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Cardiovascular DiseasesAWENCT03014791

Influence of Age, Weight and Ethnic Background on Blood Pressure

An observational study of Cardiovascular Diseases and Vascular Diseases, run by Cambridge University Hospitals NHS Foundation Trust at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Hypertension, also known as high blood pressure, is a chronic medical condition, in which the blood pressure is elevated. This is a common condition, which can lead to severe complications such as cardiovascular disease, heart attack, stroke and kidney disease, if not detected and treated early. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Brief lifestyle/medical history questionnaire, Anthropometric measures and Blood pressure and arterial stiffness
How many people
500 participants
Where
1 siteUnited Kingdom
Study dates
21 Feb 2017to Feb 2024
Phase
Observational
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Hypertensive patients for this study will be identified in a secondary care setting from hypertension clinics at Cambridge University Hospitals, from two on-going observational community-based cohort studies - CLEAREST and ACCT, in addition to potential participants (healthy volunteers) who respond to recruitment posters displayed around Cambridge University Hospitals and the University of Cambridge.

Who may be able to join

  • Male or Female, aged 18 or above
  • Able to give informed consent and willing to participate

Who cannot join

  • Pregnancy
  • Current active malignancy
  • Currently receiving dialysis
  • Any illness with a life expectancy < 1 year
  • Lack of written informed consent

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site, 1 recruiting
  • Vascular Research Clinic, Addenbrooke's Hospital

    Cambridge, Cambridgeshire, CB2 0QQ

    Carmel McEniery, PhD, cmm41@medschl.cam.ac.uk

    Carmel McEniery, MPhD

    Recruiting

Other trials in United Kingdom

About this study

Official title: Influence of Age, Weight and Ethnic Background on Blood Pressure: AWE Study

Hypertension, also known as high blood pressure, is a chronic medical condition, in which the blood pressure is elevated. This is a common condition, which can lead to severe complications such as cardiovascular disease, heart attack, stroke and kidney disease, if not detected and treated early.

Accumulating evidence suggests that the incidence of hypertension varies according to age, ethnicity and obesity. In order to obtain an in-depth knowledge of the pathophysiological mechanisms of hypertension, we aim to investigate the haemodynamic and biochemical correlates of elevated blood pressure across the adult age-span, and determine the extent to which body size and ethnicity impact on these associations. We also wish to investigate the impact of hypertension on key target organs (end-organ damage). The primary objective of this study is to compare the mechanisms regulating blood pressure in hypertensive and non-hypertensive participants across the adult age span, and to assess the influence of body mass index and ethnic background on these mechanisms. Secondary objectives are to investigate the association between blood pressure and cardiovascular physiology across the adult age span at rest and during sub-maximal exercise and to investigate the impact of blood pressure haemodynamics on key organs including the arteries and heart by assessing end-organ damage such as endothelial function, arterial structure and left ventricular mass/function.

This study will be a combined case-control and cross-sectional study describing the procedures and time commitment required to investigate our scientific aims. This is a single centre study that will be conducted in a secondary care environment. Both male and females aged 18 and over and that are able provide informed consent will be considered for this study. People who are pregnant, currently receiving dialysis, illness with a life expectancy <1 year, current active malignancy and cannot provide informed consent are ineligible for this study. The study will be open for five years and each patient will complete a maximum of four visits in a 12 month period. Participants will complete a variety of non-invasive physiological assessments of their cardiovascular system and lung function. There will be some minimally invasive procedures completed, including a blood test and assessment of small artery endothelial function which involves insertion of a small needle under local anesthetic.

Being tested
Brief lifestyle/medical history questionnaire, Anthropometric measures, Blood pressure and arterial stiffness, Cardiac output and lung function, Heart rate variability
Keywords
Epidemiology, Ethnicity, Age, Weight, Hypertensive, Cardiac Output, Peripheral Vascular Resistance, Arterial Stiffness, Healthy Volunteers, Endothelial function, Arterial Structure, Left ventricular mass/function
Medical subject headings
Cardiovascular Diseases, Vascular Diseases, Hypertension, Body Weight

What participants receive

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

  • Brief lifestyle/medical history questionnaireOther

    Core Measurement

  • Anthropometric measuresOther

    Core Measurement

  • Blood pressure and arterial stiffnessOther

    Core Measurement

  • Cardiac output and lung functionOther

    Core Measurement

  • Heart rate variabilityOther

    Core Measurement

  • Blood sample & spot urine sampleOther

    Core Measurement

  • 24 hour ambulatory blood pressure monitorOther

    Detailed Measurement (Optional for participants).

  • 24 hour urine collectionOther

    Detailed Measurement (Optional for participants).

  • Echocardiograph: Left ventricular massOther

    Detailed Measurement (Optional for participants).

  • Large artery structure: Carotid intima-media thicknessOther

    Detailed Measurement (Optional for participants).

  • Small artery structure: Minimum forearm vascular resistanceOther

    Detailed Measurement (Optional for participants).

  • Large artery endothelial functionOther

    Flow- and salbutamol-mediated vasodilatation Detailed Measurement (Optional for participants).

  • Small artery endothelial function: Forearm blood flowOther

    Detailed Measurement (Optional for participants).

  • Dundee step testOther

    Systolic blood pressure response to submaximal exercise Detailed Measurement (Optional for participants).

  • Detailed haemodynamic response to submaximal exerciseOther

    Detailed Measurement (Optional for participants).

  • Cardiopulmonary fitness: Maximum oxygen consumptionOther

    Detailed Measurement (Optional for participants).

  • Haemodynamic response to mental stressOther

    Detailed Measurement (Optional for participants).

  • Small artery dilatory function: Forearm blood flowOther

    Detailed Measurement (Optional for participants).

Study groups in NCT03014791
Study groupRoleWhat they receive
Healthy VolunteersNo IMP to be administered, only challenge agents as part of the physiological assessments. Large artery endothelial function: * Glyceryl trinitrate 500 μg (Sublingual administration to stimulate endothelium-independent vasodilatation) * Salbutamol 2 x 200 μg (Administered by spacer device to stimulate endothelium-dependent vasodilatation) Forearm blood flow * Acetylcholine: 7.5μg/min, 15μg/min and 30μg/min (Intra-arterial administration via brachial artery to stimulate endothelium-dependent vasodilatation) * Sodium nitroprusside: 3μg/min, 10μg/min (Intra-arterial administration via brachial artery to stimulate endothelium-independent vasodilatation) * LNMMA: 2μmol/min, 4μmol/min (Intra-arterial administration via brachial artery to block basal nitric oxide production)
Receives: Other: Brief lifestyle/medical history questionnaire; Other: Anthropometric measures; Other: Blood pressure and arterial stiffness; Other: Cardiac output and lung function; Other: Heart rate variability; Other: Blood sample & spot urine sample; Other: 24 hour ambulatory blood pressure monitor; Other: 24 hour urine collection; Other: Echocardiograph: Left ventricular mass; Other: Large artery structure: Carotid intima-media thickness; Other: Small artery structure: Minimum forearm vascular resistance; Other: Large artery endothelial function; Other: Small artery endothelial function: Forearm blood flow; Other: Dundee step test; Other: Detailed haemodynamic response to submaximal exercise; Other: Cardiopulmonary fitness: Maximum oxygen consumption; Other: Haemodynamic response to mental stress; Other: Small artery dilatory function: Forearm blood flow
Hypertensive Patients (Case-control)No IMP to be administered, only challenge agents as part of the physiological assessments. Large artery endothelial function: * Glyceryl trinitrate 500 μg (Sublingual administration to stimulate endothelium-independent vasodilatation) * Salbutamol 2 x 200 μg (Administered by spacer device to stimulate endothelium-dependent vasodilatation) Forearm blood flow * Acetylcholine: 7.5μg/min, 15μg/min (Intra-arterial administration via brachial artery to stimulate endothelium-dependent vasodilatation) * Sodium nitroprusside: 3μg/min, 10μg/min (Intra-arterial administration via brachial artery to stimulate endothelium-independent vasodilatation) * LNMMA: 2μmol/min, 4μmol/min (Intra-arterial administration via brachial artery to block basal nitric oxide production)
Receives: Other: Brief lifestyle/medical history questionnaire; Other: Anthropometric measures; Other: Blood pressure and arterial stiffness; Other: Cardiac output and lung function; Other: Heart rate variability; Other: Blood sample & spot urine sample; Other: 24 hour ambulatory blood pressure monitor; Other: 24 hour urine collection; Other: Echocardiograph: Left ventricular mass; Other: Large artery structure: Carotid intima-media thickness; Other: Small artery structure: Minimum forearm vascular resistance; Other: Large artery endothelial function; Other: Small artery endothelial function: Forearm blood flow; Other: Dundee step test; Other: Detailed haemodynamic response to submaximal exercise; Other: Cardiopulmonary fitness: Maximum oxygen consumption; Other: Haemodynamic response to mental stress; Other: Small artery dilatory function: Forearm blood flow
Hypertensive Patients (Cross-sectional)No IMP to be administered, only challenge agents as part of the physiological assessments. Large artery endothelial function: Same challenge agents as healthy volunteer and hypertensive patient (Case-control) arms Forearm blood flow Same challenge agents as healthy volunteer and hypertensive patient (Case-control) arms Recruited from community-based cohort studies - CLEAREST and ACCT Equal recruitment across the following parameters: * Age: 3 groups <30, 30-60, >60 years * Gender * BMI: 3 groups <25, 25-30, >30 Kg/m2
Receives: Other: Brief lifestyle/medical history questionnaire; Other: Anthropometric measures; Other: Blood pressure and arterial stiffness; Other: Cardiac output and lung function; Other: Heart rate variability; Other: Blood sample & spot urine sample; Other: 24 hour ambulatory blood pressure monitor; Other: 24 hour urine collection; Other: Echocardiograph: Left ventricular mass; Other: Large artery structure: Carotid intima-media thickness; Other: Small artery structure: Minimum forearm vascular resistance; Other: Large artery endothelial function; Other: Small artery endothelial function: Forearm blood flow; Other: Dundee step test; Other: Detailed haemodynamic response to submaximal exercise; Other: Cardiopulmonary fitness: Maximum oxygen consumption; Other: Haemodynamic response to mental stress; Other: Small artery dilatory function: Forearm blood flow

What is being measured

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

  1. Cardiac Output (Measured by the inert gas re-breathing technique L/Min)

    Measured: 5 years

  2. Peripheral vascular resistance (Calculated using Cardiac Output and Blood pressure data dynes/sec/cm^5 )

    Measured: 5 years

  3. Pulse wave velocity (Measured by ECG-gated applanation tonometry meters/sec)

    Measured: 5 years

Timeline

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

  1. First posted9 Jan 2017 (estimated)
  2. Study start21 Feb 2017
  3. Primary completionFeb 2024 (estimated)
  4. Study completionFeb 2024 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03014791
Sponsor's protocol ID
AWE
Acronym
AWE
Status last verified
Aug 2022
First submitted
6 Jan 2017
Last updated
23 Aug 2022
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Cardiovascular Diseases and Vascular Diseases, run by Cambridge University Hospitals NHS Foundation Trust at 1 site in United Kingdom.

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 2 inclusion and 5 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: status not confirmed, as of the sponsor's last update on 23 Aug 2022. 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 Kingdom. 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.

Are results available for this study?

Results are not available in the source record.

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

Contact Natalie Byrne (01223 349762, natalie.byrne@addenbrookes.nhs.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cardiac Output (Measured by the inert gas re-breathing technique L/Min) (time frame: 5 years). 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?
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 23 Aug 2022; AzTrials last refreshed its copy on 7 Nov 2026.

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