Biological Diagnosis and Monitoring of Chronic Nitrous Oxide Abuse
BALON
Biological Alterations of Laughing Gas Outcomes in Neurology
2 other identifiers
observational
356
1 country
8
Brief Summary
There is a toxicity linked to the chronic use of nitrous oxide, leading to neurological disorders such as combined sclerosis of the spinal cord. One thus frequently observes patients presenting disorders of walking or paresthesias, of more or less resolving evolution being able to go until the need for using a wheelchair and more recently cases of thrombosis were reported Serum or urine N2O assays are rarely performed routinely, because they do not allow to ensure a real exposure due to the very short half-life of this gas in the body. Thus, other biological monitoring markers are mentioned in the literature, such as vitamin B12 or homocysteine. Unfortunately, there are still no recommendations for biological monitoring of nitrous oxide consumption. Moreover, underlying mechanisms leading to clinical outcomes remains misunderstood.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2023
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 12, 2022
CompletedFirst Posted
Study publicly available on registry
September 14, 2022
CompletedStudy Start
First participant enrolled
January 30, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 30, 2025
CompletedOctober 26, 2024
September 1, 2024
2 years
September 12, 2022
October 22, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Blood markers related to nitrous oxide consumption
Biomarkers of cobalamin metabolism, methionine cycle and oxidative stress
through study completion an average of 1 year
Secondary Outcomes (3)
Blood markers related to nitrous oxide clinical outcomes.
Baseline, at 4 weeks, at 3 months and at 6 months
Estimated and self-reported nitrous oxide consumption
Baseline, at 4 weeks,and/or at 3 months and at 6 months
The severity of the clinical signs related to nitrous oxide consumption.
Baseline, at 4 weeks,and/or at 3 months and at 6 months
Study Arms (2)
Subjects consuming nitrous oxide with clinical outcomes
Subjects who consume nitrous oxide and who have been hospitalized in this context and who present clinical signs determined during a neurological evaluation according to the PND (Peripheral Neuropathy Disability) score or who have had a thrombotic accident related to the consumption of nitrous oxide.
Subjects consuming nitrous oxide without clinical outcomes
Subjects who consume nitrous oxide who do not present clinical signs related to this consumption and recruited during a routine medical consultation.
Interventions
Biological analyses in the framework of care with conservation of blood samples
Eligibility Criteria
Patients using or having recently used nitrous oxide, and hospitalized during the study will be offered to participate in the study.
You may qualify if:
- A current or former recreational nitrous oxide user defined
- With associated clinical signs (group 1)
- Without associated clinical signs (group 2)
- With or without clinico-biological sequelae associated with use
- Consenting to the conduct of the study
- Socially insured
You may not qualify if:
- Pregnant or breastfeeding women
- Never used nitrous oxide or stopped using it more than 6 months ago
- Lack of social security coverage
- Not willing to participate in the entire study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
BETHUNE
Béthune, France
Boulogne Sur Mer
Boulogne-sur-Mer, France
CALAIS
Calais, France
Lens
Lens, France
Chu Lille
Lille, France
Nantes
Nantes, France
Roubaix
Roubaix, France
Rouen
Rouen, France
Biospecimen
whole blood, serum, plasma
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 12, 2022
First Posted
September 14, 2022
Study Start
January 30, 2023
Primary Completion
January 30, 2025
Study Completion
January 30, 2025
Last Updated
October 26, 2024
Record last verified: 2024-09