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Enhancing Parasympathetic Activity to Improve Endothelial Dysfunction, Vascular Oxidative Stress in African Americans - Trial NCT04769206

Access comprehensive clinical trial information for NCT04769206 through Pure Global AI's free database. This Phase 1/2 trial is sponsored by Vanderbilt University Medical Center and is currently Recruiting. The study focuses on Endothelial Dysfunction. Target enrollment is 88 participants.

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NCT04769206
Phase 1/2
Recruiting
drug
Trial Details
ClinicalTrials.gov โ€ข NCT04769206
View on ClinicalTrials.gov
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Enhancing Parasympathetic Activity to Improve Endothelial Dysfunction, Vascular Oxidative Stress in African Americans

Study Focus

Endothelial Dysfunction

Galantamine

Interventional

drug

Sponsor & Location

Vanderbilt University Medical Center

Nashville, United States of America

Timeline & Enrollment

Phase 1/2

Dec 20, 2021

Dec 31, 2028

88 participants

Primary Outcome

FMD,NADPH activation in PBMC

Summary

Specific Aim 1: To test the hypothesis that prolonged (3-month) treatment with galantamine
 inhibits NADPH IsoLG-protein adducts formation and improves markers of endothelial cell (EC)
 dysfunction in AAs.
 
 Aim 1a: The investigators will determine if galantamine inhibits NADPH IsoLG-protein adducts
 formation, superoxide production, and immune cell activation compared to placebo.
 
 For this purpose, the investigators will study peripheral blood mononuclear cell (PBMC), a
 critical source of systemic oxidative stress, collected from study participants.
 
 Aim 1b: The investigators will determine if galantamine reduces intracellular Iso-LGs,
 ICAM-1, and 3-nitrotyrosine, a marker of vascular oxidative stress, in ECs harvested from
 study participants.
 
 Specific Aim 2: To determine if prolonged (3-month) treatment with galantamine improves
 endothelial dysfunction as measured by vascular reactivity in AAs. The investigators will
 measure vascular reactivity in response to ischemia in two vascular beds: (a) in conduit
 arteries (brachial artery) using brachial artery diameter flow-mediated dilation (FMD), and
 (b) in the microvasculature (MBV) using contrast-enhanced ultrasonography in skeletal muscle.
 
 This proposal will study a novel mechanism that could alter the oxidative and immunogenic
 responses that contributes to endothelial dysfunction in AAs and will offer a potential
 pathway for the development of more effective therapies aimed at decreasing the progression
 of endothelial dysfunction to cardiovascular disease in this population.

ICD-10 Classifications

Other peripheral vascular diseases
Atherosclerosis of arteries of extremities
Other specified peripheral vascular diseases
Renovascular hypertension
Other disorders of arteries and arterioles

Data Source

ClinicalTrials.gov

NCT04769206

Non-Device Trial