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Multiple Dose Effects of Hydrochlorothiazide and Isosorbide Mononitrate on Glucose Homeostasis
This study is currently recruiting participants.
Verified by Merck, January 2010
First Received: March 27, 2009   Last Updated: January 27, 2010   History of Changes
Sponsor: Merck
Information provided by: Merck
ClinicalTrials.gov Identifier: NCT00871871
  Purpose

This study will measure and compare changes in insulin production and sensitivity using the hyperglycemic clamp technique in obese patients with impaired glucose tolerance and hypertension treated with placebo, isosorbide mononitrate (ISMN) or hydrochlorothiazide (HCTZ).


Condition Intervention Phase
Hypertension
Drug: non-product or non-Merck product
Drug: Comparator: Placebo to HCTZ
Drug: Comparator: Isosorbide mononitrate (ISMN)
Drug: Comparator: Placebo to ISMN
Phase I

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Crossover Assignment, Pharmacodynamics Study
Official Title: A Randomized, Double-Blind, Placebo-Controlled, 2-Part Study to Evaluate the Multiple Dose Effects of Hydrochlorothiazide and Isosorbide Mononitrate on Glucose Homeostasis in Obese Patients With Hypertension

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • Part I: Decrease in insulin secretion at steady-state compared to placebo [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
  • Part II: Increase in the ratio of whole body glucose disposal to plasma insulin at steady-state [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Part I: Decrease in the ratio of whole body glucose disposal to plasma insulin at steady state [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 60
Study Start Date: March 2009
Estimated Study Completion Date: January 2010
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Part I, Arm 1: Experimental
Placebo in Period 1 followed by HCTZ in Period 2
Drug: non-product or non-Merck product
[Intervention Name: Hydrochlorothiazide (HCTZ)] HCTZ 50 mg (two 25 mg capsules) once daily for 4 weeks per treatment period.
Drug: Comparator: Placebo to HCTZ
Placebo to HCTZ two 0 mg capsules once daily for 4 weeks per treatment period
Part I, Arm 2: Experimental
HCTZ in Period 1, followed by placebo in Period 2
Drug: non-product or non-Merck product
[Intervention Name: Hydrochlorothiazide (HCTZ)] HCTZ 50 mg (two 25 mg capsules) once daily for 4 weeks per treatment period.
Drug: Comparator: Placebo to HCTZ
Placebo to HCTZ two 0 mg capsules once daily for 4 weeks per treatment period
Part II, Arm 1: Experimental
Placebo in Period 1, followed by ISMN in Period 2
Drug: Comparator: Isosorbide mononitrate (ISMN)
ISMN 60 mg extended release capsule once daily for 4 weeks per treatment period
Drug: Comparator: Placebo to ISMN
Placebo to ISMN 0 mg capsule once daily for 4 weeks per treatment period
Part II, Arm 2: Experimental
ISMN in Period 1, followed by placebo in Period 2
Drug: Comparator: Isosorbide mononitrate (ISMN)
ISMN 60 mg extended release capsule once daily for 4 weeks per treatment period
Drug: Comparator: Placebo to ISMN
Placebo to ISMN 0 mg capsule once daily for 4 weeks per treatment period

  Eligibility

Ages Eligible for Study:   35 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Female patients must be post-menopausal
  • Patient has a BMI of at least 29 kg/m^2
  • Patient's weight has been stable over the past 3 months
  • Patient has never been treated for hypertension or is diagnosed with hypertension taking up to 2 anti-hypertensive medications
  • Patient is willing to stop hypertension treatment for 14 days prior to randomization and throughout the study
  • Patient does not have a history of diabetes
  • Patient is in good health with the exception of hypertension
  • Patient has no history of abnormal heart rhythms
  • Part I only: Patient is willing to comply with high potassium/low sodium diet for the duration of the study
  • Patient is willing to avoid strenuous physical activity during the study
  • Patient is a nonsmoker and/or has not used nicotine for at least 3 months and agrees to refrain from use of tobacco-containing products throughout the study
  • Patient agrees to refrain from consuming alcohol and caffeine during in-patient periods and to limit consumption at all other times during the study
  • Patient agrees not to consume grapefruit, grapefruit products, and citrus, apple, and pineapple juices 2 weeks prior to administration of the first dose of study drug

Exclusion Criteria:

  • Patient has a history of any illness that may make their participation in the study unsafe or confuse the study results
  • Patient is taking spironolactone or eplerenone
  • Patient cannot refrain from using any prescription or non-prescription drugs during the study
  • Patient is on a weight loss program and is not in the maintenance phase
  • Patient started a weight loss drug within 8 weeks of the first study visit
  • Patient consumes excessive amounts of alcohol or caffeine
  • Patient has had major surgery, donated or lost 1 unit of blood within 4 weeks of the first study visit
  • Patient has a history of multiple and/or severe allergies to drugs or food
  • Patient is dehydrated
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00871871

Locations
South Africa, Gauteng
MSD (Pty) LTD South Africa Recruiting
Midrand, Gauteng, South Africa, 1685
Contact: Beverley Cowper     27 11 655-3036        
Sponsors and Collaborators
Merck
Investigators
Study Director: Medical Monitor Merck
  More Information

No publications provided

Responsible Party: Merck Sharp & Dohme Corp ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2009_567, 117
Study First Received: March 27, 2009
Last Updated: January 27, 2010
ClinicalTrials.gov Identifier: NCT00871871     History of Changes
Health Authority: South Africa: Medicines Control Council

Additional relevant MeSH terms:
Isosorbide
Vasodilator Agents
Molecular Mechanisms of Pharmacological Action
Isosorbide-5-mononitrate
Diuretics, Osmotic
Diuretics
Physiological Effects of Drugs
Sodium Chloride Symporter Inhibitors
Vascular Diseases
Isosorbide Dinitrate
Cardiovascular Agents
Antihypertensive Agents
Hydrochlorothiazide
Pharmacologic Actions
Nitric Oxide Donors
Membrane Transport Modulators
Natriuretic Agents
Therapeutic Uses
Cardiovascular Diseases
Hypertension

ClinicalTrials.gov processed this record on February 08, 2010