NCT02973438

Brief Summary

The purpose of this research is to examine changes in blood glucose control and metabolism in individuals with SCI and non injured controls at rest and during exercise after five days of exposure to IH. This response will be compared with breathing normal room air (a SHAM control).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 18, 2016

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 25, 2016

Completed
6 days until next milestone

Study Start

First participant enrolled

December 1, 2016

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
2 years until next milestone

Results Posted

Study results publicly available

December 17, 2020

Completed
Last Updated

December 17, 2020

Status Verified

November 1, 2020

Enrollment Period

2 years

First QC Date

November 18, 2016

Results QC Date

February 26, 2020

Last Update Submit

November 23, 2020

Conditions

Keywords

Spinal Cord InjuriesObesityInsulin ResistanceIntermittent hypoxia

Outcome Measures

Primary Outcomes (1)

  • Change in Cardioendocrine Risk by Surrogate Blood Measures of the Homeostasis Model Assessment - Insulin Resistance (HOMA 2-IR)

    Insulin resistance was estimated by the Homeostasis Model Assessment of Insulin Resistance (HOMA2-IR), which is based on fasting glucose and insulin measurements. Values of \> 1.8 were considered insulin resistant.

    Baseline, day 5

Secondary Outcomes (1)

  • Change in Exercise Substrate Partitioning as Measured Via VO2 Peak Test

    Baseline, day 5

Study Arms (4)

Spinal Cord Injury (SCI) Intermittent Hypoxia then SHAM

EXPERIMENTAL

This arm of individuals with SCI will receive Intermittent Hypoxia (IH) and following a 3 week washout, SHAM treatment interventions.

Device: Intermittent Hypoxia (IH)Device: SHAM

Control (CON) Intermittent Hypoxia then SHAM

EXPERIMENTAL

This arm of non injured control subjects will receive Intermittent Hypoxia (IH) and following a 3 week washout, SHAM treatment interventions.

Device: Intermittent Hypoxia (IH)Device: SHAM

Spinal Cord Injury (SCI) SHAM then Intermittent Hypoxia

EXPERIMENTAL

This arm of individuals with SCI will receive SHAM and following a 3 week washout, Intermittent Hypoxia (IH) treatment interventions.

Device: Intermittent Hypoxia (IH)Device: SHAM

Control (CON) SHAM then Intermittent Hypoxia

EXPERIMENTAL

This arm of non injured control subjects will receive SHAM and following a 3 week washout, Intermittent Hypoxia (IH) treatment interventions.

Device: Intermittent Hypoxia (IH)Device: SHAM

Interventions

Administered over a period of 5 consecutive days involving daily, hour long sessions of alternating 6-minute hypoxic intervals (FIO2 = 0.09-0.12) with 3-minute normoxic intervals (FIO2 = 0.21). During hypoxic intervals, oxygen concentration may be adjusted to maintain participants SpO2 levels between 75-90%.

Also known as: Hypoxico
Control (CON) Intermittent Hypoxia then SHAMControl (CON) SHAM then Intermittent HypoxiaSpinal Cord Injury (SCI) Intermittent Hypoxia then SHAMSpinal Cord Injury (SCI) SHAM then Intermittent Hypoxia
SHAMDEVICE

Administered over a period of 5 consecutive days involving daily, hour long sessions of alternating 6-minute normoxic intervals (FIO2 = 0.21) with 3-minute normoxic intervals (FIO2 = 0.21).

Control (CON) Intermittent Hypoxia then SHAMControl (CON) SHAM then Intermittent HypoxiaSpinal Cord Injury (SCI) Intermittent Hypoxia then SHAMSpinal Cord Injury (SCI) SHAM then Intermittent Hypoxia

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • SCI only:
  • Lower extremity weakness or paralysis at C5 or below resulting from spinal cord injury for at least one year.
  • ASIA Classification A-D Overweight or obese as classified by a Body Mass Index (BMI) (kg/m2) of ≥ 25.0 (CON) and ≥ 22.0 (SCI).
  • SCI and non injured control:
  • Resting SaO2 ≥ 95%

You may not qualify if:

  • Currently hospitalized
  • Resting heart rate ≥120 BPM
  • Resting systolic blood pressure \>180 mm Hg
  • Resting diastolic Blood Pressure \>100 mmHg
  • Self-reported history of unstable angina or myocardial infarction within the previous month
  • Previous cardiac surgery or condition that evidences ischemic heart disease
  • Cardiopulmonary complication such as COPD
  • Pregnancy determined by urine testing in sexually active females.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Miami Project to Cure Paralysis

Miami, Florida, 33136, United States

Location

MeSH Terms

Conditions

Spinal Cord InjuriesObesityInsulin Resistance

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesTrauma, Nervous SystemWounds and InjuriesOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsHyperinsulinismGlucose Metabolism DisordersMetabolic Diseases

Results Point of Contact

Title
Mark S. Nash, Ph.D.
Organization
University of Miami

Study Officials

  • Mark S Nash, PhD

    University of Miami

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

November 18, 2016

First Posted

November 25, 2016

Study Start

December 1, 2016

Primary Completion

December 1, 2018

Study Completion

December 1, 2018

Last Updated

December 17, 2020

Results First Posted

December 17, 2020

Record last verified: 2020-11

Data Sharing

IPD Sharing
Will not share

Locations