- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06357104
Detoxification From the Lipid Tract
Detoxification From the Lipid Tract by Cocktail Design
Study Overview
Status
Conditions
Intervention / Treatment
- 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
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.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Chongqing
-
Chongqing, Chongqing, China, 402762
- Residential Address
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- People who received full doses of COVID-19 vaccines.
Exclusion Criteria:
- Women during pregnancy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: GABA Cocktail
|
EB is conducted for 20 minutes per section with two sections per day in the primary efficacy endpoint.
Other Names:
EBS is conducted for 20 minutes per section per day in the primary efficacy endpoint.
Other Names:
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.
Other Names:
Sertraline is taken in the morning for 150 mg per day.
Other Names:
Clonazepam is taken in the morning for 1 mg per day.
Alprazolam is introduced near the end of the primary efficacy endpoint for 0.4 mg per night.
Metoprolol is introduced at the secondary efficacy endpoint starting with 47.5 mg per night and increase to 95 mg per night.
Other Names:
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.
Pravastatin sodium is introduced in the secondary efficacy endpoint with 20 mg per night.
Sacubitril valsartan sodium is introduced in the secondary efficacy endpoint with 100 mg per day.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Leukocyte and Components' Quantities
Time Frame: 24 days
|
All white blood cells are evaluated.
|
24 days
|
|
Changes in Leukocyte Components' Ratios
Time Frame: 24 days
|
All white blood cells are evaluated.
|
24 days
|
|
Quantity Changes in Megakaryocyte-Erythroid Progenitor
Time Frame: 24 days
|
24 days
|
|
|
Changes in Hemoglobin Distribution
Time Frame: 24 days
|
24 days
|
|
|
Changes in Mean Corpuscular Hemoglobin
Time Frame: 24 days
|
24 days
|
|
|
Changes in Hematocrit
Time Frame: 24 days
|
24 days
|
|
|
Changes in Plateletcrit
Time Frame: 24 days
|
24 days
|
|
|
Red cell Distribution Width Coefficient of Variation
Time Frame: 24 days
|
24 days
|
|
|
Changes in Particulate Matter Sizes
Time Frame: 24 days
|
24 days
|
|
|
Changes in Total Lipid Quantities
Time Frame: 24 days
|
24 days
|
|
|
Changes in Apolipoproteina
Time Frame: 24 days
|
24 days
|
|
|
Changes in Lipoprotein (a)
Time Frame: 24 days
|
24 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Blood Pressure Changes
Time Frame: 24 days
|
Recorded systolic and diastolic blood pressures' changes before and after medication each day.
|
24 days
|
|
Heart Rate Changes
Time Frame: 24 days
|
Heart rate changes before and after medication each day.
|
24 days
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Petersen OH, Gerasimenko OV, Gerasimenko JV. Endocytic uptake of SARS-CoV-2: the critical roles of pH, Ca2+, and NAADP. Function. 2020;1(1). DOI: 10.1093/function/zqaa003
- 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.
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Adrenergic beta-Antagonists
- Adrenergic Antagonists
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Antihypertensive Agents
- Central Nervous System Depressants
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Antimetabolites
- Antiemetics
- Gastrointestinal Agents
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Antipsychotic Agents
- Tranquilizing Agents
- Psychotropic Drugs
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Serotonin Agents
- Antidepressive Agents
- Hypnotics and Sedatives
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Anticonvulsants
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Sympatholytics
- Adrenergic beta-1 Receptor Antagonists
- Selective Serotonin Reuptake Inhibitors
- Olanzapine
- Sertraline
- Valsartan
- Pravastatin
- Metoprolol
- Sacubitril and valsartan sodium hydrate drug combination
- Alprazolam
- Clonazepam
Other Study ID Numbers
- SCI-CT-0001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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