NCT03588676

Brief Summary

Low oxygen at altitude causes pauses in breathing during sleep, called central sleep apnea. Central sleep apnea causes repeated awakenings and poor sleep. Low oxygen itself and the induced oxidative stress can damage mental function which is likely worsened by poor sleep. Reduced mental function due to low oxygen can pose a serious danger to mountain climbers. However there is also mounting evidence that even in populations of people that live at high altitudes and are considered adapted, low oxygen contributes to reductions in learning and memory. Therefore there is a serious need for treatments which may improve sleep, control of breathing and mental function during low oxygen.Therefore this study aims to determine how melatonin effects control of breathing, sleep and mental performance during exposure to low oxygen.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
39

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2018

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

January 3, 2018

Completed
7 days until next milestone

Study Start

First participant enrolled

January 10, 2018

Completed
6 months until next milestone

First Posted

Study publicly available on registry

July 17, 2018

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 10, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 10, 2018

Completed
Last Updated

August 14, 2019

Status Verified

August 1, 2019

Enrollment Period

11 months

First QC Date

January 3, 2018

Last Update Submit

August 13, 2019

Conditions

Keywords

HypoxiaHigh AltitudeMelatoninNeurocognitive

Outcome Measures

Primary Outcomes (2)

  • Change in Apnea Hypopnea Index

    Measure of Sleep Apnea severity

    6 weeks

  • Neurocognitive Scores

    Reflex changes between conditions

    6 weeks

Secondary Outcomes (6)

  • Loop Gain

    6 weeks

  • Arousal Threshold

    6 weeks

  • Sleep Efficiency

    6 weeks

  • Total Antioxidant Status

    6 weeks

  • Hypoxic Ventilatory Response

    6 weeks

  • +1 more secondary outcomes

Study Arms (3)

Normoxia

NO INTERVENTION

Participants will sleep in room air and receive no melatonin.

Hypoxia and Placebo

PLACEBO COMPARATOR

5mg placebo before sleep study

Other: Placebo

Hypoxia and Melatonin

EXPERIMENTAL

5mg melatonin before sleep study

Other: Melatonin

Interventions

5mg Melatonin

Hypoxia and Melatonin
PlaceboOTHER

5mg Placebo capsule

Hypoxia and Placebo

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthy Males and Females
  • Age:18-65 years

You may not qualify if:

  • Sleep Disorders
  • Pregnant Females
  • Smokers (quit ≥ 1 year ago acceptable)
  • Cardiovascular, Pulmonary, Renal, Neurologic, Neuromuscular, or Hepatic Issues
  • Diabetes
  • Psychiatric disorder, other than mild depression
  • Recent exposure to altitude (\>8000ft) in the last month or having slept at an altitude \>6000ft in the last month

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California, San Diego

San Diego, California, 92093, United States

Location

Related Links

MeSH Terms

Conditions

HypoxiaAltitude Sickness

Interventions

Melatonin

Condition Hierarchy (Ancestors)

Signs and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and SymptomsRespiration DisordersRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

TryptaminesIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Study Officials

  • Atul Malhotra, MD

    Professor

    PRINCIPAL INVESTIGATOR
  • Naomi L Deacon, Ph.D.

    Research Associate

    STUDY DIRECTOR
  • Pamela De Young

    Research Associate

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Model Details: randomized, placebo controlled, double blind, cross-over trial
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Physician

Study Record Dates

First Submitted

January 3, 2018

First Posted

July 17, 2018

Study Start

January 10, 2018

Primary Completion

December 10, 2018

Study Completion

December 10, 2018

Last Updated

August 14, 2019

Record last verified: 2019-08

Data Sharing

IPD Sharing
Will not share

Locations