Endocalyx in Treatment Resistent Hypertension

NCT ID: NCT06940011

Last Updated: 2025-04-23

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-21

Study Completion Date

2028-01-01

Brief Summary

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The goal of this randomized, double-blind, placebo-controlled study is to assess whether the food supplement Endocalyx lowers blood pressure in patients with treatment resistant hypertension.

Detailed Description

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During this intervention study, subjects will receive either a placebo or Endocalyx for 12 weeks. The main objective of this study is to assess whether the food supplement Endocalyx lowers blood pressure in patients with treatment resistant hypertension.

Secondary objectives are:

* Change from baseline in office blood pressure and 24-hour blood pressure profiles in subjects with treatment resistant hypertension.
* To assess whether sodium intake, sex or kidney function modulates the effect of Endocalyx on blood pressure.
* Change from baseline in total vessel density, perfused vessel density, proportion of perfused vessels and microvascular health score
* To assess the effect of Endocalyx on total peripheral resistance.
* The effect of Endocalyx on quality of life.
* To estimate the potential impact of Endocalyx on long-term cardiovascular protection and health care costs.

Conditions

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Treatment Resistant Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized, double-blind, placebo-controlled study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Endocalyx Pro

Endocalyx is a food supplement that is distributed by Microvascular Health Solutions LLC in Chattanooga, Tennessee. Patients will receive 4 capsules Endocalyx per day, for 12 consecutive weeks. The capsules are orally administered and can be taken with water, on an empty stomach or with food. If possible, the patient will take 2 capsules in the morning, and 2 capsules in the afternoon. If preferred by the patient, the 4 capsules could also be taken once daily in the morning.

Group Type EXPERIMENTAL

Endocalyx Pro

Intervention Type DIETARY_SUPPLEMENT

4 capsules once daily OR 2 capsules twice daily

Placebo

Placebo pills will be provided by Microvascular Health Solutions and are matched with the Endocalyx capsules. The placebo capsules contain no active pharmaceutical ingredients and contain solely widely used excipients. Patients will receive 4 capsules of the placebo per day for 12 consecutive weeks. The capsules are orally administered and can be taken with water, on an empty stomach or with food. If possible, the patient will take 2 capsules in the morning, and 2 capsules in the afternoon. If preferred by the patient, the 4 capsules could also be taken once daily in the morning.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

4 capsules once daily OR 2 capsules twice daily

Interventions

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Endocalyx Pro

4 capsules once daily OR 2 capsules twice daily

Intervention Type DIETARY_SUPPLEMENT

Placebo

4 capsules once daily OR 2 capsules twice daily

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Treatment resistant hypertension defined as

1. an uncontrolled office BP (≥140/90 mmHg).
2. is on a regimen of ≥3 adequately dosed antihypertensive agents of different classes, including a diuretic, at maximum tolerated dose based on investigator judgment.
2. Stable diuretic and antihypertensive treatment for the previous 3 weeks.
3. Subject, or legal representative, has voluntarily signed and dated an Informed Consent Form, approved by the Independent Ethics Committee (IEC).

Exclusion Criteria

1. Age \<18 years.
2. Estimated glomerular filtration rate (eGFR) \<20 ml/min/1.73m2 measured by the 2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine formula and the 2012 cystatin C CKD-EPI formula.
3. A mean seated systolic blood pressure of at least 180 mmHg or a diastolic blood pressure of at least 110 mmHg.
4. Known secondary hypertension
5. An acute coronary syndrome, stroke, transient ischemic attack or cardiovascular surgery in the last 3 months.
6. Hospitalization for heart failure in the past 3 weeks.
7. Dialysis treatment or expected initiation of dialysis within 3 months of screening.
8. Women of child bearing potential who are not taking adequate contraception (i.e. \<1% failure rate).
9. Planned surgery in the next 12 weeks
10. Major surgery in the previous 4 weeks.
11. Use of prednisolone \>5 mg/day
12. Use of any other investigational drug.
13. Presence of significant comorbidities (e.g., advanced malignancy, advanced liver disease) with a life expectancy of less than 1 year.
14. A psychiatric, addictive or any disorder that compromises ability to give truly informed consent for participation in this study.
15. Known hypersensitivity to seaweed, corn, artichoke, grape, melon or to any of the excipients of Endocalyx.
16. Known hypersensitivity or allergies for milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat and soybeans.
17. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose galactose malabsorption.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dutch Heart Foundation

OTHER

Sponsor Role collaborator

Dutch Kidney Foundation

OTHER

Sponsor Role collaborator

Microvascular Health Solutions LLC

UNKNOWN

Sponsor Role collaborator

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role lead

Responsible Party

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Rik Olde Engberink

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Amsterdam UMC

Amsterdam, North Holland, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Rik Olde Engberink, MD PhD

Role: CONTACT

0031205661930

Sanédy Simon, MD

Role: CONTACT

0031205667789

Facility Contacts

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Rik Olde Engberink, MD PhD

Role: primary

+31(0)205661930

Sanédy Simon, MD

Role: backup

+31(0)20567789

Other Identifiers

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NL85685.018.24

Identifier Type: -

Identifier Source: org_study_id

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