NCT05764018

Brief Summary

Several high-altitude destinations recommend their visitors to avoid caffeine, theoretically due to the associated diuresis which could contribute to acute mountain sickness. There is however no direct evidence for this association. In fact, caffeine ingestion is known to improve exercise performance at sea level, and may therefore help mountaineers during expeditions. Sport science research is largely conducted in male participants, and the findings from these studies are assumed to apply to the female population. Given the known sex differences in body composition, hormones, and other physiological factors, this may not be appropriate. It is therefore important to conduct research in women, to allow for female-specific recommendations.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
29

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2023

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

February 17, 2023

Completed
17 days until next milestone

Study Start

First participant enrolled

March 6, 2023

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 10, 2023

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 19, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 19, 2024

Completed
Last Updated

August 12, 2024

Status Verified

August 1, 2024

Enrollment Period

1 year

First QC Date

February 17, 2023

Last Update Submit

August 8, 2024

Conditions

Keywords

CaffeineHypoxiaFemale physiologyExercise

Outcome Measures

Primary Outcomes (6)

  • Peak oxygen uptake

    Peak oxygen consumption (VO2peak, ml/kg/min) will be quantified from the end of each maximal exercise test and compared between groups and conditions.

    Immediately prior to volitional exhaustion during the incremental exercise test

  • Maximal aerobic power

    Maximal aerobic power (MAP, W) will be quantified based on the time at which participants reach volitional exhaustion during the incremental exercise tests. This value will then be compared between groups and conditions.

    At the instant of volitional exhaustion during the incremental exercise test

  • Peak minute ventilation

    Peak minute ventilation (VEpeak, L/min) will be quantified from the end of each maximal exercise test and compared between groups and conditions.

    Immediately prior to volitional exhaustion during the incremental exercise test

  • Peak heart rate

    Peak heart rate (HRpeak, bpm) will be quantified from the end of each maximal exercise test and compared between groups and conditions.

    Immediately prior to volitional exhaustion during the incremental exercise test

  • Muscle oxygenation nadir

    The nadir in muscle oxygenation (TSIMmin, %) will be quantified from the end of each maximal exercise test and compared between groups and conditions.

    Immediately prior to volitional exhaustion during the incremental exercise test

  • Peak blood lactate concentration

    Blood lactate concentration will be measured immediately after the incremental exercise test to exhaustion (\[BLapeak\], mmol/L).

    Immediately after volitional exhaustion during the incremental exercise test

Secondary Outcomes (9)

  • Submaximal oxygen uptake

    From the onset of exercise to the end of the submaximal exercise period at 20 minutes.

  • Submaximal minute ventilation

    From the onset of exercise to the end of the submaximal exercise period at 20 minutes.

  • Submaximal substrate oxidation

    From the onset of exercise to the end of the submaximal exercise period at 20 minutes.

  • Submaximal muscle oxygenation

    From the onset of exercise to the end of the submaximal exercise period at 20 minutes.

  • Submaximal brain oxygenation

    From the onset of exercise to the end of the submaximal exercise period at 20 minutes.

  • +4 more secondary outcomes

Study Arms (4)

Normoxia-Placebo

PLACEBO COMPARATOR

Participants will be breathing room air, and ingest a flavoured drink containing only a trivial amount of maltodextrin.

Other: PlaceboOther: Normoxia

Normoxia-Caffeine

EXPERIMENTAL

Participants will be breathing room air, and ingest a flavoured drink containing a trivial amount of maltodextrin and 6 mg/kg body mass caffeine.

Dietary Supplement: CaffeineOther: Normoxia

Hypoxia-Placebo

PLACEBO COMPARATOR

Participants will be breathing a 13% oxygen gas mixture, and ingest a flavoured drink containing only a trivial amount of maltodextrin.

Other: HypoxiaOther: Placebo

Hypoxia-Caffeine

EXPERIMENTAL

Participants will be breathing a 13% oxygen gas mixture, and ingest a flavoured drink containing a trivial amount of maltodextrin and 6 mg/kg body mass caffeine.

Dietary Supplement: CaffeineOther: Hypoxia

Interventions

CaffeineDIETARY_SUPPLEMENT

Negligible amount of maltodextrin in flavoured drink solution containing 6 mg/kg body mass caffeine provided 45 minutes before exercise

Hypoxia-CaffeineNormoxia-Caffeine
HypoxiaOTHER

Participants will be breathing from a hypoxic gas mixture (13% O2) for the duration of the exercise bout. This will simulate an altitude of approximately 3500 m.

Also known as: Simulated altitude
Hypoxia-CaffeineHypoxia-Placebo
PlaceboOTHER

Negligible amount of maltodextrin in flavoured drink solution provided 45 minutes before exercise.

Also known as: No caffeine
Hypoxia-PlaceboNormoxia-Placebo

Participants will be breathing from ambient air (\~21% O2) for the duration of the exercise bout. This will provide no hypoxic stimulus as the laboratory is located relatively near sea level (295 m)

Also known as: Sea level
Normoxia-CaffeineNormoxia-Placebo

Eligibility Criteria

Age18 Years - 30 Years
Sexall(Gender-based eligibility)
Gender Eligibility DetailsParticipant eligibility is based on self-representation of gender identity. Self-identifying males and self-identifying females will be recruited for the study, and will form the two groups for comparison.
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Regularly physically active (at least 30 mins of structured exercise 5 times per week).
  • Sea-level natives.

You may not qualify if:

  • presence of any medical risk factors to exercise and/or exposure to altitude
  • presence of any medical condition that would make the protocol unreasonably hazardous for the participant
  • smokers
  • exposure to altitude above 2000 m in the last 2 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Ljubljana

Ljubljana, 1000, Slovenia

Location

MeSH Terms

Conditions

HypoxiaMotor Activity

Interventions

CaffeineSea Level Rise

Condition Hierarchy (Ancestors)

Signs and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and SymptomsBehavior

Intervention Hierarchy (Ancestors)

XanthinesAlkaloidsHeterocyclic CompoundsPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingOceans and SeasGeological PhenomenaPhysical PhenomenaClimate ChangeClimatic ProcessesEcological and Environmental PhenomenaBiological PhenomenaWater Movements

Study Officials

  • Tadej Debevec, PhD

    University of Ljubljana

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The participant will be blinded to both the supplement (placebo vs. caffeine) and the condition (normoxia vs. hypoxia). The investigator and the outcomes assessor will also be blinded to the supplement (placebo vs. caffeine), but both will be aware of condition (normoxia vs. hypoxia). Blinding success from the participants' perspectives will be assessed with an exit questionnaire.
Purpose
OTHER
Intervention Model
CROSSOVER
Model Details: Participants will perform four trials, to cover both levels of two factors; normoxia vs. hypoxia, and placebo vs. caffeine
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

February 17, 2023

First Posted

March 10, 2023

Study Start

March 6, 2023

Primary Completion

March 19, 2024

Study Completion

March 19, 2024

Last Updated

August 12, 2024

Record last verified: 2024-08

Data Sharing

IPD Sharing
Will not share

Locations