Effects of Lipemia and Metformin on Endothelial Function

Overview[ - collapse ][ - ]

Purpose Eating a diet high in fat contributes to the development of atherosclerosis (hardening of the arteries). Acute fat consumption increases levels of fat in the blood and temporarily reduces the ability of blood vessel to dilate (open up to carry additional blood). A similar response is observed during infusion of Intra-Lipid (a fat emulsion used for intravenous nutrition). The present study is designed to help us understand the effects of a fat load on blood vessel function. We will measure arterial dilation using non-invasive techniques before and at the end of a 5-hour infusion of Intra-Lipid in healthy subjects. Subjects will then take the approved drug metformin for two weeks and return for repeat studies of endothelial function with Intra-Lipid infusion. We expect that metformin will help preserve the normal function of blood vessels during a fat load. This study will help us understand how fat affects blood vessels and therefore will advance our knowledge of the development of atherosclerosis and potentially lead to improved methods to prevent and treat heart disease.
ConditionCardiovascular Disease
InterventionDrug: Metformin
PhaseN/A
SponsorBoston University
Responsible PartyBoston University
ClinicalTrials.gov IdentifierNCT01037660
First ReceivedDecember 19, 2009
Last UpdatedJuly 23, 2013
Last verifiedJuly 2013

Tracking Information[ + expand ][ + ]

First Received DateDecember 19, 2009
Last Updated DateJuly 23, 2013
Start DateSeptember 2005
Estimated Primary Completion DateDecember 2013
Current Primary Outcome MeasuresBrachial artery flow-mediated dilation [Time Frame: 6 hours] [Designated as safety issue: No]
Current Secondary Outcome Measuresblood lipid levels [Time Frame: 6 hours] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleEffects of Lipemia and Metformin on Endothelial Function
Official TitleEffects of Lipemia and Metformin on Endothelial Function
Brief Summary
Eating a diet high in fat contributes to the development of atherosclerosis (hardening of
the arteries). Acute fat consumption increases levels of fat in the blood and temporarily
reduces the ability of blood vessel to dilate (open up to carry additional blood). A similar
response is observed during infusion of Intra-Lipid (a fat emulsion used for intravenous
nutrition). The present study is designed to help us understand the effects of a fat load on
blood vessel function. We will measure arterial dilation using non-invasive techniques
before and at the end of a 5-hour infusion of Intra-Lipid in healthy subjects. Subjects will
then take the approved drug metformin for two weeks and return for repeat studies of
endothelial function with Intra-Lipid infusion. We expect that metformin will help preserve
the normal function of blood vessels during a fat load. This study will help us understand
how fat affects blood vessels and therefore will advance our knowledge of the development of
atherosclerosis and potentially lead to improved methods to prevent and treat heart disease.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhaseN/A
Study DesignIntervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Basic Science
ConditionCardiovascular Disease
InterventionDrug: Metformin
Metformin 1 gram per day
Study Arm (s)Experimental: Metformin
Metformin

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment45
Estimated Completion DateDecember 2013
Estimated Primary Completion DateDecember 2013
Eligibility Criteria
Inclusion Criteria:

- Healthy volunteers

Exclusion Criteria:

- Pregnancy (defined as positive urine pregnancy test)

- Diabetes Mellitus (Clinical history or random blood glucose>140 mg/dl)

- Hypertension (Clinical history or SBP>140 or DBP>90 mmHg)

- History of adverse reaction to metformin

- Abnormal renal function (Serum creatinine>1.4 mg/dl)

- Abnormal liver function (AST or ALT greater than two times the upper limit of normal)

- Administration of iodinated contrast within 7 days

- History of congestive heart failure

- Abnormal clotting parameters (INR>1.5 or PTT>40 sec)

- Anemia (HCT<30%)

- Allergy to soy or egg

- Allergy to heparin

- The potential subject plans to perform heavy exercise in the setting of low calorie
intake during the period of the study such as running or competitive road or bicycle
racing
GenderBoth
Ages18 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
ContactsContact: Joseph Vita, MD
617-638-8742
jvita@bu.edu
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT01037660
Other Study ID NumbersH-23660
Has Data Monitoring CommitteeNo
Information Provided ByBoston University
Study SponsorBoston University
CollaboratorsNot Provided
Investigators Principal Investigator: Joseph A Vita, MD Boston University
Verification DateJuly 2013

Locations[ + expand ][ + ]

Boston Medical Center
Boston, Massachusetts, United States, 02118
Contact: Joseph A Vita, MD | 617-638-8701 | jvita@bu.edu
Recruiting