Clinical Pharmacology Unit

School of Clinical Medicine

Clinical Research

The Clinical Pharmacology Unit has a strong record in clinical research. Our interests are mainly in the field of hypertension and cardiovascular medicine. The clinical trials are run from Level 3 of the Addenbrooke's Centre for Clinical Investigation (ACCI) from the Clinical Investigation Ward and the Vascular Research Clinics. We run large-scale clinical trials looking at drug therapy in hypertension as well as longitudinal collaborative studies investigating novel risk factors for cardiovascular disease. Past examples of hypertension trials include the CHAOS studies, INSIGHT and ACCELERATE studies. We are increasingly using imaging modalities such as PET-CT and MRI to understand and characterise cardiovascular conditions such as vascular inflammation, adrenal function and arterial stiffness. We use a number of non-invasive techniques to look at vascular and endothelial function. Some information about PIs interested in clinical research is in the table below. More information about our interests in clinical research may also be found under individual PI pages. Also listed below is a brief summary of current clinical trials / studies within the Clinical Pharmacology Unit. We are also closely associated with the new Cambridge University Health Partners' Clinical Trials Unit, with one of our PIs being its Director.


Details

Large scale trials in hypertension

Clinical trials / studies to investigate the role of novel therapeutic agents on vascular function

Factors affecting arterial stiffness over time.

Director of the new Cambridge University Health Partners' Clinical Trials Unit. Research interests in physiology and pharmacology of the cardiovascular system, in particular the large arteries.


Current CPU Clinical Research Studies / Trials

Name

Description
ACCT

The Anglo-Cardiff Collaborative Trial (ACCT) is a series of longitudinal trials investigating arterial stiffness.

  • ACCT Timecourse: What is the timecourse of, and the mechanisms underlying, age-related changes in arterial stiffness?

  • ACCT Clearest 1: Is arterial stiffness increased in offspring who are gentically predisposed to isolated systolic hypertension?

  • ACCT Clearest 2: What are the biochemical and lifestyle factors that influence arterial stiffness?

BALANCE

Is blood pressure variability linked to rates of cardiovascular events in haemodialysis patients? An analysis of data collected as part of routine care.

Calcification

Is isolated systolic hypertension and/or low bone mineral denisty associated with an increase in aortic calcification?

CANNVAS

Comparing the effects of a nitrovasodilator and a non nitrovasodilator (2 types of BP lowering substance) on small, medium and large blood vessels.

ENIGMA

Does cardiac output and arterial stiffness in young adults with normal blood pressure predict future susceptibility to hypertension in later life?

Endothelial Dysfunction in Renal Transplantation

Does receiving a kidney transplant stimulate the immune system which then contributes to endothelial dysfunction?

ERICA

Investigating the role of inflammation in the development of complications of lung disease outside of the lung (recruiting patients with COPD).

EVOLUTION

Does a novel anti-inflammatory compound improve vascular function in patients with chronic lung disease?

GSNO

Does S-nitrosoglutathione restore endothelial function in women with early onset pre-eclampsia?

HYPAZ

An open-label investigation into hypertension induced by pazopanib therapy.

HYPE

Does early antihypertensive therapy in young borderline hypertensive patients modify their future risk of long term hypertension?

IMPOST

Is it feasible to conduct a study investigating the relationship between ovulation-implantation interval,CVD parameters and adverse pregnancy outcomes?

KARMA

What is the effect of kidney donation on bone-mineral metabolism and arterial stiffness?

PATHWAY

PATHWAY comprises three clinical trials of licensed medicines which aim to address some important areas of uncertainty in the current management of hypertension.

  • PATHWAY 1: Monotherapy vs Dual Therapy for initiating treamtent

  • PATHWAY 2: Optimal treatment of drug-resistant hypertension

  • PATHWAY 3: Comparison of single and combination diuretics in low-renin hypertension

Relationship between endothelial dysfunction and aortic stiffness

Does BH4 treatment improve the function of, and reduce the stiffness of, blood vessels in people with rheumatoid arthritis?

VARSITY

How does salt loading affect levels of VEGF-C and salt in the skin?