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CompletedNCT01889823Updated Mar 25, 2015

Effects of Oxygen Status on Hypoxia Inducible Factor 1-α and Inflammation. A Pilot Proof of Principle Study.

A Phase 1 interventional study of Hypoxia and Hyperoxia in Hypoxia and Hyperoxia, sponsored by Radboud University Medical Center. Completed at 1 site in Netherlands. Open to male participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-03-25.

Sponsored by Radboud University Medical Center · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Male
01

Study summary

It has been shown in in vitro and animal models that hypoxia can have pro-inflammatory effects and hyperoxia can have anti-inflammatory effects. The pro-inflammatory effect could be the result of activation of Hypoxia Inducible Factor, a transcription factor that is known to activate many cell systems aimed at cell survival, including the inflammatory response. The anti-inflammatory effects of hyperoxia could be the annihilation of Hypoxia Inducible Factor, but also a decrease in inflammation due to oxygen toxicity resulting in a decrease in clearance of pathogens. These effects have been sparsely studied in humans. Therefore, we hypothesize that hypoxia results in an increase in Hypoxia Inducible Factor in circulating leukocytes and increases inflammatory reactions, whereas hyperoxia decreases these reactions.

02

Conditions studied

  • Hypoxia
  • Hyperoxia

Keywords

  • Oxygen
  • Hypoxia
  • Hyperoxia
  • Inflammation
  • Innate immunity
03

In context

Hypoxia

1,231 studies on the registry are indexed under Hypoxia; 241 are open to participants now.

This study's enrollment of 20 is below the median of 45 across 853 interventional studies indexed under Hypoxia.

Browse Hypoxia studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age ≥18 and ≤35 yrs
  • Male
  • Healthy

Exclusion criteria

Exclusion Criteria:

  • Use of any medication
  • Smoking
  • History, signs or symptoms of cardiovascular disease
  • History of atrial or ventricular arrhythmia
  • (Family) history of myocardial infarction or stroke under the age of 65 years
  • Cardiac conduction abnormalities on the ECG consisting of a 2nd degree atrioventricular block or a complex bundle branch block
  • Hypertension (defined as RR systolic > 160 or RR diastolic > 90 mmHg)
  • Hypotension (defined as RR systolic \< 100 or RR diastolic \< 50 mmHg)
  • Renal impairment (defined as plasma creatinine >120 μmol/l)
  • Liver enzyme abnormalities alkaline phosphatase>230 U/L and/or ALT>90 U/L
  • Medical history of any obvious disease associated with immune deficiency
  • CRP > 20 mg/L, WBC > 12x109/L, or clinically significant acute illness, including infections, within 4 weeks before endotoxemia day
  • Participation in a drug trial or donation of blood 3 months prior to the experiment
  • Pre-existent lung disease or asthma
  • Use of recreational drugs within 21 days prior to experiment day
  • Visit to altitude >1500m within 4 weeks prior to the experiment
  • Air travel with flight time over 3 hours within 4 weeks prior to the experiment
  • History of acute mountain sickness
  • Recent hospital admission or surgery with general anaesthesia (\<3 months)
  • Claustrophobia
  • Feelings of discomfort during a 10 minute test wearing the transparent respiratory helmet at the screening visit
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Hypoxia

    Subjects will be breathing an individualized mix of nitrogen and room air titrated to an oxygen saturation of 80-85%.

    Other: Hypoxia

  • Experimental
    Hyperoxia

    Subjects will be breathing 100% of oxygen

    Other: Hyperoxia

Interventions

  • OtherHypoxia

    Subjects will be breathing an individualized mix of nitrogen and room air titrated to an oxygen saturation of 80-85%.

  • OtherHyperoxia

    Subjects will be breathing 100% oxygen

06

What researchers measure

Primary outcomes

  1. Hypoxia Inducible Factor 1 alpha in circulating leukocytes

    Hypoxia Inducible Factor 1 alpha in circulating neutrophils, lymphocytes and monocytes as measured with flow cytometry

    Time frame: 24 hours

Secondary outcomes

  1. Hypoxia Inducible Factor mRNA and anti Hypoxia Inducible Factor mRNA in circulating leukocytes

    Time frame: 24 hours

  2. Reactive Oxygen Species in circulating leukocytes

    ROS in circulating leukocytes, subclassified in neutrophils and monocytes

    Time frame: 24 hours

  3. Phagocytic function of circulating leukocytes

    Time frame: 24 hours

  4. cytokine production after ex vivo stimulation of leukocytes

    Time frame: 24 hours

  5. circulating cytokines (including but not limited to IL-6, IL-10, IL-1RA)

    Time frame: 24 hours

  6. Hemodynamic parameters

    Blood pressure, heart frequency, cardiac output measurement

    Time frame: 24 hours

  7. ventilatory response

    Measures of ventilation: respiratory rate, blood gas changes

    Time frame: 24 hours

  8. adenosine metabolism

    urine and plasma adenosine,adenosine receptor mRNA, purines

    Time frame: 24 hours

  9. alkaline phosphatase

    Time frame: 24 hours

  10. cognitive function

    neuropsychologic assessment of cognitive function

    Time frame: 24 hours

  11. Hepcidin and iron parameters

    Time frame: 24 hours

  12. catecholamines

    adrenaline, noradrenaline and dopamine

    Time frame: 24 hours

  13. Neutrophil function

    Time frame: 24 hours

  14. body temperature

    Time frame: 24 hours

  15. oxygen saturation and PaO2

    Time frame: 24 hours

  16. subjective symptoms

    Time frame: 24 hours

  17. high sensitive troponin

    Time frame: 24 hours

  18. iFABP

    Time frame: 24 hours

  19. Brain specific proteins

    Time frame: 24 hours

  20. endocan

    Time frame: 24 hours

  21. adrenomedullin

    Time frame: 24 hours

  22. EPO

    Time frame: 24 hours

  23. VEGF

    Time frame: 24 hours

  24. Heart rate variability

    Time frame: 24 hours

07

Study locations

1 site
  • Intensive Care Medicine, Radboud University Nijmegen Medical Centre
    Nijmegen, Nijmegen, Gelderland 6500 HB, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01889823
Lead sponsor
Radboud University Medical Center
Responsible party
Peter Pickkers (Prof. dr. P. Pickkers, Radboud University Medical Center) — Principal investigator
First posted
Jun 28, 2013
Start date
Jun 2013
Primary completion
Aug 2013
Completion
Dec 2014
Last update
Mar 25, 2015

Study contacts

Dorien Kiers, MD
principal investigator · Intensive Care Medicine, Radboud University Nijmegen Medical Centre
Peter Pickkers, MD,PhD
study director · Intensive Care Medicine, Radboud University Nijmegen Medical Centre

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.

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