 1 pill a day
Amiloride
n=90 participants at risk
6 months of amiloride (max dose 5 mg) treatment Amiloride Pill: Max dose of 5 mg a day for 6 months
Nervous system disorders
Headache
10.6%
5/47 • Number of events 5 • 6 months
10.0%
9/90 • Number of events 9 • 6 months

Additional Information

Camila Manrique, MD

University of Missouri

Phone: 573-882-2554

Results disclosure agreements

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