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VasodilationEarly Phase 1NCT04001647

Targeting ER Stress in Vascular Dysfunction

A Early Phase 1 study testing Acetylcholine, Sodium Nitroprusside and Ascorbic Acid in people with Vasodilation and Arterial Stiffness, run by Colorado State University at 1 site in United States.

Terminated

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

Official record
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Trial summary

Aging and obesity are both risk factors for cardiovascular disease (CVD). One process that links both of these conditions to CVD is vascular dysfunction. Data from animal studies indicate that endoplasmic reticulum (ER) stress may play an important role in the development of endothelial dysfunction in aging and… Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Vasodilation, Arterial Stiffness
What is being tested?
Acetylcholine, Sodium Nitroprusside and Ascorbic Acid
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
17 participants
Where
1 siteUnited States
Study dates
1 Jun 2019to 16 Aug 2022
Phase
Early Phase 1
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 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Young, healthy weight adults (age: 18-35; BMI 18.5-24.9 kg/m2)
  • Young, obese adults (age: 18-35; BMI 30- 39.9 kg/m2)
  • Older, healthy weight adults (age: 60-80; 18.5-24.9 kg/m2)
  • Older, obese adults (age: 60-80; 30-39.9 kg/m2)

Who cannot join

  • blood pressure >140/90 mmHg
  • triglycerides >500 mg/dL or LDL cholesterol >190 mg/dL
  • current smoking or history of smoking in the last 12 months
  • diagnosed chronic disease including cancer, cardiovascular, diabetes, kidney, liver, and pancreatic disease
  • weight change >3 kg in the past 3 months or actively trying to lose weight
  • >12 alcoholic drinks/week
  • hormone replacement therapy

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Colorado State University

    Fort Collins, Colorado, 80523

Other trials in United States

About this study

Official title: Targeting Endoplasmic Reticulum Stress in Aging- and Obesity-Induced Vascular Dysfunction

Aging and obesity are both risk factors for cardiovascular disease (CVD). One process that links both of these conditions to CVD is vascular dysfunction. Data from animal studies indicate that endoplasmic reticulum (ER) stress may play an important role in the development of endothelial dysfunction in aging and obesity. Therefore, the goal of this study is to investigate the relative contributions of aging and obesity on vascular dysfunction and ER stress. Additionally, this study will determine if taking an oral supplement for 8 weeks will improve vascular dysfunction and ER stress. Results from this study have the potential to identify a safe treatment option for improving vascular function in aging and obese populations.

Read the detailed description

Aging is the primary risk factor for cardiovascular disease (CVD). One critical process that links aging to CVD is the development of vascular dysfunction, characterized by endothelial dysfunction and arterial stiffness. Both endothelial dysfunction and arterial stiffness predict cardiovascular events in older individuals. Aging often coincides with obesity, another independent risk factor for CVD. Although vascular function is well characterized in both aging and obesity, it's unclear how these two conditions interact to modulate vascular function, and whether the combination of aging and obesity has additive or compounding effects on endothelial dysfunction and arterial stiffness.

Currently, it is unknown whether vascular dysfunction is driven by the same underlying cellular mechanisms in aging and obesity. Accumulating data in experimental animals suggest that ER stress may be an important factor in aging- and obesity-related vascular dysfunction. Additionally, middle-aged and older obese adults with endothelial dysfunction display evidence of ER stress within biopsied endothelial cells. In light of these data, the overall goal of this proposal is to test the hypothesis that ER stress is associated with human vascular dysfunction in the settings of aging and obesity, and to determine the efficacy of the chemical chaperone tauroursodeoxycholic acid (TUDCA), an established inhibitor of ER stress, to reduce endothelial cell ER stress and improve vascular function in these at-risk individuals. Results from this study have the potential to identify a novel, safe, and clinically relevant intervention strategy for the treatment of vascular dysfunction in an aging population at high-risk for the development of CVD.

Being tested
Acetylcholine, Sodium Nitroprusside, Ascorbic Acid
Keywords
ER stress, Unfolded protein response, Vascular function, Aging, Obesity, TUDCA
Medical subject headings
Aneurysm, Obesity

What participants receive

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

  • AcetylcholineDrug

    Also called ACh

    Endothelium-dependent vasodilation will be determined via graded intra-arterial infusions of acetylcholine (ACh). Doses of 1, 4, 8, and 16 μg/100ml forearm volume/min will be infused in the brachial artery for 3 minutes each.

  • Sodium NitroprussideDrug

    Also called SNP

    Endothelium-independent vasodilation will be determined via graded intra-arterial infusions of sodium nitroprusside (SNP). Doses of 0.25, 0.5, 1, and 2 μg/100ml forearm volume/min will be infused in the brachial artery for 3 minutes each.

  • Ascorbic AcidDrug

    Also called AA, Vitamin C

    The influence of oxidative stress on arterial stiffness and vasodilation will be assessed by using intravenous ascorbic acid (AA). A single supra-physiological dose of 0.06 g/kg fat-free mass (FFM) will be infused over 20 min followed by a drip infusion of 0.02 g/kg FFM administered over 60 min.

Study groups in NCT04001647
Study groupRoleWhat they receive
TUDCAExperimentalYoung and older healthy weight and obese participants will visit the lab for assessment of vascular function prior to the intervention. Aortic stiffness will be evaluated non-invasively using carotid-femoral pulse-wave velocity. A physician will place a catheter in the brachial artery for endothelial cell biopsies and local vasodilator infusions. A venous catheter will also be placed for the systemic ascorbic acid infusion. Aortic stiffness measures and vascular responses to vasodilator infusions will be performed before and after the ascorbic acid infusion. Following the completion of the vascular assessments, participants will receive 1750 mg/day of the dietary supplement tauroursodeoxycholic acid (TUDCA) for 8 weeks. Participants will return to the lab after the 8 week intervention and the vascular assessments described above will be repeated.
Receives: Drug: Acetylcholine; Drug: Sodium Nitroprusside; Drug: Ascorbic Acid
PlaceboPlacebo comparatorOlder obese participants will visit the lab for assessment of vascular function prior to the intervention. Aortic stiffness will be evaluated non-invasively using carotid-femoral pulse-wave velocity. A physician will place a catheter in the brachial artery for endothelial cell biopsies and local vasodilator infusions. A venous catheter will also be placed for the systemic ascorbic acid infusion. Aortic stiffness measures and vascular responses to vasodilator infusions will be performed before and after the ascorbic acid infusion. Following the completion of the vascular assessments, participants will receive oral capsules containing a placebo treatment for 8 weeks. Participants will return to the lab after the 8 week intervention and the vascular assessments described above will be repeated.
Receives: Drug: Acetylcholine; Drug: Sodium Nitroprusside; Drug: Ascorbic Acid

What is being measured

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

  1. Endothelium-dependent vasodilation

    Blood flow response to increasing doses of acetycholine

    Measured: Change in baseline vasodilation at 8 weeks

  2. Endothelium-independent vasodilation

    Blood flow response to increasing doses of sodium nitroprusside

    Measured: Change in baseline vasodilation at 8 weeks

  3. Aortic stiffness

    Carotid-femoral pulse-wave velocity

    Measured: Change in baseline pulse-wave velocity at 8 weeks

  4. Endothelial cell ER stress marker ATF6

    Protein expression of activating transcription factor 6 (ATF6)

    Measured: Change in baseline endothelial ATF6 at 8 weeks

  5. Endothelial cell ER stress marker PERK

    Protein expression of RNA-dependent protein kinase- like ER eukaryotic initiation factor-2α kinase (PERK)

    Measured: Change in baseline endothelial PERK at 8 weeks

  6. Endothelial cell ER stress marker IRE1α

    Protein expression of inositol-requiring ER-to-nucleus signaling protein 1(IRE1α)

    Measured: Change in baseline endothelial IRE1α at 8 weeks

  7. Endothelial cell ER stress marker CHOP

    Protein expression of CCAAT-enhancer-binding protein homologous protein (CHOP)

    Measured: Change in baseline endothelial CHOP at 8 weeks

  8. Endothelial cell ER stress marker GRP78

    Protein expression of glucose-regulated protein 78 (GRP78)

    Measured: Change in baseline endothelial GRP78 at 8 weeks

  9. Endothelial cell ER stress marker GADD34

    Protein expression of growth arrest and DNA damage-inducible 34 (GADD34)

    Measured: Change in baseline endothelial GADD34 at 8 weeks

  10. Endothelial cell oxidative stress marker p47phox

    Protein expression of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit p47phox

    Measured: Change in baseline endothelial p47phox at 8 weeks

  11. Endothelial cell oxidative stress marker NT

    Protein expression of nitrotyrosine (NT)

    Measured: Change in baseline endothelial NT at 8 weeks

  12. Endothelial cell oxidative stress marker MnSOD

    Protein expression of manganese superoxide dismutase (MnSOD)

    Measured: Change in baseline endothelial MnSOD at 8 weeks

  13. Endothelial cell oxidative stress marker CuZnSOD

    Protein expression of copper-zinc SOD (CuZnSOD)

    Measured: Change in baseline endothelial CuZnSOD at 8 weeks

  14. Endothelial cell inflammatory marker p65

    Protein expression of nuclear factor kappa B phosphorylated p65 subunit

    Measured: Change in baseline endothelial p65 at 8 weeks

  15. Endothelial cell inflammatory marker IκBα

    Protein expression of phosphorylated inhibitor of kappa B (IκBα)

    Measured: Change in baseline endothelial IκBα at 8 weeks

  16. Endothelial cell inflammatory marker TNFα

    Protein expression of tumor necrosis factor-alpha (TNFα)

    Measured: Change in baseline endothelial TNFα at 8 weeks

  17. Endothelial cell inflammatory marker IL-6

    Protein expression of interleukin-6 (IL-6)

    Measured: Change in baseline endothelial IL-6 at 8 weeks

Secondary outcomes (10)
  1. Circulating glucose

    Blood glucose

    Measured: Change in baseline blood glucose at 8 weeks

  2. Circulating insulin

    Blood levels of insulin

    Measured: Change in baseline insulin at 8 weeks

  3. Circulating cholesterol

    Blood levels of total cholesterol, LDL cholesterol, and HDL cholesterol

    Measured: Change in baseline total cholesterol, LDL cholesterol, and HDL cholesterol at 8 weeks

  4. Circulating triglycerides

    Blood levels of triglycerides

    Measured: Change in baseline triglycerides at 8 weeks

  5. Circulating CRP

    Blood levels of C-reactive protein (CRP)

    Measured: Change in baseline CRP at 8 weeks

  6. Circulating IL-6

    Blood levels of interleukin (IL)-6

    Measured: Change in baseline IL-6 at 8 weeks

  7. Circulating IL-18

    Blood levels of interleukin (IL)-18

    Measured: Change in baseline IL-18 at 8 weeks

  8. Circulating IL-10

    Blood levels of interleukin (IL)-10

    Measured: Change in baseline IL-10 at 8 weeks

  9. Circulating IL-1β

    Blood levels of interleukin (IL)-1 beta (β)

    Measured: Change in baseline IL-1β at 8 weeks

  10. Circulating TNFα

    Blood levels of tumor necrosis factor-alpha (TNFα)

    Measured: Change in baseline TNFα at 8 weeks

Timeline

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

  1. First posted28 Jun 2019
  2. Study start1 Jun 2019
  3. Primary completion16 Aug 2022
  4. Study completion16 Aug 2022

Why it stopped: IRB approval has been withdrawn

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
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants from each group (young healthy weight, young obese, older healthy weight, older obese) will be studied before and after 8 weeks of tauroursodeoxycholic acid (TUDCA) treatment. Additional older obese participants will be studied before and after 8 weeks of a placebo treatment.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04001647
Sponsor's protocol ID
TUDCA and Vascular Health
Status last verified
Jul 2024
First submitted
21 Jun 2019
Last updated
8 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Acetylcholine, Sodium Nitroprusside and Ascorbic Acid in people with Vasodilation and Arterial Stiffness, run by Colorado State 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 4 inclusion and 7 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 8 Apr 2025. 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. Some participants in this study may receive a placebo. 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?

The study was stopped early (reason given: IRB approval has been withdrawn). 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?

Endothelium-dependent vasodilation (time frame: Change in baseline vasodilation at 8 weeks). The study lists 17 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 8 Apr 2025.

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