MedPath

Renin angiotensin Aldosterone (RAAS) axis, endothelial function and hypertension: diagnostic strategies and therapeutic role of potassium supplementatio

Phase 1
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
Inclusion Criteria

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 Criteria

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
NameTimeMethod
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
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath