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ENaC inhibitor

Amiloride for Arterial Stiffness in Obesity

Phase 2 & 3
Waitlist Available
Led By Camila Manrique Acevedo, MD
Research Sponsored by University of Missouri-Columbia
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
30 to 70 years of age at randomization
Be older than 18 years old
Must not have
Chronic use of NSAIDs
Pregnancy or lactation in women (or women not using contraceptives)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 3 months (interim) and 6 months (final)

Summary

This trial will test whether the ENaC inhibitor amiloride can improve endothelial function and arterial stiffness in obese, insulin resistant subjects. The trial will involve pre and postmenopausal women and age-matched men.

Who is the study for?
This trial is for obese or overweight adults aged 30-70 with a BMI of 25.1-50 kg/m2 or certain waist measurements, plus one other metabolic syndrome feature like high triglycerides. It's not for smokers, heavy drinkers, those on specific heart/kidney medications, diabetics, very active individuals, pregnant/breastfeeding women, and people with recent severe health issues.
What is being tested?
The study tests if amiloride (an ENaC blocker) can improve blood vessel function and reduce artery stiffness in obese insulin-resistant subjects compared to a placebo. The participants are pre/postmenopausal women and age-matched men who will be randomly assigned to the treatments.
What are the potential side effects?
Possible side effects of amiloride include elevated potassium levels which could affect heart rhythm, dizziness due to low blood pressure especially after standing up quickly from sitting/lying down positions, muscle cramps or weakness.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 30 and 70 years old.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I regularly take NSAIDs for pain or inflammation.
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I am not pregnant, breastfeeding, or if I am a woman capable of becoming pregnant, I am using contraception.
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I have a history of diabetes (type 1 or 2).
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My blood pressure is not well-controlled.
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I haven't had a heart attack, stroke, or heart surgery in the last year.
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I do not have uncontrolled thyroid, severe liver disease, or severely reduced kidney function.
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I am taking medication or supplements that affect my potassium levels.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 3 months (interim) and 6 months (final)
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 3 months (interim) and 6 months (final) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Carotid femoral PWV
Secondary study objectives
Brachial artery flow mediated dilation (FMD)
Popliteal artery flow mediated dilation (FMD)

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: AmilorideExperimental Treatment1 Intervention
6 months of amiloride (max dose 5 mg) treatment
Group II: PlaceboPlacebo Group1 Intervention
6 months of daily placebo

Find a Location

Who is running the clinical trial?

University of Missouri-ColumbiaLead Sponsor
379 Previous Clinical Trials
628,425 Total Patients Enrolled
10 Trials studying Insulin Resistance
207 Patients Enrolled for Insulin Resistance
Camila Manrique Acevedo, MDPrincipal InvestigatorUniversity of Missouri-Columbia
2 Previous Clinical Trials
86 Total Patients Enrolled

Media Library

Amiloride (ENaC inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03837626 — Phase 2 & 3
Insulin Resistance Research Study Groups: Amiloride, Placebo
Insulin Resistance Clinical Trial 2023: Amiloride Highlights & Side Effects. Trial Name: NCT03837626 — Phase 2 & 3
Amiloride (ENaC inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03837626 — Phase 2 & 3
~24 spots leftby Dec 2025