NCT00554203

Brief Summary

Experimental studies suggest that systemic inflammation leads to endothelial dysfunction and atherosclerosis. This study will examine the effects of the anti-inflammatory drug sulfasalazine on endothelial function in patients with coronary artery disease. Subjects will be treated with sulfasalazine or to placebo for six weeks. After a two-week rest period, subjects will cross over to the alternative treatment. Endothelium-dependent flow-mediated dilation of the brachial artery will be studied before and after each drug. We hypothesize that anti-inflammatory therapy will reverse endothelial dysfunction in patients with coronary artery disease.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable coronary-artery-disease

Timeline
Completed

Started Jul 2003

Typical duration for not_applicable coronary-artery-disease

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2003

Completed
4.4 years until next milestone

First Submitted

Initial submission to the registry

November 5, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 6, 2007

Completed
25 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2007

Completed
Last Updated

May 15, 2008

Status Verified

May 1, 2008

Enrollment Period

4.4 years

First QC Date

November 5, 2007

Last Update Submit

May 13, 2008

Conditions

Outcome Measures

Primary Outcomes (1)

  • Brachial artery flow-mediated dilation

    6 weeks

Secondary Outcomes (1)

  • serum markers of inflammation

    6 weeks

Interventions

sulfasalazine 2 grams daily for 6 weeks

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • History of coronary artery disease

You may not qualify if:

  • G6PD deficiency defined by red blood cell G6PD activity assay
  • Sulfa allergy
  • Aspirin allergy
  • Allergy to furosemide (lasix), hydrochlorthiazide, sulfonylureas, acetazolamide (Diamox) or other carbonic anhydrase inhibitors
  • SGOT, SGPT, alkaline phosphatase, total bilirubin greater than 2 times the upper limit of normal
  • WBC less than 4.0 or greater than 11.0 K/UL
  • Platelet count less than 150 K or greater than 450K
  • Hematocrit less than 30% 7
  • Serum creatinine greater than 1.5 mg/dl
  • Unstable angina or acute MI within 2 weeks
  • Warfarin treatment
  • Immunosuppressive treatment (methotrexate, cyclosporine, etc.)
  • Digoxin treatment
  • Phenytoin (Dilantin) treatment
  • Methenamine (Mandelamine, Urex) treatment
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

Related Publications (1)

  • Tabit CE, Holbrook M, Shenouda SM, Dohadwala MM, Widlansky ME, Frame AA, Kim BH, Duess MA, Kluge MA, Levit A, Keaney JF Jr, Vita JA, Hamburg NM. Effect of sulfasalazine on inflammation and endothelial function in patients with established coronary artery disease. Vasc Med. 2012 Apr;17(2):101-7. doi: 10.1177/1358863X12440117.

MeSH Terms

Conditions

Coronary Artery Disease

Interventions

Sulfasalazine

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

SulfonamidesAmidesOrganic ChemicalsSulfonesSulfur Compounds

Study Officials

  • Joseph A Vita, MD

    Boston Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER

Study Record Dates

First Submitted

November 5, 2007

First Posted

November 6, 2007

Study Start

July 1, 2003

Primary Completion

December 1, 2007

Study Completion

December 1, 2007

Last Updated

May 15, 2008

Record last verified: 2008-05

Locations