Status:

COMPLETED

Acarbose and Older Adults With Postprandial Hypotension

Lead Sponsor:

Kenneth Madden

Conditions:

Other Specified Hypotension

Syncope

Eligibility:

All Genders

65+ years

Phase:

PHASE2

Brief Summary

The current proposal will determine if blocking carbohydrate intake in the small intestine with Acarbose can be a possible therapy for older adults with (PPH) Post Prandial Hypotension (a drop of bloo...

Detailed Description

Blocking the absorption of carbohydrates at the brush border of the small intestine with acarbose (an alpha-glucosidase inhibitor) seems a promising possibility as a potential therapeutic agent. Altho...

Eligibility Criteria

Inclusion

  • be 65 years of age or older,
  • be a non-smoker for at least 5 years
  • be referred to the falls clinic at Vancouver General Hospital
  • have a Folstein test of cognition \> 25/30 to ensure meal log-book compliance

Exclusion

  • no oral or swallowing issues that would prevent a Meal Test
  • subject requiring dialysis due to end-stage renal failure will be excluded
  • subjects with evidence on history, physical or blood work of hepatic disease will be excluded since elevated serum transaminases are a potential adverse effect of acarbose
  • cannot currently be taking an alpha-glucosidase inhibitor
  • cannot have had allergic reactions to alpha-glucosidase inhibitors in the past
  • Due to the fact that acarbose is renally excreted, all subjects must have a Creatine Clearance of greater than 25 ml/min
  • Subjects with a past history of inflammatory bowel disease, intestinal obstruction, ileus and peptic ulcer disease will be excluded
  • Subjects taking carbohydrate-splitting enzymes (such as amylase) will be excluded
  • Subjects with chronic respiratory issues requiring treatment will be excluded

Key Trial Info

Start Date :

January 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2021

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT01914133

Start Date

January 1 2014

End Date

May 1 2021

Last Update

May 28 2021

Active Locations (1)

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1

Vancouver Coastal Health Research Institute, VGH Research Pavilion Room 186

Vancouver, British Columbia, Canada, V5Z 1M9