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Status unknownNCT03540914Updated Mar 10, 2023

Effect of Acetazolamide on Right Heart Function at Rest in Lowlanders Older Than 40 Years at Altitude.

A Phase 4 interventional study of ACETAZOLAMIDE oral capsule and Placebo oral capsule in Altitude Hypoxia, sponsored by University of Zurich. Status unknown at 1 site in Kyrgyzstan. Open to participants aged 40 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-10.

Sponsored by University of Zurich · Phase 4, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Mar 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
01

Study summary

Randomized, placebo controlled trial evaluating efficacy of acetazolamide on right heart function at rest in lowlanders older than 40 years travelling from 760 m to 3'100 m.

Read the detailed description

This is a randomized, placebo-controlled, double-blind parallel trial evaluating the efficacy of preventive acetazolamide intake on right heart function at rest in lowlanders older than 40 years travelling to altitude. Participants living in the Bishkek area, Kyrgyzstan (760m), will be transferred by car within 4h to the Tuja Ashu high altitude clinic (3'100 m), and stay there for 2 days. Acetazolamide 375mg/day (or placebo), will be administered before departure at 760 m and during the stay at altitude. Outcomes will be assessed during the stay at 3'100 m.

An interim analysis will be carried out when 200 participants will have completed the study and/or after the first year. The Peto's method will be used and the trial will be stopped when pre-specified futility boundaries were crossed.

02

Conditions studied

  • Altitude Hypoxia

Keywords

  • healthy participants older than 40 years
  • right heart function
  • prevention
  • acetazolamide
03

In context

Altitude Sickness

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

This study's planned enrollment of 400 is above the median of 33 across 157 interventional studies indexed under Altitude Sickness.

Browse Altitude Sickness studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,030 studies on the registry; 130 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy men and women, age 40-75 yrs, without any disease and need of medication.
  • Born, raised and currently living at low altitude (\<800m).
  • Written informed consent.
  • Kyrgyz ethnicity

Exclusion criteria

Exclusion Criteria:

  • Any active respiratory, cardiovascular or other disease requiring regular treatment or being otherwise relevant for tolerance of hypoxia or altitude exposure.
  • Any condition that may interfere with protocol compliance including current heavy smoking (>20 cigarettes per day or >20 pack-years with active smoking during the last 10 years), regular use of alcohol.
  • Allergy to acetazolamide and other sulfonamides.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
400 participants (estimated)

Study arms

  • Active comparator
    ACETAZOLAMIDE oral capsule

    Acetazolamide 375mg/day (capsule @125 mg: 1 in the morning, 2 in the evening), orally. Medication starts 24 hours before ascent to 3'100m until the morning after the second night at 3'100m

    Drug: ACETAZOLAMIDE oral capsule

  • Placebo comparator
    PLACEBO oral capsule

    Placebo (capsules identically looking as acetazolamide capsules: 1 in the morning, 2 in the evening), orally. Medication starts 24 hours before ascent to 3'100m until the morning after the second night at 3'100m.

    Drug: Placebo oral capsule

Interventions

  • DrugACETAZOLAMIDE oral capsule

    Administration of 1x125mg acetazolamide in the morning, 2x125mg in the evening, starting 24 hours before departure to 3'100m

  • DrugPlacebo oral capsule

    Administration of equally looking placebo capsules in the morning and evening, starting 24 hours before departure to 3'100m

06

What researchers measure

Primary outcomes

  1. Difference in change of pulmonary artery pressure evaluated by echocardiography from 760 m baseline measurement to measurement at 3100 m in the acetazolamide compared to the placebo group

    Difference in change of pulmonary artery pressure evaluated by echocardiography from 760 m baseline measurement to measurement at 3100 m between acetazolamide and placebo groups

    Time frame: Day 2 at 760m and 3100m

Secondary outcomes

  1. Difference in pulmonary artery pressure evaluated by echocardiography at 3100 m in the acetazolamide compared to the placebo group

    Difference in pulmonary artery pressure evaluated by echocardiography at 3100 m in the acetazolamide compared to the placebo group

    Time frame: Day 2 at 3100m

  2. cardiac output

    Difference in altitude-induced change of cardiac output between acetazolamide and placebo group, measured by transthoracic echocardiography

    Time frame: Day 2 at 760m and 3100m

  3. cardiac output

    Difference at altitude between acetazolamide and placebo group in cardiac output, measured by transthoracic echocardiography

    Time frame: Day 2 at 3100m

  4. right heart dimensions

    Difference in altitude-induced change of right heart dimensions between acetazolamide and placebo group, measured by transthoracic echocardiography

    Time frame: Day 2 at 760m and 3100m

  5. right heart dimensions

    Difference at altitude of right heart dimensions between acetazolamide and placebo group, measured by transthoracic echocardiography

    Time frame: Day 2 at 3100m

  6. right heart function

    Difference in altitude-induced change of right heart function between acetazolamide and placebo group, measured by transthoracic echocardiography (TAPSE)

    Time frame: Day 2 at 760m and 3100m

  7. right heart function

    Difference at altitude of right heart function between acetazolamide and placebo group, measured by transthoracic echocardiography (TAPSE)

    Time frame: Day 2 at 3100m

  8. stroke volume

    Difference in altitude-induced change of stroke volume between acetazolamide and placebo group, measured by transthoracic echocardiography

    Time frame: Day 2 at 760m and 3100m

  9. stroke volume

    Difference at altitude between acetazolamide and placebo group in stroke volume, measured by transthoracic echocardiography

    Time frame: Day 2 at 3100m

  10. volumes

    Difference in altitude-induced change of volumes between acetazolamide and placebo group, measured by transthoracic echocardiography

    Time frame: Day 2 at 760m and 3100m

  11. volumes

    Difference at altitude of volumes between acetazolamide and placebo group, measured by transthoracic echocardiography

    Time frame: Day 2 at 3100m

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Study locations

1 site
  • National Center of Cardiology and Internal Medicine
    Bishkek, 720040, Kyrgyzstan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03540914
Lead sponsor
University of Zurich
Collaborators
National Center of Cardiology and Internal Medicine named after academician M.Mirrakhimov
Responsible party
Sponsor
First posted
May 30, 2018
Start date
Jun 1, 2018
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
Mar 10, 2023

Study contacts

Konrad E Bloch, MD
study chair · University Hospital, Zürich
Talant M Sooronbaev,, MD
study director · National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan
Michael Furian, MSc
principal investigator · University Hospital, Zürich
Silvia Ulrich, MD
principal investigator · University Hospital, Zürich

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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