Trial Outcomes & Findings for Nitrite, Isoquercetin and Endothelial Dysfunction (NICE) Trial (NCT NCT02552888)

NCT ID: NCT02552888

Last Updated: 2021-04-20

Results Overview

FMD was measured using high resolution ultrasound on the brachial artery. FMD was calculated as the maximal percentage change in vessel size during hyperemia . The mean changes between baseline, 6 weeks and 12 weeks in FMD with 95% CI were calculated using linear mixed effects model.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

70 participants

Primary outcome timeframe

Baseline, 6 weeks, 12 weeks

Results posted on

2021-04-20

Participant Flow

Participant milestones

Participant milestones
Measure
Placebos
identical placebos. placebos: placebos
Treatment
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Overall Study
STARTED
35
35
Overall Study
COMPLETED
34
34
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebos
identical placebos. placebos: placebos
Treatment
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Nitrite, Isoquercetin and Endothelial Dysfunction (NICE) Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Total
n=70 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=99 Participants
19 Participants
n=107 Participants
38 Participants
n=206 Participants
Age, Categorical
>=65 years
16 Participants
n=99 Participants
16 Participants
n=107 Participants
32 Participants
n=206 Participants
Age, Continuous
61.3 years
STANDARD_DEVIATION 10.4 • n=99 Participants
62.2 years
STANDARD_DEVIATION 10.2 • n=107 Participants
61.8 years
STANDARD_DEVIATION 10.3 • n=206 Participants
Sex: Female, Male
Female
13 Participants
n=99 Participants
13 Participants
n=107 Participants
26 Participants
n=206 Participants
Sex: Female, Male
Male
22 Participants
n=99 Participants
22 Participants
n=107 Participants
44 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
17 Participants
n=99 Participants
15 Participants
n=107 Participants
32 Participants
n=206 Participants
Race (NIH/OMB)
White
16 Participants
n=99 Participants
20 Participants
n=107 Participants
36 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
35 participants
n=99 Participants
35 participants
n=107 Participants
70 participants
n=206 Participants
Baseline Metabolic Panel of Study Participants by Treatment Allocation
Fasting plasma glucose, mean, mg/dL
119 mg/dL
STANDARD_DEVIATION 44 • n=99 Participants
124 mg/dL
STANDARD_DEVIATION 70 • n=107 Participants
121.5 mg/dL
STANDARD_DEVIATION 57 • n=206 Participants
Baseline Metabolic Panel of Study Participants by Treatment Allocation
Total cholesterol, mean, mg/dL
178 mg/dL
STANDARD_DEVIATION 43 • n=99 Participants
171 mg/dL
STANDARD_DEVIATION 50 • n=107 Participants
174.5 mg/dL
STANDARD_DEVIATION 46.5 • n=206 Participants
Baseline Metabolic Panel of Study Participants by Treatment Allocation
HDL-cholesterol, mean, mg/dL
48 mg/dL
STANDARD_DEVIATION 13 • n=99 Participants
47 mg/dL
STANDARD_DEVIATION 14 • n=107 Participants
47.5 mg/dL
STANDARD_DEVIATION 13.5 • n=206 Participants
Baseline Metabolic Panel of Study Participants by Treatment Allocation
LDL-cholesterol, mean, mg/dL
107 mg/dL
STANDARD_DEVIATION 34 • n=99 Participants
100 mg/dL
STANDARD_DEVIATION 37 • n=107 Participants
103.5 mg/dL
STANDARD_DEVIATION 35.5 • n=206 Participants
Baseline Blood Pressure of Study Participants by Treatment Allocation
Systolic blood pressure, mean, mmHg
129 mmHg
STANDARD_DEVIATION 15 • n=99 Participants
129 mmHg
STANDARD_DEVIATION 15 • n=107 Participants
129 mmHg
STANDARD_DEVIATION 15 • n=206 Participants
Baseline Blood Pressure of Study Participants by Treatment Allocation
Diastolic blood pressure, mean, mmHg
73 mmHg
STANDARD_DEVIATION 7 • n=99 Participants
75 mmHg
STANDARD_DEVIATION 11 • n=107 Participants
74 mmHg
STANDARD_DEVIATION 9 • n=206 Participants
Baseline Body Mass Index of Study Participants by Treatment Allocation
30.9 kg/m^2
STANDARD_DEVIATION 5.6 • n=99 Participants
32.5 kg/m^2
STANDARD_DEVIATION 5.7 • n=107 Participants
31.7 kg/m^2
STANDARD_DEVIATION 5.65 • n=206 Participants
Baseline Estimated Glomerular Filtration Rate of Study Participants by Treatment Allocation
51 ml/min/1.73m^2
STANDARD_DEVIATION 22 • n=99 Participants
45 ml/min/1.73m^2
STANDARD_DEVIATION 16 • n=107 Participants
48 ml/min/1.73m^2
STANDARD_DEVIATION 19 • n=206 Participants

PRIMARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

FMD was measured using high resolution ultrasound on the brachial artery. FMD was calculated as the maximal percentage change in vessel size during hyperemia . The mean changes between baseline, 6 weeks and 12 weeks in FMD with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Percentage Change in Endothelium-dependent Flow-mediated Vasodilation (FMD) Over 12 Weeks
1.1 Percentage change
Interval -0.1 to 2.3
0.3 Percentage change
Interval -0.9 to 1.5

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of Vascular Adhesion Molecule-1(VCAM-1), Intercellular Adhesion Molecule-1 (ICAM-1), E-selectin, and von Willebrand Factor (vWF). The mean changes between baseline, 6 weeks and 12 weeks in VCAM-1, ICAM-1, E-selectin and vWF with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Endothelial Function Biomarkers VCAM-1, ICAM-1, E-selectin and vWF Over 12 Weeks
ICAM, ng/mL
-16.1 ng/mL
Interval -41.5 to 9.3
-4.0 ng/mL
Interval -29.0 to 21.0
Mean Change in Endothelial Function Biomarkers VCAM-1, ICAM-1, E-selectin and vWF Over 12 Weeks
VCAM-1, ng/mL
-22.2 ng/mL
Interval -49.3 to 5.0
-10.8 ng/mL
Interval -37.5 to 15.9
Mean Change in Endothelial Function Biomarkers VCAM-1, ICAM-1, E-selectin and vWF Over 12 Weeks
E-Selecint, ng/mL
-0.32 ng/mL
Interval -3.14 to 2.5
1.06 ng/mL
Interval -1.73 to 3.84
Mean Change in Endothelial Function Biomarkers VCAM-1, ICAM-1, E-selectin and vWF Over 12 Weeks
vWF, ng/mL
-683 ng/mL
Interval -3784.0 to 2419.0
2744 ng/mL
Interval -328.0 to 5815.0

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of Asymmetrical DiMethylArginine (ADMA). The mean changes between baseline, 6 weeks and 12 weeks in ADMA with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Endothelial Function Biomarker Asymmetrical DiMethylArginine (ADMA) Over 12 Weeks
0.03 umol/mL
Interval -0.02 to 0.08
0.02 umol/mL
Interval -0.03 to 0.07

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of endostatin. The mean changes between baseline, 6 weeks and 12 weeks in endostatin with 95% CI were calculated using linear mixed effects model, and the log transformed endostatin was calculated.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Endothelial Function Biomarker Endostatin Over 12 Weeks
-0.02 log (ng/mL)
Interval -0.08 to 0.05
-0.01 log (ng/mL)
Interval -0.08 to 0.05

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A urine sample was taken for each participant to measure the levels of Urine Epidermal Growth Factor (UEGF). The mean changes between baseline, 6 weeks and 12 weeks in UEGF with 95% CI were calculated using linear mixed effects model, and the log transformed Urine EGF/creatinine ratio was calculated.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Endothelial Function Biomarker Urine Epidermal Growth Factor (UEGF) Over 12 Weeks
-0.01 log (pg/g)
Interval -0.39 to 0.37
0.23 log (pg/g)
Interval -0.14 to 0.61

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of C-Reactive Protein (CRP). The mean changes between baseline, 6 weeks and 12 weeks in CRP with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Inflammatory Biomarker C-Reactive Protein (CRP) Over 12 Weeks
0.05 mg/mL
Interval -0.31 to 0.42
-0.02 mg/mL
Interval -0.38 to 0.33

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of Tumor Necrosis Factor-α (TNF-a), interleukin-17 (IL-17), interleukin-1β (IL-1beta), and Monocyte Chemoattractant Protein-1 (MCP-1). The mean changes between baseline, 6 weeks and 12 weeks in TNF-a, IL-17, IL-1beta, MCP-1 with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Inflammatory Biomarkers Tumor Necrosis Factor-α (TNF-a), Interleukin-17 (IL-17), Interleukin-1β (IL-1beta), and Monocyte Chemoattractant Protein-1 (MCP-1) Over 12 Weeks
TNF-a, pg/mL
-0.04 pg/mL
Interval -0.2 to 0.12
-0.04 pg/mL
Interval -0.2 to 0.12
Mean Change in Inflammatory Biomarkers Tumor Necrosis Factor-α (TNF-a), Interleukin-17 (IL-17), Interleukin-1β (IL-1beta), and Monocyte Chemoattractant Protein-1 (MCP-1) Over 12 Weeks
IL-17, pg/mL
-0.72 pg/mL
Interval -1.8 to 0.36
0.01 pg/mL
Interval -1.05 to 1.08
Mean Change in Inflammatory Biomarkers Tumor Necrosis Factor-α (TNF-a), Interleukin-17 (IL-17), Interleukin-1β (IL-1beta), and Monocyte Chemoattractant Protein-1 (MCP-1) Over 12 Weeks
IL-1 beta, pg/mL
-17.1 pg/mL
Interval -77.5 to 43.4
-30.5 pg/mL
Interval -90.0 to 29.0
Mean Change in Inflammatory Biomarkers Tumor Necrosis Factor-α (TNF-a), Interleukin-17 (IL-17), Interleukin-1β (IL-1beta), and Monocyte Chemoattractant Protein-1 (MCP-1) Over 12 Weeks
MCP-1, pg/mL
-6.0 pg/mL
Interval -25.0 to 13.0
0.6 pg/mL
Interval -18.0 to 19.3

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of interleukin-6 (IL-6). The mean changes between baseline, 6 weeks and 12 weeks in interleukin-6 (IL-6) with 95% CI were calculated using linear mixed effects model, and the log transformed IL-6 was calculated.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Inflammatory Biomarker Interleukin-6 (IL-6) Over 12 Weeks
0.07 log (pg/mL)
Interval -0.06 to 0.2
-0.17 log (pg/mL)
Interval -0.3 to -0.04

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of low-density lipoprotein (LDL). The mean changes between baseline, 6 weeks and 12 weeks in LDL with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Oxidative Stress Biomarker Low-density Lipoprotein (LDL) Over 12 Weeks
-1.7 ng/mL
Interval -3.9 to 0.5
-0.3 ng/mL
Interval -2.4 to 1.9

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of nitrotyrosine. The mean changes between baseline, 6 weeks and 12 weeks in nitrotyrosine with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Oxidative Stress Biomarker Nitrotyrosine Over 12 Weeks
-10.9 pg/mL
Interval -96.9 to 75.2
62.2 pg/mL
Interval -22.6 to 147.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of methemoglobin. The mean percentage change between baseline, 6 weeks and 12 weeks in methemoglobin with 95% CI was calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Percentage Change in Methemoglobin Over 12 Weeks
-0.06 Percentage change
Interval -0.11 to -0.01
-0.05 Percentage change
Interval -0.11 to -0.01

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of isoquercetin. The mean changes between baseline, 6 weeks and 12 weeks in isoquercetin with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Isoquercetin Over 12 Weeks
166 ug/L
Interval 102.0 to 230.0
11.7 ug/L
Interval -51.1 to 74.5

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of plasma nitrite. The mean changes between baseline, 6 weeks and 12 weeks in plasma nitrite with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Plasma Nitrite Over 12 Weeks
-0.07 micromol/L
Interval -0.2 to 0.05
-0.11 micromol/L
Interval -0.23 to 0.01

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

Estimated-Glomerular Filtration Rate (eGFR) was calculated using the Chronic Kidney Disease Epidemiology Collaboration equation. The equation is GFR = 141 \* min(Scr/κ,1)α \* max(Scr/κ, 1)-1.209 \* 0.993Age \* 1.018 \[if female\] \* 1.159 \[if black\]. Scr is serum creatinine (mg/dL), κ is 0.7 for females and 0.9 for males, α is -0.329 for females and -0.411 for males, min indicates the minimum of Scr/κ or 1, and max indicates the maximum of Scr/κ or 1. The mean changes between baseline, 6 weeks and 12 weeks in eGFR with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Estimated-Glomerular Filtration Rate (eGFR) Over 12 Weeks
0.1 mL/min/1.73 m^2
Interval -2.3 to 2.5
0.2 mL/min/1.73 m^2
Interval -2.2 to 2.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline,12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of total cholesterol, Low Density Lipoprotein (LDL)-cholesterol and High Density Lipoprotein (HDL)-cholesterol. The mean changes between baseline and 12 weeks in total cholesterol, Low Density Lipoprotein (LDL)-cholesterol and High Density Lipoprotein (HDL)-cholesterol with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Lipid Profile Biomarkers Total Cholesterol, Low Density Lipoprotein (LDL)-Cholesterol and High Density Lipoprotein (HDL)-Cholesterol Over 12 Weeks
Total Cholesterol, mg/dL
-1.6 mg/dL
Interval -10.5 to 7.2
3.9 mg/dL
Interval -4.9 to 12.8
Mean Change in Lipid Profile Biomarkers Total Cholesterol, Low Density Lipoprotein (LDL)-Cholesterol and High Density Lipoprotein (HDL)-Cholesterol Over 12 Weeks
LDL-cholesterol, mg/dL
-1.9 mg/dL
Interval -7.4 to 3.7
0.9 mg/dL
Interval -7.4 to 3.7
Mean Change in Lipid Profile Biomarkers Total Cholesterol, Low Density Lipoprotein (LDL)-Cholesterol and High Density Lipoprotein (HDL)-Cholesterol Over 12 Weeks
HDL-cholesterol, mg/dL
0.9 mg/dL
Interval -1.7 to 3.4
2.2 mg/dL
Interval -0.4 to 4.7

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline,12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of triglycerides. The mean changes between baseline and 12 weeks in triglycerides with 95% CI were calculated using linear mixed effects model, and the log transformed triglyceride was calculated.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Lipid Profile Biomarker Triglycerides Over 12 Weeks
-0.09 log (mg/dL)
Interval -0.4 to 4.7
-0.01 log (mg/dL)
Interval -0.14 to 0.11

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of hemoglobin. The mean changes between baseline, 6 weeks and 12 weeks in hemoglobin with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Hemoglobin Over 12 Weeks
-0.25 g/dL
Interval -0.46 to -0.04
-0.13 g/dL
Interval -0.34 to 0.07

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A blood sample was drawn for each participant to measure the levels of plasma nitrate. The mean changes between baseline, 6 weeks and 12 weeks in plasma nitrate with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Plasma Nitrate Over 12 Weeks
15.4 umol/L
Interval 5.9 to 25.0
-6.3 umol/L
Interval -15.7 to 3.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

A urine sample was taken for each participant to measure the levels of urinary albumin-to-creatinine ratios. The mean changes between baseline, 6 weeks and 12 weeks in urinary albumin-to-creatinine ratios with 95% CI were calculated using linear mixed effects model, and the log transformed urinary albumin-to-creatinine ratios was calculated.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Urinary Albumin-to-creatinine Ratios Over 12 Weeks
0.04 log (mg/g)
Interval -0.27 to 0.36
0.02 log (mg/g)
Interval -0.29 to 0.33

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

Blood pressure was measured using the OMRON HEM-907 XL BP Monitor per standard protocol by trained and certified research staff. The mean changes between baseline, 6 weeks and 12 weeks in blood pressure with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Blood Pressure Over 12 Weeks
Systolic blood pressure, mmHg
-2.2 mm Hg
Interval -6.8 to 2.4
-0.7 mm Hg
Interval -5.3 to 3.8
Mean Change in Blood Pressure Over 12 Weeks
Diastolic blood pressure, mmHg
-2.5 mm Hg
Interval -5.0 to -0.1
0.1 mm Hg
Interval -2.3 to 2.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 6 weeks, 12 weeks

Population: Mean Changes Over 12 Weeks (95% CI)

Pulse was measured at the brachial artery per standard protocol by trained and certified research staff. The mean changes between baseline, 6 weeks and 12 weeks in pulse with 95% CI were calculated using linear mixed effects model.

Outcome measures

Outcome measures
Measure
Treatment
n=35 Participants
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 Participants
identical placebos. placebos: placebos
Mean Change in Pulse Over 12 Weeks
0.6 beat/minute
Interval -1.7 to 2.3
-0.5 beat/minute
Interval -2.8 to 1.9

Adverse Events

Treatment

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Placebos

Serious events: 1 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment
n=35 participants at risk
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 participants at risk
identical placebos. placebos: placebos
Cardiac disorders
Serious Adverse Event - Inpatient hospitalization
2.9%
1/35 • Number of events 1 • Each participant was assessed for adverse events in the duration of 3 months.
2.9%
1/35 • Number of events 1 • Each participant was assessed for adverse events in the duration of 3 months.

Other adverse events

Other adverse events
Measure
Treatment
n=35 participants at risk
Immediate release sodium nitrite 40 mg by mouth twice per day and Isoquercetin 225 mg by mouth once per day. Immediate release sodium nitrite: Immediate release sodium nitrite 40 mg by mouth twice per day Isoquercetin: Isoquercetin 225 mg by mouth once per day
Placebos
n=35 participants at risk
identical placebos. placebos: placebos
Cardiac disorders
Adverse Events
31.4%
11/35 • Number of events 55 • Each participant was assessed for adverse events in the duration of 3 months.
40.0%
14/35 • Number of events 63 • Each participant was assessed for adverse events in the duration of 3 months.

Additional Information

Dr. Jing Chen

Tulane School of Medicine

Phone: 5049886110

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place