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Phase 3 N=137 Randomized Triple-blind Treatment

ENAC Blockade and Arterial Stiffness

Overweight and Obesity · Insulin Resistance

Enrolled (actual)
137
Serious AEs
0.0%
Results posted
Dec 2025
Primary outcome: Primary: Carotid Femoral Pulse Wave Velocity — 7.25; 6.80; 7.12; 6.81 m/s

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Placebo - Cap (Drug); Amiloride Pill (Drug)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
University of Missouri-Columbia
Primary completion
Oct 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Carotid Femoral Pulse Wave Velocity
7.25; 6.80; 7.12; 6.81

Summary

To determine whether treatment with the ENaC inhibitor, amiloride, improves endothelial function and arterial stiffness in obese insulin resistant subjects in a randomized placebo-controlled trial examining pre and postmenopausal women and age-matched men.

Eligibility Criteria

Inclusion Criteria

  • 30 to 70 years of age at randomization
  • Body mass index (BMI) 25.1-50 kg/m2 or waist circumference > 88 cm (> 35 in) in women and >102 cm (>40 in) in men. 3, 4
  • One other characteristic of metabolic syndrome (elevated triglycerides ≥150 mg/dl; HDL cholesterol 10 mU/L (correlates with insulin resistance).

Exclusion Criteria

  • History of type 1 or type 2 diabetes
  • Known cardiovascular events within the last 12 months (stroke, acute coronary event, revascularization, heart failure hospitalization).
  • History of uncontrolled thyroid disease, chronic liver disease (cirrhosis) or GFR 14 drinks/week for men, >7 drinks/week for women)
  • Current tobacco use
  • Non controlled hypertension
  • Participation in regular exercise > 3 days/wk per week at a moderate or vigorous intensity
  • Pregnancy or lactation in women (or women not using contraceptives)
  • Women who plan to become pregnant during the duration of the trial
  • Chronic use of NSAIDs
  • Potassium level > 5.0 mqE/L at time of screening
  • Blood pressure at screening <110/70
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03837626). 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.

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