ClinicalTrials.gg
CompletedNCT01925729Updated Feb 7, 2020

TransMEM Gas Exchange -- Project 1, Aim 2

A Phase 1 interventional study of ragweed and histamine in Middle Ear Disease and Nasal Allergy, sponsored by Cuneyt M. Alper. Completed at 1 site in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-07.

Sponsored by Cuneyt M. Alper · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 300 studies in Hypersensitivity with a site in United States — 32 open to participants now, 40 under way, 1 of them phase 3. Hypersensitivity · United States.

Enrollment
88th of 220
84 · median 60
Started
2013
with 14 others
Phase 1
31 of 300
1 open now
Registered
158th of 300
by date

Among the 300 studies in Hypersensitivity with a site in United States, this one is the 88th largest by enrollment of the 220 interventional ones that give a count, is one of 15 that started in 2013, is one of 31 in phase 1, and was the 158th registered.

Hypersensitivity

1,055 studies on the registry are indexed under Hypersensitivity; 149 are open to participants now.

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Open to participants now

32 of the 300 studies in Hypersensitivity with a site in United States are open now. Recruiting first, the newest first:

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All 32 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 100 Hypersensitivity studies recruiting now, 37 (37%) set no upper age limit and 51 (51%) stop at 75 or younger; 55 take children under 18; 36 take healthy volunteers.

This study: 18 Years to 50 Years · all sexes · healthy volunteers too.

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02

Study summary

This study will determine if exposure to an allergy material (ragweed) or exposure to an allergic-symptom-provoking substance (histamine) and medications typically used to decongest the nose changes the rate of blood-flow in the lining of the middle-ear. Otitis media (the build-up of water-like fluid in the middle-ear airspace) may occur if the blood flow in the lining of the middle-ear is too high and may be prevented if a way could be found to lower the blood flow in persons susceptible to the disease. Middle-ear blood flow is measured indirectly by measuring the change in middle-ear pressure while a person breathes a gas mixture containing nitrous oxide ("laughing gas"). In this study, 4 groups of subjects will be entered and middle-ear pressure in persons breathing a mixture of 50% Oxygen, 50% Nitrous Oxide ("laughing gas")will be measured after exposure to one of four substances (ragweed, histamine,an oral decongestant, a decongestant nasal spray) and a fake medication (placebo) at separate test sessions. All subjects will have one set of 2 x-rays of the middle ears and mastoids. The group exposed to ragweed will require 3 study visits while the other 3 groups will have 2 study visits. From this information middle-ear blood flow will be calculated. This will help determine the relationship between what happens in the nose and what happens in the middle ear.

Read the detailed description

The set of four experiments described here is a subcomponent of one Project included in a Clinical Research Center Grant Program focused on the physiology and pathophysiology of middle-ear (ME) pressure-regulation in children and adults. These experiments are designed to measure the rate of transME mucosal (transMEM) inert gas exchange in adults and determine if nasal inflammatory reactions experimentally provoked by intranasal histamine or allergen challenge increase the rate transMEM inert gas exchange and if nasal or oral treatment with an adrenergic agonist decreases that rate. Four cohorts of 20 otherwise healthy adults will be identified and one cohort assigned to each of the four experiments. All subjects will have a x-ray in Schuller projection to estimate mastoid volume. The transMEM inert gas exchange rate is measured by repeatedly recording ME pressure by tympanometry while the subject breathes a mixture of 50%N2O/ 50%O2, and then regressing ME pressure on time and dividing the slope of the function by the estimated N2O driving gradient to yield an exchange constant. For each experiment, the transMEM N2O exchange rate is measured twice at separate visits (active and placebo). The four experimental conditions are: (1) intranasal ragweed and placebo challenges; (2) intranasal histamine and placebo challenges; (3) oral pseudoephedrine and placebo; (4) intranasal oxymetazoline and placebo. Experiments 2-4 require two visits, while Experiment 1 will require an additional visit to obtain blood for RAST testing to verify ragweed allergy. The paired exchange constants measured in each experiment will be compared for a significant difference using a Student's Paired t test and the results interpreted as supporting or refuting the possibility of modulating the transMEM N2O exchange rate by the different procedures.

03

Conditions studied

  • Middle Ear Disease
  • Nasal Allergy

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Keywords

  • middle ear
  • allergy
  • nose
04

Who can participate

Ages eligible
18 Years to 50 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

  • healthy
  • no evidence of otitis media at entry
  • bilaterally intact tympanic membranes
  • ragweed arm: history of symptomatic ragweed allergy and Class 2 positive on RAST testing with or without other allergic sensitivities by history

Exclusion criteria

Exclusion Criteria:

  • craniofacial syndrome (ef, cleft palate)
  • Use of prescription medications (except for ) in the 1 month prior to entry;
  • Use of over-the-counter allergy medication within 2 weeks before challenge (Experiments 1, 2 only);
  • Use of over-the-counter decongestants (nasal or oral) within 2 weeks before challenge (Exp 3,4 only)
  • Elevated blood pressure (>140/90);
  • Individuals with any pulmonary or cardiac problems, including asthma;
  • Individuals who are pregnant or who are planning to become pregnant during the period of study;
  • Individuals who had immunotherapy for ragweed allergy at any time (Experiment 1 only);
  • Individuals who used any experimental medication or treatment within 3 months of screening;
  • Individuals with extant unilateral or bilateral otitis media as documented by otoscopy or tympanometry;
  • Individuals with abnormally low tympanic membrane mobility, eg Type B tympanogram;
  • Individuals reporting a previous adverse experience with breathing gas mixtures containing N2O (e.g. during dental procedures);
  • Individuals who have upper respiratory ("cold") symptoms or allergic rhinitis symptoms (may be rescheduled);
  • Individuals with single or multiple allergic sensitivities by screening history (Experiment 2 only)
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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    ragweed

    ragweed -- 1000PNU intranasal spray

    Biological: ragweed

  • Experimental
    histamine

    5 mg intranasal spray

    Biological: histamine

  • Experimental
    pseudoephedrine

    pseudoephedrine -- 60 mg orally

    Drug: pseudoephedrine

  • Experimental
    oxymetazoline

    oxymetazoline 0.05% solution intranasal spray

    Drug: Oxymetazoline

Interventions

  • Biologicalragweed

    ragweed arm only

  • Biologicalhistamine

    histamine arm only

  • pseudoephedrine arm only

    Also known as: Sudafed

  • oxymetazoline arm only

    Also known as: Afrin

06

What researchers measure

Primary outcomes

  1. change in trans-middle ear N2O exchange constant

    The transMEM N2O exchange constant is the primary outcome measure and is calculated as the slope of the line relating middle-ear pressure to time (until an observable active or passive ET opening) divided by the estimated extant N2O gradient.

    Time frame: Visit 1 and Visit 2 (Visits 2 and 3 for ragweed arm) up to approximately 3 weeks

07

Study locations

1 site
  • Middle Ear Physiology Laboratory, University of PIttsburgh
    Pittsburgh, Pennsylvania 15213, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2013 to primary completion in Mar 2019, 65 months.

Of 26 phase 1 interventional studies under Hypersensitivity, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 17. This study's 65 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 8, 2013
First posted
Aug 20, 2013
StartActual
Oct 1, 2013
Primary completionActual
Mar 22, 2019
CompletionActual
Mar 22, 2019
Last update
Feb 7, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 7, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01925729
Lead sponsor
Cuneyt M. Alper
Responsible party
Cuneyt M. Alper (Professor of Otolaryngology, University of Pittsburgh) — Sponsor-investigator
First posted
Aug 20, 2013
Start date
Oct 1, 2013
Primary completion
Mar 22, 2019
Completion
Mar 22, 2019
Last update
Feb 7, 2020

Study contacts

Cuneyt M Alper, MD
principal investigator · University of Pittsburgh

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Histamine · Pseudoephedrine · Oxymetazoline

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