NCT04973085

Brief Summary

The objective of this study was to clarify whether neck cooling can be used to non-invasively lower brain temperature in healthy adults.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
22

participants targeted

Target at P25-P50 for not_applicable healthy

Timeline
Completed

Started Jul 2021

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

June 28, 2021

Completed
24 days until next milestone

First Posted

Study publicly available on registry

July 22, 2021

Completed
Same day until next milestone

Study Start

First participant enrolled

July 22, 2021

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 3, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 3, 2022

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

September 13, 2023

Completed
Last Updated

September 13, 2023

Status Verified

August 1, 2023

Enrollment Period

7 months

First QC Date

June 28, 2021

Results QC Date

August 14, 2023

Last Update Submit

August 14, 2023

Conditions

Keywords

targeted temperature managementbrain temperaturebrain coolingneck cooling

Outcome Measures

Primary Outcomes (1)

  • Change in Brain Temperature

    During each intervention, core brain temperature was measured non-invasively, in one-minute increments, using MR thermometry. The change in brain temperature was calculated as the difference of differences between the cold and body-temperature interventions, after 1 hour.

    60 minutes

Secondary Outcomes (4)

  • Modified Bedside Shivering Assessment

    120 minutes

  • Systolic Blood Pressure

    120 minutes

  • Diastolic Blood Pressure

    120 minutes

  • Heart Rate

    120 minutes

Study Arms (2)

Cold circulated water

EXPERIMENTAL

Cold water circulated through an adhesive wrap applied to the front of the neck.

Device: Cold circulated water

Body-temperature circulated water

ACTIVE COMPARATOR

Body-temperature water circulated through an adhesive wrap applied to the front of the neck.

Device: Body-temperature circulated water

Interventions

Cold water was circulated through an adhesive wrap applied to the front of the neck, overlying the carotid arteries, for 120 minutes. MR thermometry was used to measure core brain temperature in 1-minute intervals throughout the intervention. On a different day, subjects crossed over and repeated the intervention in the other study arm (i.e., cold went to body-temperature, and vice-versa).

Cold circulated water

Body-temperature water was circulated through an adhesive wrap applied to the front of the neck, overlying the carotid arteries, for 120 minutes. MR thermometry was used to measure core brain temperature in 1-minute intervals throughout the intervention. On a different day, subjects crossed over and repeated the intervention in the other study arm (i.e., cold went to body-temperature, and vice-versa).

Body-temperature circulated water

Eligibility Criteria

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

You may qualify if:

  • Healthy adults aged 18-65 years

You may not qualify if:

  • Pregnancy
  • Contraindications to MRI (e.g. claustrophobia, metallic implants, etc.)
  • Signs of ulcerations, burns, hives or rash where the neck wrap is applied
  • History of Raynaud's disease, venous or arterial occlusive disease (e.g. carotid stenosis), cryoprecipitation disorders (e.g. cryoglobulinemia) and pernio (also known as chilblains)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Vermont & State Agricultural College

Burlington, Vermont, 05401-1704, United States

Location

Related Publications (37)

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    PMID: 28490655BACKGROUND
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    PMID: 23440789BACKGROUND
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    PMID: 24742169BACKGROUND
  • Karnatovskaia LV, Wartenberg KE, Freeman WD. Therapeutic hypothermia for neuroprotection: history, mechanisms, risks, and clinical applications. Neurohospitalist. 2014 Jul;4(3):153-63. doi: 10.1177/1941874413519802.

    PMID: 24982721BACKGROUND
  • Geurts M, Macleod MR, Kollmar R, Kremer PH, van der Worp HB. Therapeutic hypothermia and the risk of infection: a systematic review and meta-analysis. Crit Care Med. 2014 Feb;42(2):231-42. doi: 10.1097/CCM.0b013e3182a276e8.

    PMID: 23989182BACKGROUND
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    PMID: 30571336BACKGROUND
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    PMID: 31055981BACKGROUND
  • Kurisu K, Yenari MA. Therapeutic hypothermia for ischemic stroke; pathophysiology and future promise. Neuropharmacology. 2018 May 15;134(Pt B):302-309. doi: 10.1016/j.neuropharm.2017.08.025. Epub 2017 Aug 19.

    PMID: 28830757BACKGROUND
  • Ohta H, Terao Y, Shintani Y, Kiyota Y. Therapeutic time window of post-ischemic mild hypothermia and the gene expression associated with the neuroprotection in rat focal cerebral ischemia. Neurosci Res. 2007 Mar;57(3):424-33. doi: 10.1016/j.neures.2006.12.002. Epub 2007 Jan 8.

    PMID: 17212971BACKGROUND
  • Thoresen M, Tooley J, Liu X, Jary S, Fleming P, Luyt K, Jain A, Cairns P, Harding D, Sabir H. Time is brain: starting therapeutic hypothermia within three hours after birth improves motor outcome in asphyxiated newborns. Neonatology. 2013;104(3):228-33. doi: 10.1159/000353948. Epub 2013 Sep 12.

    PMID: 24030160BACKGROUND
  • Nybo L, Wanscher M, Secher NH. Influence of intranasal and carotid cooling on cerebral temperature balance and oxygenation. Front Physiol. 2014 Feb 27;5:79. doi: 10.3389/fphys.2014.00079. eCollection 2014.

    PMID: 24578693BACKGROUND
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    PMID: 21680904BACKGROUND
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    BACKGROUND
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Results Point of Contact

Title
Adam Sprouse Blum, MD
Organization
University of Vermont

Study Officials

  • Adam S Sprouse Blum, MD

    University of Vermont

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Neurological Sciences

Study Record Dates

First Submitted

June 28, 2021

First Posted

July 22, 2021

Study Start

July 22, 2021

Primary Completion

March 3, 2022

Study Completion

March 3, 2022

Last Updated

September 13, 2023

Results First Posted

September 13, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations