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COVID-19 Vaccine Adverse ReactionPhase 4NCT06357104

Detoxification From the Lipid Tract

A Phase 4 study testing electroencephalogram biofeedback, electrical brain stimulation and ultra-low frequency transcranial magnetic stimulation in people with COVID-19 Vaccine Adverse Reaction, run by Pachankis, Yang I., M.D. at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Apart from electroencephalogram biofeedback and electrical brain stimulation adopted for maintenance treatment, the study utilizes ultra-low frequency transcranial magnetic stimulation (ULF-TMS) for initial γ-aminobutyric acid (GABA) stimulation. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID-19 Vaccine Adverse Reaction
What is being tested?
electroencephalogram biofeedback, electrical brain stimulation and ultra-low frequency transcranial magnetic stimulation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1 participants
Where
1 siteChina
Study dates
26 Feb 2024to 20 Mar 2024
Phase
Phase 4
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • People who received full doses of COVID-19 vaccines.

Who cannot join

  • Women during pregnancy.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Residential Address

    Chongqing, Chongqing Municipality, 402762

Other trials in China

About this study

Official title: Detoxification From the Lipid Tract by Cocktail Design

Apart from electroencephalogram biofeedback and electrical brain stimulation adopted for maintenance treatment, the study utilizes ultra-low frequency transcranial magnetic stimulation (ULF-TMS) for initial γ-aminobutyric acid (GABA) stimulation. The cocktail therapy starts after the primary efficacy endpoint, and concomitant therapy is adopted throughout the study.

Read the detailed description

It was tested that GABA, in the joint action with topiramate, modulates macrophage activities by modulating cholesterol-metabolism associated molecules. GABA A receptors exhibit highly dynamic trafficking and cell surface mobility and influence on post-endocytic effects. Benzodiazepines (BZDs) exercise the mechanism of action by facilitating the binding of the inhibitory neurotransmitter GABA at various GABA receptors throughout the central nervous system (CNS). Alprazolam, a type of BZD, was tested by Al-Tubuly, Aburawi, Alghzewi, Gorash and Errwami in joint action with water-soluble beta blocker atenolol, in comparison with the non-selective β-adrenoceptor antagonist propranolol on the pharmacological effects on depression. The study hypothesizes that by replacing the water-soluble beta blocker to lipid-soluble one metoprolol, the effect of detoxification from the lipid and sebaceous immunobiological pathways can be achieved by the clathrin-dependent endocytosis process.

Even though partial progress was made in the NCT05839236 trial by statin therapies, the therapeutic effects have not been lasting nor significant. The study develops from the previous protocol for a cocktail therapy by the joint mechanism of actions of alprazolam, metoprolol, and pravastatin sodium for the detoxification process.

Being tested
electroencephalogram biofeedback, electrical brain stimulation, ultra-low frequency transcranial magnetic stimulation, Sertraline Hydrochloride, Clonazepam
Keywords
sebaceous immunobiology, lipid, depression
Medical subject headings
Depression

What participants receive

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

  • electroencephalogram biofeedbackDevice

    Also called EB

    EB is conducted for 20 minutes per section with two sections per day in the primary efficacy endpoint.

  • electrical brain stimulationDevice

    Also called EBS

    EBS is conducted for 20 minutes per section per day in the primary efficacy endpoint.

  • ultra-low frequency transcranial magnetic stimulationDevice

    Also called ULF-TMS

    ULF-TMS is conducted mainly for the left side of the participant's brain for 20 minutes per section per day in the primary efficacy endpoint.

  • Sertraline HydrochlorideDrug

    Also called SSRI

    Sertraline is taken in the morning for 150 mg per day.

  • ClonazepamDrug

    Clonazepam is taken in the morning for 1 mg per day.

  • AlprazolamDrug

    Alprazolam is introduced near the end of the primary efficacy endpoint for 0.4 mg per night.

  • MetoprololDrug

    Also called beta blocker

    Metoprolol is introduced at the secondary efficacy endpoint starting with 47.5 mg per night and increase to 95 mg per night.

  • OlanzapineDrug

    Olanzapine is taken throughout the trial with 7.5 mg per night at first, and increases to 10 mg per night after the cocktail therapy.

  • Pravastatin Sodium 20 MGDrug

    Pravastatin sodium is introduced in the secondary efficacy endpoint with 20 mg per night.

  • Sacubitril Valsartan Sodium HydrateDrug

    Also called ARNI

    Sacubitril valsartan sodium is introduced in the secondary efficacy endpoint with 100 mg per day.

Study groups in NCT06357104
Study groupRoleWhat they receive
GABA CocktailExperimentalNot described
Receives: Device: electroencephalogram biofeedback; Device: electrical brain stimulation; Device: ultra-low frequency transcranial magnetic stimulation; Drug: Sertraline Hydrochloride; Drug: Clonazepam; Drug: Alprazolam; Drug: Metoprolol; Drug: Olanzapine; Drug: Pravastatin Sodium 20 MG; Drug: Sacubitril Valsartan Sodium Hydrate

What is being measured

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

  1. Changes in Leukocyte and Components' Quantities

    All white blood cells are evaluated.

    Measured: 24 days

  2. Changes in Leukocyte Components' Ratios

    All white blood cells are evaluated.

    Measured: 24 days

  3. Quantity Changes in Megakaryocyte-Erythroid Progenitor

    Measured: 24 days

  4. Changes in Hemoglobin Distribution

    Measured: 24 days

  5. Changes in Mean Corpuscular Hemoglobin

    Measured: 24 days

  6. Changes in Hematocrit

    Measured: 24 days

  7. Changes in Plateletcrit

    Measured: 24 days

  8. Red cell Distribution Width Coefficient of Variation

    Measured: 24 days

  9. Changes in Particulate Matter Sizes

    Measured: 24 days

  10. Changes in Total Lipid Quantities

    Measured: 24 days

  11. Changes in Apolipoproteina

    Measured: 24 days

  12. Changes in Lipoprotein (a)

    Measured: 24 days

Secondary outcomes (2)
  1. Blood Pressure Changes

    Recorded systolic and diastolic blood pressures' changes before and after medication each day.

    Measured: 24 days

  2. Heart Rate Changes

    Heart rate changes before and after medication each day.

    Measured: 24 days

Timeline

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

  1. First posted10 Apr 2024
  2. Study start26 Feb 2024
  3. Primary completion14 Mar 2024
  4. Study completion20 Mar 2024

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06357104
Sponsor's protocol ID
SCI-CT-0001
Status last verified
Apr 2024
First submitted
10 Mar 2024
Last updated
10 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IPD will be shared on Zenodo repository.

Publications

  • Kim H, Nobeyama T, Honda S, Yasuda K, Morone N, Murakami T. Membrane fusogenic high-density lipoprotein nanoparticles. Biochim Biophys Acta Biomembr. 2019 Oct 1;1861(10):183008. doi: 10.1016/j.bbamem.2019.06.007. Epub 2019 Jun 15.

    PubMed 31207206
  • Zhao M, Luo Z, He H, Shen B, Liang J, Zhang J, Ye J, Xu Y, Wang Z, Ye D, Wang M, Wan J. Decreased Low-Density Lipoprotein Cholesterol Level Indicates Poor Prognosis of Severe and Critical COVID-19 Patients: A Retrospective, Single-Center Study. Front Med (Lausanne). 2021 May 26;8:585851. doi: 10.3389/fmed.2021.585851. eCollection 2021.

    PubMed 34124081
  • Glebov OO. Understanding SARS-CoV-2 endocytosis for COVID-19 drug repurposing. FEBS J. 2020 Sep;287(17):3664-3671. doi: 10.1111/febs.15369. Epub 2020 Jun 2.

    PubMed 32428379
  • Pachankis YI. Plausibility Review on Lipoprotein (A) Infection Path of S2 Autoimmune Pathogen. Global Journal of Medical Research. 2023;23(3)(C):5-11.

  • Yang Y, Lian YT, Huang SY, Yang Y, Cheng LX, Liu K. GABA and topiramate inhibit the formation of human macrophage-derived foam cells by modulating cholesterol-metabolism-associated molecules. Cell Physiol Biochem. 2014;33(4):1117-29. doi: 10.1159/000358681. Epub 2014 Apr 9.

    PubMed 24733016
  • Lombardi JP, Kinzlmaier DA, Jacob TC. Visualizing GABA A Receptor Trafficking Dynamics with Fluorogenic Protein Labeling. Curr Protoc Neurosci. 2020 Jun;92(1):e97. doi: 10.1002/cpns.97.

    PubMed 32364672
  • Griffin CE 3rd, Kaye AM, Bueno FR, Kaye AD. Benzodiazepine pharmacology and central nervous system-mediated effects. Ochsner J. 2013 Summer;13(2):214-23.

    PubMed 23789008
  • Al-Tubuly R, Aburawi S, Alghzewi E, Gorash Z, Errwami S. The effect of sympathetic antagonists on the antidepressant action of alprazolam. Libyan J Med. 2008 Jun 1;3(2):78-83. doi: 10.4176/080101.

    PubMed 21499463
  • Hunninghake D, Wallace RB, Reiland S, Barrett-Connor E, Wahl P, Hoover J, Heiss G. Alterations of plasma lipid and lipoprotein levels associated with benzodiazepine use--the LRC Program Prevalence Study. Atherosclerosis. 1981 Oct;40(2):159-65. doi: 10.1016/0021-9150(81)90034-4.

    PubMed 6118165
  • McGrath M, Hoyt H, Pence A, Forman SA, Raines DE. Selective actions of benzodiazepines at the transmembrane anaesthetic binding sites of the GABAA receptor: In vitro and in vivo studies. Br J Pharmacol. 2021 Dec;178(24):4842-4858. doi: 10.1111/bph.15662. Epub 2021 Sep 26.

    PubMed 34386973
  • Mascarenhas FNADP, Silva NF, Menezes-Reis LT, Vieira LG, Hirano LQL, Botelho FV, Ribeiro DL, Zanon RG. Prenatal effects of alprazolam treatment on the immature cerebellum of rats. Int J Dev Neurosci. 2022 Dec;82(8):727-735. doi: 10.1002/jdn.10222. Epub 2022 Aug 5.

    PubMed 35916248
  • Elgarf AA, Siebert DCB, Steudle F, Draxler A, Li G, Huang S, Cook JM, Ernst M, Scholze P. Different Benzodiazepines Bind with Distinct Binding Modes to GABAA Receptors. ACS Chem Biol. 2018 Aug 17;13(8):2033-2039. doi: 10.1021/acschembio.8b00144. Epub 2018 Jul 23.

    PubMed 29767950
  • Pachankis YI. Adrenaline Intolerance in ASD Curing From Autoimmune Pathogens - Sebaceous Immunobiology in Autoimmune Pathogen Research. Biomedical Review: Journal of Basic and Applied Medical Sciences. 2023;10(1):8-14.

  • Kottyan LC, Collier AR, Cao KH, Niese KA, Hedgebeth M, Radu CG, Witte ON, Khurana Hershey GK, Rothenberg ME, Zimmermann N. Eosinophil viability is increased by acidic pH in a cAMP- and GPR65-dependent manner. Blood. 2009 Sep 24;114(13):2774-82. doi: 10.1182/blood-2009-05-220681. Epub 2009 Jul 29.

    PubMed 19641187
  • Petersen OH, Gerasimenko OV, Gerasimenko JV. Endocytic uptake of SARS-CoV-2: the critical roles of pH, Ca2+, and NAADP. Function (Oxf). 2020 Jun 5;1(1):zqaa003. doi: 10.1093/function/zqaa003. eCollection 2020. No abstract available.

    PubMed 38626245

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing electroencephalogram biofeedback, electrical brain stimulation and ultra-low frequency transcranial magnetic stimulation in people with COVID-19 Vaccine Adverse Reaction, run by Pachankis, Yang I., M.D. at 1 site in China.

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 1 inclusion and 1 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 10 Apr 2024. 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 China. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Changes in Leukocyte and Components' Quantities (time frame: 24 days). The study lists 12 primary outcomes in all. 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 NCT06357104, which also lists 20 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 10 Apr 2024.

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