Renin angiotensin Aldosterone (RAAS) axis, endothelial function and hypertension: diagnostic strategies and therapeutic role of potassium supplementatio
- Conditions
- We are seeking to determine the effects of potassium supplementation vs placebo for 6 weeks on the renin-angiotensin-aldosterone axis and also endothelial function in subjects with 10-20% 10 year cardiovascular risk.
- Registration Number
- EUCTR2008-001738-29-GB
- Lead Sponsor
- Belfast Health and Social Care Trust
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Not specified
- Target Recruitment
- 40
50–70 years old with a 10-20% cardiovascular disease risk , (BMI) < 30 kg/m2, a (fasting plasma) glucose less than 7mmol/l, plasma potassium less than 5mmol/l, normal renal function (eGFR > 60), a treated BP < 140/85 mmHg and a 24hour urinary sodium >100mmol/24hrs.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
Exclusion - history of renal or cardio vascular disease,fasting glucose greater than or equal to 7mmol/l, interfering medications with the RAAS axis (namely diuretics, ACE inhibitors, angiotensin receptor blockers, aldosterone antagonists, calcium blockers or beta-blockers). Patients on HRT will also be excluded. Given the age of inclusion, pregnancy is unlikely however pregnant or lactating women will also be excluded.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: To determine in a randomised single blinded crossover study the effect of potassium supplementation on global endothelial function;Secondary Objective: To determine the effect of potassium supplementation on the renin-aldosterone axis and on markers of vascular inflammation;Primary end point(s): Global endothelial function as assessed by pulse wave analysis at baseline and after salbutamol and GTN stimulation tests
- Secondary Outcome Measures
Name Time Method