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Characterization of Brachial Arterial t-PA Release, Endothelial Function, Obesity and Inflammation

Information source: Vanderbilt University
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Obesity

Intervention: Bradykinin (Drug)

Phase: N/A

Status: Recruiting

Sponsored by: Vanderbilt University

Official(s) and/or principal investigator(s):
James AS Muldowney, MD, Principal Investigator, Affiliation: Vanderbilt University

Overall contact:
James AS Muldowney, III, MD, Phone: 615-936-1720, Email: james.muldowney@vanderbilt.edu

Summary

T-PA release is impaired in obese subjects. In order to have a better mechanistic understanding of t-PA release, we will compare t-PA release to Flow Mediated Vasodilation, Radial Artery Tonometry, and other markers of endothelial function and oxidative stress.

Clinical Details

Official title: Characterization of Brachial Arterial t-PA Release, Vasodilator Function, and Vascular Compliance and Correlation With Fibrinolytic Balance, Oxidative Stress, and Inflammation Measures (SCCOR Project 1 Aim 3B)

Study design: Basic Science, Open Label, Single Group Assignment

Primary outcome: Peak t-PA release

Secondary outcome:

Peak FMD

Radial Artery Elasticity

Lipid levels, PAI-1 levels, CRP levels, F2 Isoprostanes and other biomarkers of inflammation and obesity.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion criteria:

1. Adults 18 years and greater

2. Healthy

Exclusion criteria:

1. PVC < 30

2. Hypertensive subjects on ACE inhibitors

3. Pregnant or nursing mothers

4. Diabetic with HbA1C > 7. 5 or stigmata of end organ damage (neuropathy, retinopathy, nephropathy, cardiomyopathy)

5. Cholesterol > 30 mg/dL above NCEP accepted level based on cardiac risk.

6. Triglycerides > 200

7. Previously diagnosed obstructive coronary artery disease, myocardial infarction or left ventricular dysfunction (with or without a history of congestive heart failure)

8. Renal insufficiency (Creatinine ≥ 1. 5 mg/dl)

9. History of cerebrovascular disease

10. Any chronic inflammatory disease (rheumatologic, inflammatory bowel disease, etc)

11. Uncontrolled Stage 2 Hypertension (160/100 mmHg), or end organ damage due to hypertension (left ventricular hypertrophy, atrial fibrillation, hematuria, renal insufficiency, prior cerebrovascular disease).

12. Angiotensin converting enzyme inhibitor use

13. Coagulopathy (INR ≥ 1. 5, PTT ≥ 1. 5 x control)

14. Other chronic medical illnesses at the discretion of the investigators

Locations and Contacts

James AS Muldowney, III, MD, Phone: 615-936-1720, Email: james.muldowney@vanderbilt.edu

Vanderbilt University Medical Center, Nashville, Tennessee 37232, United States; Recruiting
James AS Muldowney, III, MD, Phone: 615-936-1750, Email: james.muldowney@vanderbilt.edu
Tami Neal, Phone: 615-936-1931, Email: tami.neal@vanderbilt.edu
Douglas Vaughan, MD, Sub-Investigator
Robert N Piana, MD, Sub-Investigator
Additional Information

Starting date: January 2007
Ending date: May 2011
Last updated: August 11, 2009

Page last updated: October 19, 2009

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