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PBM Effects on Health and Well-being in Humans

Primary Purpose

Sleep Deprivation, Circadian Rhythm Disorders

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
PBM
Sponsored by
Seaborough Life Science B.V.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Sleep Deprivation

Eligibility Criteria

25 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Healthy, no chronic disease Age between 25 - 65 years. Suffer from daytime sleepiness/drowsiness and or a mild mood disturbance (ESS >5 or BDI equal to or higher than 13 but lower than 20, PSQI > 5) Participants will have to have a desk type of work and/or have 3 hours per day between 9:30 am and 12:30 at their office/home in which they could sit in front of the lamp. Exclusion Criteria: Depressive mood (BDI -II > 20) Pregnancy Menopause symptoms Drug use during the last three months known to interfere with sleep, alertness, the biological clock and/or light sensitivity (i.e. regular usage of sleep medication or stimulating substances) Use of immune suppressants. High levels of caffeine intake during a day (5 or more cups, according to https://www.voedingscentrum.nl/encyclopedie/cafeine.aspx#blok7, there are no negative effects expected from 4 caffeine products in normal adults) High alcohol intake (more than 4 for men and more than 3 for women, drinks per day) for more than 5 days in the past month, including binge drinking and heavy drinking according to https://www.niaaa.nih.gov/publications/brochures-and- fact-sheets/alcohol-facts-and-statistics. Participant is not able to refrain from using recreational drugs during the 4 weeks of the study. Shift work schedule in the 3 months prior to participation and/or planned during the 2 weeks of the study Environmental factors in everyday life that may disturb sleep and cannot be prohibited (e.g. young children, noisy environment) Travel over 2 or more time zones in the month prior to participation Travel to sunny holiday locations/wintersports 1 month before participation Personal plans that prevent them for using the intervention during 2 consecutive weeks

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    No Intervention

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    placebo

    PBM High standard

    PBM High wavelength

    PBM High pulse

    PBM High skin only

    Arm Description

    No PBM will be emitted from the device; dose: 0 J.cm-2

    A PBM high standard dose of 6.5 J.cm-2 with a wavelength of 850 nm, a pulse of 15 Hz and 8 ms and duty factor of 12%

    A PBM high dose of 6.5 J.cm-2 with a wavelength of 940 nm, a pulse of 15 Hz and 8 ms and duty factor of 12%

    A PBM high dose of 6.5 J.cm-2 with a wavelength of 850 nm, a pulse of 100 Hz and 1.2 ms and duty factor of 12%

    A PBM high standard dose of 6.5 J.cm-2 with a wavelength of 850 nm, a pulse of 15 Hz and 8 ms and duty factor of 12%, but in this case the participants will wear filtering googles which will not allow PBM from entering the eyes

    Outcomes

    Primary Outcome Measures

    Change from baseline in subjective mood after 5 and after 10 PBM sessions
    Mood VAS scale, 0-10, higher score means better
    Change from baseline in subjective drowsiness after 5 and after 10 PBM sessions
    Epworth Sleepiness Scale, 0-24, higher score means worse
    Change from baseline in depressions scale after 5 and after 10 PBM sessions
    Beck Depression Inventory Second Edition, 0-63, higher score means worse
    Change from baseline in general activation after 5 and after 10 PBM sessions
    Activation-Deactivation check list, 5-20, higher score means better
    Change from baseline in deactivation after 5 and after 10 PBM sessions
    Activation-Deactivation check list, 11-14, higher score means worse
    Change from baseline in high activation after 5 and after 10 PBM sessions
    Activation-Deactivation check list, 5-20, higher score means worse
    Change from baseline in general deactivation after 5 and after 10 PBM sessions
    Activation-Deactivation check list, 5-20, higher score means worse
    Change from baseline in subjective sleep quality scores after 5 and after 10 PBM sessions
    Pittsburgh Sleep quality scale, 0-21, higher score means worse
    Change from baseline in resting heart rate after 5 and after 10 PBM sessions
    Fitbit Versa 3
    Change from baseline in objective sleep quality scores after 5 and after 10 PBM sessions
    Fitbit Versa 3
    Change from baseline in IFN- gamma concentrations after 5 and after 10 PBM sessions
    Blood
    Change from baseline in TNF-alpha concentrations after 5 and after 10 PBM sessions
    Blood
    Change from baseline in TGF-beta1concentrations after 5 and after 10 PBM sessions
    Blood
    Change from baseline in il-1 concentrations after 5 and after 10 PBM sessions
    Blood
    Change from baseline in il-6 concentrations after 5 and after 10 PBM sessions
    Blood
    Shift from baseline in dim light melatonin onset after 5 and after 10 PBM sessions
    Saliva
    Change from baseline in cortisol levels at bedtime after 5 and after 10 PBM sessions
    Saliva
    Change from baseline in targeted metabolomics concentration after 5 and after 10 PBM sessions
    Blood

    Secondary Outcome Measures

    Full Information

    First Posted
    November 1, 2022
    Last Updated
    November 8, 2022
    Sponsor
    Seaborough Life Science B.V.
    Collaborators
    Chrono@Work B.V., University of Groningen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05619133
    Brief Title
    PBM Effects on Health and Well-being in Humans
    Official Title
    Effects and Underlying Mechanisms of Photobiomodulation (PBM) on Health and Well-Being
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 1, 2023 (Anticipated)
    Primary Completion Date
    May 31, 2023 (Anticipated)
    Study Completion Date
    May 31, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Seaborough Life Science B.V.
    Collaborators
    Chrono@Work B.V., University of Groningen

    4. Oversight

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

    5. Study Description

    Brief Summary
    The goal of this clinical study is to assess the effects of different photobiomodulation (PBM) conditions in men and women between 25 and 65 years old with daytime sleepiness/drowsiness and /or mild mood complaints but be otherwise healthy. The main question it aims to answer are: Does PBM significantly affect health and well-being? Are PBM effects wavelength dependent? Are PBM effects pulse dependent? Are the eyes needed to assert an PBM effect or is exposure only to the skin sufficient? What are the cellular, metabolic pathways underlying the systemic effects of PBM. Participants will have to: Exposed themselves 5 times per week during 2 weeks to the PBM stimuli between 9:30 and 12:30. A week before the baseline measurement, participants will have to start wearing a Fitbit Versa 3, and will have to continuously wear until the end of the study. In the afternoon of the baseline day as well as in the afternoons after 5 and 10 PBM sessions (week 1 and week 2, respectively), participants will have to go to the lab for blood withdraw. In the evening of the baseline day as well as in the evenings after 5 and 10 PBM sessions (week 1 and week 2, respectively), participants will have to collect saliva samples as well as to complete questionnaires. It will be a double-blind placebo-controlled field study with a between subject comparison.
    Detailed Description
    Five conditions (groups) will be tested: Dose (J.cm-2) Wavelength (nm) Pulse (Hz,ms) Duty factor Area Cond 1 6.5 850 15, 8 12% Skin + eyes Cond 2 6.5 940 15, 8 12% Skin + eyes Cond 3 6.5 850 100, 1 12% Skin + eyes Cond 4 0 850 15, 8 12% Skin + eyes Cond 5 6.5 850 15, 8 12% Skin

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Sleep Deprivation, Circadian Rhythm Disorders

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    placebo
    Arm Type
    No Intervention
    Arm Description
    No PBM will be emitted from the device; dose: 0 J.cm-2
    Arm Title
    PBM High standard
    Arm Type
    Experimental
    Arm Description
    A PBM high standard dose of 6.5 J.cm-2 with a wavelength of 850 nm, a pulse of 15 Hz and 8 ms and duty factor of 12%
    Arm Title
    PBM High wavelength
    Arm Type
    Experimental
    Arm Description
    A PBM high dose of 6.5 J.cm-2 with a wavelength of 940 nm, a pulse of 15 Hz and 8 ms and duty factor of 12%
    Arm Title
    PBM High pulse
    Arm Type
    Experimental
    Arm Description
    A PBM high dose of 6.5 J.cm-2 with a wavelength of 850 nm, a pulse of 100 Hz and 1.2 ms and duty factor of 12%
    Arm Title
    PBM High skin only
    Arm Type
    Experimental
    Arm Description
    A PBM high standard dose of 6.5 J.cm-2 with a wavelength of 850 nm, a pulse of 15 Hz and 8 ms and duty factor of 12%, but in this case the participants will wear filtering googles which will not allow PBM from entering the eyes
    Intervention Type
    Device
    Intervention Name(s)
    PBM
    Intervention Description
    In this study, the health benefits of the addition of NIR to the light spectrum of a desk lamp already available in the market will be investigate; Ikea Ypeperlig, to which a module with high power Lumileds NIR-Leds will be attached with beam angle of 90 degrees. They will be attached in such a way that, when the lamp is installed in the right place, a 1sr beam that covers the users face, neck and hands and lower arms on the desk with the required intensity of 5mW/cm2 of NIR at the skin surface. The device will be equipped with 3 sensors: A distance sensor connected to the driver of the NIR-leds, such that when the user leans forward or backward, the intensity of the NIR is automatically adjusted such that the intensity on the skin remains 5mW/cm2 (see figure below). a presence sensor ambient vertical lux sensor by which amount of light that enters the users' eye will be measured since it is known that these have an effect sleep, mood and performance.
    Primary Outcome Measure Information:
    Title
    Change from baseline in subjective mood after 5 and after 10 PBM sessions
    Description
    Mood VAS scale, 0-10, higher score means better
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in subjective drowsiness after 5 and after 10 PBM sessions
    Description
    Epworth Sleepiness Scale, 0-24, higher score means worse
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in depressions scale after 5 and after 10 PBM sessions
    Description
    Beck Depression Inventory Second Edition, 0-63, higher score means worse
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in general activation after 5 and after 10 PBM sessions
    Description
    Activation-Deactivation check list, 5-20, higher score means better
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in deactivation after 5 and after 10 PBM sessions
    Description
    Activation-Deactivation check list, 11-14, higher score means worse
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in high activation after 5 and after 10 PBM sessions
    Description
    Activation-Deactivation check list, 5-20, higher score means worse
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in general deactivation after 5 and after 10 PBM sessions
    Description
    Activation-Deactivation check list, 5-20, higher score means worse
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in subjective sleep quality scores after 5 and after 10 PBM sessions
    Description
    Pittsburgh Sleep quality scale, 0-21, higher score means worse
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in resting heart rate after 5 and after 10 PBM sessions
    Description
    Fitbit Versa 3
    Time Frame
    Through study completion
    Title
    Change from baseline in objective sleep quality scores after 5 and after 10 PBM sessions
    Description
    Fitbit Versa 3
    Time Frame
    Through study completion
    Title
    Change from baseline in IFN- gamma concentrations after 5 and after 10 PBM sessions
    Description
    Blood
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in TNF-alpha concentrations after 5 and after 10 PBM sessions
    Description
    Blood
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in TGF-beta1concentrations after 5 and after 10 PBM sessions
    Description
    Blood
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in il-1 concentrations after 5 and after 10 PBM sessions
    Description
    Blood
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in il-6 concentrations after 5 and after 10 PBM sessions
    Description
    Blood
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Shift from baseline in dim light melatonin onset after 5 and after 10 PBM sessions
    Description
    Saliva
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in cortisol levels at bedtime after 5 and after 10 PBM sessions
    Description
    Saliva
    Time Frame
    Baseline, after 2 weeks, after 4 weeks
    Title
    Change from baseline in targeted metabolomics concentration after 5 and after 10 PBM sessions
    Description
    Blood
    Time Frame
    Baseline, after 4 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    25 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy, no chronic disease Age between 25 - 65 years. Suffer from daytime sleepiness/drowsiness and or a mild mood disturbance (ESS >5 or BDI equal to or higher than 13 but lower than 20, PSQI > 5) Participants will have to have a desk type of work and/or have 3 hours per day between 9:30 am and 12:30 at their office/home in which they could sit in front of the lamp. Exclusion Criteria: Depressive mood (BDI -II > 20) Pregnancy Menopause symptoms Drug use during the last three months known to interfere with sleep, alertness, the biological clock and/or light sensitivity (i.e. regular usage of sleep medication or stimulating substances) Use of immune suppressants. High levels of caffeine intake during a day (5 or more cups, according to https://www.voedingscentrum.nl/encyclopedie/cafeine.aspx#blok7, there are no negative effects expected from 4 caffeine products in normal adults) High alcohol intake (more than 4 for men and more than 3 for women, drinks per day) for more than 5 days in the past month, including binge drinking and heavy drinking according to https://www.niaaa.nih.gov/publications/brochures-and- fact-sheets/alcohol-facts-and-statistics. Participant is not able to refrain from using recreational drugs during the 4 weeks of the study. Shift work schedule in the 3 months prior to participation and/or planned during the 2 weeks of the study Environmental factors in everyday life that may disturb sleep and cannot be prohibited (e.g. young children, noisy environment) Travel over 2 or more time zones in the month prior to participation Travel to sunny holiday locations/wintersports 1 month before participation Personal plans that prevent them for using the intervention during 2 consecutive weeks
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Marina Gimenez, PhD
    Phone
    +31502111946
    Email
    marina.gimenez@chronoatwork.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Michelle Luxwolda, MSc
    Phone
    31502111946
    Email
    michelle.luxwolda@chronoatwork.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Marijke Gordijn, PhD
    Organizational Affiliation
    Chrono@Work
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    20842007
    Citation
    Fulop AM, Dhimmer S, Deluca JR, Johanson DD, Lenz RV, Patel KB, Douris PC, Enwemeka CS. A meta-analysis of the efficacy of laser phototherapy on pain relief. Clin J Pain. 2010 Oct;26(8):729-36. doi: 10.1097/AJP.0b013e3181f09713.
    Results Reference
    result
    PubMed Identifier
    32464190
    Citation
    Heiskanen V, Pfiffner M, Partonen T. Sunlight and health: shifting the focus from vitamin D3 to photobiomodulation by red and near-infrared light. Ageing Res Rev. 2020 Aug;61:101089. doi: 10.1016/j.arr.2020.101089. Epub 2020 May 25.
    Results Reference
    result
    PubMed Identifier
    33269093
    Citation
    Liebert A, Bicknell B, Markman W, Kiat H. A Potential Role for Photobiomodulation Therapy in Disease Treatment and Prevention in the Era of COVID-19. Aging Dis. 2020 Dec 1;11(6):1352-1362. doi: 10.14336/AD.2020.0901. eCollection 2020 Dec.
    Results Reference
    result
    PubMed Identifier
    33156403
    Citation
    Miranda-Silva W, Gomes-Silva W, Zadik Y, Yarom N, Al-Azri AR, Hong CHL, Ariyawardana A, Saunders DP, Correa ME, Arany PR, Bowen J, Cheng KKF, Tissing WJE, Bossi P, Elad S; Mucositis Study Group of the Multinational Association of Supportive Care in Cancer / International Society for Oral Oncology (MASCC/ISOO). MASCC/ISOO clinical practice guidelines for the management of mucositis: sub-analysis of current interventions for the management of oral mucositis in pediatric cancer patients. Support Care Cancer. 2021 Jul;29(7):3539-3562. doi: 10.1007/s00520-020-05803-4. Epub 2020 Nov 6.
    Results Reference
    result

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    PBM Effects on Health and Well-being in Humans

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