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Exploratory Study of Circadian Relationships Between Social Behavior, Blood Pressure and Metabolomics

5 de enero de 2020 actualizado por: Carsten Skarke, MD, University of Pennsylvania

Exploratory Study in Healthy Volunteers to Define Circadian Relationships Between Social Behavior, Blood Pressure and Metabolomics

As citizens of the information age, humans leave digital traces of behavior in their communication and movement patterns through our cell phone. The Global Positioning System (GPS) technology tracks the way persons commute to school or work or when visiting family and friends. Circadian rhythmicity describes the concept that many of the bodily functions follow a roughly 24-hour rhythm. Usually, the ability to do concentrated and focused work is best during daytime while humans rest and sleep during nighttime. The current study wishes to look for a relationship between patterns in participants' cell phone use (Android only at this point) and several of their bodily functions.

Descripción general del estudio

Estado

Terminado

Condiciones

Descripción detallada

Cell phones with internet access (so-called smartphones) represent a rich source for user activity data. Each time one places a call, sends a text message, or uses an app, a data trace is being produced which overall reflects the user's social activity and behavior. This data is called 'social sensing data'. Researchers connected this type of data to the health status of the person operating the cell phone. An example is that an outbreak of seasonal flu may lead to fewer calls and text messages among cell phone users. Thus, the social sensing data may show for example how severe an outbreak is and how fast it is spreading.

"Circadian rhythmicity" describes the concept that many of the bodily functions follow a roughly 24-hour rhythm. Usually, the ability to do concentrated and focused work is best during daytime while rest and sleep occurs during nighttime. A disturbance of this pattern, for example by regular nightshift work, may lead to an increased disease risk, such as for the cardiovascular system, the heart and blood vessels. Natural factors within a body produce our 24-hour rhythm. This rhythm is affected by outside cues such as sunlight. Jet lag is a short-term form of a disturbed 24-hour rhythm. When a person travels fast through several time zones, by plane for example from the East to the West Coast of the US, s/he arrives with a time difference of 3 hours. Upon arrival, the body runs still at East Coast time, but is exposed to the environmental cues following the West Coast time, which may make the person feel groggy and disoriented at first. Within a couple of days the body time usually adjusts and the complaints discontinue.

The current study wishes to look for a relationship between patterns in the participant's cell phone use (Android only at this point) and several of the bodily functions. As bodily functions the investigators will measure blood pressure and breakdown products (metabolites) in urine, blood and saliva samples. The investigators will collect stool samples and use swabs to collect the microbes inhabiting the mouth as well as the rectum. The investigators will also measure messenger ribonucleic acid (mRNA), messenger products of the participant's heritable information, in the blood. A cell phone application called "Ginger.io" will collect the participants' cell phone usage information. This application will also ask the participant several questions during the installation, during participation as well as at the end. Furthermore, the investigators will ask the participant about the dietary intake and habits.

The aim is to learn how the 24-hour rhythm is connected to the social activity and behavior as well as blood pressure and metabolites as markers for the health status.

Tipo de estudio

De observación

Inscripción (Actual)

6

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Pennsylvania
      • Philadelphia, Pennsylvania, Estados Unidos, 19104
        • Institute for Translational Medicine and Therapeutics (ITMAT), University of Pennsylvania

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

25 años a 35 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

Healthy volunteers

Descripción

Inclusion Criteria:

  • Volunteers must be in good health as based on medical history, physical examination, vital signs, and laboratory tests as deemed by PI;
  • Volunteers are capable of giving informed consent;
  • 25-35 years of age;
  • Own a cell phone with internet access (smartphone with Android operating system only at this point) which installs the social sensing application ginger.io;
  • Non-smoking;
  • Male subjects only if feasible during recruitment; and
  • In case female volunteers are invited to enroll: non-pregnant, female subjects must consent to a urine pregnancy test.

Exclusion Criteria:

  • Recent travel across time zones (within the past month);
  • Planned travel across time zones during the planned study activities;
  • Volunteers with irregular work hours, e.g. night shifts.
  • Use of illicit drugs;
  • Subjects, who have received an experimental drug, used an experimental medical device within 30 days prior to screening, or who gave a blood donation of ≥ one pint within 8 weeks prior to screening.
  • Subjects with any abnormal laboratory value or physical finding that according to the investigator may interfere with interpretation of the study results, be indicative of an underlying disease state, or compromise the safety of a potential subject.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Modelos observacionales: Grupo
  • Perspectivas temporales: Futuro

Cohortes e Intervenciones

Grupo / Cohorte
Study group
Healthy volunteers

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Calls and Text Messages
Periodo de tiempo: 3-4 months
Aggregate communication as behavioral features has been collected using the cell phone data streams.
3-4 months
Changes Over Time in Ambulatory Blood Pressure - Systolic Blood Pressure
Periodo de tiempo: 48 hours
Ambulatory blood pressure monitoring
48 hours
Percentage of Total Metabolites
Periodo de tiempo: 48 hours
Percentage of metabolites displaying different abundances in biosamples collected during the morning hours versus evening hours. Analysis was performed for all participants as a group.
48 hours
Mobility Radius
Periodo de tiempo: 3-4 months
The approximate radius of an imaginary circle encompassing the various locations that a user has traveled across on a particular day (in miles)
3-4 months
Calls
Periodo de tiempo: 3-4 months
Number of phone calls placed and received
3-4 months
Changes Over Time in Ambulatory Blood Pressure - Diastolic Blood Pressure
Periodo de tiempo: 48 hours
Ambulatory blood pressure monitoring
48 hours
Unanswered Calls
Periodo de tiempo: 3-4 months
The number of calls unanswered.
3-4 months
Unique Contacts
Periodo de tiempo: 3-4 months
The total number of unique individuals with whom a participant interacted through phone calls or sms messages indicating interaction diversity
3-4 months
Call Duration
Periodo de tiempo: 3-4 months
The duration of calls (made + received)
3-4 months
Text Message Length
Periodo de tiempo: 3-4 months
The total length of all sms messages (sent + received) in characters
3-4 months
Text Messages
Periodo de tiempo: 3-4 months
The number of sms messages (sent + received)
3-4 months

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Self-reported Sleep Times [Survey]
Periodo de tiempo: 3-4 months
Cell phone administered survey where participants indicated start and end of sleep times. From this the total hours of sleep per night was calculated.
3-4 months
Time Asleep
Periodo de tiempo: 3-4 months
Hours asleep per each 24 hour period measured by actigraphy
3-4 months
Physical Activity
Periodo de tiempo: 3-4 months
Difference in locomotion between wake and sleep times
3-4 months
Changes Over Time in Nutrient Intake - Energy
Periodo de tiempo: 48 hours
Nutrient intake will be measured using food photography
48 hours
Changes Over Time in Ribonucleic Acids (RNA) - ARNTL (BMAL1) Normalized to GAPDH
Periodo de tiempo: 48 hours
48 hours
Genera Displaying Different Abundances Measured During Morning Versus Evening Hours in the Oral Microbiome
Periodo de tiempo: 48 hours
Analysis was performed for all participants as a group.
48 hours
Proteins Displaying Different Abundances Measured in the Morning Versus Evening Hours
Periodo de tiempo: 48 hours
Analysis was performed for all participants as a group.
48 hours
Changes Over Time in Kidney Function
Periodo de tiempo: 48 hours
48 hours

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Colaboradores

Investigadores

  • Investigador principal: Carsten Skarke, MD, University of Pennsylvania
  • Investigador principal: Garret A FitzGerald, MD, University of Pennsylvania
  • Investigador principal: Aalim Weljie, PhD, University of Pennsylvania

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Enlaces Útiles

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de septiembre de 2014

Finalización primaria (Actual)

1 de diciembre de 2017

Finalización del estudio (Actual)

1 de diciembre de 2017

Fechas de registro del estudio

Enviado por primera vez

25 de marzo de 2014

Primero enviado que cumplió con los criterios de control de calidad

25 de septiembre de 2014

Publicado por primera vez (Estimar)

26 de septiembre de 2014

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

18 de enero de 2020

Última actualización enviada que cumplió con los criterios de control de calidad

5 de enero de 2020

Última verificación

1 de enero de 2020

Más información

Términos relacionados con este estudio

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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