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Trial registered on ANZCTR
Registration number
ACTRN12613000850774
Ethics application status
Approved
Date submitted
11/07/2013
Date registered
1/08/2013
Date last updated
5/08/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of normobaric hypoxia and hypoxic hypoxia protocol on human performance and physiology
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Scientific title
In young male population, is there difference in physiology, performance and hypoxia symptoms between normobaric hypoxia and hypobaric hypoxia?
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Secondary ID [1]
282810
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Nil
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Universal Trial Number (UTN)
U1111-1145-5064
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
symptoms and physiological changes under hypoxia in healthy young male
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Condition category
Condition code
Respiratory
289921
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
normobaric hypoxia: subjects in sitting position, exposed to hypoxia by inhaling 7% oxygen through face mask at sea level
hypoxia duration < 5 min (depend on invidual tolerance and SpO2)
Each participant undergo the two sessions on one occasion only. Each sessions are separated by at least 48 hours.
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Intervention code [1]
287494
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Other interventions
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Comparator / control treatment
hypobaric hypoxia: subjects sitting in altitude chamber, exposed to hypoxia by ascending to simulated 25,000 feet environment; total duration of hypoxia exposure in altitude chamber varies in each individual but around 3-5 min (depend on invidivual tolerance and SpO2). All participants undergo this intervention on one occasion only.
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Control group
Active
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Outcomes
Primary outcome [1]
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PaO2 drop below 60% (evaluated by pulse oximeter with sensor attached to subjects' middle finger)
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Assessment method [1]
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Timepoint [1]
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between 3-4 minutes of hypoxia exposure
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Primary outcome [2]
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unable to hold on to hypoxia exposure (subjective feeling of participants, also judged by inside observer [aerospace physiologist])
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Assessment method [2]
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Timepoint [2]
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3-4 minutes of hypoxia exposure
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Primary outcome [3]
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heart rate drop > 20 bpm (monitored by polysomograph, with three EKG sensors over chest region)
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Assessment method [3]
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Timepoint [3]
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3-4 minutes after hypoxia exposure
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Secondary outcome [1]
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severe hypoxia symptoms (observed by aviation physiologist, combined with subjective check list with 17 hypoxia symptom items filled out by participants)
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Assessment method [1]
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Timepoint [1]
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3-4 minutes after hypoxia exposure
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Eligibility
Key inclusion criteria
healthy volunteer
able to detect middle cerebral artery blood flow by doppler at temporal region.
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Minimum age
20
Years
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Maximum age
40
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. pulmonary disease (asthma, COPD, pneumothorax, pulmonary tuberculosis)
2. claustrophobia
3. heart disease
4. severe anemia
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Healthy volunteers were recruited from staff and trainees taking aviation physiology course in Aviation Physiology Research Laboratory of Kaoshiung Armed Forces Hospital Gangshan Branch. Inclusion criteria include: male between 20 to 40 years old and successful sonographic detection of blood flow signals in the middle cerebral artery using transcranial Doppler sonography. No female subjects were enrolled in order to minimize gender-related variability.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Each subject was asked to complete the NH and HH sessions in a randomized order. A list of random numbers was determined using a computer program (Research Randomizer). Numbers were placed in sealed opaque envelopes before the beginning of the study so that randomization was concealed from the recruiter.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
within group study
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Phase
Not Applicable
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Type of endpoint/s
Safety
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Statistical methods / analysis
Data were presented as mean+/-standard deviation. Statistical analysis wereperformed using generalized linear model (GzLM) and generalized equation estimation (GEE). Coreelation analysis was performed with Pearson analysis.
Data analysis was performed using the Statistical Package for the Social Sciences (SPSS; version 19.0, SPSS,USA). Results were considered significant when p<0.05.The sample size was calculated using G*power. With an a of 0.05, power of 0.80, and effect size of 0.5, required number of valid samples was at least 16.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2012
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Actual
3/08/2012
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Date of last participant enrolment
Anticipated
31/10/2012
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Actual
25/10/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
21
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Taiwan, Province Of China
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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National Defense Medical Center
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Address [1]
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161 Minchuan East Road, Sec. 6, Taipei 11490, Taiwan, R.O.C.
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Country [1]
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Taiwan, Province Of China
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Primary sponsor type
University
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Name
National Defense Medical Center
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Address
161 Minchuan East Road, Sec. 6, Taipei 11490, Taiwan, R.O.C.
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional Review Board, Tri-Service General Hospital
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Ethics committee address [1]
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No.325,Sec.2,Chenggong Rd.,Neihu District,Taipei City 114,Taiwan(R.O.C)
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Ethics committee country [1]
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
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21/06/2013
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Approval date [1]
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30/07/2012
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Ethics approval number [1]
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2-101-05-080
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Summary
Brief summary
When unexpected situations such as oxygen system failure or loss of cabin pressure occur, a pilot may suffer hypoxia. Without early recognition of hypoxia symptoms and prompt corrective measures, in-flight hypoxia could affect cognition and judgment, even jeopardize flight safety. Hypoxia symptoms are determined by inherent tolerance, among other factors.It is believed that “hypoxia signature”, aconstellation of hypoxia symptoms, is unique for each individual. To familiarize with hypoxia symptoms, all military pilots in Taiwan have to undergo hypoxia awareness training by exposing themselves to simulated hypoxia environment in altitude chamber. This hypobaric hypoxia (HH) training protocol has the potential danger of decompression sickness and barotrauma. Alternatively, normobaric hypoxia (NH) training has been developed involving breath low concentration of oxygen at sea level. NH is safer, more economical andtime saving. However, there’s no conclusion as to whether NH protocol can faithfully imitate altitude hypoxia, as represented by HH protocol currently implemented in many countries as the mainstay of hypoxia awareness training. The purpose of this study is to compare the physiological responses, performances and hypoxia symptoms between HH and NH hypoxia awareness training protocol.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Hsin Chu
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Address
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Institute of Aerospace and Undersea Medicine, School of Medicine, National Defense Medical Center.
No. 161, Section 6, Min-Chuan East Road. Taipei, 114 Taiwan, R.O.C.
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Country
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Taiwan, Province Of China
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Phone
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+886-2-87923100
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Fax
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+886-2-87923176
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Email
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[email protected]
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Contact person for public queries
Name
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Hsin Chu
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Address
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Institute of Aerospace and Undersea Medicine, School of Medicine, National Defense Medical Center.
No. 161, Section 6, Min-Chuan East Road. Taipei, 114 Taiwan, R.O.C.
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Country
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Taiwan, Province Of China
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Phone
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+886-2-87923100
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Hsin Chu
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Address
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Institute of Aerospace and Undersea Medicine, School of Medicine, National Defense Medical Center.
No. 161, Section 6, Min-Chuan East Road. Taipei, 114 Taiwan, R.O.C.
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Country
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Taiwan, Province Of China
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Phone
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+886-2-87923100
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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