Brief Title
Inhaled Budesonide and Acute Mountain Sickness
Official Title
Effect of Inhaled Budesonide on the Incidence and Severity of Acute Mountain Sickness at 4559 m
Brief Summary
The primary objective of the study is to investigate the effect of inhaled budesonide on the incidence of AMS. The primary study question to ask is: 1. Does inhaled budesonide reduce the incidence of AMS after rapid and active ascent to 4559 m? In addition, the secondary study questions to ask are: 1. Does inhaled budesonide reduce the severity of AMS after rapid and active ascent to 4559 m? 2. Are the effects of inhaled budesonide on AMS incidence and severity related to its plasma concentration? Study medication Inhaled budesonide at 2 different concentrations (2 x 200 µg, 2 x 800 µg) versus placebo Study design - Prospective, controlled, single-center study on 51 healthy volunteers at 4559 m [Capanna Regina Margherita (Margherita Hut), Italy] - With regard to the intervention (inhaled budesonide) double-blinded and randomized
Detailed Description
Primary objective The primary objective of the study is to investigate the effect of inhaled budesonide on the incidence of AMS. The primary study question to ask is: 1. Does inhaled budesonide reduce the incidence of AMS after rapid and active ascent to 4559 m? In addition, the secondary study questions to ask are: 1. Does inhaled budesonide reduce the severity of AMS after rapid and active ascent to 4559 m? 2. Are the effects of inhaled budesonide on AMS incidence and severity related to its plasma concentration? Study medication Inhaled budesonide at 2 different concentrations (2 x 200 µg, 2 x 800 µg) versus placebo Study design Prospective, controlled, single-center study on 51 healthy volunteers at 4559 m [Capanna Regina Margherita (Margherita Hut), Italy] With regard to the intervention (inhaled budensoide) double-blinded and randomized Study population 51 healthy volunteers Study site Prior to the study the pre-investigations will be performed at the University Hospital Salzburg, Austria. The high-altitude part will take place at the Capanna Regina Margherita (Margherita Hut, Italy) at 4559 m. Interventions and investigations - Ascend from Alagna (1130 m, Italy) to the Margherita Hut (4559 m) in less than 24 h, with a preceding overnight stay at 3611 m (Gnifetti Hut, Italy). - Stay at the Margherita Hut for 48 hours - Randomized inhalation of budesonide at two different concentrations (2 x 200 µg 2 x 800 µg, respectively) or placebo - Assessment of incidence and severity of acute mountain sickness by use of 2 internationally standardized and well established questionnaires - Venous (and capillary) blood drawings - Pulmonary function tests - Transthoracic echocardiography for assessing pulmonary artery systolic pressure Number and volume of blood drawings For the study venous blood samples (volume: 20 ml each) will be drawn at 5 different time points (5 x 20 ml = 100 ml). Together with the blood drawing for the pre-investigation (20 ml) a total blood volume of 120 ml will be taken. At the same time points capillary blood samples (1 ml) will be taken from the ear lobe for blood gas analyses (5 x 1 ml = 5 ml in total). Observational period The study will only start after approval by the ethic committee responsible for the study (ethic committee of the Paracelsus Medical University). If the study is approved it will be performed in July 2016.
Study Phase
Phase 1
Study Type
Interventional
Primary Outcome
Incidence of acute mountain sickness
Secondary Outcome
Severity of acute mountain sickness
Condition
Acute Mountain Sickness
Intervention
Budesonide 200
Study Arms / Comparison Groups
budesonide 200
Description: inhaled budesonide 200 µg bid
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Drug
Estimated Enrollment
51
Start Date
June 2016
Completion Date
October 2016
Primary Completion Date
July 2016
Eligibility Criteria
Inclusion Criteria: - Good physical condition - No relevant pathologies revealed by the pre-investigation prior to the study - Written informed consent to participate in the study - Permanent residency below 1000 m - Males and females are included without prioritization Exclusion Criteria: - Acute and chronic lung diseases - Conventional systolic blood pressure (average of two measurements) ≥150 mmHg and conventional diastolic blood pressure ≥95 mmHg in untreated or treated subjects - Cardiovascular diseases other than hypertension (coronary heart disease, heart failure, atrial fibrillation, peripheral artery disease) - Chronic headache / migraine - Diabetes mellitus - Smoking (>6 cigarettes/day) or equivalent nicotine substitutes - Alcohol (>30 g/d) or drug abuse - Obesity (Body Mass Index >30) - Other conditions deemed relevant by the investigator (including liver disease, renal disease) - Sojourn >2000 m within the last 4 weeks before the 1st study day - Drug intake within the last 2 moth before the 1st study day if the drug intake could affect the data quality or the safety of the participants - Blood donation within the last 2 month before the 1st study day
Gender
All
Ages
18 Years - 60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Contacts
Marc M Berger, MD, ,
Location Countries
Austria
Location Countries
Austria
Administrative Informations
NCT ID
NCT02811016
Organization ID
M2016
Responsible Party
Principal Investigator
Study Sponsor
Salzburger Landeskliniken
Collaborators
University Hospital Heidelberg
Study Sponsor
Marc M Berger, MD, Principal Investigator, Department of Anesthesiology, University Hospital Salzburg
Verification Date
October 2016