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Active, not recruitingNCT02115724NO-StressUpdated Jan 28, 2025

Nitric Oxide Bioavailability and Early Life Stress (NO-Stress)

An interventional study of Antioxidant cocktail and Biopsy in Cardiovascular Disease, sponsored by Augusta University. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-28.

Sponsored by Augusta University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
74
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
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Study summary

Cardiovascular disease is the leading cause of death in the United States. Other studies have shown that stress, early in life, could be a risk factor for cardiovascular disease, later in life. This study will look at the effect of early life stressors on your cardiovascular health.

Read the detailed description

This study will have two parts involved to investigate the role that childhood SES status has on cardiovascular health.

Part one: Subjects will give a blood sample which will be processed and analyzed. Flow mediated dilation (FMD) and Pulse wave velocity (PWV/PWA) will be performed at baseline and 2 hours following either a single dose oral antioxidant cocktail (1000 mg of Vitamin C, 600 IU of Vitamin E, and 600 mg of alpha-lipoic acid) or placebo on two days separated by at least 72 hours. Nitroglycerin mediated dilation (NMD, 0.4mg sub-lingual nitroglycerin spray), will be assessed at baseline.

Part two: Subjects, if interested will undergo a subcutaneous gluteal/hip fat biopsy. Micro vessels will be isolated from the adipose tissue and analyzed by pressurized myography for endothelial function and nitric oxide bioavailability.

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Conditions studied

  • Cardiovascular Disease

Keywords

  • Low childhood SES
  • Early Life Stress
  • Endothelial function
  • Flow mediated dilation
  • Cardiovascular disease
  • Subcutaneous adipose arterioles
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In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 919 are open to participants now.

This study's enrollment of 74 is below the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Augusta University is the lead sponsor of 177 studies on the registry; 24 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • documented childhood SES
  • men and premenopausal women ages 18-40
  • lean/overweight/or obese with BMI\< or equal to 39kg/m2

Exclusion criteria

Exclusion Criteria:

  • cardiovascular, renal, pulmonary, hepatic, cerebral, or metabolic,disease
  • use medications that affect vascular tone
  • post menopausal women
  • have class 3 obesity or BMI over 40
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
74 participants (actual)

Study arms

  • Experimental
    Antioxidant Cocktail

    Following an overnight fast, blood samples, flow-mediated dilation, and nitroglycerin mediated dilation (NMD; 0.4mg sub-lingual nitroglycerin spray) will be performed at baseline and 2 hours following either a single dose oral antioxidant cocktail (1000 mg Vitamin C, 600 IU vitamin E, 600 mg Alpha Lipoic Acid) or placebo on two days separated by at least 72 hours.

    Dietary Supplement: Antioxidant cocktail · Other: Placebo · Drug: NMD; 0.4mg sub-lingual nitroglycerin spray

  • Other
    Biopsy

    Following an overnight fast, a subcutaneous gluteal/hip fat biopsy sample will be obtained from each subject under local anesthesia, with adipose tissue (\~2x1.5x1.5cm) to be harvested and placed immediately in physiological saline solution (PSS): Small arteries, 100 to 150 um in diameter, will be dissected from the fat under a dissecting microscope, transferred to an arteriographic bath chamber, and cannulated for pressurized myography.

    Other: Biopsy

Interventions

  • Dietary supplementAntioxidant cocktail

    Flow-Mediated Dilation will be determined at baseline and 2 hours following acute antioxidant treatment

    Also known as: Vitamin C, Vitamin E, Alpha Lipoic Acid

  • OtherBiopsy

    Under sterile conditions, a small incision (¼ - ½ inch) by the study doctor will be made and the piece of fat will be taken out. Fat tissue was chosen for this study because it is a big source of small blood vessels which we are studying

  • OtherPlacebo

    Flow-Mediated Dilation will be determined at baseline and 2 hours following acute antioxidant treatment

  • DrugNMD; 0.4mg sub-lingual nitroglycerin spray

    Nitroglycerin mediated dilation will be measured immediately following an administered 0.4mg dose of nitroglycerin spray, sub-lingual.

    Also known as: Generic name: Nitrolingual, Manufacturer: Arbor Pharmaceuticals

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What researchers measure

Primary outcomes

  1. Acute Change in Flow mediated dilation

    Flow-Mediated Dilation will be determined at baseline and 2 hours following acute antioxidant treatment

    Time frame: Change from baseline (2 hours)

Secondary outcomes

  1. Acute Change in Biomarkers of oxidative stress

    Nitrite/nitrate, antioxidant capacity, and 8-isoprostane at baseline and 2 hours following acute antioxidant treatment

    Time frame: Change from baseline (2 hours)

  2. Acute Change in Arterial Stiffness

    Pulse wave velocity will be determined at baseline and 2 hours following acute antioxidant treatment

    Time frame: Change from baseline (2 hours)

  3. Acute change in Flow mediated dilation

    Nitroglycerin mediated dilation will be measured immediately following an administered 0.4mg dose of nitroglycerin spray, sub-lingual.

    Time frame: Immediate

07

Study locations

1 site
  • Georgia Prevention Institute , Georgia Regents University
    Augusta, Georgia 30912, United States
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References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2025, 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
NCT02115724
Lead sponsor
Augusta University
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
Ryan Harris (Assistant Professor, Augusta University) — Principal investigator
First posted
Apr 16, 2014
Start date
Apr 2014
Primary completion
Dec 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Jan 28, 2025

Study contacts

Ryan Harris, PhD
principal investigator · Augusta University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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