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CompletedNCT02233582Updated Apr 6, 2021

Effects of Non-steroidal Anti-inflammatory Drugs (NSAIDS) on Acclimatization to High Altitude

A Phase 1 interventional study of Ibuprofen and Sugar pill in High Altitude, sponsored by University of California, San Francisco. Completed at 2 sites in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-06.

Sponsored by University of California, San Francisco · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Ibuprofen is often taken by travelers to high altitude to treat the symptoms of acute mountain sickness such as headache and malaise. However, the blunting of inflammation by ibuprofen may slow the process of acclimatization to altitude, which relies on mediators of inflammation for adjustments in breathing.

The study randomizes healthy subjects to receive ibuprofen or placebo and then ascend to altitude (12,500 feet). Blood cytokines and non-invasive measurements of blood and tissue oxygen levels will be made for 48 hours at altitude. The hypothesis being tested is that subjects receiving ibuprofen will have lower blood and tissue oxygen levels after 48 hours at altitude than will placebo subjects.

Read the detailed description

The study will begin with 2 days of studies in San Francisco (sea level baseline). Measurements will include non-invasive measurements of blood and tissue oxygen and venous blood draws for cytokine levels.

The altitude part of the study involves ascent to the University of California's White Mountain Research Center Barcroft Laboratory, at 12,500 feet elevation. The subjects will remain at that altitude for at least 48 hours for measurements of oxygenation and blood cytokines.

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Conditions studied

  • High Altitude

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Keywords

  • altitude
  • mountain sickness
  • ibuprofen
  • hypoxia
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In context

Altitude Sickness

189 studies on the registry are indexed under Altitude Sickness; 44 are open to participants now.

This study's enrollment of 20 is below the median of 33 across 157 interventional studies indexed under Altitude Sickness.

Browse Altitude Sickness studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • healthy subjects The group of subjects in this experiment will be composed of healthy adult volunteers, over age 18 and under age 65, of any ethnic group, in good physical and mental health. We expect to enroll approximately 20 subjects. The ethnic groups represented will depend on the ethnicity of those who wish to be subjects, but no ethnic groups will be specifically sought after or rejected.

Exclusion criteria

Exclusion Criteria:

Subjects will be specifically excluded according to the following criteria:

  1. History of any clinically significant medical condition, particularly abnormal respiratory, cardiovascular, neurological, hematological, renal or hepatic function. A medical history and physical exam will be performed at the screening session for each subject. We will use this to determine whether the subjects are healthy and without any history of these conditions. No laboratory workup will be required
  2. Regular smokers (more than 1 cigarette or cigar per day).
  3. Currently active or recently treated systemic or serious local infection.
  4. Recent regular use of prescription medications or regular physician care for any significant medical condition.
  5. A history of high altitude pulmonary edema or high altitude cerebral edema.
  6. Recent exposure to altitude (>8000 ft) in the last month or having slept at an altitude >6000 feet in the last month.
  7. Inability to provide written informed consent or to be able to complete the experiment.
  8. Pregnancy as determined by a urine pregnancy test if subjects believe they might be pregnant
  9. Allergy to non-steroid anti-inflammatory drugs (NSAIDs) or subjects reporting history or symptoms of ulcers or other ibuprofen related contraindications discussed with the screening physician.
  10. Heavy coffee drinkers or caffeine users will be advised that they may suffer rebound headache when restricted from caffeinated beverages on measurement days, and asked to carefully consider any continuing participation in the study after abstaining from caffeine during their first sea level measurements.
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Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    ibuprofen plus ascent to high altitude

    subjects randomized to this arm will take ibuprofen 200 mg 3 times daily during ascent and at altitude.

    Drug: Ibuprofen

  • Placebo comparator
    sugar pill plus ascent to high altitude

    subjects randomized to this arm will receive the placebo

    Drug: Sugar pill

Interventions

  • DrugIbuprofen

    We are simply testing if taking ibuprofen upon ascent to altitude is associated with a delayed acclimatization response to the high altitude hypoxia.

    Also known as: motrin

  • DrugSugar pill
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What researchers measure

Primary outcomes

  1. blood cytokine levels

    venous blood sample, once a day

    Time frame: on days 1 and 2 at sea level, on arrival at altitude and daily for 2 days

  2. cerebral blood flow

    optical/non-invasive measure of frontal cortex cerebral blood flow with an FDA-approved device

    Time frame: once daily for 2 days at sea level, on arrival at altitude and once daily at altitude for 2 days

Secondary outcomes

  1. pulse oximetry

    finger pulse oximetry with an FDA approved pulse oximeter

    Time frame: once a day for 2 days at sea level, on arrival at altitude and daily for 2 days

Other outcomes

  1. cerebral oximetry

    non-invasive measurements of cerebral oxygenation with an FDA approved device

    Time frame: once daily for 2 days at sea level, on arrival at altitude and daily for 2 days

  2. acute mountain sickness inventory

    standard questionnaire concerning symptoms associated with acute mountain sickness

    Time frame: once a day at both sea level (2 days) and altitude (2 days)

07

Study locations

2 sites
  • White Mountain Research Center
    Bishop, California 95740, United States
  • UCSF Hypoxia Research Laboratory
    San Francisco, California 94143, United States
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References and documents

Individual participant data

Plan to share: Yes — Deidentified data may be shared with colleagues at other University of California campuses or affiliated academic institutions. No subject identifiers will be included.

Supporting information: Study protocol, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02233582
Lead sponsor
University of California, San Francisco
Responsible party
Sponsor
First posted
Sep 8, 2014
Start date
Sep 2014
Primary completion
Oct 2016
Completion
Jun 2017
Last update
Apr 6, 2021

Study contacts

Philip Bickler, PhD/MD
principal investigator · University of California, San Francisco
John Feiner, MD
principal investigator · University of California, San Francisco

Oversight

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

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This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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