Sympathetic Mechanisms in Obesity-Crossover Design

This study is looking for 12 adults, aged 18-65, who have both obesity (BMI of 30 or higher) and high blood pressure. The goal is to see if blocking certain nerve signals (sympathetic blockade) can improve how your body produces glucose (sugar). You would receive three different treatments, each for two weeks: amlodipine (a blood pressure medicine), moxonidine (another blood pressure medicine), and a placebo (an inactive substance). The order you receive these will be random, and neither you nor the study staff will know which treatment you are getting at any given time. The main way we'll measure success is by looking at your body's natural glucose production after each two-week treatment period.

Study design
This is a randomized, crossover study involving 12 participants. You will receive each of the three treatments in a random order, and neither you nor the researchers will know which treatment you are on at the time.
What's involved
You will receive three different treatments, each for two weeks. After each two-week period, you will undergo a six-hour test to measure your body's glucose production.
Compensation
Not stated in the trial record.
Follow-up
Not specified.

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NCT05312892

Sympathetic Mechanisms in Obesity-Crossover Design

Recruiting
PHASE1Ages 18–65InterventionalBasic science
Vanderbilt University Medical Center
~12 participants
Updated 2026-02-27 on ClinicalTrials.gov
What's tested:AmlodipineMoxonidinePlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Endogenous glucose production
Measured over During two-step insulin clamp (six hours)
Obesity
Hypertension
1 sites across 1 states
Tennessee1

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Eligibility criteria

Inclusion

Males and females of all races between 18 and 65 years of age
Hypertension defined by two or more properly measured seated blood pressure readings \>130/85 mmHg or currently on antihypertensive medication.
Obesity will be defined as having a body mass index (BMI) ≥ 30 kg/m2.
Able and willing to provide informed consent.

Exclusion

Pregnancy or breast feeding
Current smokers or history of heavy smoking (\>2 packs/day)
History of alcohol or drug abuse
Previous allergic reaction to study medications
Type I diabetes.
Cardiovascular disease other than hypertension such as myocardial infarction within 6 months prior to enrollment, presence of angina pectoris, significant arrhythmia, congestive heart failure (LV hypertrophy acceptable), deep vein thrombosis, pulmonary embolism, second or third degree heart block, mitral valve stenosis, aortic stenosis, or hypertrophic cardiomyopathy
History of serious cerebrovascular disease such as cerebral hemorrhage, stroke, or transient ischemic attack
History or presence of immunological or hematological disorders
Impaired renal function
Treatment with chronic systemic glucocorticoid therapy (more than 7 consecutive days in 1 month)
Treatment with any investigational drug in the 1 month preceding the study
Inability to give, or withdraw, informed consent
Other factors which in the investigator's opinion would prevent the subject from completing the protocol (i.e., clinically significant abnormalities on clinical, mental examination or laboratory testing or inability to comply with protocol, inability to find IV access)
  • Endogenous glucose productionDuring two-step insulin clamp (six hours)

    Rate of appearance and disappearance of labeled glucose