Phase 1
N=36
Multiple Dose Effects of Hydrochlorothiazide and Isosorbide Mononitrate on Glucose Homeostasis (MK-0000-117)(Completed)
Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT00871871 ↗Enrolled (actual)
36
Serious AEs
0.0%
Results posted
Sep 2011
Primary outcome: Primary: Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants With Impaired Glucose Tolerance (IGT) — 3.44; 3.55 ng/minute — p=0.067
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Hydrochlorothiazide (HCTZ) (Drug); Comparator: Placebo to HCTZ (Drug); Isosorbide mononitrate (ISMN) (Drug); Comparator: Placebo to ISMN (Drug)
- Age
- Adult, Older Adult · 35+ yrs
- Sex
- All
- Sponsor
- Merck Sharp & Dohme LLC
- Primary completion
- Feb 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants With Impaired Glucose Tolerance (IGT) |
3.44; 3.55 | 0.067 |
| PRIMARY Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants With Impaired Fasting Glucose (IFG) |
5.60; 4.50 | >0.500 |
| PRIMARY Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants Who Had Normal Glucose Tolerance (NGT) |
5.54; 5.01 | >0.500 |
| PRIMARY Part II: Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady-state |
0.040; 0.044 | 0.342 |
| SECONDARY Part I: Change in the Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady State in Participants With Impaired Glucose Tolerant (IGT) |
0.061; 0.045 | 0.130 |
| SECONDARY Part I: Change in the Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady State in Participants With Impaired Fasting Glucose (IFG) |
0.038; 0.037 | >0.500 |
| SECONDARY Part I: Change in the Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady State in Participants With Normal Glucose Tolerant (NGT) |
0.045; 0.042 | >0.500 |
Summary
This study will measure and compare changes in insulin production and sensitivity using the hyperglycemic clamp technique in obese patients with impaired glucose tolerance and hypertension treated with placebo, isosorbide mononitrate (ISMN) or hydrochlorothiazide (HCTZ).
Eligibility Criteria
Inclusion Criteria
- Female participants must be post-menopausal
- Body Mass Index (BMI) of at least 29 kg/m^2
- Weight has been stable over the past 3 months
- Has never been treated for hypertension or is diagnosed with hypertension taking up to 2 anti-hypertensive medications
- Willing to stop hypertension treatment for 14 days prior to randomization and throughout the study
- Does not have a history of diabetes
- In good health with the exception of hypertension
- No history of abnormal heart rhythms
- Part I only: willing to comply with high potassium/low sodium diet for the duration of the study
- Willing to avoid strenuous physical activity during the study
- Nonsmoker and/or has not used nicotine for at least 3 months and agrees to refrain from use of tobacco-containing products throughout the study
- Agrees to refrain from consuming alcohol and caffeine during in-patient periods and to limit consumption at all other times during the study
- Agrees not to consume grapefruit, grapefruit products, and citrus, apple, and pineapple juices 2 weeks prior to administration of the first dose of study drug
Exclusion Criteria
- History of any illness that may make their participation in the study unsafe or confuse the study results
- Taking spironolactone or eplerenone
- Cannot refrain from using any prescription or non-prescription drugs during the study
- On a weight loss program and is not in the maintenance phase
- Started a weight loss drug within 8 weeks of the first study visit
- Consumes excessive amounts of alcohol or caffeine
- Has had major surgery, donated or lost 1 unit of blood within 4 weeks of the first study visit
- History of multiple and/or severe allergies to drugs or food
- Is dehydrated
Data sourced from ClinicalTrials.gov (NCT00871871). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.