Hypoxia Intolerance in Preterm Individuals
NCT04739904 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 36
Last updated 2024-08-15
Summary
Reduced Hypoxic Ventilatory Response (HVR) and systemic O2 saturation subsequently leading to blunted aerobic capacity as well as decreased overall physical and cognitive performance are the main physiological challenges faced by prematurely born individuals in hypobaric hypoxia (i.e. during high altitude sojourn). While these phenomena have been described previously, the underlying mechanisms are currently unresolved. Given that the reduction in altitude-performance and its underlying mechanisms are not well understood, it is currently impossible to give evidence-based recommendation for altitude sojourns in this cohort. It is also of note, that even hypobaric hypoxia exposure during long-haul flights might be detrimental to well-being of pre-term born individuals.
The present project aims to comprehensively investigate physiological responses to altitude/hypoxia during rest and exercise in prematurely born, but otherwise healthy adults. Specifically, the investigators aim to elucidate the underlying mechanisms of the altered resting and exercise cardiovascular, respiratory, cerebral and hematological responses to hypoxia in prematurely born individuals. The obtained results from this cohort will be compared to the data from a control groups consisting of healthy, age and aerobic capacity-matched individuals born at full-term. While acute hypoxic effects will be the focus of the project's first phase, the researchers will test the effect of prolonged terrestrial (real) or simulated (normobaric hypoxia) altitude exposures in the second part. This phase will, in addition to the insight into the prolonged altitude acclimatization modulation in prematurely born individuals, also enable the potential differences between the effects of normobaric (simulated) and hypobaric (terrestrial) hypoxia in this cohort to be investigated.
Conditions
- Premature Birth
- Hypoxia
Interventions
- OTHER
-
Normoxia
48 hours experimental protocol conducted at sea level
- OTHER
-
Normobaric hypoxia
24 hours experimental protocol conducted in a normobaric hypoxic facility
- OTHER
-
Hypobaric hypoxia
72 hours experimental protocol conducted at terrestrial altitude
Sponsors & Collaborators
-
University of Lausanne
collaborator OTHER -
Jozef Stefan Institute
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 30 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-04-30
- Primary Completion
- 2022-03-31
- Completion
- 2022-03-31
Countries
- Slovenia
- Switzerland
Study Locations
More Related Trials
-
Oxygen Toxicity in the Resuscitation in Extremely Premature Infants
NCT00494702 ·Status: COMPLETED ·Phase: PHASE3
-
Exercise Intervention to Rescue the Adverse Effect of Preterm Birth on Cardiovascular and Pulmonary Health.
NCT03504215 ·Status: COMPLETED ·Phase: NA
-
Prospective Multicentre Mixed Methods Study to Explore Extubation Practices and Respiratory Outcomes in Extremely Preterm Neonates.
NCT06808997 ·Status: RECRUITING
-
Physiological Phenotyping of Respiratory Outcomes in Infants Born Premature
NCT03906708 ·Status: ACTIVE_NOT_RECRUITING
-
Prematurity-Related Ventilatory Control
NCT03464396 ·Status: COMPLETED
-
Effects of Closed-loop Automatic Control of FiO2 in Extremely Preterm Infants
NCT03168516 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Arterial Oxygen Saturation on Ventilatory Stability in Extremely Premature Infants
NCT03695900 ·Status: COMPLETED ·Phase: NA
-
Heart Rate Variability and Prematurity
NCT03565874 ·Status: COMPLETED ·Phase: NA
-
Physiological Disturbances Associated With Neonatal Intraventricular Hemorrhage
NCT00665769 ·Status: TERMINATED ·Phase: NA
-
The Effects of Position on the Oxygenation Instability of Premature Infants as Documented by SpO2 Histograms
NCT03546543 ·Status: COMPLETED ·Phase: NA
-
Follow-Up at 6 Years of a Cohort of Children Born Very Prematurely
NCT00390065 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy of Intrapulmonary Percussive Ventilation in Preterm Infants
NCT06229821 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Systemic Management in Extremely Preterm and Extremely Low Birth Weight Infants
NCT06082414 ·Status: COMPLETED
-
Appropriate Oxygen Levels for Extremely Preterm Infants: a Prospective Meta-analysis
NCT01124331 ·Status: COMPLETED ·Phase: NA
-
Functional Outcomes in Children Post Critical Illness
NCT03730844 ·Status: COMPLETED
-
Prematurity-Related Ventilatory Control: Role in Respiratory Outcomes
NCT03174301 ·Status: COMPLETED
-
Maintaining Optimal HVNI Delivery Using Automatic Titration of Oxygen in Preterm Infants
NCT05030012 ·Status: TERMINATED ·Phase: NA
-
Time Outside Target Oxygen Saturation Range in Preterm Infants and Long Term Outcomes and Preterm Infants
NCT00845624 ·Status: COMPLETED
-
Local Version of the Multi-center PREVENT Study Evaluating Cardio-respiratory Instability in Premature Infants
NCT03655639 ·Status: ACTIVE_NOT_RECRUITING
-
Comparison of Different Oxygen Delivery Strategies During Resuscitation of Babies
NCT00356902 ·Status: COMPLETED ·Phase: NA
-
Measuring Oxygenation of Newborn Infants in Targeted Oxygen Ranges
NCT03360292 ·Status: COMPLETED ·Phase: NA
-
Lung Function Monitoring During Hypoxemia Episodes
NCT06535074 ·Status: RECRUITING
-
Cardio-respiratory Events in Preterm Infants During Transition
NCT04123691 ·Status: COMPLETED
-
Extubation Readiness Study in Very Low Birthweight Infants
NCT01471431 ·Status: TERMINATED ·Phase: NA
-
Neonatal Cerebral Oxygenation After Exposure to Oxygen Evaluated With the INVOS Oximeter
NCT01690650 ·Status: COMPLETED ·Phase: NA