Trial Outcomes & Findings for Genomics, Environmental Factors and Social Determinants of Cardiovascular Disease in African Americans Study (GENE-FORECAST): Sodium Intervention Trial (SIT) (NCT NCT04717336)

NCT ID: NCT04717336

Last Updated: 2025-04-27

Results Overview

Mean change in vascular function was measured by Pulse Wave Velocity (PWV) using the SphygmoCor XCEL. PWV was determined by recording the pulse waves of the carotid and femoral arteries and calculating the ratio of the distance between the pulse measuring sites to the time delay between the carotid and femoral pulse waves. The distance was measured with a non-stretchable tape from the suprasternal notch to the carotid site and from the suprasternal notch to the femoral site. The former distance was subtracted from the latter and used in the calculation of PWV. High PWV is directly associated with increased arterial stiffness, reflecting reduced elasticity of the arterial walls.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

Baseline, Week 2, Week 5 and Week 7

Results posted on

2025-04-27

Participant Flow

Participant milestones

Participant milestones
Measure
Sodium Chloride Then Placebo
Participant will take Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Placebo at 3 pills per day for a total of 3 grams for two weeks.
Placebo Then Sodium Chloride
Participant will take Placebo at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks.
Period 1: Baseline to Week 2
STARTED
20
16
Period 1: Baseline to Week 2
COMPLETED
18
14
Period 1: Baseline to Week 2
NOT COMPLETED
2
2
Washout: Week 2 to Week 5
STARTED
18
14
Washout: Week 2 to Week 5
COMPLETED
16
12
Washout: Week 2 to Week 5
NOT COMPLETED
2
2
Period 2: Week 5 to Week 7
STARTED
16
12
Period 2: Week 5 to Week 7
COMPLETED
16
12
Period 2: Week 5 to Week 7
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sodium Chloride Then Placebo
Participant will take Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Placebo at 3 pills per day for a total of 3 grams for two weeks.
Placebo Then Sodium Chloride
Participant will take Placebo at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks.
Period 1: Baseline to Week 2
Withdrawal by Subject
2
2
Washout: Week 2 to Week 5
Withdrawal by Subject
2
2

Baseline Characteristics

Genomics, Environmental Factors and Social Determinants of Cardiovascular Disease in African Americans Study (GENE-FORECAST): Sodium Intervention Trial (SIT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sodium Chloride Then Placebo
n=20 Participants
Participant will take Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Placebo at 3 pills per day for a total of 3 grams for two weeks.
Placebo Then Sodium Chloride
n=16 Participants
Participant will take Placebo at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks.
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
16 Participants
n=7 Participants
36 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
11 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
15 Participants
n=7 Participants
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=5 Participants
16 Participants
n=7 Participants
36 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
16 participants
n=7 Participants
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 2, Week 5 and Week 7

Population: Analysis includes only those participants that completed the Pulse Wave Velocity at every visit (n=23).

Mean change in vascular function was measured by Pulse Wave Velocity (PWV) using the SphygmoCor XCEL. PWV was determined by recording the pulse waves of the carotid and femoral arteries and calculating the ratio of the distance between the pulse measuring sites to the time delay between the carotid and femoral pulse waves. The distance was measured with a non-stretchable tape from the suprasternal notch to the carotid site and from the suprasternal notch to the femoral site. The former distance was subtracted from the latter and used in the calculation of PWV. High PWV is directly associated with increased arterial stiffness, reflecting reduced elasticity of the arterial walls.

Outcome measures

Outcome measures
Measure
Sodium Chloride Then Placebo
n=13 Participants
Participant will take Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Placebo at 3 pills per day for a total of 3 grams for two weeks.
Placebo Then Sodium Chloride
n=10 Participants
Participant will take Placebo at 3 pills per day for a total of 3 grams for two weeks, followed by a wash-out period for three-weeks, then ending with a cross-over to the Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks.
Mean Change in Vascular Function Measured by Pulse Wave Velocity
Baseline
7.08 m/s
Standard Deviation 1.50
7.13 m/s
Standard Deviation 0.81
Mean Change in Vascular Function Measured by Pulse Wave Velocity
Week 5
6.88 m/s
Standard Deviation 1.06
6.86 m/s
Standard Deviation 1.30
Mean Change in Vascular Function Measured by Pulse Wave Velocity
Week 2
7.34 m/s
Standard Deviation 0.88
7.07 m/s
Standard Deviation 0.96
Mean Change in Vascular Function Measured by Pulse Wave Velocity
Week 7
7.03 m/s
Standard Deviation 1.27
6.70 m/s
Standard Deviation 0.95

Adverse Events

Sodium Chloride

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

Placebo

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

Wash-Out Period

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
Sodium Chloride
n=32 participants at risk
Participant will take Sodium Chloride at 3 pills per day for a total of 3 grams for two weeks.
Placebo
n=32 participants at risk
Participant will take Placebo at 3 pills per day for a total of 3 grams for two weeks.
Wash-Out Period
n=32 participants at risk
Participants do not take any study intervention for this washout period.
Skin and subcutaneous tissue disorders
Hives
0.00%
0/32 • 7 weeks
3.1%
1/32 • Number of events 1 • 7 weeks
0.00%
0/32 • 7 weeks
Gastrointestinal disorders
Nausea
3.1%
1/32 • Number of events 1 • 7 weeks
0.00%
0/32 • 7 weeks
0.00%
0/32 • 7 weeks

Additional Information

Georg Aue, MD

The National Heart, Lung, and Blood Institute (NHLBI) at the National Institutes of Health (NIH)

Phone: 301.451.7141

Results disclosure agreements

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