Trial Outcomes & Findings for Inorganic NItrate and EXercise Performance in Heart Failure (iNIX-HF): Dose Response (NCT NCT02797184)

NCT ID: NCT02797184

Last Updated: 2025-05-20

Results Overview

peak oxygen consumption during treadmill exercise

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

42 participants

Primary outcome timeframe

acute - 2.5 hours post dose

Results posted on

2025-05-20

Participant Flow

Participant milestones

Participant milestones
Measure
10mmol KNO3, Then 20mmol KNO3
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10mmol KNO3) in 2 gelatin capsules during dose visit 1 and the otherv20 mmol KNO3 during dose visit 2. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
20mmol KNO3, Then 10mmol KNO3
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and 10mmol KNO3 during dose visit 2. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
Overall Study
STARTED
21
21
Overall Study
COMPLETED
3
3
Overall Study
NOT COMPLETED
18
18

Reasons for withdrawal

Reasons for withdrawal
Measure
10mmol KNO3, Then 20mmol KNO3
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10mmol KNO3) in 2 gelatin capsules during dose visit 1 and the otherv20 mmol KNO3 during dose visit 2. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
20mmol KNO3, Then 10mmol KNO3
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and 10mmol KNO3 during dose visit 2. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
Overall Study
Study was put on hold due to COVID-19. Could not finish these subjects before funding ran out.
18
18

Baseline Characteristics

Inorganic NItrate and EXercise Performance in Heart Failure (iNIX-HF): Dose Response

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
49.3 years
STANDARD_DEVIATION 11.5 • n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
Race (NIH/OMB)
White
4 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
6 participants
n=99 Participants

PRIMARY outcome

Timeframe: acute - 2.5 hours post dose

peak oxygen consumption during treadmill exercise

Outcome measures

Outcome measures
Measure
10mmol KNO3
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
20mmol KNO3
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
VO2peak
17.7 mL/kg/min
Standard Deviation 3.4
18.0 mL/kg/min
Standard Deviation 4.1

SECONDARY outcome

Timeframe: acute - 2 hours post dose

Participants completed measurements of leg muscle power by doing knee extension exercises on a dynamometer (a device that measures voluntary muscle force production while controlling the speed of movement).

Outcome measures

Outcome measures
Measure
10mmol KNO3
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
20mmol KNO3
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
Peak Muscle Power
469.4 Watts/kg
Standard Deviation 188.8
497.9 Watts/kg
Standard Deviation 173.8

SECONDARY outcome

Timeframe: time 0 (before receiving the KNO3 dose) and hourly after receiving KNO3 (1, 2, and 3 hours post-dose)

concentrations of nitrite in the blood

Outcome measures

Outcome measures
Measure
10mmol KNO3
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
20mmol KNO3
n=6 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
Blood Nitrite Levels
0 hr
0.489 micro M
Standard Deviation 0.295
0.432 micro M
Standard Deviation 0.258
Blood Nitrite Levels
1 hr post-ingestion KNO3
0.568 micro M
Standard Deviation 0.244
0.591 micro M
Standard Deviation 0.481
Blood Nitrite Levels
2 hr post-ingestion KNO3
0.658 micro M
Standard Deviation 0.277
0.864 micro M
Standard Deviation 0.916
Blood Nitrite Levels
3 hr post-ingestion KNO3
0.646 micro M
Standard Deviation 0.261
0.769 micro M
Standard Deviation 0.529

SECONDARY outcome

Timeframe: time 0 (before receiving the KNO3 dose) and hourly after receiving KNO3 (1, 2, and 3 hours post-dose)

Breath nitric oxide (NO) level will be taken via NIOX breath analyzer

Outcome measures

Outcome measures
Measure
10mmol KNO3
n=4 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
20mmol KNO3
n=4 Participants
Intervention: Subjects with heart failure will receive a single oral dose of potassium nitrate (10 or 20 mmol KNO3) in 2 gelatin capsules during dose visit 1 and the other dose (10 or 20 mmol KNO3) during dose visit 2. The dose order will be randomized. KNO3, potassium nitrate: Potassium nitrate (KNO3) will be given orally in 2 gelatin capsules, which will be compounded by the Barnes-Jewish Hospital Pharmacy. The doses are 10 mmol and 20 mmol KNO3.
Breath Nitric Oxide (NO) Level
0 hr
26 ppb
Standard Deviation 13
23 ppb
Standard Deviation 9
Breath Nitric Oxide (NO) Level
1 hr
28 ppb
Standard Deviation 11
30 ppb
Standard Deviation 14
Breath Nitric Oxide (NO) Level
2 hr
28 ppb
Standard Deviation 9
36 ppb
Standard Deviation 21
Breath Nitric Oxide (NO) Level
3 hr
32 ppb
Standard Deviation 7
43 ppb
Standard Deviation 16

Adverse Events

10mmol KNO3

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

20mmol KNO3

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Lauren Park

Washington University in St. Louis

Phone: 3143633915

Results disclosure agreements

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