ClinicalTrials.gg
TerminatedNCT01983462VANISHUpdated Apr 14, 2023Results posted

Vascular Dysfunction in Human Obesity Hypertension

A Phase 2 interventional study of Clonidine and Hydrochlorothiazide in Obesity, Prehypertension and Hypertension, sponsored by Gary L. Pierce. Terminated at 1 site in United States. Open to participants aged 18 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-14.

Sponsored by Gary L. Pierce · Phase 2, Interventional, and Treatment

Why this study was terminated
Funding expired
Phase
Phase 2
Study type
Interventional
Enrollment
33
Allocation
Randomized
Ages
18 Years to 79 Years
Sex
All
01

Study summary

The purpose of the study is to test the effects of blocking sympathetic nerve activity with a drug called clonidine on blood vessel function and muscle nerve activity in adults who are obese and have high blood pressure.

The cohort of subjects will consist of 69 healthy young men and women age 18-79 years who are obese, defined as a body mass index > or = to 30 kg/m2, who have untreated systolic hypertension (systolic blood pressure > or = to 130 - \<180 mmHg- average of at least 3 measurements 2 min apart after 10 min seated resting position). These 69 subjects will then be randomized to 3 treatment arms: clonidine (0.1 mg/day), hydrochlorothiazide (25 mg/day) or placebo for 4 weeks in years 1 and 2. All tablets will be encapsulated by to look identical. Subjects will randomly (1:1:1) receive one of the following combinations in a double-blind, placebo-controlled design:

  1. Oral clonidine (0.1 mg twice/day)
  2. Oral hydrochlorothiazide (12.5 mg twice/day)
  3. Oral placebo

I

02

Conditions studied

  • Obesity
  • Prehypertension
  • Hypertension

Keywords

  • Prehypertension
  • Hypertension
  • Obese
  • Sympathetic Nervous System
  • renin-angiotensin system
  • Endothelial function
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 33 is below the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Gary L. Pierce is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
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

  • Willing and able to provide written, signed after the nature of the study has been explained, and prior to any research-related procedures.
  • Systolic blood pressure >/= 130 mmHg and \<180 mmHg
  • Age is > or = 18 and \< or = 79 years of age
  • Weight stable (+/- 5 lbs) for the previous 3 months
  • Healthy, as determined by health history questionnaire, blood chemistries, 12-lead
  • Blood chemistries indicative of normal renal (creatinine \<2.0 mg/dl), liver (\<3 times upper limit for , AST), and thyroid function (TSH between 0.4 - 5.0 mU/L)
  • If currently receiving treatment with or taking any of the following supplements, be willing and able to discontinue taking them for 2 weeks prior and throughout the treatment period: Vitamin C, E or other multivitamins containing vitamin C or E; or omega-3 fatty acids.
  • No history of cardiovascular disease (e.g., heart attack, stroke, heart failure, valvular heart disease, cardiomyopathy), Type 1 or Type 2 diabetes, or peripheral arterial disease
  • Non-smokers, defined as no history of smoking or no smoking for at least the past 1 year
  • Normal resting 12-lead ECG (no evidence of myocardial infarction, left ventricular hypertrophy, left-bundle branch block, 2nd or 3rd degree AV block, atrial fibrillation/flutter)

Exclusion criteria

Exclusion Criteria:

  • Systolic blood pressure >/=180 mmHg or diastolic blood pressure >110 mmHg
  • History of cardiovascular disease such as heart angioplasty/stent or bypass surgery, myocardial infarction, stroke, heart failure with or without \<40%, cardiomyopathy, valvular heart disease, cardiomyopathy, heart transplantation, Type 2 and Type 1 diabetes
  • Smoking or history of smoking within past one year
  • History of gastric ulcers, bleeding disorders, dyspepsia, severe gastroesophageal reflux disease (GERD), or metabolic acidosis
  • History of (COPD)
  • Abnormal resting 12-lead (e.g., evidence of myocardial infarction, left ventricular hypertrophy, left-bundle branch block, 2nd or 3rd degree AV block, atrial fibrillation/flutter)
  • Serious neurologic disorders including seizures
  • History of renal failure, dialysis or kidney transplant
  • Serum creatinine > 2.0 mg/dL, or hepatic enzyme (/AST) concentrations > 3 times the
  • History of infection, hepatic cirrhosis, other preexisting liver disease, or positive HIV, or C test at screening.
  • Use of any product or investigational medical device within 30 days prior to screening, or requirement for any investigational agent prior to completion of all scheduled study assessments.
  • History of recent chicken pox, shingles or influenza (ie., risk of Reye's syndrome)
  • Recent flu-like symptoms within the past 2 weeks
  • Pregnant or breastfeeding at screening, or planning to become pregnant (self or partner) at any time during the study. A urinary pregnancy test will be done on all females. If test is positive, the subject will be excluded.
  • Women with history of hormone replacement therapy within the past 6 months
  • History of rheumatoid arthritis, Grave's disease, systemic lupus erythematosis, and Wegener's granulomatosis;
  • Taking lipid lowering (e.g., statins, niacin), glycemic control (e.g. metformin, insulin), anticoagulation, anti-seizure, anti-depression or antipsychotic agents
  • History of co-morbid condition that would limit to \< 6 months.
  • Taking chronic non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, indomethacin, naproxen, acetaminophen (Tylenol), ibuprofen (Advil, Motrin) and not able or willing to go off of for 2 weeks prior and during the study
  • Taking cox-2 inhibitors (Celebrex, Vioxx, etc) or allopurinol (Zyloprim, Lopurin, Allopurin)
  • Taking blood thinners such as coumadin (Warfarin), enoxaparin (Lovenox); clopidogrel (Plavix); dipyridamole (Persantine); heparin;
  • Taking diabetic medications (Metformin, glyburide, insulin, etc.), thiazolidinediones (Avandia, Rezulin, Actos);
  • Taking or biologics : corticosteroids (prednisone); methotrexate, infliximab (Remicade), etanercept (Enbrel); anakinra;
  • Taking thyroid medications such as levothyroxine (Levoxyl, Synthroid, Levoxyl, Unithroid); Levodopa;
  • Taking Phosphodiesterase (PDE) 5 inhibitors (e.g., Viagra®, Cialis®, Levitra®, or Revatio®); PDE 3 inhibitors (e.g., cilostazol, milrinone, or vesnarinone); lithium
  • May participate if no use of the following medications in the 48 hours prior to experimental visits: naproxen (Aleve), acetaminophen (Tylenol), ibuprofen (Advil, Motrin), other any non-steroidal anti-inflammatory drugs (NSAIDS)
  • Vulnerable populations (prisoners, etc.)
  • Any condition that, in the view of the PI, places the subject at high risk of poor treatment compliance or of not completing the study.
  • History of alcohol abuse or >10 alcoholic units per week (1 unit= 1 beer, 1 glass of wine, 1 mixed cocktail containing 1 oz alcohol)
  • On weight loss drugs (e.g., Xenical (orlistat), Meridia (sibutramine), Acutrim (phenylpropanol-amine), or similar over-the-counter medications) within 3 months of screening
  • Any surgery within 30 days of screening
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Clonidine

    Oral 0.2 mg/day (0.1 mg bid)for 4 weeks

    Drug: Clonidine

  • Active comparator
    Hydrochlorothiazide

    Oral, 12.5 mg/day qd, 4 weeks

    Drug: Hydrochlorothiazide

  • Placebo comparator
    Placebo

    Placebo

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Aortic Stiffness

    Carotid-femoral pulse wave velocity (PWV)

    Time frame: 4 weeks

Secondary outcomes

  1. 24 Hour Average Systolic Blood Pressure

    24 hour ambulatory systolic blood pressure

    Time frame: 4 weeks

07

Results

Posted Apr 14, 2023

Participant flow

Participant flow — Overall Study
MilestoneClonidineHydrochlorothiazidePlacebo
Started111111
Completed101111
Not completed100
Withdrew: Adverse event100

Outcome measures

PrimaryAortic Stiffness

Carotid-femoral pulse wave velocity (PWV)

Time frame:
4 weeks
Reported as:
Mean · meters/sec
Aortic Stiffness
meters/secClonidineHydrochlorothiazidePlacebo
Baseline7.9 ± 0.77.0 ± 0.48.1 ± 1.0
4 weeks7.3 ± 0.67.0 ± 0.38.0 ± 1.2
Secondary24 Hour Average Systolic Blood Pressure

24 hour ambulatory systolic blood pressure

Time frame:
4 weeks
Reported as:
Mean · mmHg
24 Hour Average Systolic Blood Pressure
mmHgClonidineHydrochlorothiazidePlacebo
Baseline133 ± 3135 ± 2133 ± 2
4 weeks126 ± 3131 ± 2134 ± 2

Adverse events

Collected over 4 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Clonidine1/10 (10%)0/10 (0%)1/10 (10%)
Hydrochlorothiazide0/11 (0%)0/11 (0%)0/11 (0%)
Placebo0/11 (0%)0/11 (0%)0/11 (0%)
Most frequent other events
Most frequent other events
EventClonidineHydrochlorothiazidePlacebo
Mild hypotensionCardiac disorders1/100/110/11

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)ClonidineHydrochlorothiazidePlaceboTotal
<=18 years0000
Between 18 and 65 years10111031
>=65 years1012
Age, Continuous
Age, Continuous(years)ClonidineHydrochlorothiazidePlaceboTotal
Mean41 ± 1831 ± 1037 ± 1935 ± 16
Sex: Female, Male
Sex: Female, Male(Participants)ClonidineHydrochlorothiazidePlaceboTotal
Female2158
Male910625
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ClonidineHydrochlorothiazidePlaceboTotal
Hispanic or Latino1012
Not Hispanic or Latino10111031
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ClonidineHydrochlorothiazidePlaceboTotal
American Indian or Alaska Native1001
Asian2103
Native Hawaiian or Other Pacific Islander0000
Black or African American1315
White661022
More than one race1001
Unknown or Not Reported0101
Region of Enrollment
Region of Enrollment(Participants)ClonidineHydrochlorothiazidePlaceboTotal
United States11111133
08

Study locations

1 site
  • University of Iowa
    Iowa City, Iowa 52240, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2013 to primary completion in Jun 2020, 80 months.

Results were first posted in Apr 2023, 2 years 10 months after primary completion.

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

Registered
Oct 30, 2013
First posted
Nov 14, 2013
StartActual
Oct 2013
Primary completionActual
Jun 2020
CompletionActual
Jun 2020
Results first posted
Apr 14, 2023
Last update
Apr 14, 2023
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 Apr 14, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01983462
Lead sponsor
Gary L. Pierce
Collaborators
American Heart Association
Responsible party
Gary L. Pierce (Assistant Professor, University of Iowa) — Sponsor-investigator
First posted
Nov 14, 2013
Start date
Oct 2013
Primary completion
Jun 2020
Completion
Jun 2020
Results posted
Apr 14, 2023
Last update
Apr 14, 2023

Study contacts

Gary L Pierce, PhD
principal investigator · University of Iowa

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Clonidine

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