Trial Outcomes & Findings for Modulation of CSF Amyloid-beta Concentrations Via Behavioral Sleep Deprivation and Pharmacological Sleep Induction (NCT NCT02063217)

NCT ID: NCT02063217

Last Updated: 2018-04-26

Results Overview

Overnight (01:00 to 11:00) differences in CSF amyloid beta from baseline (07:00 to 19:00) between 1) sleep-deprived and control participants and 2) sleep-induced and control participants.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

Baseline = 07:00 to 19:00; Intervention period = 01:00 to 11:00

Results posted on

2018-04-26

Participant Flow

Participant milestones

Participant milestones
Measure
Sleep Induction
6.5-7.5 grams of sodium oxybate Sodium Oxybate: Sodium oxybate h.s.
Sleep Deprivation
Sleep deprivation for up to 36 hours with no naps or other sleep periods Sleep deprivation: 36hr sleep deprivation
Control
Participant will sleep as normal under the same controlled conditions in a clinical research unit
Overall Study
STARTED
12
12
12
Overall Study
COMPLETED
11
12
12
Overall Study
NOT COMPLETED
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sleep Induction
6.5-7.5 grams of sodium oxybate Sodium Oxybate: Sodium oxybate h.s.
Sleep Deprivation
Sleep deprivation for up to 36 hours with no naps or other sleep periods Sleep deprivation: 36hr sleep deprivation
Control
Participant will sleep as normal under the same controlled conditions in a clinical research unit
Overall Study
Withdrawal by Subject
1
0
0

Baseline Characteristics

Modulation of CSF Amyloid-beta Concentrations Via Behavioral Sleep Deprivation and Pharmacological Sleep Induction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sleep Induction
n=11 Participants
6.5-7.5 grams of sodium oxybate Sodium Oxybate: Sodium oxybate h.s.
Sleep Deprivation
n=12 Participants
Sleep deprivation for up to 36 hours with no naps or other sleep periods Sleep deprivation: 36hr sleep deprivation
Control
n=12 Participants
Participant will sleep as normal under the same controlled conditions in a clinical research unit
Total
n=35 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=157 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=99 Participants
12 Participants
n=107 Participants
12 Participants
n=206 Participants
35 Participants
n=157 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=157 Participants
Age, Continuous
45.5 years
n=99 Participants
42.0 years
n=107 Participants
42.7 years
n=206 Participants
43.3 years
n=157 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
6 Participants
n=107 Participants
8 Participants
n=206 Participants
19 Participants
n=157 Participants
Sex: Female, Male
Male
6 Participants
n=99 Participants
6 Participants
n=107 Participants
4 Participants
n=206 Participants
16 Participants
n=157 Participants
Region of Enrollment
United States
11 Participants
n=99 Participants
12 Participants
n=107 Participants
12 Participants
n=206 Participants
35 Participants
n=157 Participants

PRIMARY outcome

Timeframe: Baseline = 07:00 to 19:00; Intervention period = 01:00 to 11:00

Population: Participants in good general health who had CSF collected every 2 hours for 36 hours while undergoing with sleep deprivation, sleep induction with drug, or control conditions.

Overnight (01:00 to 11:00) differences in CSF amyloid beta from baseline (07:00 to 19:00) between 1) sleep-deprived and control participants and 2) sleep-induced and control participants.

Outcome measures

Outcome measures
Measure
Sleep Induction
n=11 Participants
6.5-7.5 grams of sodium oxybate Sodium Oxybate: Sodium oxybate h.s.
Sleep Deprivation
n=12 Participants
Sleep deprivation for up to 36 hours with no naps or other sleep periods Sleep deprivation: 36hr sleep deprivation
Control
n=12 Participants
Participant will sleep as normal under the same controlled conditions in a clinical research unit
Percent Increase From Mean Baseline (07:00 to 19:00) of Cerebrospinal Fluid (CSF) Amyloid Beta During Sleep Induction and Sleep Deprivation Between 01:00 and 11:00 From Baseline
113 percent increase from mean baseline
Standard Error 5.7
123 percent increase from mean baseline
Standard Error 6.6
106 percent increase from mean baseline
Standard Error 5.6

Adverse Events

Sleep Induction

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Sleep Deprivation

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sleep Induction
n=12 participants at risk
6.5-7.5 grams of sodium oxybate Sodium Oxybate: Sodium oxybate h.s.
Sleep Deprivation
n=12 participants at risk
Sleep deprivation for up to 36 hours with no naps or other sleep periods Sleep deprivation: 36hr sleep deprivation
Control
n=12 participants at risk
Participant will sleep as normal under the same controlled conditions in a clinical research unit
Nervous system disorders
Headache
83.3%
10/12 • Number of events 10 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
66.7%
8/12 • Number of events 8 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
66.7%
8/12 • Number of events 8 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Nervous system disorders
Headache requiring blood patch
33.3%
4/12 • Number of events 4 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
33.3%
4/12 • Number of events 4 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Gastrointestinal disorders
Nausea
41.7%
5/12 • Number of events 5 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
33.3%
4/12 • Number of events 4 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Gastrointestinal disorders
Vomiting
33.3%
4/12 • Number of events 4 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
25.0%
3/12 • Number of events 3 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Cardiac disorders
Presyncope/syncope with lumbar catheter placement
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
16.7%
2/12 • Number of events 2 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Nervous system disorders
Leg tingling
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Musculoskeletal and connective tissue disorders
Back/neck pain
16.7%
2/12 • Number of events 2 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
25.0%
3/12 • Number of events 3 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
Renal and urinary disorders
Urinary incontinence
16.7%
2/12 • Number of events 2 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
General disorders
Dizziness
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
General disorders
Sweating
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
0.00%
0/12 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.
8.3%
1/12 • Number of events 1 • Adverse events were recorded from the start of the participant confinement visits to the Clinical Research Unit when the lumbar catheter was placed and cerebrospinal fluid collected. Adverse event recording continued through a 48 hour telephone follow-up period. Total reporting period was 6 days.

Additional Information

Dr. Brendan Lucey

Washington University School of Medicine

Phone: 314-362-4342

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place