The Colder Fluids - Intravenous Infusion of 10 Degrees Celsius Fluids and Its Effects on Circulation and Hemostasis
Rapid Intravenous Infusion of 10 and 22 Degrees Celsius Ringer's Lactate in Healthy Volunteers and Its Effects on Circulation and Hemostasis - a Randomized Crossover Trial
1 other identifier
interventional
25
1 country
1
Brief Summary
The aim of this study is to investigate the effect of respectively 10 and 22 degrees Celsius Ringer's lactate solution on the physiological response in healthy adults. In a single center crossover study the investigators will include and randomize 25 healthy volunteers to receive 1 liter of Ringer's lactate either cold (10°C, 50°F), or at room temperature (22°C, 71,6°F) with 100 ml/min. Fluids will be administered through a peripheral vein. After a minimum "washout period" of 24 hours, subjects are switched to receive infusion at the other aforementioned temperatures. The main outcomes of this study are: Primary:
- The increase in Mean Arterial Pressure (MAP) 30 minutes after started infusion Secondary:
- Time until return of MAP to baseline value after infusion.
- Changes in Visual Analog Scale (VAS) of discomfort during infusion
- Changes in temperature, blood pressure, heart rate, peripheral oxygen saturation cardiac index, cardiac output, total peripheral resistance index and stroke volume
- Changes in the intravascular volume status and the fluid responsiveness
- Changes in biochemical parameters at baseline, 30 and 60 minutes.
- Changes in Rotational thromboelastometry (ROTEM) analysis at baseline, 30 and 60 minutes
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Nov 2023
Shorter than P25 for phase_1
1 active site
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
Study Start
First participant enrolled
November 6, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 20, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 20, 2023
CompletedFirst Submitted
Initial submission to the registry
June 17, 2024
CompletedFirst Posted
Study publicly available on registry
October 2, 2024
CompletedOctober 8, 2024
October 1, 2024
1 month
June 17, 2024
October 4, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Increase in Mean Arterial Pressure (MAP) 30 minutes after started infusion
Trial day 1 & Trial day 2
Secondary Outcomes (16)
Time until return of Mean Arterial Pressure (MAP) to baseline value after infusion
Trial day 1 & Trial day 2
Changes in Visual Analog Scale (VAS) of discomfort during infusion
Trial day 1 & Trial day 2
Changes in physiological parameter temperature measured in degrees Celcius
Trial day 1 & Trial day 2
Changes in physiological parameter blood pressure measured in millimeter of mercury (mmHg)
Trial day 1 & Trial day 2
Changes in physiological parameter peripheral oxygen saturation measured in percent (%)
Trial day 1 & Trial day 2
- +11 more secondary outcomes
Study Arms (2)
Cold - Room temperature
ACTIVE COMPARATORTrial day 1: Participants receive Ringer's lactate cold (10°C, 50°F), Trial day 2: Participants receive Ringer's lactate at room temperature (22°C, 71.6°F)
Room temperature - Cold
ACTIVE COMPARATORTrial day 1: Participants receive Ringer's lactate at room temperature (22°C, 71.6°F), Trial day 2: Participants receive Ringer's lactate cold (10°C, 50°F)
Interventions
On the first trial day healthy volunteers are randomized to receive 1 liter of Ringer's lactate either cold (10°C, 50°F), or at room temperature (22°C, 71.6°F) with 100 ml/min. After a minimum "washout period" of 24 hours, subjects are switched to receive infusion at the other aforementioned temperatures.
Eligibility Criteria
You may qualify if:
- Age between 18-64
You may not qualify if:
- Pre-existing medical problems that are contraindicated for cold crystalloid infusions.
- Pregnancy (validated through a certified urine pregnancy test)
- Body mass index \>35 kg/m2
- Medication use, including over-the-counter anti-pyretics within 48 hours, with exception of allergy medication and contraceptives.
- Any family history or predisposition of coagulopathies.
- Any intake of inhibitors of 11β-Hydroxysteroid dehydrogenase the past 48 hours (products containing liquorice)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Odense University Hospital
Odense, 5000, Denmark
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mikkel Brabrand, MD
Odense University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 17, 2024
First Posted
October 2, 2024
Study Start
November 6, 2023
Primary Completion
December 20, 2023
Study Completion
December 20, 2023
Last Updated
October 8, 2024
Record last verified: 2024-10
Data Sharing
- IPD Sharing
- Will not share