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AdultNCT03728114

Effects of RIC on Cognitive Function and Blood Oxygen Levels in Unacclimatized Adult at High Altitude

A study testing RIC in people with Adult, run by Affiliated Hospital to Academy of Military Medical Sciences.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Several studies have shown cognitive impairment such as memory, perception and learning skill during ascent to high altitudes. However, few studies have directly investigated the effect of high altitudes exposure on attention-a high-level cognitive function. Read more about this study

Who is it for?
Ages 18 to 30 years, men onlyHealthy volunteers can take part
Conditions the study is for
Adult
What is being tested?
RIC
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
No sites listed yet
Study dates
Nov 2018to Dec 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • The age was between 19 and 30 years.
  • All participants should meet the criteria which included right-hand dominance, normal or corrected-to-normal vision.
  • the RIC group volunteers have no history of intravascular thrombosis in the bilateral upper limbs;
  • The high altitude participants move into the high-altitude environment within one month, and the low altitude volunteers have long-term life in low altitude areas.

Who cannot join

  • Severe hepatic or renal dysfunction
  • Severe hemostatic disorder or severe coagulation dysfunction
  • Any of the following cardiac disease - rheumatic mitral and or aortic stenosis, prosthetic heart valves, atrial fibrillation, atrial flutter, sick sinus syndrome, left atrial myxoma, patent foramen ovale, left ventricular mural thrombus or valvular vegetation, congestive heart failure, bacterial endocarditis, or any other cardiovascular condition interfering with participation
  • Serious, advanced, or terminal illnesses with anticipated life expectancy of less than one year
  • Patient participating in a study involving other drug or device trial study 7. Patients with existing neurological or psychiatric disease that would confound the neurological or functional evaluations 8. Unlikely to be available for follow-up for 3 months 9. Contraindication for RIC - severe soft-tissue injury, fracture, or peripheral vascular disease in the upper limbs.

Trial locations and contacts

No sites are listed yet.

Lian Duan, MD PHD contact

861013911365592

duanlian307@sina.com

Han Cong, MD MS contact

861013466346163

hc82225@126.com

About this study

Official title: Effects of Remote Ischemic Conditioning on Cognitive Function and Blood Oxygen Levels in Unacclimatized Adult at High Altitude

Several studies have shown cognitive impairment such as memory, perception and learning skill during ascent to high altitudes. However, few studies have directly investigated the effect of high altitudes exposure on attention-a high-level cognitive function. Remote ischemic conditioning (RIC) is a noninvasive and easy-to-use neuroprotective strategy, It has been proven to be an effective strategy for neuroprotection in ischemic stroke and chronic cerebral ischemia patients.

Read the detailed description

This study will provide insights into the preliminary proof of principle, safety, cognitive dysfunction and blood oxygen levels protective effects of RIC in Adults Exposing to High Altitude Conditions, and this data will provide parameters for future larger scale clinical trials if efficacious.

Conditions
Adult
Being tested
RIC, sham RIC
Keywords
adult, remote ischemic conditioning, high altitude condition, cognitive function, blood oxygen levels

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RICDevice

    Adults allocated to the RIC group will undergo RIC procedure during which bilateral arm cuffs are inflated to a pressure of 200 mmHg over systolic blood pressure for five cycles of 5 min followed by 5 min of relaxation of the cuffs.

  • sham RICDevice

    Adults allocated to the sham group will undergo a sham RIC procedure during which bilateral arm cuffs are inflated to a pressure of 60 mmHg for five cycles of 5 min, followed by 5 min of relaxation of the cuffs.

Study groups in NCT03728114
Study groupRoleWhat they receive
High Altitude RIC groupExperimentalThirty young healthy males from the altitude of 3700 meters will be allocated to the High Altitude RIC group. They will undergo RIC procedure during which bilateral arm cuffs are inflated to a pressure of 200 mmHg for five cycles of 5 min followed by 5 min of relaxation of the cuffs, performed twice a day for a total of 7 days. The treatment was carried out using an electric auto-control device (patent number ZL200820123637.X, China)
Receives: Device: RIC
High Altitude Sham groupSham comparatorThirty young healthy males from the altitude of 3700 meters will be allocated to the High Altitude Sham group. They will undergo a sham RIC procedure during which bilateral arm cuffs are inflated to a pressure of 60 mmHg for five cycles of 5 min, followed by 5 min of relaxation of the cuffs, performed twice a day for a total of 7 days.
Receives: Device: sham RIC
Low Altitude RIC groupExperimentalThirty young healthy males from the altitude of 42 meters will be allocated to the Low Altitude RIC group. They will undergo RIC procedure during which bilateral arm cuffs are inflated to a pressure of 200 mmHg for five cycles of 5 min followed by 5 min of relaxation of the cuffs, performed twice a day for a total of 7 days. The treatment was carried out using an electric auto-control device.
Receives: Device: RIC
Low Altitude Sham groupSham comparatorThirty young healthy males from the altitude of 42 meters will be allocated to the Low Altitude Sham group. They will undergo a sham RIC procedure during which bilateral arm cuffs are inflated to a pressure of 60 mmHg for five cycles of 5 min, followed by 5 min of relaxation of the cuffs, performed twice a day for a total of 7 days.
Receives: Device: sham RIC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Attentional network test

    The computer software attentional network test (ANT) as described by Fan et al. in 2002 will be used to measuring the Orienting function, executive function and alerting function.

    Measured: change from baseline (pre-RIC treatment) at 7days after RIC treatment

Secondary outcomes (18)
  1. basic fibroblast growth factor

    basic fibroblast growth factor will be detected. Blood samples will be drawn from cubital vein to test these biomarkers.

    Measured: change from baseline (pre-RIC treatment) at 7 days after RIC treatment

  2. platelet derived growth factor

    platelet derived growth facto will be detected. Blood samples will be drawn from cubital vein to test these biomarkers.

    Measured: change from baseline (pre-RIC treatment) at 7 days after RIC treatment

  3. vascular endothelial growth factor

    vascular endothelial growth factor will be detected. Blood samples will be drawn from cubital vein to test these biomarkers.

    Measured: change from baseline (pre-RIC treatment) at 7 days after RIC treatment

  4. the rate of Adverse event

    Any adverse event will be reported and its relationship with the RIC intervention will be evaluated.

    Measured: change from baseline (pre-RIC treatment) at 7 days after RIC treatment

  5. distal radial pulses

    It is an aspect which can reflect the safety of remote ischemic conditioning

    Measured: within 7 days after RIC treatment

  6. the number of erythema in the skin

    It is an aspect which can reflect the safety of remote ischemic conditioning

    Measured: within 7 days after RIC treatment

  7. the number of patients not tolerating RIC procedure,and refuse to continue the RIC procedure

    it is an aspect which can reflect the safety of remote ischemic conditioning

    Measured: within 7 days after RIC treatment

  8. the number of patients with any other adverse events related to RIC intervention as determined by the principle investigator.

    it is an aspect which can reflect the safety of remote ischemic conditioning

    Measured: within 7 days after RIC treatment

  9. heart rate

    the heart rate will be measured by automatic blood pressure monitor

    Measured: change from baseline(pre-RIC treatment) at 7days after RIC treatment

  10. blood pressure

    Both systolic, and diastolic pressure will be measured by automatic blood pressure monitor

    Measured: change from baseline(pre-RIC treatment) at 7days after RIC treatment

  11. blood oxygen saturation (SaO2)

    The portable oxygen saturation ward apparatus (Datex -Ohmeda, USA) will be used to monitor the blood oxygen saturation (SaO2)

    Measured: change from baseline(pre-RIC treatment) at 7days after RIC treatment

  12. cerebral oxygen saturation(TOI)

    The cerebral oxygen monitor (EGOS-600, Jiangsu China) will be used to monitor the cerebral oxygen saturation (TOI).

    Measured: change from baseline(pre-RIC treatment) at 7days after RIC treatment

  13. The peak systolic blood flow velocity (PSV) of bilateral middle cerebral artery (MCA)

    This is a indicator of hemodynamic data ,it is measured by Transcranial Doppler ((DWL Doppler-Box, German) according to applicational specifications and technical standards

    Measured: change from baseline(pre-RIC treatment) at 7days after RIC treatment

  14. end-diastolic blood flow velocity (EDV) of bilateral middle cerebral artery (MCA)

    This is a indicator of hemodynamic data ,it is measured by Transcranial Doppler ((DWL Doppler-Box, German) according to applicational specifications and technical standards

    Measured: change from baseline(pre-RIC treatment) at 7days after RIC treatment

  15. the mean flow velocity (MFV) of the subjects' bilateral middle cerebral artery (MCA)

    This is a indicator of hemodynamic data ,it is measured by Transcranial Doppler ((DWL Doppler-Box, German) according to applicational specifications and technical standards

    Measured: change from baseline (pre-RIC treatment) at 7 days after RIC treatment

  16. pulse index (PI) of the subjects' bilateral middle cerebral artery (MCA)

    This is a indicator of hemodynamic data ,it is measured by Transcranial Doppler ((DWL Doppler-Box, German) according to applicational specifications and technical standards

    Measured: change from baseline (pre-RIC treatment) at 7 days after RIC treatment

  17. The degree of palpation of tenderness--visual analogue scale

    The degree of palpation of tenderness is an aspect which can reflect the safety of remote ischemic conditioning. The pain was assessed with visual analogue scale ( VAS)

    Measured: within 7 days after RIC treatment

  18. the number of patients with any other adverse events related to RIC intervention as determined by the principle investigator

    it is an aspect which can reflect the safety of remote ischemic conditioning

    Measured: within 7 days after RIC treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Nov 2018
  2. Study startNov 2018 (estimated)
  3. Primary completionNov 2018 (estimated)
  4. Study completionDec 2018 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03728114
Sponsor's protocol ID
ERIC-HA
Status last verified
Nov 2018
First submitted
25 Oct 2018
Last updated
7 Nov 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wilson MH, Newman S, Imray CH. The cerebral effects of ascent to high altitudes. Lancet Neurol. 2009 Feb;8(2):175-91. doi: 10.1016/S1474-4422(09)70014-6.

    PubMed 19161909
  • Meng R, Asmaro K, Meng L, Liu Y, Ma C, Xi C, Li G, Ren C, Luo Y, Ling F, Jia J, Hua Y, Wang X, Ding Y, Lo EH, Ji X. Upper limb ischemic preconditioning prevents recurrent stroke in intracranial arterial stenosis. Neurology. 2012 Oct 30;79(18):1853-61. doi: 10.1212/WNL.0b013e318271f76a. Epub 2012 Oct 3.

    PubMed 23035060
  • Meng R, Ding Y, Asmaro K, Brogan D, Meng L, Sui M, Shi J, Duan Y, Sun Z, Yu Y, Jia J, Ji X. Ischemic Conditioning Is Safe and Effective for Octo- and Nonagenarians in Stroke Prevention and Treatment. Neurotherapeutics. 2015 Jul;12(3):667-77. doi: 10.1007/s13311-015-0358-6.

    PubMed 25956401
  • Fan J, McCandliss BD, Sommer T, Raz A, Posner MI. Testing the efficiency and independence of attentional networks. J Cogn Neurosci. 2002 Apr 1;14(3):340-7. doi: 10.1162/089892902317361886.

    PubMed 11970796
  • Posner MI, Petersen SE. The attention system of the human brain. Annu Rev Neurosci. 1990;13:25-42. doi: 10.1146/annurev.ne.13.030190.000325. No abstract available.

    PubMed 2183676
  • Godfrey E, Chalder T, Ridsdale L, Seed P, Ogden J. Investigating the active ingredients of cognitive behaviour therapy and counselling for patients with chronic fatigue in primary care: developing a new process measure to assess treatment fidelity and predict outcome. Br J Clin Psychol. 2007 Sep;46(Pt 3):253-72. doi: 10.1348/014466506X147420.

    PubMed 17697477
  • Wang Y, Meng R, Song H, Liu G, Hua Y, Cui D, Zheng L, Feng W, Liebeskind DS, Fisher M, Ji X. Remote Ischemic Conditioning May Improve Outcomes of Patients With Cerebral Small-Vessel Disease. Stroke. 2017 Nov;48(11):3064-3072. doi: 10.1161/STROKEAHA.117.017691. Epub 2017 Oct 17.

    PubMed 29042490
  • Twomey R, Wrightson J, Fletcher H, Avraam S, Ross E, Dekerle J. Exercise-induced Fatigue in Severe Hypoxia after an Intermittent Hypoxic Protocol. Med Sci Sports Exerc. 2017 Dec;49(12):2422-2432. doi: 10.1249/MSS.0000000000001371.

    PubMed 28708702

Questions about this trial

What is this clinical trial studying?

A study testing RIC in people with Adult, run by Affiliated Hospital to Academy of Military Medical Sciences.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 7 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Lian Duan, MD PHD (861013911365592, duanlian307@sina.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Attentional network test (time frame: change from baseline (pre-RIC treatment) at 7days after RIC treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03728114, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Nov 2018.

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