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Recruiting NCT04715022

Sympathetic-vascular Dysfunction in Obesity and Insulin Resistance (Vitamin C Study)

Phase I / Phase II Interventional Hypertension Cardiovascular Diseases

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Ascorbic acid solution (American Regent Laboratories Inc.), Saline.
Who it may be relevant to
Registry conditions: Hypertension, Cardiovascular Diseases. Basic parameters: 35 years — 65 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Sympathetic-vascular Dysfunction in Obesity and Insulin Resistance

Overview

The main purpose of research is to examine and understanding the development of hypertension in obese adults with insulin resistance. Findings from our studies will identify unique mechanisms that can be targeted to limit increases in vascular dysfunction and reduce the excessively high prevalence of hypertension and risk for cardiovascular disease (CVD). This study is testing the health of the blood vessels and the activity of the nerves that control the blood vessels in adults with insulin resistance. The extent to which ascorbic acid (Vitamin C) improves the function of the blood vessels will be determined. The primary outcome is blood pressure, which is the result of blood vessel health and activity of the nerves, and the reduction in blood pressure that is observed with ascorbic acid.

Interventions

  • Drug Ascorbic acid solution (American Regent Laboratories Inc.)
    Ascorbic acid solution (American Regent Laboratories Inc.) will be obtained from the KU Investigational Pharmacy located in the KU Clinical Research Center where studies will take place. A priming bolus of 0.06 g ascorbic acid/kg fat free mass (FFM) dissolved in 100 mL of saline will be infused intravenously at 5 mL/min for 20 minutes, followed immediately by a "drip-infusion" of 0.02 g/kg FFM dissolved in 30 mL of saline administered over 2 hours at 0.5 mL/min.
  • Drug Saline
    Placebo (saline) will be administered

Primary outcome measures

  • Efficacy of infusion of ascorbic acid [Time frame: 30 minutes]
  • Efficacy of infusion of ascorbic acid [Time frame: 60 minutes]
  • Efficacy of infusion of ascorbic acid [Time frame: 90 minutes]
  • Efficacy of infusion of ascorbic acid [Time frame: 120 minutes]

Eligibility criteria

Inclusion criteria

  • Obese: BMI >30 m/kg2
  • Middle-aged: 35-65 years
  • Participants must be willing and able to discontinue taking any vitamin C or E supplements or omega-3 fatty acids beginning 2 weeks prior.
  • Able and willing to provide written informed consent

Exclusion criteria

  • Diabetes mellitus: fasting glucose < 1267 mg/dL and/or HbA1c < 6.5%
  • Currently taking a statin or antihypertension medication
  • Hyperlipidemia: Fasting triglycerides < 250 mg/dL
  • Hypertension: <130/80 mmHg
  • History of heart disease (e.g., myocardial infarction, stent)
  • History of vascular disease (e.g., bypass, stroke)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Crossover
Masking
Double blind
Primary purpose
Treatment

Study locations

United States · 1 center
  • University of Kansas Medical Center — Kansas City

Identifiers

NCT: NCT04715022 · STUDY00146744

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗