NCT03090087

Brief Summary

The purpose is to investigate how the adenosine affects the diameter regulation of retinal arterioles during changes in oxygen tension. A deeper understanding of the mechanisms involved in diameter regulation of retinal arterioles during changes in oxygen tension can be used to obtain a more detailed understanding of diseases where changes in the diameter regulation of retinal vessels are involved in the disease pathogenesis and possibly point to new therapeutic options for patients with retinal vascular disease, such as diabetic retinopathy and retinal vein thrombosis. Preliminary, a routine ophthalmological evaluation, measurement of blood pressure, and electrocardiogram will be preformed to insure that only healthy test persons are included in the study. The test persons will be randomly allocated to two groups, one group in which protocol 1 is followed by protocol 2, and the other group with the two protocols performed in the reverse order. Protocol 1: Using the DVA, a video recording will capture the diameter of retinal vessels and the changes occurring during stimulation with flickering light. The recording lasts 4.5 minutes and is preformed before and after intravenous injection of adenosine. Protocol 2: The procedures are similar to those of protocol 1 but are performed during breathing of a gas mixture with a reduced oxygen tension to 12,5 %, which results in a reduced oxygen saturation in the blood to 85-90 %.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
20

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Mar 2017

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

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

March 10, 2017

Completed
12 days until next milestone

Study Start

First participant enrolled

March 22, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 24, 2017

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2017

Completed
Last Updated

March 28, 2017

Status Verified

March 1, 2017

Enrollment Period

7 months

First QC Date

March 10, 2017

Last Update Submit

March 24, 2017

Conditions

Keywords

Diameter of retinal arteriesAdenosineHypoxia

Outcome Measures

Primary Outcomes (1)

  • Diameter responses of retinal arterioles

    The main outcome variable of the DVA is the width measurement of the selected vessel(s), expressed in units of measurement (UM). In a normal Gullstrand eye, 1 UM is equivalent to 1 µm. For the stimulation with flicker light, the outcome is defined as the percent change from baseline.

    11 minutes

Secondary Outcomes (3)

  • Blood pressure

    The blood pressure is measured during the last 40 seconds in each phase using an oscillometric technique on the left arm.

  • Systemic arterial saturation

    The systemic arterial saturation is registered at the beginning and half way through each examination phase and during the 2 min break where the drug Regadenoson is injected.

  • Intraocular pressure

    The intraocular pressure is measured before and after the drug administration (time point 280 and 350 sec) and after the second DVA examination is terminated (time point 670 sec).

Study Arms (1)

Healthy person

EXPERIMENTAL

The purpose is to investigate the effect of A2A adrenoceptor stimulation using the drug regadenoson (Rapiscan) on the diameter of retinal arterioles during hypoxia in vivo.

Biological: HypoxiaDrug: Regadenoson

Interventions

HypoxiaBIOLOGICAL

The purpose is to test the effect of A2A adrenoceptor stimulation on the diameter of retinal arterioles during hypoxia in vivo

Healthy person

The purpose is to test the effect of A2A adrenoceptor stimulation on the diameter of retinal arterioles during hypoxia in vivo

Also known as: Rapiscan
Healthy person

Eligibility Criteria

Age20 Years - 35 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Age 20-35
  • Healthy, both current and prior
  • Normal echocardiogram
  • Signed and informed consent

You may not qualify if:

  • Former or current cardiovascular disease or high blood pressure
  • Lung diseases incl. asthma or chronic obstructive pulmonary disease (COPD)
  • Known eye disease or previously treated for an eye disease, particularly glaucoma and cataracts
  • People taking medication, except birth control pills
  • Persons who have or who have had epilepsy
  • Pregnant or breast-feeding women
  • Allergies to the constituent substance of the medication used in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Ophthalmology, Aarhus University Hospital

Aarhus, 8000, Denmark

RECRUITING

MeSH Terms

Conditions

Retinal Artery OcclusionHypoxia

Interventions

regadenoson

Condition Hierarchy (Ancestors)

Retinal DiseasesEye DiseasesArterial Occlusive DiseasesVascular DiseasesCardiovascular DiseasesSigns and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Toke Bek, Chair

    Main supervisor

    STUDY CHAIR

Central Study Contacts

Anna Dons-Jensen, Student

CONTACT

Line Petersen, Ph.D.

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Model Details: The project will be conducted as an open controlled interventional study performed on two days separated by at least one day. The test persons will be randomly allocated to two groups, one group in which protocol 1 is followed by protocol 2, and the other group with the two protocols performed in the reverse order. Protocol 1: A) Using a Dynamic Vessel Analyzer, the diameter of a larger retinal vascular arcade arteriole will be recorded for 90 seconds at baseline followed by a similar recording during stimulation with flickering light and a recording during rest, altogether lasting 4.5 minutes. B) Intravenous injection of 0,4 mg regadenoson and repetition of the procedures in step A. Protocol 2: The procedures are similar to those of protocol 1 but are performed during breathing of a hypoxic gas mixture.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 10, 2017

First Posted

March 24, 2017

Study Start

March 22, 2017

Primary Completion

November 1, 2017

Study Completion

November 1, 2017

Last Updated

March 28, 2017

Record last verified: 2017-03

Data Sharing

IPD Sharing
Will share

The project results will be published in recognized international journals. Both positive, negative and inconclusive results will be published.

Locations