Status:

COMPLETED

Exercise Dose and Metformin for Vascular Health in Metabolic Syndrome

Lead Sponsor:

Rutgers University

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Metabolic Syndrome

Eligibility:

All Genders

40-80 years

Phase:

PHASE2

PHASE3

Brief Summary

Health organizations recommend exercise in an intensity based manner to promote cardiovascular adaptation and prevent disease. Metformin is a common anti-diabetes medication that reduces future type 2...

Eligibility Criteria

Inclusion

  • Male or female ≥40 and ≤80 years old.
  • Has a body mass index ≥25 and ≤47 kg/m2.
  • Not diagnosed with Type 2 or Type 1 diabetes
  • Not currently engaged in \> 150 min/wk of exercise
  • Weight stable (\<2kg weight change in past 3 months)
  • Non-smoking \>5 years
  • At minimum, subject will have abdominal obesity (increased waist circumference as defined below) and may have any additional National Cholesterol Education Adult Treatment Panel III Metabolic Syndrome criteria:
  • Increased waist circumference (≥102 cm in men; ≥88 cm in women)
  • Elevated triglycerides (≥150 mg/dl), or on medication for treating the condition
  • Reduced HDL-cholesterol (\<40mg/dl in men, \<50 mg/dl in women), or on medication for treating the condition
  • High blood pressure (≥130 mmHg systolic or ≥85mmHg diastolic), or on medication for treating the condition
  • Elevated fasting glucose (≥100 mg/dl), or on medication for treating the condition
  • Other major risk factors to be noted based on the Framingham Risk Score
  • HbA1c 5.7-6.4%
  • LDL \> 130 mg/dL
  • Family history of type 2 diabetes (immediate family, i.e. parent/sibling)
  • History of gestational diabetes
  • History of Polycystic Ovarian Syndrome
  • Family history of pre-mature cardiovascular disease (immediate family i.e. parent/sibling) before 55 for males or 65 for females that can include heart attack, peripheral arterial disease, abdominal aortic aneurysm, symptomatic carotid artery disease or clinical coronary heart disease)
  • Age ( \> 45 years old for men; \> 55 years old for women)
  • Black/African American, Mexican, Asian, and/or Hispanic
  • Subjects currently taking medications that affect heart rate and rhythm (i.e. Ca++ channel blockers, nitrates, alpha- or beta-blockers)

Exclusion

  • Subjects prescribed metformin or have taken metformin within 1 year.
  • Subjects with abnormal estimated glomerular filtration rate (eGFR).
  • Hypertriglyceridemic (\>400 mg/dl) and hypercholesterolemic (\>260 mg/dl) subjects
  • Hypertensive (\>160/100 mmHg)
  • Subjects with a history of significant metabolic, cardiac, congestive heart failure, cerebrovascular, hematological, pulmonary, gastrointestinal, liver, renal, or endocrine disease or cancer that in the investigator's opinion would interfere with or alter the outcome measures, or impact subject safety.
  • Pregnant (as evidenced by positive pregnancy test) or nursing women
  • Subjects with contraindications to participation in an exercise training program
  • Currently taking active weight suppression medication (e.g. phentermine,orlistat, lorcaserin, naltrexone-bupropion in combination, liraglutide, benzphetamine, diethylpropion, phendimetrazine)
  • Known hypersensitivity to perflutren (contained in Definity)
  • Subjects who are considered non-English speaking individuals

Key Trial Info

Start Date :

August 7 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 23 2024

Estimated Enrollment :

91 Patients enrolled

Trial Details

Trial ID

NCT03355469

Start Date

August 7 2017

End Date

May 23 2024

Last Update

September 22 2025

Active Locations (1)

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1

Rutgers University Loree Gymnasium

New Brunswick, New Jersey, United States, 08901