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CompletedNCT02871648Updated Jun 8, 2021

The Role of Minerelocorticoid Receptor on Modulating Aldosterone Production

A Phase 1 interventional study of Placebo and Fludrocortisone in Healthy Volunteers, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-06-08.

Sponsored by Brigham and Women's Hospital · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The purpose of this research protocol is to determine if the same effects are observed in vivo in humans using a similar approach. Demonstrating that mineralocorticoid acts on zona glomerulosa cells to regulate aldosterone production in a short feedback loop would provide important insight into hormone regulation, and explain variability in pathophysiologic states such as hypertension and cardiovascular diseases.

Read the detailed description

In order to provide additional evidence indicating the presence of functional and in order to provide additional evidence indicating the presence of functional mineralocorticoid receptors (MR) on zona glomerulosa (ZG) cells, the investigators propose the following protocol in healthy volunteers. The investigators will evaluate aldosterone and cortisol production in response to an angiotensin II infusion after three separate test conditions: 1) placebo, 2) following a single dose of fludrocortisone, and 3) following a single dose of eplerenone (a MR antagonist).

02

Conditions studied

  • Healthy Volunteers

Keywords

  • Healthy
03

In context

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Participants must be healthy, with no prior history of hypertension, no family history of hypertension, diabetes, stroke or cardiac disease in first-degree relatives before the age of 70 years and have an average (two measurements) blood pressure of \<130/89 mm Hg and >100/50 mmHg at the screening visit.
  • All subjects will have body mass index 19-25 kg/m2.
  • Subjects must have normal laboratory values for: Complete blood count; serum creatinine, sodium, potassium, glucose, liver enzymes; urinalysis; negative urine HCG in women; normal ECG

Exclusion criteria

Exclusion Criteria:

  • Alcohol intake >12oz per week, as well as tobacco or recreational drug use.
  • Any subject with a history of coronary disease, diabetes, hypertension, stroke, kidney disease, or illness requiring overnight hospitalization in the past 6 months will be excluded from the study.
  • Subjects taking any prescription medications (with the exception of birth control pills) or herbal medications will be excluded.
  • Because of the unknown risk of infused angiotensin II in pregnancy, women who are pregnant will be excluded from study and all women will be screened for pregnancy by quantitative serum hCG measurement on the day of each CCI admission.
  • Women currently breastfeeding will also be excluded from the study.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
23 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo prepared by Investigational Drug Services at Brigham and Women's Hospital

    Drug: Placebo

  • Active comparator
    Fludrocortisone

    Subjects will receive 0.1 mg of fludrocortisone (Florinef) on one of three study days.

    Drug: Fludrocortisone

  • Active comparator
    Epleronone

    Subjects will receive 100 mg of epleronone on one of three study days.

    Drug: Eplerenone

Interventions

  • DrugPlacebo

    Placebo prepared by Investigation Drug Services at Brigham and Women's Hospital

  • DrugFludrocortisone

    Fludrocortisone 0.1 mg

    Also known as: Florinef

  • DrugEplerenone

    Epleronone 100 mg

    Also known as: Inspra

06

What researchers measure

Primary outcomes

  1. Serum aldosterone after angiotensin II infusion

    Aldosterone levels after 30 mins AngII infusion

    Time frame: 5 days

Secondary outcomes

  1. Serum aldosterone after cosyntropin infusion

    Aldosterone levels after 30 mins cosyntropin infusion

    Time frame: 5 days

  2. Serum cortisol after angiotensin II infusion

    Cortisol levels after 30 mins AngII infusion

    Time frame: 5 days

  3. Serum cortisol after cosyntropin infusion

    Cortisol levels after 30 mins cosyntropin infusion

    Time frame: 5 days

07

Study locations

1 site
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
08

References and documents

Publications

  • Braley LM, Williams GH. Rat adrenal cell sensitivity to angiotensin II, alpha-1-24-ACTH, and potassium: a comparative study. Am J Physiol. 1977 Nov;233(5):E402-6. doi: 10.1152/ajpendo.1977.233.5.E402. PubMed 200147 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02871648
Lead sponsor
Brigham and Women's Hospital
Responsible party
Gordon H. Williams, MD (Principal Investigator, Brigham and Women's Hospital) — Principal investigator
First posted
Aug 18, 2016
Start date
Jan 2016
Primary completion
Oct 2019
Completion
Dec 2019
Last update
Jun 8, 2021

Study contacts

Jonathan S Williams, MD, MMSc
principal investigator · Brigham and Women's Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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