Hypertension,EssentialIMPROVEHNCT03778489
Impact of Aerobic Exercise Training on Sympathetic Vasoconstriction and Vascular Function in Essential Hypertension
A study testing Training in people with Hypertension,Essential, run by University of Copenhagen at 1 site in Denmark.
Trial summary
Sympathetic nervous activity plays an important role in the development of hypertension and studies have shown that the pannexin-1 channel is involved in the signalling of the sympathetic activity to the vascular bed. Read more about this study
- Who is it for?
- Ages 35 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Hypertension,Essential
- What is being tested?
- Training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteDenmark
- Study dates
- 19 Feb 2019to 1 Nov 2022
- Phase
- Interventional
- 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 35 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Sedentary men and women age 35 - 65 years
- Resting blood pressure >140/90 mmHg or Resting blood pressure <140/90 mmHg
- Essential hypertension
- Non or exclusively antihypertensive medication
Who cannot join
- Hypertensive condition other than essential hypertension
- Other chronical diseases
- Smoking
- Excess alcohol intake or drug abuse
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Impact of Aerobic Exercise Training on Sympathetically Mediated Vasoconstriction and Vascular Function in Individuals With Essential Hypertension (IMPROVEH)
Sympathetic nervous activity plays an important role in the development of hypertension and studies have shown that the pannexin-1 channel is involved in the signalling of the sympathetic activity to the vascular bed. The main project aim is to investigate the effects of 10 weeks of high intensity training on the effect of the sympathetic nervous activity on vascular function in individuals with essential hypertension. A secondary aim is to assess the role of essential hypertension and physical activity on vascular endothelial function,
- Conditions
- Hypertension,Essential
- Being tested
- Training
- Keywords
- Pannexin-1 channel
- Medical subject headings
- Essential Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TrainingOther
10 weeks of high intensity exercise training. 2-3 trainings per week of approx. 40 min.
| Study group | Role | What they receive |
|---|---|---|
| Hypertensive | Experimental | Men and women in age-group 35-65 years Resting blood pressure of >140/90 mmHg non or only anti-hypertensive medication Receives: Other: Training |
| Control | Active comparator | Men and women in age-group 35-65 years Resting blood pressure of <140/90 mmHg no medication Receives: Other: Training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Blood pressure
Changes in systolic and diastolic blood pressure
Measured: Before and after 8 weeks of training
Secondary outcomes (12)
Pannexin channel function assessed in vivo
Pannexin channel function is assessed by measurement of vascular conductance with and without channel inhibition
Measured: Before and after 8 weeks of training
Pannexin channel distribution in skeletal muscle tissue
Pannexin channel distribution is assessed immunohistochemically in muscle samples
Measured: Before and after 8 weeks of training
Sympathetic activity
Direct measurement of Muscle Sympathetic Nervous Activity via microneurography
Measured: Before and after 8 weeks of training
Vascular function
Vascular conductance measured by ultrasound doppler during infusion of vasoactive substances
Measured: Before and after 8 weeks of training
Mitochondrial function in endothelial cells
Endothelial cell mitochondrial respiration is measured by High Resolution Respirometry
Measured: Before and after 8 weeks of training
Reactive oxygen species formation in in endothelial cells
Endothelial cell production of reactive oxygen species is measured by High Resolution Respirometry
Measured: Before and after 8 weeks of training
Rheology
Platelet rheology. The viscoelastic measurements are based on attainment of the Gel Point (GP) from which the fractal dimension, df, is determined.
Measured: Before and after 8 weeks of training
Platelet reactivity
Platelet reactivity is assessed by multiplate aggregometry
Measured: Before and after 8 weeks of training
Maximal oxygen uptake
Direct Measurement of oxygen uptake during a graded test on cycle ergometer
Measured: Before and after 8 weeks of training
Body Composition
Measured by Dual energy x-ray absorptiometry
Measured: Before and after 8 weeks of training
Endothelial cell characterization
Assessment of protein and mRNA-levels of proteins of relevance for endothelial function
Measured: Before and after 8 weeks of training
Skeletal muscle characterization
Assessment of protein and mRNA-levels of proteins of relevance for skeletal muscle function
Measured: Before and after 8 weeks of training
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2018
- Study start19 Feb 2019
- Primary completion1 Nov 2022
- Study completion1 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hypertension,EssentialStudies of the same condition, open and under way.
- More trials run by University of CopenhagenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized double blinded case-control interventional study
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Copenhagen
- Sponsor type
- University, hospital or other
- Collaborators
- Lundbeck Foundation, Danish Council for Independent Research
- Responsible party
- Principal investigator, Ylva Hellsten, University of Copenhagen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03778489
- Sponsor's protocol ID
- PANX-HYP
- Acronym
- IMPROVEH
- Status last verified
- Nov 2022
- First submitted
- 6 Dec 2018
- Last updated
- 2 Nov 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Currently awaiting instructions on this issue from the department
Publications
Moller S, Hansen CC, Ehlers TS, Tamariz-Ellemann A, Tolborg SAR, Kurell ME, Perez-Gomez J, Patrzalek SS, Maulitz C, Hellsten Y, Gliemann L. Exercise Training Lowers Arterial Blood Pressure Independently of Pannexin 1 in Men with Essential Hypertension. Med Sci Sports Exerc. 2022 Sep 1;54(9):1417-1427. doi: 10.1249/MSS.0000000000002936. Epub 2022 Apr 12.
PubMed 35420578
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Aerobic Exercise Training on Sympathetically Mediated Vasoconstriction and Vascular Function in Individuals With Essential Hypertension (IMPROVEH)
- ClinicalTrials.gov ID
- NCT03778489
- Acronym / sponsor ID
- IMPROVEH / PANX-HYP
- Conditions
- Hypertension,Essential
- Keywords
- Pannexin-1 channel
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- University of CopenhagenUniversity, hospital or other
- Collaborators
- Lundbeck Foundation, Danish Council for Independent Research
- Study start
- 19 Feb 2019 (actual)
- Primary completion
- 1 Nov 2022 (actual)
- Study completion
- 1 Nov 2022 (actual)
- First posted
- 19 Dec 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Sympathetic nervous activity plays an important role in the development of hypertension and studies have shown that the pannexin-1 channel is involved in the signalling of the sympathetic activity to the vascular bed. The main project aim is to investigate the effects of 10 weeks of high intensity training on the effect of the sympathetic nervous activity on vascular function in individuals with essential hypertension. A secondary aim is to assess the role of essential hypertension and physical activity on vascular endothelial function,
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
- Model description
- Randomized double blinded case-control interventional study
| Arm | Type | Receives |
|---|---|---|
| Hypertensive | Experimental | Other: TrainingMen and women in age-group 35-65 years Resting blood pressure of >140/90 mmHg non or only anti-hypertensive medication |
| Control | Active comparator | Other: TrainingMen and women in age-group 35-65 years Resting blood pressure of <140/90 mmHg no medication |
Who may qualify
- Ages
- 35 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Sedentary men and women age 35 - 65 years
- Resting blood pressure >140/90 mmHg or Resting blood pressure <140/90 mmHg
- Essential hypertension
- Non or exclusively antihypertensive medication
Key exclusion criteria (4 listed)
- Hypertensive condition other than essential hypertension
- Other chronical diseases
- Smoking
- Excess alcohol intake or drug abuse
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Training10 weeks of high intensity exercise training. 2-3 trainings per week of approx. 40 min. | Other | Control, Hypertensive |
Primary outcome
Blood pressure
Time frame: Before and after 8 weeks of training
Changes in systolic and diastolic blood pressure
12 secondary outcomes
Pannexin channel function assessed in vivo
Time frame: Before and after 8 weeks of training
Pannexin channel distribution in skeletal muscle tissue
Time frame: Before and after 8 weeks of training
Sympathetic activity
Time frame: Before and after 8 weeks of training
Vascular function
Time frame: Before and after 8 weeks of training
Mitochondrial function in endothelial cells
Time frame: Before and after 8 weeks of training
Reactive oxygen species formation in in endothelial cells
Time frame: Before and after 8 weeks of training
Rheology
Time frame: Before and after 8 weeks of training
Platelet reactivity
Time frame: Before and after 8 weeks of training
Maximal oxygen uptake
Time frame: Before and after 8 weeks of training
Body Composition
Time frame: Before and after 8 weeks of training
Endothelial cell characterization
Time frame: Before and after 8 weeks of training
Skeletal muscle characterization
Time frame: Before and after 8 weeks of training
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Nov 2022.
- Derived from this study: PubMed 35420578Moller S, Hansen CC, Ehlers TS, Tamariz-Ellemann A, Tolborg SAR, Kurell ME, Perez-Gomez J, Patrzalek SS, Maulitz C, Hellsten Y, Gliemann L. Exercise Training Lowers Arterial Blood Pressure Independently of Pannexin 1 in Men with Essential Hypertension. Med Sci Sports Exerc. 2022 Sep 1;54(9):1417-1427. doi: 10.1249/MSS.0000000000002936. Epub 2022 Apr 12.
- Individual participant dataSharing planned: Undecided. Currently awaiting instructions on this issue from the department
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Training in people with Hypertension,Essential, run by University of Copenhagen at 1 site in Denmark.
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 4 inclusion and 4 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 2 Nov 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 Denmark. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Blood pressure (time frame: Before and after 8 weeks of training). 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 NCT03778489, 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 2 Nov 2022.