HypoxiaNAPOXIANCT04146857
Autonomic Activity During Nap Under Hypoxia
A study testing Normoxia, Hypoxia 1 and Hypoxia 2 in people with Hypoxia and Sleep, run by Charite University, Berlin, Germany at 1 site in Germany.
Trial summary
Sleeping under hypoxic conditions can impair cognition and autonomic nervous activity. A short daytime nap can modify these changes. Here we propose a randomized, cross-over study to evaluate the heart rate variability during a 90 min nap in a normobaric hypoxic chamber. Read more about this study
- Who is it for?
- Ages 25 to 45 yearsHealthy volunteers can take part
- What is being tested?
- Normoxia, Hypoxia 1 and Hypoxia 2
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 16 participants
- Where
- 1 siteGermany
- Study dates
- 30 Oct 2019to 30 Dec 2020
- 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 25 to 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Men and women
- Age 25-45 years
- BMI 20 - 28 kg/m^2
Who cannot join
- Severe, manifest illnesses in need of treatment
- Postoperative phases
- Acute and chronic infections
- Sleep disorders such as sleep apnea, insomnia or somnolence
- Altitude exposure (> 2500 m asl) within 6 months before enrollment
- Regular migraines
Show all 11Show fewer
- Smoking
- Athletes
- Significant weight change within 1 month before enrollment
- Inability to understand significance and scope of the study
- Drug or alcohol abuse
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Normobaric Hypoxia on Autonomic Activity During a Nap in Healthy Adults (NAPOXIA)
Sleeping under hypoxic conditions can impair cognition and autonomic nervous activity. A short daytime nap can modify these changes. Here we propose a randomized, cross-over study to evaluate the heart rate variability during a 90 min nap in a normobaric hypoxic chamber. In addition, we will investigate sleep architecture, vigilance, attention and memory.
- Being tested
- Normoxia, Hypoxia 1, Hypoxia 2
- Keywords
- Hypoxia, Sleep, Heart rate variability, Sleep architecture
- Medical subject headings
- Hypoxia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NormoxiaOther
Nap in hypoxia chamber at 20.9% oxygen (36 m asl)
Hypoxia 1Other
Nap in hypoxia chamber at 15.0% oxygen (simulates 2660 m asl)
Hypoxia 2Other
Nap in hypoxia chamber at 12.8% oxygen (simulates 4000 m asl)
| Study group | Role | What they receive |
|---|---|---|
| Normoxia | Placebo comparator | 20.9% oxygen Receives: Other: Normoxia |
| Hypoxia 1 | Active comparator | 15.0% oxygen Receives: Other: Hypoxia 1 |
| Hypoxia 2 | Active comparator | 12.8% oxygen Receives: Other: Hypoxia 2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Heart rate variability
Mean RR interval measured by polysomnography (ms)
Measured: During 90 minutes nap under normoxic (20.9%) vs. 12.8% hypoxic condition
Secondary outcomes (17)
Heart rate variability
Mean RR interval measured by polysomnography (ms)
Measured: During 90 minutes nap under normoxic (20.9%) vs. 15.0% hypoxic condition
Sleep Efficiency (SE)
Measured by continuous polysomnography (min)
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Wake After Sleep Onset (WASO)
Measured by continuous polysomnography (min)
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Sleep Onset Latency (SOL)
Measured by continuous polysomnography (min)
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Low Frequency / High Frequency Band
Mean LF/HF ratio measured by continuous ECG
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Standard Deviation 1 / Standard Deviation 2
Mean SD1/SD2 ratio measured by continuous ECG
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
RR intervals longer than 50 ms
Percentage pNN50 measured by continuous ECG (%)
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Core Body Temperature
Mean temperature measured by continuous double sensor monitoring (°C)
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Skin Temperature
Mean temperature measured by continuous double sensor monitoring (°C)
Measured: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Digit Span Task
Longest memorized digit series (n, normal range 5-9, higher is better)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Psychomotor Vigilance Task Subscale 1
Number of lapses (normal range 0-6, higher is worse)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Psychomotor Vigilance Task Subscale 2
Mean reaction time (normal range 100-500 ms, higher is worse)
Measured: After 90 min nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 1
Number of incongruency errors (normal range 0-5, higher is worse)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 2
Congruent response time (normal range 400-500 ms, higher is worse)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 3
Incongruent response time (normal range 600-800 ms, higher is worse)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 4
Congruent accuracy (above 95% is normal, higher is better)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 5
Incongruent accuracy (above 85% is normal, higher is better)
Measured: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2019
- Study start30 Oct 2019
- Primary completion30 Dec 2020
- Study completion30 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HypoxiaStudies of the same condition, open and under way.
- More trials run by Charite University, Berlin, GermanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 16 participants (actual)
Sponsor and investigators
- Lead sponsor
- Charite University, Berlin, Germany
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Anja Maehler, Charite University, Berlin, Germany
- Investigators
- Anja Mähler, PhD, Principal investigator, Charite University, Berlin, GermanyAlain Riveros, MD, Principal investigator, Charite University, Berlin, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04146857
- Sponsor's protocol ID
- NAPOXIA
- Acronym
- NAPOXIA
- Status last verified
- Jul 2022
- First submitted
- 25 Oct 2019
- Last updated
- 11 Jul 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Individual participant data that underlie the results of reported articles (text, tables, figures, supplemental data) will be shared after deidentification.
Publications
Riveros-Rivera A, Penzel T, Gunga HC, Opatz O, Paul F, Klug L, Boschmann M, Mahler A. Hypoxia Differentially Affects Healthy Men and Women During a Daytime Nap With a Dose-Response Relationship: a Randomized, Cross-Over Pilot Study. Front Physiol. 2022 May 24;13:899636. doi: 10.3389/fphys.2022.899636. eCollection 2022.
PubMed 35685284
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Normobaric Hypoxia on Autonomic Activity During a Nap in Healthy Adults (NAPOXIA)
- ClinicalTrials.gov ID
- NCT04146857
- Acronym / sponsor ID
- NAPOXIA / NAPOXIA
- Keywords
- Hypoxia, Sleep, Heart rate variability, Sleep architecture
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 16 participants (actual)
- Lead sponsor
- Charite University, Berlin, GermanyUniversity, hospital or other
- Study start
- 30 Oct 2019 (actual)
- Primary completion
- 30 Dec 2020 (actual)
- Study completion
- 30 Dec 2020 (actual)
- First posted
- 31 Oct 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Sleeping under hypoxic conditions can impair cognition and autonomic nervous activity. A short daytime nap can modify these changes. Here we propose a randomized, cross-over study to evaluate the heart rate variability during a 90 min nap in a normobaric hypoxic chamber. In addition, we will investigate sleep architecture, vigilance, attention and memory.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Normoxia | Placebo comparator | Other: Normoxia20.9% oxygen |
| Hypoxia 1 | Active comparator | Other: Hypoxia 115.0% oxygen |
| Hypoxia 2 | Active comparator | Other: Hypoxia 212.8% oxygen |
Who may qualify
- Ages
- 25 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Men and women
- Age 25-45 years
- BMI 20 - 28 kg/m^2
Key exclusion criteria (11 listed)
- Severe, manifest illnesses in need of treatment
- Postoperative phases
- Acute and chronic infections
- Sleep disorders such as sleep apnea, insomnia or somnolence
- Altitude exposure (> 2500 m asl) within 6 months before enrollment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NormoxiaNap in hypoxia chamber at 20.9% oxygen (36 m asl) | Other | Normoxia |
| Hypoxia 1Nap in hypoxia chamber at 15.0% oxygen (simulates 2660 m asl) | Other | Hypoxia 1 |
| Hypoxia 2Nap in hypoxia chamber at 12.8% oxygen (simulates 4000 m asl) | Other | Hypoxia 2 |
Primary outcome
Heart rate variability
Time frame: During 90 minutes nap under normoxic (20.9%) vs. 12.8% hypoxic condition
Mean RR interval measured by polysomnography (ms)
17 secondary outcomes
Heart rate variability
Time frame: During 90 minutes nap under normoxic (20.9%) vs. 15.0% hypoxic condition
Sleep Efficiency (SE)
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Wake After Sleep Onset (WASO)
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Sleep Onset Latency (SOL)
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Low Frequency / High Frequency Band
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Standard Deviation 1 / Standard Deviation 2
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
RR intervals longer than 50 ms
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Core Body Temperature
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Skin Temperature
Time frame: During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Digit Span Task
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Psychomotor Vigilance Task Subscale 1
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Psychomotor Vigilance Task Subscale 2
Time frame: After 90 min nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 1
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 2
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 3
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 4
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Color Stroope Task Subscale 5
Time frame: After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2022.
- Results publication: PubMed 35685284Riveros-Rivera A, Penzel T, Gunga HC, Opatz O, Paul F, Klug L, Boschmann M, Mahler A. Hypoxia Differentially Affects Healthy Men and Women During a Daytime Nap With a Dose-Response Relationship: a Randomized, Cross-Over Pilot Study. Front Physiol. 2022 May 24;13:899636. doi: 10.3389/fphys.2022.899636. eCollection 2022.
- Results publicationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Individual participant data that underlie the results of reported articles (text, tables, figures, supplemental data) will be shared after deidentification.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anja Mähler, PhD principal investigator
Charite University, Berlin, Germany
Alain Riveros, MD principal investigator
Charite University, Berlin, Germany
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Normoxia, Hypoxia 1 and Hypoxia 2 in people with Hypoxia and Sleep, run by Charite University, Berlin, Germany at 1 site in Germany.
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 3 inclusion and 11 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: finished, as of the sponsor's last update on 11 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Heart rate variability (time frame: During 90 minutes nap under normoxic (20.9%) vs. 12.8% hypoxic condition). 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 NCT04146857, which also lists 1 linked publication.
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 11 Jul 2022.