Cardiovascular Effects of Angiotensin-(1-7) in Obesity Hypertension

This study is looking for 52 adults, aged 18-65, who have obesity (BMI 30-45) and high blood pressure (pre-hypertension or hypertension). The purpose is to see if the investigational drug, Angiotensin-(1-7), can improve heart and blood vessel health. You will receive either Angiotensin-(1-7) or a saline placebo through an IV. Researchers will measure changes in nerve activity to your muscles and the size of your arm artery to see if the treatment is successful. The study is currently recruiting participants.

Study design
This is a randomized, double-blind, placebo-controlled crossover study involving 52 participants.
What's involved
You will have a screening visit and, if eligible, two study visits, each lasting about 4 hours. During these visits, you will receive an IV infusion for approximately two hours.
Compensation
Not stated in the trial record.
Follow-up
Measurements will be taken at 120 minutes during the study visits.

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NCT06482853

Cardiovascular Effects of Angiotensin-(1-7) in Obesity Hypertension

Recruiting
EARLY_PHASE1Ages 18–65InterventionalBasic science
Milton S. Hershey Medical Center
~52 participants
Updated 2025-09-19 on ClinicalTrials.gov
What's tested:Angiotensin-(1-7)Saline

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Muscle Sympathetic Nerve Burst Rate
Measured over 120 minutes
+1 more outcome measured
Obesity
Hypertension
1 sites across 1 states
Pennsylvania1
  • Amy Arnold, PhD · PRINCIPAL_INVESTIGATOR · Pennsylvania State University College of Medicine

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Eligibility criteria

Inclusion

Men and women of all races
Age 18 to 65 years
Body mass index (BMI) between 30-45 kg/m2
Pre-hypertension (defined as two or more seated blood pressure readings \>120/80 mmHg) or hypertension (defined as two or more seated blood pressure readings \>130/80 mmHg or use of antihypertensive medications)
Capable of giving informed consent
Fluent in written and spoken English
Satisfactory history and physical exam

Exclusion

Age ≤ 17 or ≥ 66 years
Taking more than two antihypertensive medications
Secondary causes of hypertension (e.g., pheochromocytoma, primary aldosteronism, aortic coarctation, adrenal disease)
Pregnant or nursing women
Women taking hormone replacement therapy within 6 months
Decisional impairment
Prisoners
Alcohol or drug abuse
Current smokers
Highly trained athletes
Subjects with \>5% weight change in the past 3 months
BMI \> 45 kg/m2
Evidence of type I or type II diabetes (fasting glucose \> 126 mg/dL or use of anti-diabetic medications)
History of serious cardiovascular disease (e.g. myocardial infarction within 6 months, symptomatic coronary artery disease, presence of angina pectoris, significant arrhythmia, congestive heart failure, deep vein thrombosis, pulmonary embolism, second or third degree heart block, mitral valve stenosis, aortic stenosis, hypertrophic cardiomyopathy) or cerebrovascular disease (e.g. cerebral hemorrhage, stroke, transient Ischemic attack)
History or presence of immunological or hematological disorders
Impaired hepatic function \[aspartate aminotransferase (AST) or alanine transaminase (ALT) levels \>2 times upper limit of normal range\]
Impaired renal function (serum creatinine \>2.0 mg/dl)
Anemia
Treatment with drugs increasing sympathetic activity \[e.g., serotonin-norepinephrine reuptake inhibitors (SNRIs) or norepinephrine transporter (NET) inhibitors, stimulants\]
Treatment with phosphodiesterase-5 inhibitors
Treatment with anticoagulants (e.g. warfarin)
Treatment with chronic systemic glucocorticoid therapy (\>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
  • Change in Muscle Sympathetic Nerve Burst Rate120 minutes

    Muscle sympathetic nerve burst rate will be measured continuously using peroneal nerve microneurography during angiotensin-(1-7) versus saline infusion.

  • Change in Brachial Artery Diameter120 minutes

    A blood pressure cuff will be inflated to a suprasystolic pressure for 5 minutes then deflated. Brachial artery diameter will be measured continuously before, during, and after cuff inflation using duplex ultrasound at baseline and at the end of angiotensin-(1-7) versus saline infusion.