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NCT04258332 · ClinicalTrials.gov registry record · NA

CARDIA-Salt Sensitivity of Blood Pressure (SSBP)

A NA study, sponsored by Vanderbilt University Medical Center.

Completed
Registry status
NA
Development phase
281
Enrollment target

NCT04258332 is a NA study that has completed, run by Vanderbilt University Medical Center. The registered enrollment target is 281 participants.

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The verdict

NCT04258332, a NA study, has completed, sponsored by Vanderbilt University Medical Center.

COMPLETED
Registry status
NA
Development phase
281 participants
Enrollment target

Study Summary

Salt sensitivity of blood pressure (SSBP) is defined as the change in blood pressure (BP) in relation to change in salt intake. An increase in BP from low- to high-salt diet is common and associated with an increased risk of cardiovascular morbidity and mortality, even among normotensive individuals. Yet, the pathophysiology of SSBP is not well understood. The prevailing paradigm is that abnormalities of neurohormones that regulate sodium (Na+) retention and excretion and/or Na+ transporting pathways create Na+ imbalances that underlie susceptibility to SSBP. As a homeostatic mechanism, BP fluctuates to maintain Na+ balance, i.e. higher BP is needed for pressure natriuresis to excrete excess Na+. An alternate framework emphasizes vascular dysregulation as the inciting mechanism. In both constructs, how Na+ itself influences BP remains incompletely understood. Our preliminary work suggests that excess Na+ induces a pro-inflammatory state that sustains higher BP. Interleukin-6 (IL-6) drives the induction of interleukin-17 (IL-17) secreting T helper 17 cells that were recently demonstrated to be pathogenic in response to Na+ exposure. IL-6, IL-17 and related cytokines regulate renal Na+ transporters and raise BP through vascular inflammation, fibrosis, and impaired vasodilation. The immune response to high- and low-salt diet in humans, however, is not completely understood, emphasizing the need for more detailed human studies, with deeper immune profiling under controlled salt conditions and with neurohormonal assessment. Our overarching postulate is that the inflammatory response to excess dietary salt intake is associated with SSBP. The Coronary Artery Risk Development in Young Adults (CARDIA) study is the ideal cohort in which to translate our preliminary findings. Investigators propose to investigate SSBP in CARDIA using standardized low- and high-salt diets and 24-hour ambulatory BP monitoring. Investigators will quantify SSBP in a total of 500 participants from t

Interventions

  • DIETARY_SUPPLEMENT High Salt Diet
  • DIETARY_SUPPLEMENT Low Salt Diet

Trial Details

FieldValue
Enrollment Target 281 participants
Start Date 2021-05-17
Est. Completion 2025-05-17
Phase NA

What the Registry Record Tells You About NCT04258332

The ClinicalTrials.gov registry entry for NCT04258332 describes a study currently listed as completed, categorized as NA. The registered enrollment target is 281 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is Vanderbilt University Medical Center, which has 677 total studies on file at ClinicalTrials.gov.

The record links to 0 conditions, and to 2 interventions - of which High Salt Diet is the first listed.

NCT04258332 reports 0 study locations.

Frequently Asked Questions

What is clinical trial NCT04258332 about?

NCT04258332 is a clinical study titled "CARDIA-Salt Sensitivity of Blood Pressure (SSBP)". Salt sensitivity of blood pressure (SSBP) is defined as the change in blood pressure (BP) in relation to change in salt intake. An increase in BP from low- to high-salt diet is common and associated with an increased risk of cardiovascular morbidity and mortality, even among normotensive individuals...

What is the current status of trial NCT04258332?

This trial is currently completed. It is a NA study. The enrollment target is 281 participants. The study started on 2021-05-17. Estimated completion is 2025-05-17.

What interventions are being tested in trial NCT04258332?

The interventions under investigation include: High Salt Diet (DIETARY_SUPPLEMENT), Low Salt Diet (DIETARY_SUPPLEMENT).

Who is sponsoring clinical trial NCT04258332?

This trial is sponsored by Vanderbilt University Medical Center, which has 677 total clinical trials registered on ClinicalTrials.gov.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainTrial Editorial

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