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Autonomic Activity During Nap Under Hypoxia (NAPOXIA)

Primary Purpose

Hypoxia, Sleep, Healthy

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Normoxia
Hypoxia 1
Hypoxia 2
Sponsored by
Charite University, Berlin, Germany
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hypoxia focused on measuring Hypoxia, Sleep, Heart rate variability, Sleep architecture

Eligibility Criteria

25 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men and women
  • Age 25-45 years
  • BMI 20 - 28 kg/m^2

Exclusion Criteria:

  • Severe, manifest illnesses in need of treatment
  • Postoperative phases
  • Acute and chronic infections
  • Sleep disorders such as sleep apnea, insomnia or somnolence
  • Altitude exposure (> 2500 m asl) within 6 months before enrollment
  • Regular migraines
  • Smoking
  • Athletes
  • Significant weight change within 1 month before enrollment
  • Inability to understand significance and scope of the study
  • Drug or alcohol abuse

Sites / Locations

  • Experimental & Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

Normoxia

Hypoxia 1

Hypoxia 2

Arm Description

20.9% oxygen

15.0% oxygen

12.8% oxygen

Outcomes

Primary Outcome Measures

Heart rate variability
Mean RR interval measured by polysomnography (ms)

Secondary Outcome Measures

Heart rate variability
Mean RR interval measured by polysomnography (ms)
Sleep Efficiency (SE)
Measured by continuous polysomnography (min)
Wake After Sleep Onset (WASO)
Measured by continuous polysomnography (min)
Sleep Onset Latency (SOL)
Measured by continuous polysomnography (min)
Low Frequency / High Frequency Band
Mean LF/HF ratio measured by continuous ECG
Standard Deviation 1 / Standard Deviation 2
Mean SD1/SD2 ratio measured by continuous ECG
RR intervals longer than 50 ms
Percentage pNN50 measured by continuous ECG (%)
Core Body Temperature
Mean temperature measured by continuous double sensor monitoring (°C)
Skin Temperature
Mean temperature measured by continuous double sensor monitoring (°C)
Digit Span Task
Longest memorized digit series (n, normal range 5-9, higher is better)
Psychomotor Vigilance Task Subscale 1
Number of lapses (normal range 0-6, higher is worse)
Psychomotor Vigilance Task Subscale 2
Mean reaction time (normal range 100-500 ms, higher is worse)
Color Stroope Task Subscale 1
Number of incongruency errors (normal range 0-5, higher is worse)
Color Stroope Task Subscale 2
Congruent response time (normal range 400-500 ms, higher is worse)
Color Stroope Task Subscale 3
Incongruent response time (normal range 600-800 ms, higher is worse)
Color Stroope Task Subscale 4
Congruent accuracy (above 95% is normal, higher is better)
Color Stroope Task Subscale 5
Incongruent accuracy (above 85% is normal, higher is better)

Full Information

First Posted
October 25, 2019
Last Updated
July 7, 2022
Sponsor
Charite University, Berlin, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT04146857
Brief Title
Autonomic Activity During Nap Under Hypoxia
Acronym
NAPOXIA
Official Title
Effects of Normobaric Hypoxia on Autonomic Activity During a Nap in Healthy Adults (NAPOXIA)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
October 30, 2019 (Actual)
Primary Completion Date
December 30, 2020 (Actual)
Study Completion Date
December 30, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Charite University, Berlin, Germany

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Sleeping under hypoxic conditions can impair cognition and autonomic nervous activity. A short daytime nap can modify these changes. Here we propose a randomized, cross-over study to evaluate the heart rate variability during a 90 min nap in a normobaric hypoxic chamber. In addition, we will investigate sleep architecture, vigilance, attention and memory.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypoxia, Sleep, Healthy
Keywords
Hypoxia, Sleep, Heart rate variability, Sleep architecture

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Normoxia
Arm Type
Placebo Comparator
Arm Description
20.9% oxygen
Arm Title
Hypoxia 1
Arm Type
Active Comparator
Arm Description
15.0% oxygen
Arm Title
Hypoxia 2
Arm Type
Active Comparator
Arm Description
12.8% oxygen
Intervention Type
Other
Intervention Name(s)
Normoxia
Intervention Description
Nap in hypoxia chamber at 20.9% oxygen (36 m asl)
Intervention Type
Other
Intervention Name(s)
Hypoxia 1
Intervention Description
Nap in hypoxia chamber at 15.0% oxygen (simulates 2660 m asl)
Intervention Type
Other
Intervention Name(s)
Hypoxia 2
Intervention Description
Nap in hypoxia chamber at 12.8% oxygen (simulates 4000 m asl)
Primary Outcome Measure Information:
Title
Heart rate variability
Description
Mean RR interval measured by polysomnography (ms)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. 12.8% hypoxic condition
Secondary Outcome Measure Information:
Title
Heart rate variability
Description
Mean RR interval measured by polysomnography (ms)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. 15.0% hypoxic condition
Title
Sleep Efficiency (SE)
Description
Measured by continuous polysomnography (min)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Wake After Sleep Onset (WASO)
Description
Measured by continuous polysomnography (min)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Sleep Onset Latency (SOL)
Description
Measured by continuous polysomnography (min)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Low Frequency / High Frequency Band
Description
Mean LF/HF ratio measured by continuous ECG
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Standard Deviation 1 / Standard Deviation 2
Description
Mean SD1/SD2 ratio measured by continuous ECG
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
RR intervals longer than 50 ms
Description
Percentage pNN50 measured by continuous ECG (%)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Core Body Temperature
Description
Mean temperature measured by continuous double sensor monitoring (°C)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Skin Temperature
Description
Mean temperature measured by continuous double sensor monitoring (°C)
Time Frame
During 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Digit Span Task
Description
Longest memorized digit series (n, normal range 5-9, higher is better)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Psychomotor Vigilance Task Subscale 1
Description
Number of lapses (normal range 0-6, higher is worse)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Psychomotor Vigilance Task Subscale 2
Description
Mean reaction time (normal range 100-500 ms, higher is worse)
Time Frame
After 90 min nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Color Stroope Task Subscale 1
Description
Number of incongruency errors (normal range 0-5, higher is worse)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Color Stroope Task Subscale 2
Description
Congruent response time (normal range 400-500 ms, higher is worse)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Color Stroope Task Subscale 3
Description
Incongruent response time (normal range 600-800 ms, higher is worse)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Color Stroope Task Subscale 4
Description
Congruent accuracy (above 95% is normal, higher is better)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)
Title
Color Stroope Task Subscale 5
Description
Incongruent accuracy (above 85% is normal, higher is better)
Time Frame
After 90 minutes nap under normoxic (20.9%) vs. two hypoxic conditions (12.8 and 15%)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men and women Age 25-45 years BMI 20 - 28 kg/m^2 Exclusion Criteria: Severe, manifest illnesses in need of treatment Postoperative phases Acute and chronic infections Sleep disorders such as sleep apnea, insomnia or somnolence Altitude exposure (> 2500 m asl) within 6 months before enrollment Regular migraines Smoking Athletes Significant weight change within 1 month before enrollment Inability to understand significance and scope of the study Drug or alcohol abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anja Mähler, PhD
Organizational Affiliation
Charite University, Berlin, Germany
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Alain Riveros, MD
Organizational Affiliation
Charite University, Berlin, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Experimental & Clinical Research Center
City
Berlin
ZIP/Postal Code
13125
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Individual participant data that underlie the results of reported articles (text, tables, figures, supplemental data) will be shared after deidentification.
IPD Sharing Time Frame
Beginning 9 months and ending 36 months following article publication.
IPD Sharing Access Criteria
Researchers who provide a methodologically sound proposal.
Citations:
PubMed Identifier
35685284
Citation
Riveros-Rivera A, Penzel T, Gunga HC, Opatz O, Paul F, Klug L, Boschmann M, Mahler A. Hypoxia Differentially Affects Healthy Men and Women During a Daytime Nap With a Dose-Response Relationship: a Randomized, Cross-Over Pilot Study. Front Physiol. 2022 May 24;13:899636. doi: 10.3389/fphys.2022.899636. eCollection 2022.
Results Reference
result
Links:
URL
http://www.frontiersin.org/articles/10.3389/fphys.2022.899636/full
Description
Results publication

Learn more about this trial

Autonomic Activity During Nap Under Hypoxia

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