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Cardiovascular DiseasesCADBIONCT03038750

Molecular Investigation of Genetic Factors in CArDiovascular Diseases Using an BIOresource of Healthy Volunteers

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

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The risk of cardiovascular disease is determined by the complex interplay between an individual's genetic make-up, lifestyle, and the environment. We are investigating three potential genetic risk factors in this observational, cross-sectional, epidemiology pilot study to investigate if and how functional variants… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Cardiovascular Diseases
What is being tested?
Eligibility and lifestyle restrictions check., Medical history, demographic and lifestyle factors and Anthropometric measurements: height, weight, and body fat
Type of treatment
Injection or infusion
How many people
74 participants
Where
1 siteUnited Kingdom
Study dates
14 Aug 2017to 6 Jun 2023
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 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: The study will only recruit healthy volunteers who have previously consented to being contacted for future studies by the NIHR Cambridge BioResource which is a panel of around 20,000 volunteers, both with and without health conditions, who are willing to be approached to participate in research studies investigating the links between genes, the environment, health and disease. Volunteers who join the Cambridge BioResource have donated their DNA via a blood or saliva sample which is used together with other information, such as gender and ethnicity, to match them to specific research studies. Participants for this study are therefore identified by having the appropriate genetic sequence in one of the three genetic loci we are investigating (EDNRA, PNPLA3 or PROCR).

Who may be able to join

  • Volunteers are homozygous for:
  • Arm 1: The A-allele of rs6841581, they are assigned to the 'case' group. If they are homozygous for the G-allele, they are assigned to the 'control' group
  • Arm 2: The G-allele of rs738409, they are assigned to the 'case' group. If they are homozygous for the C-allele, they are assigned to the 'control' group
  • Arm 3: The G-allele of rs867186, they are assigned to the 'case' group. If they are homozygous for the A-allele, they are assigned to the 'control' group
  • Volunteers are aged between 18-50 years old
  • Volunteers have a BMI:
Show all 14Show fewer
  • Arm 1: Between18.5-29.9
  • Arm 2: Between 25.0-39.9
  • Arm 3: Between 18.5-29.9
  • Volunteers are willing not to consume products containing alcohol or caffeine 12 hours prior to procedures. Additionally, volunteers must agree to fast before procedures for:
  • Arm 1: At least 4 hours
  • Arm 2: At least 8 hours (for visit 2 only)
  • Arm 3: At least 4 hours
  • Have given written informed consent to participate

Who cannot join

  • Volunteers with chronic diseases, including cardiovascular diseases, liver diseases, type 1 and type 2 diabetes autoimmune diseases and cancer
  • Biological first-degree relatives (parents, brothers, sisters or children) who are or have suffered from one of the conditions described above
  • Current smokers. Ex-smokers are suitable if they stopped smoking >10 years ago
  • Volunteers with a diagnosis of hypertension, or history of consistently high blood pressure readings, >140/90 mmHg
  • Volunteers with a diagnosis of hypercholesterolemia, or history of consistently high cholesterol levels, e.g. total cholesterol level >6 mmol/l
  • Volunteers have ≥3 alcoholic drinks per day

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Department of Public Health and Primary Care

    Cambridge, CB1 8RN

Other trials in United Kingdom

About this study

The risk of cardiovascular disease is determined by the complex interplay between an individual's genetic make-up, lifestyle, and the environment. We are investigating three potential genetic risk factors in this observational, cross-sectional, epidemiology pilot study to investigate if and how functional variants identified in large-scale genome wide association studies can explain a predisposition to cardiovascular disease. By determining the molecular mechanisms that are regulated at the EDNRA, PNPLA3 and PROCR CVD risk loci, we hope to translate findings from this study into the clinical setting for better diagnosis, prevention and treatment for patients suffering with cardiovascular disease. Volunteers will enter into one of the study's three arms based on their genotype: EDNRA locus (Arm 1), PNPLA3 locus (Arm 2), or PROCR locus (Arm 3).

Members of the Cambridge Bioresource who match for the target alleles will be invited to participate and will enter into one of the three study arms. All study assessment visits will take place at Addenbrooke's Hospital in collaboration with the University of Cambridge.

Read more

Volunteers will participate in the study for a maximum of 12 months and depending on study arm they are assigned to, they will complete procedures including a medical, demographic and lifestyle factors questionnaire; height, weight and body fat assessments; in addition to blood pressure/heart rate measurements. Minimally invasive procedures including forearm blood flow and venepuncture will be performed to assess the primary objectives of the study.

The hypothesis for arm 1 is that the genetic variant we are investigating at the EDNRA gene locus alters the function of the endothelin receptor A leading to an increased risk of coronary artery disease and large artery stroke.

For study arm 2, we hypothesize that the genetic variant we are investigating in PNPLA3 will increase the risk of Non-alcoholic fatty liver disease but reduce the risk of Coronary Heart Disease.

For study arm 3, we hypothesize that the genetic variant we are investigating in the PROCR locus triggers molecular events that potentially increase the risk of Venous Thrombosis/Venous Thromboembolism nut reducing blood pressure. Furthermore we aim to investigate the anti-inflammatory effects to see if there is an effect on explaining reduced risk of CHD.

This study is funded from the BHF Cambridge Center of Excellence and the Wellcome Trust Institutional Strategic Support Fund.

Being tested
Eligibility and lifestyle restrictions check., Medical history, demographic and lifestyle factors, Anthropometric measurements: height, weight, and body fat, Blood pressure and heart rate, Forearm blood flow: Visit 1 (EDNRA)
Keywords
Healthy Volunteers, Genetic Risk Markers for Cardiovascular Disease, Non-Alcoholic Fatty Liver Disease, Coronary Disease, Hypertension, Venous Thromboses, Venous Thromboembolism, Coronary Heart Disease, Coronary Artery Disease
Medical subject headings
Cardiovascular Diseases, Non-alcoholic Fatty Liver Disease, Coronary Disease, Hypertension, Venous Thrombosis, Venous Thromboembolism, Coronary Artery Disease

What participants receive

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

  • Eligibility and lifestyle restrictions check.Other

    Eligibility will be assessed at each study visit and participants will be informed in advance of their visit.

  • Medical history, demographic and lifestyle factorsOther

    Medical History, participants demographics and lifestyle factors will be assessed by the participant completion of the medical history and ethnicity questionnaires.

  • Anthropometric measurements: height, weight, and body fatOther

    Height measured by stadiometer. Weight and body fat measured by Tanita scale bioelectrical impedance analysis.

  • Blood pressure and heart rateOther

    Parameters will be measured using a validated, automated device while seated and again after 3-5 min standing. All measurements will be done in triplicate.

  • Forearm blood flow: Visit 1 (EDNRA)Other

    Intra-arterial infusion of Phenylephrine at doses of 0.75, 2.5, and 7.5 μg/min for 6 min each (18 min in total). FBF measured in the last 3 minutes. There will be a 30 minute washout with saline followed by Endothelin-1 infusion of at a dose of 5 pmol/min for 90 min.

  • Forearm blood flow: Visit 2 (EDNRA)Other

    Intra-arterial infusion of Sodium nitroprusside infusion at doses of 1, 3, and 10 μg/min for 6 min each (18 min in total). FBF measured in the last 3 minutes. There will be a 20 minute washout with saline followed by infusion of BQ-123 at a dose of 10 nmol/min for 90 min.

  • Blood biochemistry (PNPLA3)Other

    25ml blood will be taken from the participant in a glucose fasting state. Following a high carbohydrate meal, a second 25ml blood sample will be taken. Clinical Biochemistry tests and detailed lipid analysis will be performed.

  • Blood EPCR function (PROCR)Other

    Blood sample taken will be analysed via ELISA and FACS.

  • Blood platelet coagulation and function (PROCR)Other

    Blood sample taken will be analysed using a Platelet coagulation and function assay.

  • Blood endothelial permeability (PROCR)Other

    Blood sample will be analysed in vitro using a permeability assay kit.

  • Blood leukocyte-endothelium adhesion (PROCR)Other

    Blood sample will be analysed in vitro using a leukocyte-endothelium adhesion assay.

  • Baseline Venepuncture (PNPLA3, Visit 1)Other

    Up to 25ml Blood will be taken.

  • Deuterium water - Loading dose 1 (PNPLA3, Visit 1)Other

    Loading dose of 3 g/kg body water.

  • Deuterium water - Loading dose 2 (PNPLA3, Visit 1)Other

    Loading dose of 3 g/kg body water.

  • Energy-balanced dinner (PNPLA3, Visit 1)Other

    Provided following baseline bloods and loading dose 1.

  • Fasting venepuncture (PNPLA3, Visit 2)Other

    Up to 25ml Blood will be taken.

  • Deuterium water - Maintenance dose (PNPLA3, Visit 2)Other

    every hour, maintenance dose 0.04 g/kg body water

  • Consumption of high carbohydrate meal (PNPLA3, Visit 2)Other

    Provided following fasting blood sample.

  • Postprandial Venepuncture (PNPLA3, Visit 2)Other

    Up to 25ml Blood will be taken.

  • Venepuncture (PROCR)Other

    Up to 50ml Blood will be taken.

Study groups in NCT03038750
Study groupRoleWhat they receive
EDNRA Sub-studyStudy population will be split into two groups defined by the allele of EDNRA the participant possesses: Participants Homozygous for the A-allele of EDNRA, are assigned to the 'case' group. Participants that are Homozygous for the G-allele will be assigned to the 'control' group. 20 participants will be recruited to each group, 40 in total.
Receives: Other: Eligibility and lifestyle restrictions check.; Other: Medical history, demographic and lifestyle factors; Other: Anthropometric measurements: height, weight, and body fat; Other: Blood pressure and heart rate; Other: Forearm blood flow: Visit 1 (EDNRA); Other: Forearm blood flow: Visit 2 (EDNRA)
PNPLA3 Sub-studyStudy population will be split into two groups defined by the allele of PNPLA3 the participant possesses: Participants Homozygous for the G-allele of PNPLA3, are assigned to the 'case' group. Participants that are Homozygous for the C-allele of PNPLA3 will be assigned to the 'control' group. 60 participants will be recruited to each group, 120 in total.
Receives: Other: Eligibility and lifestyle restrictions check.; Other: Medical history, demographic and lifestyle factors; Other: Anthropometric measurements: height, weight, and body fat; Other: Blood pressure and heart rate; Other: Blood biochemistry (PNPLA3); Other: Baseline Venepuncture (PNPLA3, Visit 1); Other: Deuterium water - Loading dose 1 (PNPLA3, Visit 1); Other: Deuterium water - Loading dose 2 (PNPLA3, Visit 1); Other: Energy-balanced dinner (PNPLA3, Visit 1); Other: Fasting venepuncture (PNPLA3, Visit 2); Other: Deuterium water - Maintenance dose (PNPLA3, Visit 2); Other: Consumption of high carbohydrate meal (PNPLA3, Visit 2); Other: Postprandial Venepuncture (PNPLA3, Visit 2)
PROCR Sub-studyStudy population will be split into two groups defined by the allele of PROCR the participant possesses: Participants Homozygous for the G-allele of PROCR, are assigned to the 'case' group. Participants that are Homozygous for the A-allele of PROCR will be assigned to the 'control' group. 30 participants will be recruited to each group, 60 in total.
Receives: Other: Eligibility and lifestyle restrictions check.; Other: Medical history, demographic and lifestyle factors; Other: Anthropometric measurements: height, weight, and body fat; Other: Blood pressure and heart rate; Other: Blood EPCR function (PROCR); Other: Blood platelet coagulation and function (PROCR); Other: Blood endothelial permeability (PROCR); Other: Blood leukocyte-endothelium adhesion (PROCR); Other: Venepuncture (PROCR)

What is being measured

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

  1. Forearm Blood Flow (Arterial contractility)

    Arm 1 specific measurement to be measured using venous occlusion plethysmography. Outcome measure will compare results between case vs control groups.

    Measured: 2 years

  2. Blood Biochemistry (Lipoprotein composition/dynamics)

    Arm 2 specific measurement collectively comparing the lipid dynamic results between case vs control groups.

    Measured: 2 years

  3. EPCR levels/shedding

    Arm 3 specific measurement comparing results between case vs control groups.

    Measured: 2 years

  4. Platelet aggregation/function

    Arm 3 specific measurement to be measured by platelet coagulation function assay comparing results between case vs control groups.

    Measured: 2 years

  5. Endothelial permeability

    Arm 3 specific measurement to be measured by an endothelial permeability assay comparing results between case vs control groups.

    Measured: 2 years

  6. Leukocyte-endothelium adhesion

    Arm 3 specific measurement to be measured by a leukocyte-endothelium adhesion assay comparing results between case vs control groups.

    Measured: 2 years

Secondary outcomes (2)
  1. Blood pressure

    All study arms comparing results between case vs control groups.

    Measured: 2 years

  2. Heart rate

    All study arms comparing results between case vs control groups.

    Measured: 2 years

Timeline

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

  1. First posted1 Feb 2017 (estimated)
  2. Study start14 Aug 2017
  3. Primary completion6 Jun 2023
  4. Study completion6 Jun 2023

Why it stopped: The delay due to suspending the study due to covid, subsequent problems in synthesis, supply and yield of BQ123, prevented completion of the study as planned.

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
Cohort
Time perspective
Cross-sectional
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03038750
Sponsor's protocol ID
CADBIO
Acronym
CADBIO
Status last verified
Feb 2024
First submitted
25 Jan 2017
Last updated
2 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Participant identifiable information is securely held, with restricted access, by the NIHR BioResource. Members of the research team carrying out the procedures will not be able to request the link to decode this information. Only the minimum required participant identifiable information (name and contact details) will be provided to the research team for the purpose of arranging study visits and completing the informed consent process. All research personnel will be sufficiently blinded of the genotype status of the healthy volunteers. All delegated research personnel that is responsible to conduct the data/statistical analysis will only analyse data that is anonymised of any patient identifiable data.

Questions about this trial

What is this clinical trial studying?

An observational study of Cardiovascular 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 14 inclusion and 6 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: stopped early, as of the sponsor's last update on 2 Feb 2024. 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?

The study was stopped early (reason given: The delay due to suspending the study due to covid, subsequent problems in synthesis, supply and yield of BQ123, prevented completion of the study as planned.). Results are not available in the source record.

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?

Forearm Blood Flow (Arterial contractility) (time frame: 2 years). The study lists 6 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 2 Feb 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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