Inhibition of Sterile Inflammation by Digoxin
Primary Purpose
Inflammatory Response
Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Digoxin
Placebo
Sponsored by
About this trial
This is an interventional basic science trial for Inflammatory Response
Eligibility Criteria
Inclusion Criteria
- Age >18 y ≤ 70 years
- subjects with normal serum creatinine, normal EKG and currently not taking any medication.
Exclusion criteria
- Autoimmune liver disease (ANA > 1/320)
- Chronic viral hepatitis
- Hepatocellular carcinoma
- Complete portal vein thrombosis
- Extrahepatic terminal disease
- Pregnancy
- Treatment with prednisolone or pentoxifyllin for more than 3 days prior to inclusion/start date
- Active alcohol abuse (>50 g/day for men and >40 g/day for women) in the last 3 months
- AST > ALT and total bilirubin > 3 mg/dl in the past 3 months
- Liver biopsy and/or clinical picture consistent with alcoholic hepatitis
- Lack of signed informed consent.
- Known hypersensitivity to digoxin or other forms of digitalis, ventricular fibrillation.
- Any significant medical conditions, any electrolyte abnormalities, over the counter medications, natural products and prescription drugs.
Sites / Locations
- Yale Centre of Clinical InvestigationRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
Placebo Comparator
Arm Label
Digoxin 3 mcg/Kg/day
Digoxin 0.15 mcg
Placebo
Arm Description
Patients receiving oral digoxin 3 mcg/Kg/day
Patients receiving oral digoxin 0.15 mcg/Kg/day
oral placebo
Outcomes
Primary Outcome Measures
Lower levels of spontaneous reactive oxygen species (ROS) production
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Lower levels of spontaneous reactive oxygen species (ROS) production
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Lower levels of spontaneous reactive oxygen species (ROS) production
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Lower levels of spontaneous reactive oxygen species (ROS) production
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Secondary Outcome Measures
Investigation of how human peripheral blood immune cells change their inflammatory responses after exposure to digoxin in vitro
Blood (25ml) will be obtained from healthy blood donors at one time. Human peripheral monocytes will be isolated using Polymorphprep™ density sedimentation according to the manufacturer's instructions.
Full Information
NCT ID
NCT03559868
First Posted
June 6, 2018
Last Updated
June 23, 2023
Sponsor
Yale University
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
1. Study Identification
Unique Protocol Identification Number
NCT03559868
Brief Title
Inhibition of Sterile Inflammation by Digoxin
Official Title
Inhibition of Sterile Inflammation by Digoxin
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
July 18, 2023 (Anticipated)
Study Completion Date
July 28, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yale University
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
To investigate the effect of digoxin on pyruvate kinase isoform 2 (PKM2) binding to pro-inflammatory loci and innate immune inflammatory responses in the peripheral blood in healthy subjects.
Detailed Description
To investigate the effect of orally administered digoxin on innate immune inflammatory responses in the peripheral blood of healthy subjects. We hypothesize the reduction in innate immune inflammatory responses will be expected in the peripheral blood with the effect of oral digoxin.
To investigation of how human peripheral blood immune cells change their inflammatory responses after exposure to digoxin in vitro.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inflammatory Response
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Non-Randomized
Enrollment
45 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Digoxin 3 mcg/Kg/day
Arm Type
Active Comparator
Arm Description
Patients receiving oral digoxin 3 mcg/Kg/day
Arm Title
Digoxin 0.15 mcg
Arm Type
Active Comparator
Arm Description
Patients receiving oral digoxin 0.15 mcg/Kg/day
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
oral placebo
Intervention Type
Drug
Intervention Name(s)
Digoxin
Intervention Description
Different doses of oral digoxin to test if digoxin has an effect on the immune response of peripheral blood levels (PBLs).
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Oral placebo
Primary Outcome Measure Information:
Title
Lower levels of spontaneous reactive oxygen species (ROS) production
Description
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Time Frame
after starting digoxin
Title
Lower levels of spontaneous reactive oxygen species (ROS) production
Description
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Time Frame
1 week after starting digoxin
Title
Lower levels of spontaneous reactive oxygen species (ROS) production
Description
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Time Frame
2 weeks after starting digoxin
Title
Lower levels of spontaneous reactive oxygen species (ROS) production
Description
We will be taking neutrophils (PMN's) from the blood and seeing if the patients on digoxin have lower levels of spontaneous reactive oxygen species (ROS) production. This will be determined as a greater than 25% reduction in ROS compared to individuals not taking digoxin. The serum digoxin levels are just being done per usual guidelines to make sure that supratherapeutic levels of digoxin are not reached.
Time Frame
3 weeks after starting digoxin
Secondary Outcome Measure Information:
Title
Investigation of how human peripheral blood immune cells change their inflammatory responses after exposure to digoxin in vitro
Description
Blood (25ml) will be obtained from healthy blood donors at one time. Human peripheral monocytes will be isolated using Polymorphprep™ density sedimentation according to the manufacturer's instructions.
Time Frame
6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria
Age >18 y ≤ 70 years
subjects with normal serum creatinine, normal EKG and currently not taking any medication.
Exclusion criteria
Autoimmune liver disease (ANA > 1/320)
Chronic viral hepatitis
Hepatocellular carcinoma
Complete portal vein thrombosis
Extrahepatic terminal disease
Pregnancy
Treatment with prednisolone or pentoxifyllin for more than 3 days prior to inclusion/start date
Active alcohol abuse (>50 g/day for men and >40 g/day for women) in the last 3 months
AST > ALT and total bilirubin > 3 mg/dl in the past 3 months
Liver biopsy and/or clinical picture consistent with alcoholic hepatitis
Lack of signed informed consent.
Known hypersensitivity to digoxin or other forms of digitalis, ventricular fibrillation.
Any significant medical conditions, any electrolyte abnormalities, over the counter medications, natural products and prescription drugs.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Wajahat Mehal, MD
Phone
203-785-3411
Email
wajahat.mehal@yale.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Fatima Jamshed, MD
Phone
224-213-9276
Email
fatima.jamshed@yale.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wajahat Mehal, MD
Organizational Affiliation
Yale University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yale Centre of Clinical Investigation
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kelly Anastasio
Phone
203-737-6845
First Name & Middle Initial & Last Name & Degree
Wajahat Z Mehal, MD, D.Phil
12. IPD Sharing Statement
Learn more about this trial
Inhibition of Sterile Inflammation by Digoxin
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