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CompletedNCT02493985SPACE-COTUpdated Jan 13, 2016

Studying Physiological and Anatomical Cerebral Effects of Carbon Dioxide and Tilt

A Phase 1 interventional study of 0.5% CO2 and ambient air in Healthy, sponsored by Baylor College of Medicine. Completed. Open to male participants aged 30 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-01-13.

Sponsored by Baylor College of Medicine · Phase 1, Interventional, and Diagnostic

Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Randomized
Ages
30 Years to 55 Years
Sex
Male
01

Study summary

The purpose of this study is to study the effects of carbon dioxide combined with head down tilt on cerebral physiology and anatomy. This paradigm will help establish a ground-based analog for spaceflight, and also evaluate the ability of non-invasive devices to monitor brain physiology.

Read the detailed description

Many of the long duration astronauts develop visual changes, associated with neuroophthalmological abnormalities suggesting elevated intracranial pressure. There is currently no suitable ground based analog to simulate these changes on Earth, or a standard methodological approach to monitoring the combined effects of head down tilt and atmospheric carbon dioxide. Given that carbon dioxide and cephalad fluid shifting are known factors in spaceflight, we sought to evaluate an approach to monitoring these effects in healthy subject in a ground based analog on Earth.

02

Conditions studied

  • Healthy

Keywords

  • Brain physiology
  • Intracranial pressure
  • Cognition
  • Cerebrovascular
  • Head down tilt
  • Space flight
03

In context

Lead sponsor

Baylor College of Medicine is the lead sponsor of 747 studies on the registry; 111 are open to participants now.

Of its 84 completed or terminated interventional studies of FDA-regulated products, 45 (54%) have results posted.

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

04

Who can participate

Ages eligible
30 Years to 55 Years
Sexes eligible
Male
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

  • Male
  • Ages between 30 to 55 years old
  • Body Mass Index (BMI) of 20-26 kg/m2
  • Weight between 65-85 kg
  • Height between 158-190 cm
  • Non-smoker, for at least six months before the start of the study
  • VO2 max of at least 30ml/kg/min

Exclusion criteria

Exclusion Criteria:

  • History of intracranial pressure elevation
  • History of abnormal intraocular pressure
  • Ophthalmological conditions: glaucoma, retinopathy, severe cataracts, eye trauma or implants.
  • History of diseases of the optic nerve
  • Pre-existing corneal injury
  • History of these eye surgeries: implanted lens, corneal transplant, recent (less than 6 months) LASIK surgery
  • Congenital abnormalities of the anterior chamber
  • Active eye infections, recent corneal abrasions, inflammation
  • Intraocular pressure greater than 20 mm Hg
  • Viral or bacterial eye infection Severe dry eye syndrome
  • Retinal or choroidal detachment
  • More than -6,0 dpr (high myopia)
  • More than +5,0 dpr
  • Arm or shoulder injury in the past year
  • Psychiatric conditions including major depression, bipolar disorder or severe anxiety
  • History of cerebrovascular disease including brain aneurysms, stroke, transient ischemic attack, brain hemorrhage, arteriovenous malformations History of brain tumor, congenital cysts, hydrocephalus, brain injury (requiring hospitalization)
  • Meningitis/encephalitis
  • Epilepsy
  • History of severe hypertension (> 160/90 mmHg),
  • Diabetes mellitus
  • Coronary artery disease
  • Congestive heart failure
  • Ventricular or atrial arrhythmias
  • Autonomic disorders (syncope, autoimmune neuropathy)
  • Hepatic disease
  • Renal disease
  • Chronic infections including HIV, Hepatitis B or C, Lyme disease
  • History of hematological disease including hemophilia, leukemia, thrombocytosis, thrombocytopenia, myelodysplastic syndrome, autoimmune disease (lupus, rheumatoid arthritis, Sjogren's syndrome)
  • History of malignancy except for basal cell carcinoma
  • Chronic back pain (inability to lay in bed for long periods of time)
  • Conditions that would preclude MRI including severe claustrophobia, pace maker or other metallic implants or devices
  • Sleep disturbances including: obstructive sleep apnea, narcolepsy, insomnia - Medications that exert cardiovascular, cerebrovascular or psychiatric function (i.e. beta blockers, calcium channel blockers, diuretics, diamox, sedatives) Drug, medication or alcohol abuse (regular consumption of more than 20-30 g alcohol/day)*
  • Smoking
  • VO2 max less than 30 ml/kg/min or greater than 60 ml/kg/min
  • Vegetarian, vegan
  • Migraine
  • Previous psychiatric illness
  • Hiatus hernia
  • Gastro-esophageal reflux
  • Diabetes mellitus
  • Rheumatic illness
  • Muscle or joint disorder
  • Pronounced orthostatic intolerance (\< 10 min standing)
  • Hyperlipidaemia
  • Thyroid gland disorder: deviations from normal values for TSH in plasma
  • Hyper-homocysteinaemia
  • Hyperuricaemia or hypouricaemia: deviations from normal values for uric acid in plasma.
  • Hypercalcaemia or hypocalcaemia: deviations from normal values for calcium in plasma.
  • Iron deficiency
  • Vitamin D deficiency
  • Baseline blood gas values deviating from the normal reference values
  • Elevated risk of venous thromboembolism including deep venous thrombosis, pulmonary embolism
  • Chronic back complaints
  • Participation in another clinical study within the last 3 months before start of this study
  • Criminal record
  • Stomach sleepers
  • Any other medical condition that the investigators consider a contraindication to the study procedures that would make it unsafe or confound the measurements.
05

Study design

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

Study arms

  • Active comparator
    Atmosphere 1 - Ambient air

    First, the subjects will have 1 baseline day in the upright body position. This will be followed by 28 hours of head down tilt body position and ambient air at sea level, followed by 2 hour exposure of 3% carbon dioxide inhalation.

    Other: ambient air

  • Experimental
    Atmosphere 2 - 0.5% CO2

    First, the subjects will have 1 baseline day in the upright body position. This will be followed by 28 hours of head down tilt body position and air with 0.5% carbon dioxide, followed by 2 hour exposure of 3% carbon dioxide inhalation.

    Other: 0.5% CO2

Interventions

  • Other0.5% CO2

    The subjects will be randomized to breath 0.5% carbon dioxide during one of the -12 degree head down tilt body position periods in crossover design

  • Otherambient air

    The subjects will be randomized to breath ambient air during one of the -12 degree head down tilt body position periods in crossover design

06

What researchers measure

Primary outcomes

  1. Changes in cerebral blood flow: Transcranial doppler

    Transcranial Doppler derived measurements of mean cerebral blood flow velocity

    Time frame: 24 and 48 hours from baseline measurements

  2. Changes in intracranial volume

    Cerebrotech monitor derived intracranial fluid volume changes (percentage change)

    Time frame: 24 and 48 hours from baseline measurements

  3. Changes in intracranial pressure

    Vittamed ICP meter derived intracranial pressure (mmHg)

    Time frame: 24 and 48 hours from baseline measurements

  4. Changes in cognitive function

    Cognition battery score (max 1000): tests multiple cognitive domains including spatial memory, psychomotor processing speed, facial emotional recognition

    Time frame: 24 and 48 hours from baseline measurements

  5. Changes in cerebral blood flow: cFLOW

    cFLOW derived changes in cerebral blood flow index

    Time frame: 24 and 48 hours from baseline measurements

Secondary outcomes

  1. Tolerability of combined -12 head down tilt and 0.5% carbon dioxide

    Assess safety outcomes: tolerance of condition through duration of study and number of adverse events

    Time frame: Within 48 hours from baseline

  2. Changes in intraocular pressure

    iCare derived intraocular pressure measurements from both eyes (mmHg)

    Time frame: 24 and 48 hours from baseline measurements

  3. Changes in pulmonary mechanics

    minute ventilation, respiratory rate and vital capacity

    Time frame: 24 and 48 hours from baseline measurements

  4. Changes in internal jugular vein volumes

    Ultrasound derived measure of right internal jugular vein cross sectional areas

    Time frame: 48 hours from baseline measurements

  5. Changes in peripheral arterial vasoreactivity

    Ultrasound Doppler Measurement of arterial diameter and flow (cm/sec) after transient cuff occlusion of brachial artery

    Time frame: 48 hours from baseline measurements

  6. Changes in cardiac hemodynamics

    Assessment of cardiac output, stroke volume, heart rate, blood pressure

    Time frame: 48 hours from baseline measurements

  7. Changes in olfactory threshold

    Sniffin' sticks threshold testing for phenyethyl alcohol

    Time frame: 24 and 48 hours from baseline measurement

  8. Changes in pulmonary gas exchange

    changes in arterial pH and partial pressure CO2

    Time frame: 24 and 48 hours from baseline measurements

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2015, a primary completion of Jul 2015 and a completion of Jul 2015. It does not say whether these dates are actual or estimated.

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

Registered
Jun 27, 2015
First posted
Jul 10, 2015
Start
Jun 2015
Primary completionActual
Jul 2015
CompletionActual
Jul 2015
Last update
Jan 13, 2016
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 Jan 13, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02493985
Collaborators
National Space Biomedical Research Institute, DLR German Aerospace Center, The University of Texas Health Science Center, Houston, University of Pennsylvania, Harvard University, University of Cologne
Responsible party
Eric Michael Bershad (Assistant Professor of Neurology and Space Medicine, Baylor College of Medicine) — Principal investigator
First posted
Jul 10, 2015
Start date
Jun 2015
Primary completion
Jul 2015
Completion
Jul 2015
Last update
Jan 13, 2016

Oversight

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

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