Last reviewed · How we verify
NCT00178919
Cardiovascular Regulation: Autonomic/Metabolic Mechanisms PO1 HL56693, Project 4: Cardiovascular Regulation: Autonomic/Metabolic Mechanisms
NA trial testing L-NMMA in Hypertension in 112 participants. Completed in 1 August 2008.
1 August 2008
Quick facts
| Lead sponsor | Vanderbilt University |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | non randomized |
| Design | parallel |
| Masking | single |
| Enrollment | 112 |
| Start date | 1 August 2002 |
| Primary completion | 1 August 2008 |
| Estimated completion | 1 August 2008 |
| Sites | 1 location across United States |
Drugs / interventions tested
- L-NMMA — full drug profile →
- Trimethaphan — full drug profile →
Conditions studied
- Hypertension — all drugs for Hypertension →
- Pure Autonomic Failure — all drugs for Pure Autonomic Failure →
Sponsor
Vanderbilt University
Who can join
Adults 18 to 85, any sex, with Hypertension or Pure Autonomic Failure. Healthy volunteers can join.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
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Change in Systolic Blood Pressure
Time frame: At the end of the highest tolerated dose of IV infusion of L-NMMA
L-NMMA (nitric oxide synthase inhibitor) was infused intravenously at different doses for 15 minutes each, after blocking the autonomic nervous system with trimethaphan. The change in systolic blood pressure at the end of the highest tolerated dose is the main outcome. Trimethaphan infused intravenously was used to produce transient blockade of the autonomic nervous system to allow for a full resp -
Systolic Blood Pressure in Response to Systemic Nitric Oxide Inhibition
Time frame: End of 15 minutes of infusion of L-NMMA at the highest tolerated dose
Systolic blood pressure at the highest tolerated dose of IV infusion of L-NMMA during autonomic nervous system blockade with trimethaphan. Trimethaphan, infused intravenously was used to produce transient blockade of the autonomic nervous system to allow for a full response to nitric oxide inhibition (in the absence of the baroreflex.
Sponsor's own description
The amount of blood flowing to the different parts of the body is regulated by the autonomic (automatic) nerves and by local factors produced by the blood vessels. Nitric oxide (NO) is one of the most important of these metabolic factors. If the production of NO is slowed or stopped the amount of blood to the different parts of the body is decreased. There is increasing knowledge that NO mechanisms are impaired in a number of medical conditions. NO function is reduced in patients with risk factors for atherosclerosis (hardening of the arteries) such as hypercholesterolemia (patients with high cholesterol), or diabetes mellitus, and is also impaired in smokers. This NO "deficiency" is believed to contribute to the greater cardiovascular risk that marks these patient populations. This study is designed to examine if endothelial nitric oxide is an important control mechanism of blood pressure under normal conditions, and if impairment of nitric oxide contributes to hypertension.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
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Excessive nitric oxide function and blood pressure regulation in patients with autonomic failure.
Gamboa A, Shibao C, Diedrich A, Paranjape SY, et al · · 2008 · cited 47× · PMID 18426998 · DOI 10.1161/hypertensionaha.107.105171
Verify or expand the search:
- PubMed search for NCT00178919
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT00178919 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Vanderbilt University
- Last refreshed: 24 May 2013
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00178919.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing