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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04478500
Registration number
NCT04478500
Ethics application status
Date submitted
10/07/2020
Date registered
20/07/2020
Titles & IDs
Public title
Neuroinflammation in Hypertension Study
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Scientific title
The Role of Neuroinflammation in Hypertension.Minocycline for Resistant Hypertension: a Randomized Double Blind Placebo-Controlled Trial
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Secondary ID [1]
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DHC20180023
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Universal Trial Number (UTN)
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Trial acronym
MINIHT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Resistant Hypertension
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Condition category
Condition code
Neurological
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Other neurological disorders
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Cardiovascular
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Minocycline
Active comparator: Minocycline Group - Subjects will be randomized to receive Minocycline 100mg twice daily
Placebo comparator: Placebo Group - Subjects will be randomized to receive placebo.
Treatment: Drugs: Minocycline
Participants will be randomly assigned to receive either Minocycline 100mg twice daily or Placebo.
Comprehensive testing will be performed at baseline, and at the end of the 12 week intervention phase.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The difference in the daytime systolic blood pressure between groups after respective treatment.
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Assessment method [1]
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Office and ambulatory blood pressures
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Timepoint [1]
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12 weeks
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Primary outcome [2]
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Assessment of change in central and peripheral inflammation
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Assessment method [2]
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FDG PET
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Timepoint [2]
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12 weeks
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Secondary outcome [1]
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Change in muscle sympathetic nerve activity
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Assessment method [1]
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Muscle sympathetic nerve activity assessed by microneurography
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Timepoint [1]
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12 weeks
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Secondary outcome [2]
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Change in central Blood Pressure
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Assessment method [2]
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central Blood Pressure assessed by Sphygmocor XCEL
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Timepoint [2]
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12 weeks
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Eligibility
Key inclusion criteria
* Aged: 45 -65 years
* Signed informed consent
* Clinical diagnosis of Resistant Hypertension
* Daytime systolic ambulatory BP >135mmHg.
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Minimum age
45
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• eGFR of <45 mL/min/1.73m2
* History of myocardial infarction (MI) or any cardiovascular event within 3 months of screening period, clinically significant AV conduction disturbances and/or arrhythmias,
* current of past history of heart failure (LVEF =40%)
* psychotropic agents, antidepressants and NSAIDS
* alcohol consumption of >3 standard drinks.
* known hypersensitivity or contraindication to minocycline or other tetracyclines.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
2/07/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/02/2025
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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6000 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
Royal Perth Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To demonstrate that in patients with resistant hypertension oral treatment with minocycline via inhibition of central immune cell activation and inflammation results in reduced central sympathetic outflow and concomitant lowering of BP.
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Trial website
https://clinicaltrials.gov/study/NCT04478500
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Trial related presentations / publications
Carnagarin R, Matthews V, Zaldivia MTK, Peter K, Schlaich MP. The bidirectional interaction between the sympathetic nervous system and immune mechanisms in the pathogenesis of hypertension. Br J Pharmacol. 2019 Jun;176(12):1839-1852. doi: 10.1111/bph.14481. Epub 2018 Sep 25. Santisteban MM, Ahmari N, Carvajal JM, Zingler MB, Qi Y, Kim S, Joseph J, Garcia-Pereira F, Johnson RD, Shenoy V, Raizada MK, Zubcevic J. Involvement of bone marrow cells and neuroinflammation in hypertension. Circ Res. 2015 Jul 3;117(2):178-91. doi: 10.1161/CIRCRESAHA.117.305853. Epub 2015 May 11.
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Public notes
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Contacts
Principal investigator
Name
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Markus Schlaich, MD
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Address
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University of Western Australia and Royal Perth Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Revathy Carnagarin, MD
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Address
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Country
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Phone
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+61892240316
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04478500