STRETCH Study: Effect of Distensibility on Endothelial-Dependent Vasoreactivity in Patients With ISH

• Status: Completed
• Trial end date: 2006-01-01
• Target enrollment: 0
• Participant gender: All

Summary

Determine whether increasing arterial distensibility by decreasing advanced glycation end-product (AGE) cross-link components of vascular stiffness improves (a) endothelial-mediated vasoreactivity at rest, as assessed by flow-mediated vasodilation (FMD), and (b) endothelial-mediated vasoreactivity after exercise, as assessed by pulse perfusion-mediated vasodilation (PPMV).

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Synvista Therapeutics, Inc
• Collaborator: National Institutes of Health (NIH)

Criteria

Inclusion Criteria:

1. Male or female 50 years of age or greater.

2. Diagnosed with systolic hypertension (systolic blood pressure >140 mm Hg and (less than or equal to) 200 mm Hg, and a diastolic blood pressure (less than or equal to) 95 mm Hg) and elevated pulse pressure (systolic blood pressure [SBP] minus diastolic blood pressure [DBP] greater than 60 mm Hg).

3. Normal left ventricular function (ejection fraction >55%) at baseline (Visit 3).

4. Able to perform bicycle exercise.

5. Able to read, understand and sign the informed consent after the nature of the study has been explained.

6. If sexually active, the patient agrees to use reliable contraception while participating in this study. If a woman, is surgically sterilized or post-menopausal, or has a negative serum pregnancy test.

Exclusion Criteria:

1. Aortic stenosis, prior known coronary artery disease (including myocardial infarction), cerebrovascular accident, or peripheral vascular disease.

2. Uncontrolled hypertension (SBP > 200/ DBP > 95 mm Hg).

3. Atrial fibrillation, diabetes mellitus treated with insulin, or chronic lung disease.

4. Any additional condition(s) which, in the opinion of the investigator, would prohibit the patient from completing the study, or not be in the best interest of the patient.

5. Treatment with nitrates, or a change in antihypertensive medications within the last 1 month.

6. Treatment with any investigational drug within 1 month prior to study drug administration.

7. Previous exposure to alagebrium.

8. AST (SGOT) or ALT (SGPT) > 2x normal limit.

9. Serum creatinine > 2.0 ng/mL.

10. Cigar/cigarette smoking.

11. Necessity to use smokeless tobacco or nicotine-containing products, or to consume caffeine, alcohol, or antioxidants starting at midnight prior to study clinic visits. NOTE: Water is allowed ad libitim.

12. Positive drug screen.