Status:

UNKNOWN

The Role of the Immune and Inflammatory Systems in Hypertension

Lead Sponsor:

University of Glasgow

Collaborating Sponsors:

European Research Council

Conditions:

Hypertension

Inflammation

Eligibility:

All Genders

18-55 years

Brief Summary

To define the cytokine and cellular immune signature of primary hypertension. Cross sectional clinical/laboratory study.

Detailed Description

Experimental data show the presence of immune and inflammatory systems dysregulation in hypertension. Understanding of the inflammatory and immune nature of hypertension is currently based on studies ...

Eligibility Criteria

Inclusion

  • Age between 18-55 years
  • Cases: Office blood pressure ≥140 and ≥90
  • Controls: Office blood pressure \<140 and \<90 and age, sex and BMI matching to cases

Exclusion

  • Age \>55 years old;
  • Secondary hypertension (including e.g. adrenal tumours, pheochromocytoma, renal artery stenosis; thyroid disease)
  • Acute inflammatory disorders incl. flu, rhinitis, sinusitis etc. within 3 weeks;
  • hospitalization within the past 3 months;
  • Life expectancy of \< 3 years;
  • History of alcohol/substance abuse
  • Inflammatory conditions e.g. Allergic disorders; chronic infections, COPD, tuberculosis; hepatitis B or C; pneumonitis, bronchiectasis; pericardial or pleural effusion, ascites; liver disease;
  • Chronic inflammatory/autoimmune conditions such (e.g. SLE, rheumatoid arthritis, ulcerative colitis/Crohn's disease; non-basal cell malignancy or myelo- or lymphoproliferative disease within the past 5 years; known HIV+; Immunizations (3 months); pulmonary hypertension;
  • Pregnancy, nursing;
  • History of symptomatic coronary artery disease (events) or heart failure;
  • BMI\>40,
  • diabetes/glucose intolerance (fasting glucose, HbA1; testing, glucose challenge where indicated);
  • Known albuminuria/microalbuminuria;
  • GFR\<60mL/min/1.73m2.
  • Any chronic concurrent treatment: Use of systemic or local steroids/immunosuppressive agents (within 6 months) of the inclusion; Current (within past 3 months) use of anti-hypertensive medication;
  • Major depressive illness or other psychiatric conditions.
  • Participants who decline participation in the study or who are unable to provide informed consent

Key Trial Info

Start Date :

May 7 2019

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

September 1 2021

Estimated Enrollment :

160 Patients enrolled

Trial Details

Trial ID

NCT04015635

Start Date

May 7 2019

End Date

September 1 2021

Last Update

May 14 2021

Active Locations (1)

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Clinical Research Facility

Glasgow, City of Glasgow, United Kingdom, G51 4LB