- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07585227
Study of the Effects of Acute Exposure to Moderate Altitude Hypoxia on Prospective Memory. (HYPRO)
Etude Des Effets d'Une Exposition aiguë à l'Hypoxie d'Altitude modérée Sur la mémoire Prospective (HYPRO)
The goal of this study is to investigate whether prospective memory, i.e., memory for delayed intentions, is impaired at moderate altitude (4,000m).
It will also allow to study the effect of air and oxygen administration during hypoxia exposure.
The main questions it aims to answer are:
- Does moderate acute hypoxia impair prospective memory ?
- If so, does air or oxygen adminsitration induce a restoration of prospective memory? Researchers will compare cognitive performance during normobaric hypoxia exposure to cognitive performance during normoxia (control situation).
Participants will:
- Session S0. Perform a battery of neuropsychological tests and questionnaires). EEG will be recorded during tests. A cheek swab will be performed.
- Sessions S1 and S2. Perform several cognitive tasks while exposed to hypoxia and to normoxia (2 different sessions, randomized order) in a normobaric chamber. These are standardized cognitive tests administered on a computer and cognitive tests embedded in a flight simulator scenario. Various questionnaires will be performed on a regular basis. Several physiological measurements will be performed continuously: EEG, ECG, SpO2 and breathing rate. Blood pressure will be measured at the beginning and at the end of hypoxia/normoxia exposure. A blood sample will also be performed. At last, participants will inhale air or oxygen through a mask while making a cognitive task in the chamber.
Přehled studie
Postavení
Podmínky
Detailní popis
Flight crew operate in a dynamic, complex, and uncertain environment that requires them to process a large amount of information from multiple sources under time pressure. To successfully carry out their mission, flight crews must therefore constantly sort, prioritize, and analyze relevant information based on the situation, which requires them to manage their cognitive resources simultaneously-at the risk of experiencing a decline in performance that could significantly compromise aviation safety.
With recent changes in the geostrategic context, the flight profiles of operational missions expose military aircraft crews and onboard operators to a greater risk of in-flight hypoxia. During an acute hypoxic episode, physiological cardiac and respiratory responses are triggered to protect the body-and particularly the brain-from oxygen deprivation. However, these mechanisms are effective only for a limited time. If normoxia is not restored, symptoms will manifest as hypoxemia worsens.
Among flight crew members, impairments in cognitive functions-particularly prospective memory-such as failing to report one's position to other aircraft or failing to retract the flaps before takeoff, are common and can lead to serious accidents. To our knowledge, the effects of hypoxic exposure on this form of memory have not yet been investigated.
Typ studie
Zápis (Odhadovaný)
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
- Jméno: Carine MALLE, PhD
- Telefonní číslo: 33 178651479
- E-mail: carine.malle@gmail.com
Studijní záloha kontaktů
- Jméno: Fabien SAUVET, MD, PhD
- E-mail: fabien.sauvet@gmail.com
Studijní místa
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Brétigny-sur-Orge, Francie, 91220
- Institut de Recherche Biomédicale des Armées
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Kontakt:
- Fabien SAUVET, MD, PhD
- E-mail: fabien.sauvet@gmail.com
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Kontakt:
- Carine MALLE, Phd
- E-mail: carine.malle@gmail.com
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-
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Healthy volunteer
- Has provided informed consent
Exclusion Criteria:
- Individuals who do not understand French
- Pregnant or breastfeeding women
- Cardiovascular risk factor
- Infectious disease within the last 4 weeks
- Chronic cardiovascular, respiratory, hematological, neurological, psychiatric, or metabolic disease
- History of epileptic seizures, convulsions, or loss of consciousness
- Individuals with migraines
- History of a bleeding disorder
- History of high blood pressure
- Current medication use (excluding contraception)
- History of episodes of altitude intolerance
- Stay at high altitude (> 3,500 m) within the last 3 months
- Anxiety score on the Hospital Anxiety and Depression (HAD) scale > 7
- Depression score on the HAD scale > 7
- Uncontrollable claustrophobia or a history of panic attacks
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Jiný
- Přidělení: Randomizované
- Intervenční model: Crossover Assignment
- Maskování: Dvojnásobek
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: Normoxia-Air + Hypoxia-Air
S1 = Normoxia exposure + air administration S2 = Hypoxia exposure + air administration
|
Normobaric hypoxia exposure (FiO2 = 12,6%, equivalent to 4,000m) during 4h
Air administration (Fi02 = 21%) through a mask during 10 minutes
Auditory oddball, visual oddball, event-based prospective memory, time-based prospective memory, n-back.
EEG, ECG, SpO2, breathing rate, eyetracking, blood pressure
A blood sample is collected for mitochondrial breathing analyses
Event-based prospective memory and time-based prospective memory.
Prepar3D flight simulator.
|
|
Experimentální: Hypoxia-Air + Normoxia-Air
S1 = Hypoxia exposure + air administration S2 = Normoxia exposure + air administration
|
Normobaric hypoxia exposure (FiO2 = 12,6%, equivalent to 4,000m) during 4h
Air administration (Fi02 = 21%) through a mask during 10 minutes
Auditory oddball, visual oddball, event-based prospective memory, time-based prospective memory, n-back.
EEG, ECG, SpO2, breathing rate, eyetracking, blood pressure
A blood sample is collected for mitochondrial breathing analyses
Event-based prospective memory and time-based prospective memory.
Prepar3D flight simulator.
|
|
Experimentální: Normoxia-O2 + Hypoxia-O2
S1 = Normoxia exposure + oxygen administration S2 = Hypoxia exposure + oxygen administration
|
Normobaric hypoxia exposure (FiO2 = 12,6%, equivalent to 4,000m) during 4h
Auditory oddball, visual oddball, event-based prospective memory, time-based prospective memory, n-back.
EEG, ECG, SpO2, breathing rate, eyetracking, blood pressure
A blood sample is collected for mitochondrial breathing analyses
Event-based prospective memory and time-based prospective memory.
Prepar3D flight simulator.
Oxygen administration (FiO2 = 100%) through a mask during 10 minutes
|
|
Experimentální: Hypoxia-O2 + Normoxia-O2
S1 = Hypoxia exposure + oxygen administration S2 = Normoxia exposure + oxygen administration
|
Normobaric hypoxia exposure (FiO2 = 12,6%, equivalent to 4,000m) during 4h
Auditory oddball, visual oddball, event-based prospective memory, time-based prospective memory, n-back.
EEG, ECG, SpO2, breathing rate, eyetracking, blood pressure
A blood sample is collected for mitochondrial breathing analyses
Event-based prospective memory and time-based prospective memory.
Prepar3D flight simulator.
Oxygen administration (FiO2 = 100%) through a mask during 10 minutes
|
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change in event-based prospective memory accuracy between hypoxia and normoxia conditions
Časové okno: Through study completion, an average of 1 month
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Accuracy (%) = Prospective memory target detection rate (number of targets correctly responded to / total number of targets presented × 100)
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Through study completion, an average of 1 month
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Spolupracovníci a vyšetřovatelé
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Onemocnění mozku
- Onemocnění centrálního nervového systému
- Nemoci nervového systému
- Nemoci dýchacích cest
- Poruchy dýchání
- Příznaky a symptomy, Respirační
- Patologické stavy, příznaky a symptomy
- Příznaky a symptomy
- Hypoxie
- Hypoxie, mozek
- Výšková nemoc
- Vyšetřovací techniky
- Manipulace se vzorkem
- Klinické laboratorní techniky
- Diagnostické techniky a postupy
- Diagnóza
- Vpichy
- Chirurgické postupy, operativní
- Anorganické chemikálie
- Prvky
- Chalcogens
- Plyny
- Kyslík
- Sběr vzorků krve
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