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Trial registered on ANZCTR
Registration number
ACTRN12624000130561
Ethics application status
Approved
Date submitted
5/10/2023
Date registered
13/02/2024
Date last updated
13/02/2024
Date data sharing statement initially provided
13/02/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial investigating the cardiorespiratory effects of a single hypoxia-hyperoxia exposure session in elderly adults.
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Scientific title
Influence of a hypoxia-hyperoxia exposure session on elderly participants cardiorespiratory condition, blood pressure, and oxygen saturation. Randomized double-blind placebo-controlled clinical trial'.
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Secondary ID [1]
310233
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None
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Universal Trial Number (UTN)
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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:
Elderly
330932
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Condition category
Condition code
Cardiovascular
327732
327732
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0
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Normal development and function of the cardiovascular system
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Respiratory
327733
327733
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0
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Normal development and function of the respiratory system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The EG (Experimental Group) will undergo asingle session of IHHE (Intermittent Hypoxia-Hyperoxia Exposure) session using the Energy/iAltitude® device (iAltitude Training S.L., Fuenlabrada, Madrid, Spain). They will breathe air with an oxygen concentration (FiO2) ranging from 10-14% for 1-5 minutes, followed by 1-3 minutes of rest in hyperoxia (FiO2 30-40%), for a total of 4-8 cycles, depending on their acute response to hypoxia.
Participants will be asked to sit and breath normally in each exposure.
An attendance checklist will be used to monitor compliance with the intervention
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Intervention code [1]
326626
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Rehabilitation
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Intervention code [2]
327668
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Treatment: Devices
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Comparator / control treatment
The Placebo Group (PG) will follow a single session protocol of 5 cycles of 6 minutes per session with an FiO2 of 21% using the Energy/iAltitude® device (iAltitude Training S.L., Fuenlabrada, Madrid, Spain).
Participants will be asked to sit and breath normally in each exposure.
An attendance checklist will be used to monitor compliance with the placebo intervention.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Blood pressure will be assesed using a standard digital sphygmomanometer (Omron HEM-705CP, Omron Healthcare, Inc, Lake Forest, IL)
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Assessment method [1]
335515
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Timepoint [1]
335515
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Immediately before intervention and immediately after intervention
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Primary outcome [2]
335516
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Pulmonary function will be assessed using the Air Smart Spirometer (Pond Healthcare Innovation, Sweden)
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Assessment method [2]
335516
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Timepoint [2]
335516
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Immediately before intervention and immediately after intervention
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Primary outcome [3]
335517
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Heart rate variability will be assessed using a device Polar H10 (Polar Electro Oy, Kempele, Finland).
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Assessment method [3]
335517
0
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Timepoint [3]
335517
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Immediately before intervention and immediately after intervention
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Secondary outcome [1]
424891
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Arterial oxygen saturation will be assessed using a device Nonin® 3230 (Nonin Medical, Inc. Plymouth, MN, EEUU)
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Assessment method [1]
424891
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Timepoint [1]
424891
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Immediately before intervention and immediatelyafter intervention
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Secondary outcome [2]
424892
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Maximal inspiratory pressure (MIP) will be assessed using the device MicroRPM® (MicroMedical, UK).
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Assessment method [2]
424892
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Timepoint [2]
424892
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Immediately before intervention and immediately after intervention
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Eligibility
Key inclusion criteria
• Being over 60 years old.
• Having no previous experience in hypoxic training.
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Minimum age
60
Years
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Maximum age
99
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
• Having any pathology that prevents the performance of physical activity.
• Subjects with impaired cognitive abilities.
• Subjects with pulmonary hypertension, decompensated heart or respiratory failure.
• Subjects who have undergone lower limb surgery within the past 12 months.
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Study design
Purpose of the study
Treatment
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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)
central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Qualitative variables will be expressed as absolute numbers and percentages, while quantitative variables will be presented as mean ± standard deviation if they follow a normal distribution, or as median and interquartile range (IQR) if they do not. To check the normality of data distributions, the Kolmogorov-Smirnov test will be employed. For the comparison of qualitative variables, the Chi square test or Fisher's exact test will be used when necessary. For the comparison of quantitative variables, the Student's t-test will be applied if they follow a normal distribution, or the Mann-Whitney U test otherwise. Statistically significant values will be considered for P values less than 0.05.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
22/02/2024
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Actual
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Date of last participant enrolment
Anticipated
27/02/2024
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Actual
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Date of last data collection
Anticipated
1/03/2024
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Actual
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Sample size
Target
16
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
25680
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Spain
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State/province [1]
25680
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Toledo
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Funding & Sponsors
Funding source category [1]
314446
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Self funded/Unfunded
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Name [1]
314446
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None
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Address [1]
314446
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Country [1]
314446
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Primary sponsor type
University
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Name
Universidad Europea de Madrid
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Address
C. Tajo, s/n, 28670 Villaviciosa de Odón, Madrid
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Country
Spain
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Secondary sponsor category [1]
316384
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None
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Name [1]
316384
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Address [1]
316384
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Country [1]
316384
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
313486
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CEIC Toledo
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Ethics committee address [1]
313486
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Avda. Río Guadiana, s/n, edificio B. 45007, Toledo (Spain)
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Ethics committee country [1]
313486
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Spain
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Date submitted for ethics approval [1]
313486
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04/09/2023
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Approval date [1]
313486
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27/09/2023
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Ethics approval number [1]
313486
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1071
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Summary
Brief summary
The supply of oxygen is essential for energy production, recovery from efforts, and human life. Intermittent Hypoxia-Hyperoxia Exposure (IHHE) is a novel technique in which the subject is exposed to a respiratory environment with reduced oxygen fraction, controlled through a specific software, using a facial mask and a hypoxic generation device. The objective of this study is to determine if there is a relationship between intermittent hypoxia-hyperoxia exposure and cardiorespiratory condition, blood pressure, and arterial oxygen saturation. According to our hypothesis, acute IHHE in elderly adults may influence cardiorespiratory condition, blood pressure, and arterial oxygen saturation. The study will be conducted as a randomized clinical trial. The subjects will be divided into two groups: the experimental group will undergo an IHHE session, breathing air with an oxygen concentration (FiO2) ranging from 10-14% for 1-5 minutes, with 1-3 minutes of rest in hyperoxia (FiO2 30-40%) for a total of 4-8 cycles, based on their acute response to hypoxia. The placebo group will undergo a 5-cycle protocol with an FiO2 of 21%.
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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
128338
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Prof Arturo Ladriñán Maestro
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Address
128338
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Campus Tecnológico Fábrica de Armas, Avenida Carlos III S/N, 45071 Toledo
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Country
128338
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Spain
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Phone
128338
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+34 615274176
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Fax
128338
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Email
128338
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[email protected]
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Contact person for public queries
Name
128339
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Alberto Sánchez Sierra
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Address
128339
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Campus Tecnológico Fábrica de Armas, Avenida Carlos III S/N, 45071 Toledo
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Country
128339
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Spain
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Phone
128339
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+34 608801238
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Fax
128339
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Email
128339
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[email protected]
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Contact person for scientific queries
Name
128340
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Alberto Sánchez Sierra
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Address
128340
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Campus Tecnológico Fábrica de Armas, Avenida Carlos III S/N, 45071 Toledo
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Country
128340
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Spain
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Phone
128340
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+34 608801238
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Fax
128340
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Email
128340
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Individual participant data underlying published results only
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When will data be available (start and end dates)?
Inmediately following publication, no end date
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Available to whom?
Anyone who wishes to access it
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Available for what types of analyses?
Any purpose
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How or where can data be obtained?
Principal Investigator (
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
20586
Informed consent form
386320-(Uploaded-05-10-2023-09-59-17)-Study-related document.docx
20587
Ethical approval
386320-(Uploaded-05-10-2023-10-00-09)-Study-related document.pdf
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.
Download to PDF