Prospective L-arginine Study
Study Details
Study Description
Brief Summary
HYPOTHESIS The investigators primary hypothesis is that peripheral endothelial function and exercise tolerance will be abnormal in the population of young heart transplant patients at baseline, and that each will show a trend towards improvement following a 12 week course of oral L-arginine, with regression towards the baseline following the 12 week washout period.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: L-arginine
|
Drug: L-arginine
All study subjects will be treated with a 12 week (11-13 week) course of oral L-arginine at a dose of 6 g per day, divided into morning and evening doses of 3 g (3 1000 mg capsules or caplets).
|
Outcome Measures
Primary Outcome Measures
- Change in peripheral endothelial function from baseline following 12 week treatment course of L-arginine. [baseline and 12 weeks]
Endothelial function will be assessed at baseline as well as after a 12 week treatment course of L-arginine. A final measurement will be made following a 12 week washout period.
Secondary Outcome Measures
- Change from baseline in serum levels of oxidative stress markers [baseline and 12 weeks]
Serum markers of oxidative stress will be measured at baseline and after a 12 week treatment course of L-arginine. A final measurement will be made after a 12 week washout period.
- Change in exercise tolerance from baseline following a 12 week treatment course of L-arginine [baseline and 12 weeks]
Exercise tolerance will be assessed with a 6 minute walk at baseline and following a 12 week treatment course of L-arginine. A final measurement will be made after a 12 week washout period.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
University of Michigan Pediatric Heart Transplant Clinic patient.
-
Greater than or equal to 8 years of age.
-
Heart transplant between 1 and 8 years prior to enrollment in the study
Exclusion Criteria:
-
Relative hypotension for age
-
Refusal to participate
-
Inability to cooperate with Endo-PAT testing
-
Pregnant or nursing women.
-
Insulin dependent diabetes
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Michigan Pediatric Heart Transplant Clinic | Ann Arbor | Michigan | United States | 48109 |
Sponsors and Collaborators
- University of Michigan
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HUM00035716