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CompletedNCT06357104Updated Apr 10, 2024

Detoxification From the Lipid Tract

A Phase 4 interventional study of electroencephalogram biofeedback and electrical brain stimulation in COVID-19 Vaccine Adverse Reaction, sponsored by Pachankis, Yang I., M.D.. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-10.

Sponsored by Pachankis, Yang I., M.D. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Apart from electroencephalogram biofeedback and electrical brain stimulation adopted for maintenance treatment, the study utilizes ultra-low frequency transcranial magnetic stimulation (ULF-TMS) for initial γ-aminobutyric acid (GABA) stimulation. The cocktail therapy starts after the primary efficacy endpoint, and concomitant therapy is adopted throughout the study.

Read the detailed description

It was tested that GABA, in the joint action with topiramate, modulates macrophage activities by modulating cholesterol-metabolism associated molecules. GABA A receptors exhibit highly dynamic trafficking and cell surface mobility and influence on post-endocytic effects. Benzodiazepines (BZDs) exercise the mechanism of action by facilitating the binding of the inhibitory neurotransmitter GABA at various GABA receptors throughout the central nervous system (CNS). Alprazolam, a type of BZD, was tested by Al-Tubuly, Aburawi, Alghzewi, Gorash and Errwami in joint action with water-soluble beta blocker atenolol, in comparison with the non-selective β-adrenoceptor antagonist propranolol on the pharmacological effects on depression. The study hypothesizes that by replacing the water-soluble beta blocker to lipid-soluble one metoprolol, the effect of detoxification from the lipid and sebaceous immunobiological pathways can be achieved by the clathrin-dependent endocytosis process.

Even though partial progress was made in the NCT05839236 trial by statin therapies, the therapeutic effects have not been lasting nor significant. The study develops from the previous protocol for a cocktail therapy by the joint mechanism of actions of alprazolam, metoprolol, and pravastatin sodium for the detoxification process.

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Conditions studied

  • COVID-19 Vaccine Adverse Reaction

Keywords

  • sebaceous immunobiology
  • lipid
  • depression
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In context

Lead sponsor

This is the only study on the registry with Pachankis, Yang I., M.D. as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • People who received full doses of COVID-19 vaccines.

Exclusion criteria

Exclusion Criteria:

  • Women during pregnancy.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    GABA Cocktail

    Device: electroencephalogram biofeedback · Device: electrical brain stimulation · Device: ultra-low frequency transcranial magnetic stimulation · Drug: Sertraline Hydrochloride · Drug: Clonazepam · Drug: Alprazolam · Drug: Metoprolol · Drug: Olanzapine · Drug: Pravastatin Sodium 20 MG · Drug: Sacubitril Valsartan Sodium Hydrate

Interventions

  • Deviceelectroencephalogram biofeedback

    EB is conducted for 20 minutes per section with two sections per day in the primary efficacy endpoint.

    Also known as: EB

  • Deviceelectrical brain stimulation

    EBS is conducted for 20 minutes per section per day in the primary efficacy endpoint.

    Also known as: EBS

  • Deviceultra-low frequency transcranial magnetic stimulation

    ULF-TMS is conducted mainly for the left side of the participant's brain for 20 minutes per section per day in the primary efficacy endpoint.

    Also known as: ULF-TMS

  • DrugSertraline Hydrochloride

    Sertraline is taken in the morning for 150 mg per day.

    Also known as: SSRI

  • DrugClonazepam

    Clonazepam is taken in the morning for 1 mg per day.

  • DrugAlprazolam

    Alprazolam is introduced near the end of the primary efficacy endpoint for 0.4 mg per night.

  • DrugMetoprolol

    Metoprolol is introduced at the secondary efficacy endpoint starting with 47.5 mg per night and increase to 95 mg per night.

    Also known as: beta blocker

  • DrugOlanzapine

    Olanzapine is taken throughout the trial with 7.5 mg per night at first, and increases to 10 mg per night after the cocktail therapy.

  • DrugPravastatin Sodium 20 MG

    Pravastatin sodium is introduced in the secondary efficacy endpoint with 20 mg per night.

  • DrugSacubitril Valsartan Sodium Hydrate

    Sacubitril valsartan sodium is introduced in the secondary efficacy endpoint with 100 mg per day.

    Also known as: ARNI

06

What researchers measure

Primary outcomes

  1. Changes in Leukocyte and Components' Quantities

    All white blood cells are evaluated.

    Time frame: 24 days

  2. Changes in Leukocyte Components' Ratios

    All white blood cells are evaluated.

    Time frame: 24 days

  3. Quantity Changes in Megakaryocyte-Erythroid Progenitor

    Time frame: 24 days

  4. Changes in Hemoglobin Distribution

    Time frame: 24 days

  5. Changes in Mean Corpuscular Hemoglobin

    Time frame: 24 days

  6. Changes in Hematocrit

    Time frame: 24 days

  7. Changes in Plateletcrit

    Time frame: 24 days

  8. Red cell Distribution Width Coefficient of Variation

    Time frame: 24 days

  9. Changes in Particulate Matter Sizes

    Time frame: 24 days

  10. Changes in Total Lipid Quantities

    Time frame: 24 days

  11. Changes in Apolipoproteina

    Time frame: 24 days

  12. Changes in Lipoprotein (a)

    Time frame: 24 days

Secondary outcomes

  1. Blood Pressure Changes

    Recorded systolic and diastolic blood pressures' changes before and after medication each day.

    Time frame: 24 days

  2. Heart Rate Changes

    Heart rate changes before and after medication each day.

    Time frame: 24 days

07

Study locations

1 site
  • Residential Address
    Chongqing, Chongqing 402762, China
08

References and documents

Publications

  • Kim H, Nobeyama T, Honda S, Yasuda K, Morone N, Murakami T. Membrane fusogenic high-density lipoprotein nanoparticles. Biochim Biophys Acta Biomembr. 2019 Oct 1;1861(10):183008. doi: 10.1016/j.bbamem.2019.06.007. Epub 2019 Jun 15. PubMed 31207206 ↗
  • Zhao M, Luo Z, He H, Shen B, Liang J, Zhang J, Ye J, Xu Y, Wang Z, Ye D, Wang M, Wan J. Decreased Low-Density Lipoprotein Cholesterol Level Indicates Poor Prognosis of Severe and Critical COVID-19 Patients: A Retrospective, Single-Center Study. Front Med (Lausanne). 2021 May 26;8:585851. doi: 10.3389/fmed.2021.585851. eCollection 2021. PubMed 34124081 ↗
  • Glebov OO. Understanding SARS-CoV-2 endocytosis for COVID-19 drug repurposing. FEBS J. 2020 Sep;287(17):3664-3671. doi: 10.1111/febs.15369. Epub 2020 Jun 2. PubMed 32428379 ↗
  • Pachankis YI. Plausibility Review on Lipoprotein (A) Infection Path of S2 Autoimmune Pathogen. Global Journal of Medical Research. 2023;23(3)(C):5-11.
  • Yang Y, Lian YT, Huang SY, Yang Y, Cheng LX, Liu K. GABA and topiramate inhibit the formation of human macrophage-derived foam cells by modulating cholesterol-metabolism-associated molecules. Cell Physiol Biochem. 2014;33(4):1117-29. doi: 10.1159/000358681. Epub 2014 Apr 9. PubMed 24733016 ↗
  • Lombardi JP, Kinzlmaier DA, Jacob TC. Visualizing GABA A Receptor Trafficking Dynamics with Fluorogenic Protein Labeling. Curr Protoc Neurosci. 2020 Jun;92(1):e97. doi: 10.1002/cpns.97. PubMed 32364672 ↗
  • Griffin CE 3rd, Kaye AM, Bueno FR, Kaye AD. Benzodiazepine pharmacology and central nervous system-mediated effects. Ochsner J. 2013 Summer;13(2):214-23. PubMed 23789008 ↗
  • Al-Tubuly R, Aburawi S, Alghzewi E, Gorash Z, Errwami S. The effect of sympathetic antagonists on the antidepressant action of alprazolam. Libyan J Med. 2008 Jun 1;3(2):78-83. doi: 10.4176/080101. PubMed 21499463 ↗
  • Hunninghake D, Wallace RB, Reiland S, Barrett-Connor E, Wahl P, Hoover J, Heiss G. Alterations of plasma lipid and lipoprotein levels associated with benzodiazepine use--the LRC Program Prevalence Study. Atherosclerosis. 1981 Oct;40(2):159-65. doi: 10.1016/0021-9150(81)90034-4. PubMed 6118165 ↗
  • McGrath M, Hoyt H, Pence A, Forman SA, Raines DE. Selective actions of benzodiazepines at the transmembrane anaesthetic binding sites of the GABAA receptor: In vitro and in vivo studies. Br J Pharmacol. 2021 Dec;178(24):4842-4858. doi: 10.1111/bph.15662. Epub 2021 Sep 26. PubMed 34386973 ↗
  • Mascarenhas FNADP, Silva NF, Menezes-Reis LT, Vieira LG, Hirano LQL, Botelho FV, Ribeiro DL, Zanon RG. Prenatal effects of alprazolam treatment on the immature cerebellum of rats. Int J Dev Neurosci. 2022 Dec;82(8):727-735. doi: 10.1002/jdn.10222. Epub 2022 Aug 5. PubMed 35916248 ↗
  • Elgarf AA, Siebert DCB, Steudle F, Draxler A, Li G, Huang S, Cook JM, Ernst M, Scholze P. Different Benzodiazepines Bind with Distinct Binding Modes to GABAA Receptors. ACS Chem Biol. 2018 Aug 17;13(8):2033-2039. doi: 10.1021/acschembio.8b00144. Epub 2018 Jul 23. PubMed 29767950 ↗
  • Pachankis YI. Adrenaline Intolerance in ASD Curing From Autoimmune Pathogens - Sebaceous Immunobiology in Autoimmune Pathogen Research. Biomedical Review: Journal of Basic and Applied Medical Sciences. 2023;10(1):8-14.
  • Kottyan LC, Collier AR, Cao KH, Niese KA, Hedgebeth M, Radu CG, Witte ON, Khurana Hershey GK, Rothenberg ME, Zimmermann N. Eosinophil viability is increased by acidic pH in a cAMP- and GPR65-dependent manner. Blood. 2009 Sep 24;114(13):2774-82. doi: 10.1182/blood-2009-05-220681. Epub 2009 Jul 29. PubMed 19641187 ↗
  • Petersen OH, Gerasimenko OV, Gerasimenko JV. Endocytic uptake of SARS-CoV-2: the critical roles of pH, Ca2+, and NAADP. Function (Oxf). 2020 Jun 5;1(1):zqaa003. doi: 10.1093/function/zqaa003. eCollection 2020. No abstract available. PubMed 38626245 ↗
  • Cao Z, Zhao M, Sun H, Hu L, Chen Y, Fan Z. Roles of mitochondria in neutrophils. Front Immunol. 2022 Aug 19;13:934444. doi: 10.3389/fimmu.2022.934444. eCollection 2022. PubMed 36081497 ↗
  • Fox S, Leitch AE, Duffin R, Haslett C, Rossi AG. Neutrophil apoptosis: relevance to the innate immune response and inflammatory disease. J Innate Immun. 2010;2(3):216-27. doi: 10.1159/000284367. Epub 2010 Feb 11. PubMed 20375550 ↗
  • Parihar A, Eubank TD, Doseff AI. Monocytes and macrophages regulate immunity through dynamic networks of survival and cell death. J Innate Immun. 2010;2(3):204-15. doi: 10.1159/000296507. Epub 2010 Mar 16. PubMed 20375558 ↗
  • Salih RQ, Salih GA, Abdulla BA, Ahmed AD, Mohammed HR, Kakamad FH, Salih AM. False-positive HIV in a patient with SARS-CoV-2 infection; a case report. Ann Med Surg (Lond). 2021 Nov;71:103027. doi: 10.1016/j.amsu.2021.103027. Epub 2021 Nov 6. PubMed 34777794 ↗
  • Robinson MA, Nagurla SR, Noblitt TR, Almaghlouth NK, Al-Rahamneh MM, Cashin LM. Falsely positive fourth generation ADVIA Centaur(R) HIV Antigen/Antibody Combo assay in the presence of autoimmune hepatitis type I (AIH). IDCases. 2020 Jun 25;21:e00886. doi: 10.1016/j.idcr.2020.e00886. eCollection 2020. PubMed 32642434 ↗

Study documents

  • Protocol and informed consent form · Mar 7, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — IPD will be shared on Zenodo repository.

Supporting information: Study protocol, Icf

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2024, 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
NCT06357104
Lead sponsor
Pachankis, Yang I., M.D.
Collaborators
First Affiliated Hospital of Chongqing Medical University
Responsible party
Sponsor
First posted
Apr 10, 2024
Start date
Feb 26, 2024
Primary completion
Mar 14, 2024
Completion
Mar 20, 2024
Last update
Apr 10, 2024

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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