The Renin-Angiotensin-Aldosterone System and Parathyroid Hormone Control: The RAAS-PARC Study
RAAS-PARC
1 other identifier
interventional
41
1 country
1
Brief Summary
This study will evaluate whether commonly used blood pressure medications called "ACE inhibitors" can lower parathyroid hormone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2012
Longer than P75 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
September 20, 2012
CompletedFirst Posted
Study publicly available on registry
September 25, 2012
CompletedStudy Start
First participant enrolled
October 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedResults Posted
Study results publicly available
August 10, 2017
CompletedSeptember 21, 2017
August 1, 2017
3.8 years
September 20, 2012
June 19, 2017
August 18, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Parathyroid Hormone Following 1 Week of ACE Inhibitor Administration
PTH values 1 week following ACE inhibitor therapy
1 week
Secondary Outcomes (2)
Urinary Aldosterone Excretion Measurements Following 1 Week of ACE Inhibitor Therapy
1 week
Serum Calcium Following 1 Week of ACE Inhibitor Administration
1 week
Study Arms (1)
lisinopril
EXPERIMENTALLisinopril - open-label, 2.5-40mg daily
Interventions
Each subject will receive one week of lisinopril and return for repeat for blood measurements.
Eligibility Criteria
You may qualify if:
- Healthy subjects with with no medical problems (n=15) and individuals with primary hyperparathyroidism (n=30)
- normal blood pressure or stage 1 hypertension that is either untreated, or adequately treated with a single anti-hypertensive medication.
- Age \>18 years and \<80 years
- Estimated GFR \> 60ml/min
You may not qualify if:
- Chronic Kidney Disease or eGFR\<60
- Stage 2 or Stage 3 hypertension or the use of more than 1 antihypertensive drug
- Type 2 Diabetes Mellitus that is not controlled by diet or Metformin alone or with a Hemoglobin A1c \>7.5%
- History of liver failure
- History of heart failure
- The use of typical or atypical antipsychotic medications or lithium.
- Chronic inflammatory conditions (such as inflammatory bowel disease or arthritis) that are treated with prescribed doses of NSAIDs or glucocorticoids
- The use of prescribed doses of potassium supplements.
- Illness requiring overnight hospitalization in the past 6 months
- Active tobacco or recreational drug use
- Pregnancy or current breast feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Related Publications (1)
Zaheer S, Brown JM, Connors M, Williams JS, Adler GK, Vaidya A. Angiotensin-Converting Enzyme Inhibition and Parathyroid Hormone Secretion. Int J Endocrinol. 2017;2017:4138783. doi: 10.1155/2017/4138783. Epub 2017 Jul 20.
PMID: 28808443DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
This a small physiology pilot study that is open-label and non-randomized. The intervention was an ACE inhibitor, an approved therapy. Results have physiologic implications, but treatment implications are not intended.
Results Point of Contact
- Title
- Anand Vaidya
- Organization
- Brigham and Women's Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Anand Vaidya, MD, MMSc
Brigham and Women's Hospital, Harvard Medical School
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Masking Details
- Open Label
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
September 20, 2012
First Posted
September 25, 2012
Study Start
October 1, 2012
Primary Completion
August 1, 2016
Study Completion
December 1, 2016
Last Updated
September 21, 2017
Results First Posted
August 10, 2017
Record last verified: 2017-08