NCT05928676

Brief Summary

Conversion of dietary nitrates to nitric oxide (NO) is a non-canonical pathway that plays an important role in NO biology, particulalry under pathological conditions. Nitrate supplementation has been shown to help control mild hypertension. Recent studies have suggested that another gaseous transmitter, hydrogen sulfide, also influences NO biosynthesis and metabolism. This open-label clinical trial will evalute the effect of Vascanox® HP, a proprietary formulation that combines dietary sources of nitric oxide and hydrogen sulfide, on nitric oxide bioavailability and on blood pressure in subjects experiencing elevated blood pressure. Participants will supplement with Vascanox® HP for four weeks. Blood pressure will be measured at baseline, two weeks, and fours weeks. Salivary nitric oxide will be assessed prior to and two, six, and 24 hours after dosing on the first day of the study and prior to and two hours after dosing at subsequent study visits. Participants will also self-monitor their saliva nitric oxide levels and blood pressure daily for 4 weeks. Changes in study outcomes over time will be evaluated via analysis of variance (ANOVA) and paired t-tests.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
12

participants targeted

Target at below P25 for not_applicable hypertension

Timeline
Completed

Started Jun 2023

Shorter than P25 for not_applicable hypertension

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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 24, 2023

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

June 26, 2023

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 3, 2023

Completed
28 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2023

Completed
Last Updated

August 2, 2023

Status Verified

June 1, 2023

Enrollment Period

1 month

First QC Date

June 26, 2023

Last Update Submit

July 31, 2023

Conditions

Keywords

hypertensionelevated blood pressurenitric oxideS-allylcysteinedietary nitrateVascanox HP

Outcome Measures

Primary Outcomes (1)

  • Blood pressure

    Change in blood pressure in millimeters of mercury (mmHg) assessed in the branchial artery

    Assessed at baseline, at 2 weeks, and at the 4 week conclusion of study

Secondary Outcomes (1)

  • Salivary nitric oxide

    Salivary nitric oxide assessed prior to and two hours after dosing at baseline, 2 weeks, and at the 4 week conclusion of the study. Salivary nitric oxide will be additionally assessed at 6 and 24 hours after dosing on the first day of the study only.

Study Arms (1)

Vascanox® HP

EXPERIMENTAL
Dietary Supplement: Vascanox® HP

Interventions

Vascanox® HPDIETARY_SUPPLEMENT

Vascanox® HP is a proprietary formulation that combines dietary sources of nitric oxide and hydrogen sulfide aimed at increasing the levels and duration of nitric oxide biosynthesis. Vascanox® HP contains an advanced blend of berry extracts in addition to beet root powder, black garlic, vitamin C, and minerals known to influence nitric oxide biosynthesis and metabolism. Because of the particular combination of ingredients, Vascanox® HP is expected to affect both canonical and non-canonical pathways of nitric oxide production and to augment nitric oxide reservoir in the body leading to an increased and prolonged nitric oxide bioavailability.

Vascanox® HP

Eligibility Criteria

Age25 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Mild hypertension defined as brachial artery blood pressure greater than or equal to 130 mm Hg systolic and less than or equal to 140 mm Hg systolic or greater than or equal to 85 mm Hg diastolic or less than 90 mm Hg diastolic while taking or not taking antihypertensive drugs.
  • Not currently taking nitric oxide supplements, and not consuming nitric oxide supplements for 14 days prior to screening.
  • Ability to give written informed consent.
  • Ability to adhere to study protocol directives and procedures.

You may not qualify if:

  • Initiated or had a dose change of an antihypertensive agent less than 6 months prior to the enrollment date.
  • A positive nitric oxide saliva test strip (result \>2) on the day of Screening.
  • A positive nitric oxide saliva test strip (result \>2) on the day of Baseline/Visit 1.
  • A high saliva NO3 test strip result (result \>2) but a low NO test strip result.
  • Current use of antibiotics.
  • Chronic steroid use \>15 mg daily.
  • Previous myocardial infarction less than 2 years of enrollment date.
  • Unstable angina.
  • Previous stroke or transient ischemic attack (TIA) less than 2 years of enrollment date.
  • Uncompensated congestive heart failure (CHF).
  • Previous percutaneous transluminal coronary angioplasty (PTCA) or stent less than 2 years of enrollment date.
  • Previous coronary arterial bypass graft (CABG) less than 2 years of enrollment date.
  • Known or previous cancer less than 5 years of enrollment date.
  • Type 1 diabetes mellitus.
  • Prescribed dosing with insulin, injectable or inhaled.
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Hypertension Institute

Nashville, Tennessee, 37205, United States

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Officials

  • Mark Houston, M.D.

    The Hypertension Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2023

First Posted

July 3, 2023

Study Start

June 24, 2023

Primary Completion

July 31, 2023

Study Completion

July 31, 2023

Last Updated

August 2, 2023

Record last verified: 2023-06

Locations