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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-004425-87 | EudraCT Number |
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Endothelial dysfunction of conduit arteries contributes to the increased morbidity and cardiovascular mortality in patients with essential hypertension and appears increasingly as an independent therapeutic target. We have shown previously that besides a decrease in the availability of NO and other endothelium-derived vasodilators factors, the epoxyeicosatrienoic acids, an increase in the vasoconstrictor endothelin-1 (ET-1) may play a role in the pathophysiology of this endothelial dysfunction. Indeed, the local concentrations of endothelin-1 during the endothelium-dependent dilation of the radial artery in response to a sustained increase in blood flow decreased significantly in healthy volunteers controls but not in hypertensive patients. This lack of adaptation of the endothelinergic system could be due to a decreased clearance of endothelin-1 by endothelial ETB receptors, potentiating the vasoconstrictor action of endothelin-1 mediated by ETA receptor activation at the muscular level. However, to validate this hypothesis , it is needed to demonstrate the physiological role of ETA receptor and ETB in sustained flow-mediated dilatation of conduit arteries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BQ-788 | Experimental | Effect of BQ-788 on the magnitude of sustained flow-mediated dilatation |
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| BQ-123 | Experimental | Effect of BQ-123 on the magnitude of sustained flow-mediated dilatation |
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| BQ-788 + BQ-123 | Experimental | Effect of BQ-788+BQ-123 on the magnitude of sustained flow-mediated dilatation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BQ-788 and/or BQ-123 | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Effect of ETB receptor blockade on flow-mediated dilatation | This study will evaluate the effect of the ETB receptor blockade on the magnitude of the flow-mediated dilatation of the radial artery in response to distal skin heating in 8 healthy subjects. Radial artery diameter and blood flow will be measured by high-resolution echotracking coupled to Doppler. | One hour after BQ-788 brachial infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of ETA and ETA/ETB receptor blockade on flow-mediated dilatation | This study will evaluate the effect of ETA receptor and combined ETA/ETB receptor blockade on the magnitude of the flow-mediated dilatation of the radial artery in response to distal skin heating in 8 healthy subjects. Radial artery diameter and blood flow will be measured by high-resolution echotracking coupled to Doppler. | One hour after BQ-123 alone or with BQ-788 brachial infusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robinson JOANNIDES, Doctor | Chu - Hôpitaux de Rouen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU - Hôpitaux de Rouen | Rouen | Normandy | 76031 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28441692 | Result | Bellien J, Iacob M, Monteil C, Remy-Jouet I, Roche C, Duflot T, Vendeville C, Gutierrez L, Thuillez C, Richard V, Joannides R. Physiological role of endothelin-1 in flow-mediated vasodilatation in humans and impact of cardiovascular risk factors. J Hypertens. 2017 Jun;35(6):1204-1212. doi: 10.1097/HJH.0000000000001307. |
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| Effect of ETA and/or ETB receptor blockade on ET-1, NO and EET bioavailability | This study will evaluate the effect of ETA and/or ETB blockade on the variations in the local concentrations of ET-1, NO and EETs during sustained flow-mediated dilation in 8 healthy subjects. For this purpose, local blood samples will be drawn before (34°C) and at the end of hand skin heating (44°C). Plasma nitrite, indicator of NO availability will be quantified by chemiluminescence.Plasma EETs will be quantified by LC-MS. Plasma ET-1 will be quantified with an immunoassay. | One hour after BQ-788 and/or BQ-123 brachial infusion |