ClinicalTrials.gg
CompletedNCT01008644OSMUpdated Oct 17, 2012

Do Changes in Plasma Osmolality Influence Ventilation?

An Early Phase 1 interventional study of Water and Saline 3% in Hyponatraemia and Hypernatraemia, sponsored by Vibeke Moen. Completed at 1 site in Sweden. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-10-17.

Sponsored by Vibeke Moen · Early Phase 1, Interventional, and Basic science

Phase
Early Phase 1
Study type
Interventional
Enrollment
26
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

Primary hypothesis: osmolality changes influence the sensitivity of the respiratory center to carbon dioxide, hyponatraemia causing hyperventilation, and hypernatraemia depressing ventilation.

Secondary hypothesis: There are gender differences in the sensitivity to osmolality changes.

10 women and 10 men will on different occasions drink water or receive hypertonic saline intravenously, in order to lower or increase plasma osmolality. The women will participate during both faces of the menstruation cycle. On each occasion the subject´s sensitivity to carbon dioxide will be tested, and blood samples will be drawn for analysis of blood gases,electrolyte and osmolality.Subjects who interrupt participation before completion of all planned occasions, will be substituted, so that 10 subjects of either sex will have participated as planned. All results from all participants will be analyzed.

Read the detailed description

Healthy volunteers will on different occasions be subject to reduced plasma osmolality caused by drinking water, and increased osmolality caused by intravenous infusion of hypertonic saline.Before and after each osmolality change, sensitivity to carbon dioxide will be tested by partial rebreathing through a so called Bain-system. Throughout the whole experiment heart rate, blood pressure and oxygen saturation will be recorded.Blood samples will be collected before each rebreathing test and every 20 minutes during the two hours of water or salt load. Urine will be collected and analysed.

02

Conditions studied

  • Hyponatraemia
  • Hypernatraemia

Keywords

  • carbon dioxide
  • ventilation
  • gender
  • osmolality
  • menstruation cycle
03

In context

Hyponatremia

164 studies on the registry are indexed under Hyponatremia; 16 are open to participants now.

This study's enrollment of 26 is below the median of 60 across 98 interventional studies indexed under Hyponatremia.

Browse Hyponatremia studies →

Lead sponsor

This is the only study on the registry with Vibeke Moen as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Females with regular menstruations, males

Exclusion criteria

Exclusion Criteria:

  • Consumption of nicotine, > 26,
  • pregnancy,any hormone treatment,
  • treatment with diuretics,
  • diabetes or kidney disease,
  • BMI > 26,
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    Saline

    The subjects will receive saline 3% intravenously for 2 hours, the volume calculated as 0.1 ml/kg/min.

    Other: Water · Other: Saline 3%

  • Experimental
    Water

    The subjects will drink tap water for 2 hours, the volume calculated as 20ml/kg/hour

    Other: Water · Other: Saline 3%

Interventions

  • OtherWater

    The subjects will drink tap water for 2 hours, volume calculated according to weight: 20ml/kg/hour.

    Also known as: saline 3%

  • OtherSaline 3%

    The subjects will receive saline 3% intravenously for 2 hours, the volume calculated as 0.1 ml/kg/min

06

What researchers measure

Primary outcomes

  1. pCO2

    pCO2,osmolality and sensitivity to CO2 will be recorded 10 minutes before before and 10 minutes after administering water or saline for two hours.The results will be analyzed for differences before and after osmolality changes in every single individual, and differences between females in luteal or follicular menstruation phase.

    Time frame: ten minutes

07

Study locations

1 site
  • Department of Anaesthesia and Intensive care, Kalmar County Hospital
    Kalmar, 39185, Sweden
08

References and documents

Publications

  • Jennings DB. The physicochemistry of [H+] and respiratory control: roles of PCO2, strong ions, and their hormonal regulators. Can J Physiol Pharmacol. 1994 Dec;72(12):1499-512. doi: 10.1139/y94-216. PubMed 7736341 ↗
  • Weissgerber TL, Wolfe LA, Hopkins WG, Davies GA. Serial respiratory adaptations and an alternate hypothesis of respiratory control in human pregnancy. Respir Physiol Neurobiol. 2006 Aug;153(1):39-53. doi: 10.1016/j.resp.2005.09.004. Epub 2005 Nov 28. PubMed 16311079 ↗
  • Heenan AP, Wolfe LA. Plasma osmolality and the strong ion difference predict respiratory adaptations in pregnant and nonpregnant women. Can J Physiol Pharmacol. 2003 Sep;81(9):839-47. doi: 10.1139/y03-072. PubMed 14614519 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 17, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01008644
Lead sponsor
Vibeke Moen
Responsible party
Vibeke Moen (MD, Department of Anaesthesia, Kalmar County Hospital) — Sponsor-investigator
First posted
Nov 6, 2009
Start date
Nov 2009
Primary completion
Nov 2010
Completion
Nov 2010
Last update
Oct 17, 2012

Study contacts

Lars Irestedt. MD PhD
study director · Department of Anaesthesia and Intensive Care , Karolinska University Hospital, Stockholm

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2012. You cannot join it, but the record below documents what was studied.

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