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

NCT ID: NCT02063217

Last Updated: 2018-04-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2016-07-31

Brief Summary

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The purpose of this study is to change the concentration of amyloid-beta in human cerebrospinal fluid (CSF) through modulation of the sleep-wake cycle.

Detailed Description

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The purpose of this research study is to investigate whether or not increasing or decreasing duration of sleep over one night will change the concentration of amyloid-beta in cerebral spinal fluid (CSF).

Conditions

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Amyloid-beta

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Sleep Induction

7.5 grams of sodium oxybate

Group Type EXPERIMENTAL

Sodium Oxybate

Intervention Type DRUG

Sodium oxybate h.s.

Sleep Deprivation

Sleep deprivation for up to 36 hours with no naps or other sleep periods

Group Type EXPERIMENTAL

Sleep deprivation

Intervention Type BEHAVIORAL

36hr sleep deprivation

Control

Participant will sleep as normal under the same controlled conditions in a clinical research unit

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Sodium Oxybate

Sodium oxybate h.s.

Intervention Type DRUG

Sleep deprivation

36hr sleep deprivation

Intervention Type BEHAVIORAL

Other Intervention Names

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Xyrem

Eligibility Criteria

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Inclusion Criteria

* cognitively normal or CDR 0
* negative for amyloid deposition by PET Pittsburgh Compound-B (PIB) imaging or CSF amyloid-beta-42 concentration
* Age 18-60
* Average reported sleep time 6-10hrs

Exclusion Criteria

* diagnosis of a sleep disorder such as sleep apnea, narcolepsy, or restless leg syndrome
* positive ambulatory sleep study for obstructive sleep apnea (AHI \> 5 respiratory events per hour) that will be performed as part of initial screening prior to enrollment
* Clinical Dementia Rating (CDR) \> 0
* tremor or other neurologic injury in the non-dominant upper extremity (such as stroke or tremor) that would prevent the use of actigraphy
* current sleep walking or other sleep parasomnia
* diagnosis and treatment of stroke, myocardial infarction or heart attack,
* coronary artery disease, atrial fibrillation, or congestive heart failure
* diagnosis and treatment of asthma or Chronic Obstructive Pulmonary Disease (COPD)
* diagnosis and treatment of bipolar disorder, major depression, or Schizophrenia
* current urinary or fecal incontinence
* currently on a low salt diet
* diagnosis and treatment of a neurologic disorder such as Parkinson's disease, epilepsy, multiple sclerosis
* currently taking any blood thinner medications such as warfarin, Plavix, or Aspirin
* kidney disease resulting in renal impairment
* liver disease resulting in hepatic dysfunction
* Pregnancy
* currently taking sedating medications such as benzodiazepines
* alcohol use at bedtime
* tobacco use
* BMI \>40
* contraindication to lumbar puncture
* diabetes
* sleep schedule outside the range of bedtime: 8pm-12am and waketime 4am-8am
* self reported difficulty sleeping in an unfamiliar environment
* use of sedative-hypnotic medications
* inability to get in and out of bed
* history or presence of any clinically significant medical condition, behavioral or psychiatric disorder, or surgical history based on medical record or patient report
* history of drug abuse within the past 6 months
* positive score on 2 or more categories on the Berlin questionnaire
* participation in another investigational medicinal product or investigational device within the last 30 days
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brendan Lucey, MD

Role: PRINCIPAL_INVESTIGATOR

Washington University Medical School

Locations

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Washington University Medical School

St Louis, Missouri, United States

Site Status

Countries

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United States

Other Identifiers

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P50AG005681-30

Identifier Type: NIH

Identifier Source: secondary_id

View Link

201304030

Identifier Type: -

Identifier Source: org_study_id

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