2-HOBA for Salt Sensitivity of Blood Pressure
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new treatment called 2-HOBA (2-hydroxybenzylamine) to determine its effectiveness for individuals with salt-sensitive high blood pressure. Salt sensitivity causes significant blood pressure increases with high salt intake, raising heart problem risks. The study aims to assess whether 2-HOBA can improve blood vessel and immune cell function in these individuals. Those who experience significant blood pressure changes with salt intake and have had high blood pressure for some time may be suitable candidates for this trial. As a Phase 2 trial, this research focuses on evaluating the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to important findings.
Do I need to stop taking my current medications for the trial?
Yes, you may need to stop taking certain medications. The trial excludes participants using specific drugs like aspirin, MAO inhibitors, and others that could interact with the study treatment. It's best to discuss your current medications with the trial team to see if any need to be stopped.
Is there any evidence suggesting that 2-hydroxybenzylamine is likely to be safe for humans?
Research has shown that 2-hydroxybenzylamine (2-HOBA) is generally safe and well-tolerated. In earlier studies, healthy volunteers took doses up to 825 mg without significant problems. Another study found that taking 750 mg three times a day for 15 days was also safe. These findings suggest that 2-HOBA can be used at these doses without major safety concerns. Although the FDA has not approved 2-HOBA for any specific condition, its safety in these studies supports its potential use in clinical trials for conditions like salt sensitivity of blood pressure.12345
Why do researchers think this study treatment might be promising?
Most treatments for salt sensitivity of blood pressure focus on reducing salt intake or using medications like diuretics and ACE inhibitors to manage blood pressure. However, 2-hydroxybenzylamine (2-HOBA) is unique because it targets oxidative stress, which is a different approach from the standard methods. Unlike other treatments that primarily address the symptoms or causes of high blood pressure, 2-HOBA works by neutralizing reactive molecules that contribute to oxidative stress, potentially preventing blood pressure spikes caused by salt intake. Researchers are excited about 2-HOBA because it offers a novel way to manage salt sensitivity that could complement or enhance existing treatments.
What evidence suggests that 2-HOBA might be an effective treatment for salt sensitivity of blood pressure?
Studies have shown that many people with high blood pressure are sensitive to salt, increasing their risk of heart problems. Research suggests that a compound called 2-hydroxybenzylamine (2-HOBA) might help by targeting harmful molecules known as isolevuglandins (IsoLGs), which contribute to this issue. Early evidence indicates that 2-HOBA can improve blood vessel function and boost immune cell activity. This trial will evaluate 2-HOBA's potential to reduce the impact of salt on blood pressure and lower related heart risks. Initial findings suggest it could be a promising option for managing blood pressure problems linked to salt intake. Participants in this trial will join different arms to assess the effects of 2-HOBA compared to a placebo.23678
Are You a Good Fit for This Trial?
This trial is for adults with high blood pressure, especially those whose blood pressure increases with salt intake. Participants should not have other major health issues that could interfere with the study.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive 2-HOBA or placebo for 4 weeks, followed by a 4-week washout, then crossover to the alternate treatment for another 4 weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- 2-hydroxybenzylamine
Trial Overview
The study tests whether a drug called 2-hydroxybenzylamine (2-HOBA) can reduce how much salt affects blood pressure and immune cell activity in people with hypertension, compared to a placebo. It is a randomized phase 2 trial.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Participants with salt sensitivity of blood pressure to receive treatment with placebo for 4 weeks followed by a washout period of 4 weeks, and then 2-HOBA (500mg) three times a day for 4 weeks.
Participants with salt sensitivity of blood pressure to receive treatment with 2-HOBA (500mg) three times a day for 4 weeks, followed by a washout period of 4 weeks, and then placebo for 4 weeks
Find a Clinic Near You
Who Is Running the Clinical Trial?
Vanderbilt University Medical Center
Lead Sponsor
National Institutes of Health (NIH)
Collaborator
Citations
Effect of an Isolevuglandin Scavenger on Salt Sensitivity ...
The study will explore the impact of immunity on salt sensitivity and assess 2-HOBA's potential to reduce endothelial dysfunction, improve ...
Pathophysiology and genetics of salt-sensitive hypertension
Salt-sensitivity affects nearly 50% of the hypertensive and 25% of the normotensive individuals (Weinberger et al., 1986; He et al., 2013; Elijovich et al., ...
3.
ahajournals.org
ahajournals.org/doi/10.1161/CIRCRESAHA.122.320818?doi=10.1161/CIRCRESAHA.122.320818DC ENaC-Dependent Inflammasome Activation ...
Salt sensitivity of blood pressure puts both normotensive and hypertensive individuals at a higher risk for cardiovascular morbidity and mortality. •. The ...
Salt sensitivity may increase risk of high blood pressure
Salt-sensitive people may have an increased risk of high blood pressure, according to research that points to the need for better genetic ...
5.
health.harvard.edu
health.harvard.edu/heart-health/dietary-salt-and-blood-pressure-a-complex-connectionDietary salt and blood pressure: A complex connection
60% of people with high blood pressure are salt sensitive, meaning they have a strong response to dietary sodium. Their blood pressure rises by 5 points or ...
First-in-human study assessing safety, tolerability, and ... - PMC
Conclusions. 2-HOBA acetate was safe and well-tolerated at doses up to 825 mg in healthy human volunteers, positioning it as a good candidate ...
A Revolutionary Approach to Cellular Health with 2-HOBA
Treatment with 2-HOBA normalized blood pressure and prevented vascular inflammation, further establishing the connection between oxidative ...
2-HOBA for Rheumatoid Arthritis · Info for Participants
Research has shown that 2-HOBA is generally safe and well-tolerated. In animal studies, it reduced inflammation and other health issues without causing major ...
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