No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Female
Trial phase
Phase 2
Study type
Interventional
Purpose
Treatment
Participants needed
42 (estimated)
Sponsor
Vanderbilt University Medical Center · Other
Who this trial is looking for
This trial is looking for women with stable systemic lupus erythematosus (SLE) to test a treatment called 2-HOBA. Participants will take either 2-HOBA or a placebo for 8 weeks, then switch to the other treatment after a break.
Are You a Good Fit for This Trial?
You may be able to join if
I am a woman and at least 18 years old.
I have been diagnosed with systemic lupus erythematosus.
I have not changed my immunosuppressants in the last 3 months.
I have been taking a stable dose of prednisone for at least 1 month.
I have elevated blood pressure at my screening visit.
I have not changed my anti-hypertensive dose in the last 2 weeks.
I am willing to stop taking NSAIDs for at least 2 weeks before and during the study.
If I can get pregnant, I will use effective birth control during the study.
You may not be able to join if
I am pregnant or breastfeeding.
I am a man.
I have active cancer besides non-melanoma skin cancer.
I have been diagnosed with liver cirrhosis or have abnormal liver function tests.
I have an active infection that needs medical treatment.
I have had major surgery in the last 3 months.
I am allergic to aspirin.
I have known atrial fibrillation.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
This is a phase II randomized, placebo-controlled, double-blind, cross-over study to determine the effect of isolevuglandin (IsoLG) scavenging by 2-HOBA on blood pressure and immune activation in patients with SLE. 42 patients with stable SLE will be randomized to treatment sequence to receive placebo or 500mg 2-HOBA three times a day for 8 weeks followed by a 4 week washout and then 8 weeks of th…
This is a phase II randomized, placebo-controlled, double-blind, cross-over study to determine the effect of isolevuglandin (IsoLG) scavenging by 2-HOBA on blood pressure and immune activation in patients with SLE. 42 patients with stable SLE will be randomized to treatment sequence to receive placebo or 500mg 2-HOBA three times a day for 8 weeks followed by a 4 week washout and then 8 weeks of the other agent.
Primary outcome measures include change in 24-hour blood pressure and NETosis. This study will provide mechanistic information on the role of IsoLGs in autoimmune disease-associated hypertension and immune activation.
Trial Locations
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Status
Eligibility Criteria
Inclusion Criteria:
* Written informed consent
* Age ≥18 years
* Female (biological)
* Meeting the 2019 European League Against Rheumatism/ American College of Rheumatology classification criteria for SLE32
* No change in immunosuppressants ≥3 months
* Stable prednisone (or equivalent) dose ≤ 20mg/…
Inclusion Criteria:
* Written informed consent
* Age ≥18 years
* Female (biological)
* Meeting the 2019 European League Against Rheumatism/ American College of Rheumatology classification criteria for SLE32
* No change in immunosuppressants ≥3 months
* Stable prednisone (or equivalent) dose ≤ 20mg/ day for ≥ 1 month
* Elevated blood pressure defined as \>120 and \< or = 160 mmHg systolic or \>80 and \< or = 110 mmHg diastolic blood pressure at screening visit
* No change in anti-hypertensive dose ≥2 weeks
* Willingness to stop NSAIDs for ≥2 weeks before and throughout the study
* If of childbearing potential, willingness to use effective birth control throughout the study and 4 weeks after completion of the study (examples: condom, diaphragm, oral contraceptive pill, intrauterine device)
Exclusion Criteria:
* Pregnant or breastfeeding
* Male (biological)
* Active cancer except for non-melanoma skin cancer
* Prior diagnosis of liver cirrhosis or the following abnormal liver function studies: AST or ALT \>1.5x the upper limit of normal or total bilirubin ≥1.5 mg/dl
* Active infection requiring medical intervention
* Major surgery in ≤ 3 months
* Aspirin allergy
* Use of MAO-I
* Estimated creatinine clearance \<30 ml/min
* Known atrial fibrillation
* Severe comorbid condition
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