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Recombinant Human Superoxide Dismutase (rhSOD) and Vascular Reactivity

Information source: Medical University of Vienna
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Inflammation

Intervention: LPS 2 ng/kg intravenous (IV) bolus (Drug); rhSOD 82,000 IU (8.2 mg)/min intraarterially (Drug); Norepinephrine 60, 120, 240 pmol/min intraarterially over 5 min/dose level (two times; pre-dose and +3.5 hrs) (Drug); Acetylcholine 6.25, 12.5, 25 nmol/min intraarterially over 3 min/dose level (two times; pre-dose and +3.5 hrs) (Drug); Glyceroltrinitrate (nitroglycerine) 4, 8, 16 nmol/min over 3 min/dose level (two times; pre-dose and +3.5 hrs) (Drug)

Phase: Phase 1

Status: Completed

Sponsored by: Medical University of Vienna

Official(s) and/or principal investigator(s):
Michael Wolzt, MD, Principal Investigator, Affiliation: Medical University of Vienna

Summary

Inflammation is characterised by an increased risk for cardiovascular events. Dysfunction of the vascular endothelium caused by oxidative stress might provide a mechanistic link. In acute and chronic inflammation, oxidative stress occurs when the production of reactive oxygen species [ROS] (including superoxide anions [O2-]) exceeds the capacity of the endogenous antioxidant defense systems, resulting in ROS-mediated damage. Recombinant human superoxide dismutase (rhSOD) has shown potent antioxidant properties in in-vitro and animal studies and has been tested in phase I clinical trials in humans. rhSOD could offer a therapeutic option for vascular dysfunction in diseases associated with increased oxidative stress. The investigators, therefore, want to test if the hyporesponsiveness to vasoactive drugs (norepinephrine, acetylcholine and glyceroltrinitrate) during acute inflammation by low-dose lipopolysaccharide (LPS) is due to the increased production of superoxide anions, which could be scavanged by the radical scavenger rhSOD.

Clinical Details

Official title: Impact of rhCu/Zn SOD on Inflammation-Induced Impairment of Vascular Reactivity

Study design: Allocation: Randomized, Endpoint Classification: Pharmacokinetics/Dynamics Study, Intervention Model: Parallel Assignment, Masking: Double-Blind

Primary outcome: Forearm blood flow responses to acetylcholine, nitroglycerine and norepinephrine (ratio between intervention and control arm)

Secondary outcome: Markers of inflammation and oxidative stress, change in MAP, change in pulse rate, subjective symptoms and body temperature; antibodies against rhSOD

Eligibility

Minimum age: 18 Years. Maximum age: 45 Years. Gender(s): Male.

Criteria:

Inclusion Criteria:

- Men aged between 18 and 45 years

- Nonsmokers

- Body mass index between 15th and 85th percentile

- Normal findings in medical history and physical examination unless the investigator

considers an abnormality to be clinically irrelevant Exclusion Criteria:

- Regular use of medication, abuse of alcoholic beverages, or participation in a

clinical trial in the 3 weeks preceding the study

- Evidence of hypertension, pathologic hyperglycemia, or hyperlipidemia

- Treatment in the previous 3 weeks with any drug

- Symptoms of a clinically relevant illness in the 3 weeks before the first study day

- History or presence of gastrointestinal, liver or kidney disease, or other conditions

known to interfere with distribution, metabolism or excretion of study drugs

- Blood donation during the previous 3 weeks

- History of hypersensitivity to the trial drug or to drugs with a similar chemical

structure

Locations and Contacts

Medical University of Vienna - General Hospital of the City of Vienna AKH, Vienna 1090, Austria
Additional Information

Starting date: June 2005
Last updated: May 21, 2008

Page last updated: August 23, 2015

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