ClinicalTrials.gg
RecruitingNCT07574333EFIRUpdated May 7, 2026

Effects of Short and Long Courses of Intermittent Hypoxic-Hyperoxic Training in Patients With Type 2 Diabetes Including Elderly

An interventional study of Intermittent Hypoxic-Hyperoxic Training (3 days) and Intermittent Hypoxic-Hyperoxic Training (10 days) in Type 2 Diabetes Mellitus (T2DM), Hyperglycemia and Metabolic Syndrome, sponsored by National Medical Research Center for Therapy and Preventive Medicine. Recruiting at 1 site in Russia. Open to participants aged 50 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-05-07.

Sponsored by National Medical Research Center for Therapy and Preventive Medicine · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Oct 2025, registered Feb 2026).
  • Started Oct 2025; still recruiting 1 year later.
Phase
Not applicable
Study type
Interventional
Enrollment
250
Allocation
Randomized
Ages
50 Years to 74 Years
Sex
All
01

Study summary

This is a single-center randomized controlled trial evaluating the efficacy and safety of short (3 days) versus long (10 days) courses of intermittent hypoxic-hyperoxic training (IHHT) in patients with type 2 diabetes mellitus aged 50-74 years. Participants will be randomized into three groups: 3-day IHHT course (n≥100), 10-day IHHT course (n≥100), or control group receiving gas mixture with constant O2 21% for 10 days (n≥50). The primary outcomes are fasting glucose levels and HbA1c. Secondary outcomes include cardiovascular parameters, quality of life, cognitive function, and biological age.

02

Conditions studied

  • Type 2 Diabetes Mellitus (T2DM)
  • Hyperglycemia
  • Metabolic Syndrome
  • Older Adults (65 Years and Older)

Keywords

  • Intermittent hypoxic-hyperoxic training
  • T2DM
  • Type 2 Diabetes Mellitus
  • Glycemic control
  • Elderly patients
  • Non-pharmacological intervention
  • Hypoxia conditioning
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 250 is above the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

National Medical Research Center for Therapy and Preventive Medicine is the lead sponsor of 29 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
50 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age 50-74 years inclusive
  • Type 2 diabetes mellitus confirmed by medical documentation
  • Stable therapy for diabetes and other chronic diseases for at least 4 weeks prior to enrollment
  • Ability to comply with study protocol requirements
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes mellitus
  • Acute diabetes complications within 6 months (diabetic ketoacidosis, hyperosmolar hyperglycemic state, lactic acidosis, hypoglycemic coma)
  • Acute or active chronic infections
  • Angina pectoris functional class III-IV
  • Uncontrolled grade 3 arterial hypertension (SBP ≥180 and/or DBP ≥110 mmHg)
  • Acute cerebrovascular accident, myocardial infarction, surgical interventions, injuries within 6 months
  • Internal carotid artery stenosis >60% and/or symptomatic stenosis 50-99%
  • and bronchial asthma
  • Exacerbation and decompensation of chronic diseases within 1 month and/or AST levels >2-3 times
  • Congenital heart and major vessel abnormalities
  • Implanted cardiac pacemaker
  • Cancer with remission \<5 years
  • Mental illness, drug addiction, alcohol dependence
  • Pregnancy
  • Inability to participate throughout the study period
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
250 participants (estimated)

Study arms

  • Experimental
    Arm 1: Short Course IHHT (3 days)

    Participants receive 3 consecutive daily sessions of IHHT (24 minutes each, 3 cycles of 5-min hypoxia/3-min hyperoxia, target SpO2 80-85%)

    Other: Intermittent Hypoxic-Hyperoxic Training (3 days)

  • Experimental
    Arm 2: Long Course IHHT (10 days)

    Participants receive 10 daily sessions of IHHT (40 minutes each, 5 cycles of 5-min hypoxia/3-min hyperoxia, target SpO2 80-85%, excluding weekends and holidays)

    Other: Intermittent Hypoxic-Hyperoxic Training (10 days)

  • Sham comparator
    Arm 3: Control

    Participants receive 10 daily sessions of breathing gas mixture with constant O2 21% for 40 minutes (excluding weekends and holidays)

    Other: Normoxic gas breathing

Interventions

  • OtherIntermittent Hypoxic-Hyperoxic Training (3 days)

    Three daily sessions using HYPO-OXY-1 (OXYTERRA) device

  • OtherIntermittent Hypoxic-Hyperoxic Training (10 days)

    Ten daily sessions using HYPO-OXY-1 (OXYTERRA) device

  • OtherNormoxic gas breathing

    Ten daily sessions of breathing gas mixture with constant O2 21%

06

What researchers measure

Primary outcomes

  1. Change in fasting glucose level (mmol/L) from baseline to 30±3 days after intervention completion

    Fasting glucose will be measured after 8-12 hours of fasting using immunoturbidimetric method (Architect 8000C analyzer)

    Time frame: Baseline, day 30

  2. Change in HbA1c (%) from baseline to 30±3 days after intervention completion

    HbA1c will be measured using high-performance liquid chromatography (HPLC) on Lifotronic H8 analyzer

    Time frame: Baseline, day 30

Secondary outcomes

  1. Change in Cardio-Ankle Vascular Index (CAVI)

    Time frame: Baseline, day 17-19, day 30

  2. Change in flow-mediated vasodilation (%)

    Time frame: Baseline, day 17-19, day 30 post-intervention

  3. Change in 24-hour ambulatory blood pressure

    Time frame: Baseline and 30±3 days post-intervention

  4. Change in quality of life by SF-36

    SF-36 is a 36-item patient-reported survey measuring health-related quality of life across 8 domains. Each domain is scored on a 0-100 scale, where higher scores indicate better quality of life.

    Time frame: Baseline, day 17-19, and 30±3 days post-intervention

  5. Change in cognitive function by MoCA scale

    Montreal Cognitive Assessment scores range from 0-30, with scores ≥26 considered normal cognitive function

    Time frame: Baseline, day 17-19, and 30±3 days post-intervention

  6. Change in anxiety and depression by HADS

    Hospital Anxiety and Depression Scale assesses anxiety and depression separately, each scored 0-21, with higher scores indicating greater symptom severity

    Time frame: Baseline, day 17-19, and 30±3 days post-intervention

  7. Change in biological age

    Time frame: Baseline and 30±3 days post-intervention

  8. Change in 6-minute walk test distance (meters)

    Time frame: Baseline and 30±3 days post-intervention

07

Study locations

1 of 1 sites recruiting
  • National Medical Research Center for Therapy and Preventive Medicine
    Moscow, Russia
    Recruiting
    • Oksana Drapkina · Contact+7 (495) 212-07-13
08

References and documents

Publications

  • Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, McCormack MC, Carlin BW, Sciurba FC, Pitta F, Wanger J, MacIntyre N, Kaminsky DA, Culver BH, Revill SM, Hernandes NA, Andrianopoulos V, Camillo CA, Mitchell KE, Lee AL, Hill CJ, Singh SJ. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J. 2014 Dec;44(6):1428-46. doi: 10.1183/09031936.00150314. Epub 2014 Oct 30. PubMed 25359355 ↗
  • Levine ME, Lu AT, Quach A, Chen BH, Assimes TL, Bandinelli S, Hou L, Baccarelli AA, Stewart JD, Li Y, Whitsel EA, Wilson JG, Reiner AP, Aviv A, Lohman K, Liu Y, Ferrucci L, Horvath S. An epigenetic biomarker of aging for lifespan and healthspan. Aging (Albany NY). 2018 Apr 18;10(4):573-591. doi: 10.18632/aging.101414. PubMed 29676998 ↗
  • Moore HM, Kelly A, Jewell SD, McShane LM, Clark DP, Greenspan R, Hainaut P, Hayes DF, Kim P, Mansfield E, Potapova O, Riegman P, Rubinstein Y, Seijo E, Somiari S, Watson P, Weier HU, Zhu C, Vaught J. Biospecimen Reporting for Improved Study Quality. Biopreserv Biobank. 2011 Apr;9(1):57-70. doi: 10.1089/bio.2010.0036. PubMed 21826252 ↗
  • Chernyavsky M.A., Irtyuga O.B., Yanishevsky S.N., Alieva A.S., Samochernykh K.A., Abramov K.B., Vavilova T.V., Lukyanchikov V.A., Kurapeev D.I., Vanyurkin A.G., Chernova D.V., Shelukhanov N.K., Kozlyonok А.V., Kavteladze Z.A., Malevanny M.V., Vinogradov R.A., Khafizov T.N., Ivanova G.E., Zhukovskaya N.V., Fokin A.A., Ignatiev I.M., Karpenko A.A., Ignatenko P.V., Astapov D.A., Semenov V.Yu., Porkhanov V.A., Krylov V.V., Usachev D.Yu., Svetlikov A.V., Alekyan B.G., Akchurin R.S., Chernyavsky A.M., Konradi A.O., Shlyakhto E.V. Russian consensus statement on the diagnosis and treatment of patients with carotid stenosis. Russian Journal of Cardiology. 2022;27(11):5284. (In Russ.) https://doi.org/10.15829/1560-4071-2022-5284
  • Dedov II, Shestakova MV, Sukhareva OY, editors. Standards of specialized diabetes care. 12th edition. Moscow; 2025
  • Serebrovska TV, Grib ON, Portnichenko VI, Serebrovska ZO, Egorov E, Shatylo VB. Intermittent Hypoxia/Hyperoxia Versus Intermittent Hypoxia/Normoxia: Comparative Study in Prediabetes. High Alt Med Biol. 2019 Dec;20(4):383-391. doi: 10.1089/ham.2019.0053. Epub 2019 Oct 7. PubMed 31589074 ↗
09

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

Started Oct 2025 (actual). Primary completion is estimated for Jun 2027, 20 months after the start.

Of 2,066 non-industry interventional studies with no phase under Diabetes Mellitus, Type 2, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's planned 20 months is close to that.

Counting every sponsor, half of 2,243 studies reached it within 21 months; a quarter within 10 and three quarters within 39.

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

Registered
Feb 21, 2026
First posted
May 7, 2026
StartActual
Oct 15, 2025
Primary completionEst.
Jun 15, 2027
CompletionEst.
Dec 15, 2027
Last update
May 7, 2026
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 May 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07574333
Lead sponsor
National Medical Research Center for Therapy and Preventive Medicine
Responsible party
Sponsor
First posted
May 7, 2026
Start date
Oct 15, 2025
Primary completion
Jun 15, 2027 (estimated)
Completion
Dec 15, 2027 (estimated)
Last update
May 7, 2026

Study contacts

Mikhail G Chashchin, PhD
Contact
dr.chaschin@gmail.com
+79774331118
Marina I Smirnova, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Svetlana A Berns, MD, Prof.
study chair · National Medical Research Center for Therapy and Preventive Medicine
Oksana M Drapkina, MD, Prof.
principal investigator · National Medical Research Center for Therapy and Preventive Medicine
Alexandr Yu Gorshkov, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Mikhail G Chashchin, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Liubov Lifanova, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Andrey I Korolev, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Diana N Antipushina, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Lidia N Ryuzhakova, PhD
study chair · National Medical Research Center for Therapy and Preventive Medicine
Elena N Ignatikova
study chair · National Medical Research Center for Therapy and Preventive Medicine
Svetlava Voinova
study chair · National Medical Research Center for Therapy and Preventive Medicine
Olga Zhdanova
study chair · National Medical Research Center for Therapy and Preventive Medicine
Ailina M Zhulaushinova
study chair · National Medical Research Center for Therapy and Preventive Medicine
Alexandr V Emelyanov
study chair · National Medical Research Center for Therapy and Preventive Medicine

Oversight

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

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