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CompletedNCT00745693Updated May 17, 2024

The Effects of Diesel Exhaust Inhalation on Vascular Function - the Role of Endothelin

An interventional study of Endothelin-1 and BQ-123 and BQ-788 in Coronary Disease, sponsored by University of Edinburgh. Completed at 1 site in Sweden. Open to male participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-17.

Sponsored by University of Edinburgh · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Male
01

Study summary

The purpose of this study is to identify the role of endothelin 1 (a natural vasoconstrictor) in the adverse vascular effects demonstrated after exposure to air pollution

Read the detailed description

Air pollution is a major problem, and can be linked to around 5% of all deaths worldwide each year. There are strong associations between air pollution exposure and heart disease but we do not yet understand how these harmful effects are mediated. Understanding this mechanism is likely to have a major impact on the way we treat patients with heart disease and have the potential to shape future environmental health policy. The upregulation of Endothelin-1 provides a plausible mechanism for these harmful effects, and we plan to investigate this in more depth in the human forearm following exposure to diesel exhaust.

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Conditions studied

  • Coronary Disease

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Keywords

  • Endothelin
  • Air pollution
  • Diesel exhaust
  • Vascular function
  • exposure
03

In context

Coronary Disease

2,867 studies on the registry are indexed under Coronary Disease; 309 are open to participants now.

This study's enrollment of 15 is below the median of 124 across 1,601 interventional studies indexed under Coronary Disease.

Browse Coronary Disease studies →

Lead sponsor

University of Edinburgh is the lead sponsor of 403 studies on the registry; 65 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy male volunteers

Exclusion criteria

Exclusion Criteria:

  • Use of regular medication
  • Cigarette smoking
  • Significant occupational exposure to air pollution
  • Intercurrent illness
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    1

    1 hour exposure to filtered air, followed by forearm venous occlusion plethysmography at 2 hours after the exposure and infusion of endothelin-1 (5pmol/min)

    Drug: Endothelin-1

  • Experimental
    2

    1 hour exposure to filtered air, followed by forearm venous occlusion plethysmography at 2 hours after the exposure and infusion of endothelin receptor antagonists BQ-123 and BQ-788

    Drug: BQ-123 and BQ-788

  • Experimental
    3

    1 hour exposure to dilute diesel exhaust (300mcg/m3), followed by forearm venous occlusion plethysmography at 2 hours after the exposure and infusion of endothelin-1 (5pmol/min)

    Drug: Endothelin-1

  • Experimental
    4

    1 hour exposure to dilute diesel exhaust (300mcg/m3), followed by forearm venous occlusion plethysmography at 2 hours after the exposure and infusion of endothelin receptor antagonists BQ-123 and BQ-788

    Drug: BQ-123 and BQ-788

Interventions

  • Intra-arterial infusion of Endothelin-1 at 5pmol/min for 1 hour during venous occlusion plethysmography

    Also known as: ET-1, American Peptides - 88-1-10 (ET-1)

  • DrugBQ-123 and BQ-788

    Drug pages: cyclo(Trp-Asp-Pro-Val-Leu) · BQ 788

    1 hour intra-arterial infusion of BQ-123 at 10nmol/min followed by co-infusion of BQ-788 at 1nmol/min for a further hour during forearm venous occlusion plethysmography

    Also known as: American Peptides - 88-2-10 (BQ-123), American Peptides - 88-2-55 (BQ-788)

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What researchers measure

Primary outcomes

  1. Change in forearm blood flow following infusion of endothelin-1 or the endothelin receptor antagonists BQ-123 & BQ-788

    Time frame: 2 hours after exposure

Secondary outcomes

  1. 24 hour mean blood pressure (ambulatory monitoring)

    Time frame: 24 hours following the exposure

  2. Systemic endothelin-1 and big endothelin-1 concentrations

    Time frame: At baseline, and immediately, 1, 2, 3, 4, 6 and 24 hours after exposure

  3. Changes in arterial stiffness (pulse-wave velocity)

    Time frame: During and for the 1 hour after the exposure

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Study locations

1 site
  • Umeå University
    Umeå, Västerbottens SE-901 87, Sweden
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References and documents

Publications

  • Mills NL, Tornqvist H, Robinson SD, Gonzalez M, Darnley K, MacNee W, Boon NA, Donaldson K, Blomberg A, Sandstrom T, Newby DE. Diesel exhaust inhalation causes vascular dysfunction and impaired endogenous fibrinolysis. Circulation. 2005 Dec 20;112(25):3930-6. doi: 10.1161/CIRCULATIONAHA.105.588962. PubMed 16365212 ↗
  • Tornqvist H, Mills NL, Gonzalez M, Miller MR, Robinson SD, Megson IL, Macnee W, Donaldson K, Soderberg S, Newby DE, Sandstrom T, Blomberg A. Persistent endothelial dysfunction in humans after diesel exhaust inhalation. Am J Respir Crit Care Med. 2007 Aug 15;176(4):395-400. doi: 10.1164/rccm.200606-872OC. Epub 2007 Apr 19. PubMed 17446340 ↗
  • Calderon-Garciduenas L, Vincent R, Mora-Tiscareno A, Franco-Lira M, Henriquez-Roldan C, Barragan-Mejia G, Garrido-Garcia L, Camacho-Reyes L, Valencia-Salazar G, Paredes R, Romero L, Osnaya H, Villarreal-Calderon R, Torres-Jardon R, Hazucha MJ, Reed W. Elevated plasma endothelin-1 and pulmonary arterial pressure in children exposed to air pollution. Environ Health Perspect. 2007 Aug;115(8):1248-53. doi: 10.1289/ehp.9641. PubMed 17687455 ↗
  • Peretz A, Sullivan JH, Leotta DF, Trenga CA, Sands FN, Allen J, Carlsten C, Wilkinson CW, Gill EA, Kaufman JD. Diesel exhaust inhalation elicits acute vasoconstriction in vivo. Environ Health Perspect. 2008 Jul;116(7):937-42. doi: 10.1289/ehp.11027. PubMed 18629317 ↗
  • Vincent R, Kumarathasan P, Goegan P, Bjarnason SG, Guenette J, Berube D, Adamson IY, Desjardins S, Burnett RT, Miller FJ, Battistini B. Inhalation toxicology of urban ambient particulate matter: acute cardiovascular effects in rats. Res Rep Health Eff Inst. 2001 Oct;(104):5-54; discussion 55-62. PubMed 11833973 ↗
  • Langrish JP, Lundback M, Mills NL, Johnston NR, Webb DJ, Sandstrom T, Blomberg A, Newby DE. Contribution of endothelin 1 to the vascular effects of diesel exhaust inhalation in humans. Hypertension. 2009 Oct;54(4):910-5. doi: 10.1161/HYPERTENSIONAHA.109.135947. Epub 2009 Aug 17. PubMed 19687345 ↗
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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Mar 2008, a primary completion of May 2008 and a completion of May 2008. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 2, 2008
First posted
Sep 3, 2008
Start
Mar 2008
Primary completionActual
May 2008
CompletionActual
May 2008
Last update
May 17, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00745693
Collaborators
Umeå University
Responsible party
Sponsor
First posted
Sep 3, 2008
Start date
Mar 2008
Primary completion
May 2008
Completion
May 2008
Last update
May 17, 2024

Study contacts

Jeremy P Langrish, MB BCh MRCP
principal investigator · University of Edinburgh
Anders Blomberg, MD
study director · Umeå University
Thomas Sandström, MD
study director · Umeå University
David E Newby, MD FRCP
study director · University of Edinburgh

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2008. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Endothelin 1 · cyclo(Trp-Asp-Pro-Val-Leu) · BQ 788

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