Opioid Receptors Influence Ischemia-Reperfusion Injury

NCT ID: NCT00184938

Last Updated: 2008-03-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

SUSPENDED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Brief Summary

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The most powerful protective mechanism against ischemia-reperfusion injury other than rapid reperfusion is ischemic preconditioning. Ischemic preconditioning is defined as the development of tolerance to ischemia-reperfusion injury by a previous short bout of ischemia resulting in a marked reduction in infarct size. This mechanism can be mimicked by several pharmacological substances such as adenosine and morphine.

We, the researchers at Radboud University Nijmegen Medical Centre, have recently developed a method in which we can detect ischemia-reperfusion injury in the human forearm by using Annexin A5 scintigraphy (Rongen et al). With this method we will determine whether opioid receptors are involved in ischemic preconditioning. We expect to find that morphine can mimic ischemic preconditioning and that acute ischemic preconditioning can be blocked with the opioid receptor antagonist naloxon. This study will increase our knowledge about the mechanism of ischemic preconditioning and may also provide leads to exploit this endogenous protective mechanism in a clinical setting.

Detailed Description

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Conditions

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Ischemia-Reperfusion Injury

Keywords

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opioids ischemic preconditioning morphine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Blinding Strategy

DOUBLE

Interventions

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morphine

Intervention Type DRUG

naloxone

Intervention Type DRUG

Technetium-TC99m-labeled Annexin A5

Intervention Type DRUG

forearm ischemic exercise

Intervention Type PROCEDURE

ten minute forearm ischemia

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Healthy male volunteers

Exclusion Criteria

* Exposition to radiation due to imaging techniques in the previous five years
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Radboud University Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Gerard Rongen, MD, Phd

Role: PRINCIPAL_INVESTIGATOR

Radboud University Nijmegen Medical Centre / Department of Pharmacology and Toxicology

Locations

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Radboud University Nijmegen Medical Centre / Department of Pharmacology and Toxicology

Nijmegen, Gelderland, Netherlands

Site Status

Countries

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Netherlands

References

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Rongen GA, Oyen WJ, Ramakers BP, Riksen NP, Boerman OC, Steinmetz N, Smits P. Annexin A5 scintigraphy of forearm as a novel in vivo model of skeletal muscle preconditioning in humans. Circulation. 2005 Jan 18;111(2):173-8. doi: 10.1161/01.CIR.0000151612.02223.F2. Epub 2004 Dec 27.

Reference Type BACKGROUND
PMID: 15623546 (View on PubMed)

Other Identifiers

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OPIRI

Identifier Type: -

Identifier Source: org_study_id