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Healthy ParticipantsEarly Phase 1NCT01064739

Renal Salt Handling in Postural Tachycardia Syndrome Following Dietary Dopa Administration

A Early Phase 1 study testing Fava beans and Fixed Sodium Diet in people with Healthy Participants, run by Vanderbilt University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to learn how plants can play a role in gain/loss of sodium in the urine and in the regulation of blood pressure. Dopamine is a chemical mostly present in the brain and kidneys which assists in regulation of the body's salts (sodium and potassium). Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Participants
What is being tested?
Fava beans and Fixed Sodium Diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 siteUnited States
Study dates
Jan 2007to Dec 2012
Phase
Early Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Non-smoking
  • Free of medications with the potential to influence BP
  • Age between 18-60 years
  • Male and female subjects are eligible
  • Able and willing to provide informed consent

Who cannot join

  • Significant cardiovascular, pulmonary, hepatic, or hematological disease by history or screening results
  • Positive urine b-hcg pregnancy test
  • Evidence of cardiac structural disease (by clinical examination or prior echocardiogram)
  • Hypertension defined as a BP>145/95 (off medications) or need for antihypertensive medications
  • Evidence of significant conduction system delay (QRS duration >120 ms) on electrocardiogram
  • Inability to give, or withdraw, informed consent
Show all 10Show fewer
  • Other factors which in the investigator's opinion would prevent the subject from completing the protocol Food allergies to favas or other dietary dopa sources selected
  • Parkinson's Disease
  • Diagnosis of Glucose-6-Phosphate Dehydrogenase (G6P) Deficiency or Individuals from the Mediterranean with family history of G6PD.
  • Prolonged QT interval on ECG> 480 13. Familial history of sudden cardiac death

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Vanderbilt University Clinical Research Center

    Nashville, Tennessee, 37232-2195

Other trials in United States

About this study

The purpose of this study is to learn how plants can play a role in gain/loss of sodium in the urine and in the regulation of blood pressure. Dopamine is a chemical mostly present in the brain and kidneys which assists in regulation of the body's salts (sodium and potassium). Fava beans contain a lot of the chemical that increases the production of dopamine by the kidneys.

The purpose of these studies is to characterize the diuretic effects of dietary catecholamine sources in healthy individuals. Specific aims are:

Read more
  1. To determine the effect of dietary dopa sources on plasma and urinary catecholamines.
  2. To investigate the capacity of botanical dopaminergic agents (fava beans) to induce natriuresis in a short term study.
  3. To provide preliminary data on the effects of dietary dopa on heart rate and blood pressure.

In these studies, we will test the null hypothesis (Ho) that urinary sodium excretion will not differ in healthy volunteers after consumption of a fixed-sodium study diet and the study diet plus fava beans.

Read the detailed description

Fava beans are a broad bean, with potential clinical relevance in Parkinson's patients since they contain high levels of the dopamine precursor, dihydroxyphenylalanine (dopa).In addition to the central nervous system functions of dopamine that are compromised in Parkinson's disease, renal dopamine has vasodilatory and natriuretic activity. Elevated urinary dopamine, however, does not consistently correlate with increased urinary sodium excretion, and there are conflicting opinions over the conditions under which renal dopamine might regulate sodium balance.The goal of our study was to clarify the natriuretic effect of fava beans, obtained from a source that serves patients with Parkinson's disease. Catechol and sodium data were compared in healthy volunteers using a longitudinal design in which all participants consumed a fixed sodium study diet on day 1 and the fixed sodium diet plus fava beans on day 2. Blood was sampled at 1, 2, 4 and 6 hours after breakfast, and three consecutive 4-hr urine samples were collected.

Postural tachycardia syndrome (POTS) is the most common form of orthostatic intolerance, affecting an estimated 500,000 Americans, principally young women. POTS refers to an excessive increase in heart rate (>30 beats per minute) on standing in the absence of orthostatic hypotension. Previous findings by the Robertson/Garland research group suggest that mechanisms involved in orthostatic and absolute volume regulation contribute to POTS pathophysiology. A follow-up study might compare the influences of diet in patients with POTS and healthy volunteers.

Being tested
Fava beans, Fixed Sodium Diet
Keywords
Healthy Volunteers, Fava bean consumption, L-Dopa content in Fava Beans, Sodium, Potassium, Electrolyte Balance, Natriuresis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fava beansDietary supplement

    Participants will receive 100g of fresh fava beans for breakfast and lunch on one study day and prior to this study day will be restricted to a fixed sodium low monoamine diet

  • Fixed Sodium DietOther

    Fixed sodium low monoamine diet

Study groups in NCT01064739
Study groupRoleWhat they receive
Study Diet +/- fava beansExperimentalParticipants underwent testing while on a methylxanthine-free diet providing 150 mEq sodium and 75 mEq potassium per day. The study involved a longitudinal design where the participants served as their own controls. Subjects consumed the standard fixed sodium diet on study day one. On study day two, participants ate 100 g of puréed fava beans and pods with study diet at breakfast (0800hr) and lunch (1200hr).
Receives: Dietary Supplement: Fava beans; Other: Fixed Sodium Diet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Plasma Dopa 1 hr After Breakfast

    Subjects consumed the standard fixed sodium diet for at least two days prior to study and on study day one during an inpatient stay in the Vanderbilt Clinical Research Center. On study day two, participants ate 100 g of puréed fava beans and pods with study diet at breakfast (0800hr) and lunch (1200hr). Blood was sampled for catechol assays before and at 1, 2, 4 and 6 hours after breakfast. Plasma dopa 1 hour after breakfast was specified as a primary outcome. Other catechols (dihydroxyphenylglycol, norepinephrine, epinephrine, dopamine, dihydroxyphenylacetic acid) and other time points (2, 3, 4, 6hr after breakfast) are non-primary outcomes.

    Measured: Plasma samples collected 1 hour after breakfast on both study days.

  2. Urinary Dopa

    Urinary dopa excreted 4-8 hours after breakfast was specified as a primary outcome. Other catechols (dihydroxyphenylglycol, norepinephrine, epinephrine, dopamine, dihydroxyphenylacetic acid) and other time points (0-4 hr, 8-12 hr after breakfast) are non-primary outcomes.

    Measured: 4-8 hours after breakfast

  3. Urinary Sodium

    Urinary sodium excreted 4-8 hours after breakfast was designated as a primary outcome. Other urine samples (0-4 hr, 8-12 hr after breakfast) are considered as non-primary outcomes.

    Measured: 4 to 8 hours after breakfast

Secondary outcomes (23)
  1. Plasma Dopa 2 Hrs After Breakfast

    Subjects consumed the standard fixed sodium diet for at least two days prior to study and on study day one during an inpatient stay in the Vanderbilt Clinical Research Center. On study day two, participants ate 100 g of puréed fava beans and pods with study diet at breakfast (0800hr) and lunch (1200hr). Blood was sampled for catechol assays before and at 1, 2, 4 and 6 hours after breakfast. Plasma dopa 1 hour after breakfast was specified as a primary outcome. Other catechols (dihydroxyphenylglycol, norepinephrine, epinephrine, dopamine, dihydroxyphenylacetic acid) and other time points (2, 3, 4, 6hr after breakfast) are non-primary outcomes.

    Measured: Plasma samples collected 2 hours after breakfast on both study days.

  2. Plasma Dopa 4 Hrs After Breakfast

    Subjects consumed the standard fixed sodium diet for at least two days prior to study and on study day one during an inpatient stay in the Vanderbilt Clinical Research Center. On study day two, participants ate 100 g of puréed fava beans and pods with study diet at breakfast (0800hr) and lunch (1200hr). Blood was sampled for catechol assays before and at 1, 2, 4 and 6 hours after breakfast. Plasma dopa 1 hour after breakfast was specified as a primary outcome. Other catechols (dihydroxyphenylglycol, norepinephrine, epinephrine, dopamine, dihydroxyphenylacetic acid) and other time points (2, 3, 4, 6hr after breakfast) are non-primary outcomes.

    Measured: Plasma samples collected 4 hours after breakfast on both study days.

  3. Plasma Dopa 6 Hrs After Breakfast

    Subjects consumed the standard fixed sodium diet for at least two days prior to study and on study day one during an inpatient stay in the Vanderbilt Clinical Research Center. On study day two, participants ate 100 g of puréed fava beans and pods with study diet at breakfast (0800hr) and lunch (1200hr). Blood was sampled for catechol assays before and at 1, 2, 4 and 6 hours after breakfast. Plasma dopa 1 hour after breakfast was specified as a primary outcome. Other catechols (dihydroxyphenylglycol, norepinephrine, epinephrine, dopamine, dihydroxyphenylacetic acid) and other time points (2, 3, 4, 6hr after breakfast) are non-primary outcomes.

    Measured: Plasma samples collected 6 hours after breakfast on both study days.

  4. Plasma Norepinephrine

    Plasma norepinephrine 1 hour after breakfast

    Measured: 1 hour after breakfast on both study days.

  5. Plasma Norepinephrine

    Plasma norepinephrine 2 hours after breakfast

    Measured: 2 hours after breakfast on both study days.

  6. Plasma Norepinephrine

    Plasma norepinephrine 4 hours after breakfast

    Measured: 4 hours after breakfast on both study days.

  7. Plasma Norepinephrine

    Plasma norepinephrine 6 hours after breakfast

    Measured: 6 hours after breakfast on both study days.

  8. Plasma Dopamine

    Plasma dopamine 1 hour after breakfast

    Measured: 1 hour after breakfast

  9. Plasma Dopamine

    Plasma dopamine 2 hours after breakfast

    Measured: 2 hours after breakfast on both study days.

  10. Plasma Dopamine

    Plasma dopamine 4 hours after breakfast

    Measured: 4 hours after breakfast on both study days.

  11. Plasma Dopamine

    Plasma dopamine 6 hours after breakfast

    Measured: Plasma samplesPlasma dopamine 6 hours after breakfast on both study days.

  12. Urinary Dopa

    Urinary dopa excreted 4-8 hours after breakfast was specified as a primary outcome. Other time points (0-4 hr, 8-12 hr after breakfast) are non-primary outcomes.

    Measured: 0-4 hours after breakfast

  13. Urinary Dopa

    Urinary dopa excreted 4-8 hours after breakfast was specified as a primary outcome. Other time points (0-4 hr, 8-12 hr after breakfast) are non-primary outcomes.

    Measured: 8-12 hours after breakfast

  14. Urinary Dopamine

    Urinary dopamine excreted 0 to 4 hours after breakfast

    Measured: 0 to 4 hours after breakfast

  15. Urinary Dopamine

    Urinary dopamine excreted 4 to 8 hours after breakfast

    Measured: 4 to 8 hours after breakfast

  16. Urinary Dopamine

    Urinary dopamine excreted 8 to 12 hours after breakfast

    Measured: 8 to 12 hours after breakfast

  17. Urinary Norepinephrine

    Urinary norepinephrine excreted 0-4 hours after breakfast

    Measured: 0 to 4 hours after breakfast

  18. Urinary Norepinephrine

    Urinary norepinephrine excreted 4-8 hours after breakfast

    Measured: 4 to 8 hours after breakfast

  19. Urinary Norepinephrine

    Urinary norepinephrine excreted 8-12 hours after breakfast

    Measured: 8 to 12 hours after breakfast

  20. Supine Systolic Blood Pressure

    Supine systolic blood pressure 6 hours after breakfast

    Measured: Supine-6 hours after breakfast on both study days.

  21. Supine Heart Rate

    Supine heart rate 6 hours after breakfast

    Measured: 6 hours after breakfast

  22. Urinary Sodium

    Urinary sodium excreted 0-4 hours after breakfast.

    Measured: 0-4 hours after breakfast

  23. Urinary Sodium

    urinary sodium 8-12 hours after breakfast

    Measured: 8-12 hours after breakfast

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Feb 2010 (estimated)
  2. Study startJan 2007
  3. Primary completionSep 2012
  4. Study completionDec 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01064739
Sponsor's protocol ID
PN 1767
Status last verified
Aug 2013
First submitted
5 Feb 2010
Last updated
26 May 2016
Data monitoring committee
No
Individual data sharing
No

Publications

  • Garland EM, Cesar TS, Lonce S, Ferguson MC, Robertson D. An increase in renal dopamine does not stimulate natriuresis after fava bean ingestion. Am J Clin Nutr. 2013 May;97(5):1144-50. doi: 10.3945/ajcn.112.048470. Epub 2013 Apr 3.

    PubMed 23553159

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Fava beans and Fixed Sodium Diet in people with Healthy Participants, run by Vanderbilt University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 May 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Jul 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Plasma Dopa 1 hr After Breakfast (time frame: Plasma samples collected 1 hour after breakfast on both study days.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01064739, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2016.

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