Status:

COMPLETED

Free Fatty Acid-Induced Hypertension in Obese Subjects With Type 2 Diabetes

Lead Sponsor:

Emory University

Collaborating Sponsors:

GlaxoSmithKline

Conditions:

Type 2 Diabetes

Hypertension

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Insulin resistance has been implicated as the central pathogenetic feature of cardiovascular risk factor cluster that includes hypertension, impaired glucose tolerance, diabetes, dyslipidemia, and hem...

Detailed Description

The FFA-induced hypertension constitutes a useful model with which to examine disease mechanisms and test new therapeutic interventions to correct the different disorders associated with insulin resis...

Eligibility Criteria

Inclusion

  • Males or females between the ages of 18 and 70 years.
  • Subjects must have a BMI of ≥ 30 kg/m2.
  • Subjects must have a BP \< 130/80 mm Hg and no prior history of hypertension.
  • A known history of type 2 diabetes mellitus \< 3 years (now 5 years).
  • Subjects must have an HbA1c of \< 9%.
  • Diabetic subjects must have been receiving as their only current anti-diabetic therapy stable doses of sulfonylureas for the last 2 months.
  • Subjects must be able to understand and willing to adhere to the study protocol.

Exclusion

  • Subjects with history of hypertension (BP \> 140/90 mm HG) or who have received antihypertensive drug therapy prior to the study.
  • Obese nondiabetic controls with impaired glucose tolerance (2-hour glucose between 140 - 199 mg/dl) during a 75-g OGTT.
  • Diabetic subjects who require insulin therapy or have received an insulin sensitizer agent (metformin, rosiglitazone, pioglitazone) within 3 months of entering the study (at SV1, week-2).
  • Subjects with fasting triglyceride levels \> 250 mg/dL prior to the study (at SV1, week-2).
  • Clinically relevant hepatic disease (ALT 2.5x \> upper limit of normal), or other significant medical or surgical illness.
  • Renal failure, as shown by a serum creatinine ≥1.5 mg/dL for males, or ≥ 1.4 mg/dL for females.
  • Mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study.
  • Female subjects are pregnant or breast feeding at time of enrollment into the study.

Key Trial Info

Start Date :

March 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2009

Estimated Enrollment :

36 Patients enrolled

Trial Details

Trial ID

NCT00738023

Start Date

March 1 2004

End Date

December 1 2009

Last Update

December 30 2014

Active Locations (1)

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1

Grady Memorial Hospital

Atlanta, Georgia, United States, 30303