Platelet PAR-1 Activation in Health and Diabetes

Sponsor
Vanderbilt University Medical Center (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT04280549
Collaborator
(none)
100
1
56
1.8

Study Details

Study Description

Brief Summary

Platelet activation has been associated with bad events like heart attack and stroke. There are a variety of platelet activators that regulate how active a platelet is. We are interested in Protease-activated receptors (PAR)-1. We are currently studying PAR-1 activation in persons with severe peripheral artery disease. We seek, through this project, to understand PAR-1 activation in persons without peripheral artery disease. As many patients with peripheral artery disease have diabetes, we will also evaluate PAR-1 activation in persons with type 2 diabetes. In addition we will assess the impact of the glucagon-like peptide (GLP)-1 signaling pathway on platelet activation. Levels of platelet activation will be determined using platelet aggregation experiments and assessment of platelet-monocyte aggregates in peripheral blood.

Condition or Disease Intervention/Treatment Phase

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    100 participants
    Observational Model:
    Case-Control
    Time Perspective:
    Prospective
    Official Title:
    Platelet PAR-1 Activation in Health and Diabetes
    Actual Study Start Date :
    Jun 1, 2018
    Anticipated Primary Completion Date :
    Jul 1, 2022
    Anticipated Study Completion Date :
    Feb 1, 2023

    Arms and Interventions

    Arm Intervention/Treatment
    Healthy Subjects

    Subjects will have a single visit where a short medical history/list of current medications and single blood draw will be performed.

    Type 2 Diabetic Subjects

    Subjects will have a single visit where a short medical history/list of current medications and single blood draw will be performed.

    Outcome Measures

    Primary Outcome Measures

    1. Platelet Activation [One day]

      Number of dilysyl-MDA cross-links formed in human platelets

    2. Protease Activated Receptor-1 Activation [One day]

      Number of cleaved PAR-1 receptors in proportion to number of uncleared PAR-1 receptors

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    60 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy men and women ≥60 years of age OR

    • Type 2 diabetic men and women ≥60 years of age

    Exclusion Criteria:
    • Active cancer

    • Prior myocardial infarction, prior stroke, diagnosed peripheral artery disease

    • Severe liver (cirrhosis, cancer, or end-stage liver disease), kidney disease (eGFR <30 cc/min).

    • Pregnancy or lactation

    • Active vasculitis

    • Anticipated lifespan < 2 years

    • Current use of a DOAC

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Vanderbilt University Medical Center Nashville Tennessee United States 37232

    Sponsors and Collaborators

    • Vanderbilt University Medical Center

    Investigators

    • Principal Investigator: Joshua Beckman, MD, Vanderbilt University Medical Center

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Joshua Beckman, Professor, Vanderbilt University Medical Center
    ClinicalTrials.gov Identifier:
    NCT04280549
    Other Study ID Numbers:
    • 192207
    First Posted:
    Feb 21, 2020
    Last Update Posted:
    Jan 28, 2022
    Last Verified:
    Jan 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jan 28, 2022