Trial Outcomes & Findings for Effect of an H1 Receptor Antagonist on Exercise Performance in Hypoxia (NCT NCT03192488)

NCT ID: NCT03192488

Last Updated: 2020-06-16

Results Overview

Time to complete 8km cycling time trial

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

13 participants

Primary outcome timeframe

Performed 60min after pill ingestion

Results posted on

2020-06-16

Participant Flow

Subjects were recruited by direct email to the administrators of the Indiana University ROTC program. It was made clear that participation of cadets was voluntary in nature and was not be a requirement of ROTC duties. Active recruitment took place from 08/2017 to 03/2018.

Enrolled participants were excluded prior to arm/group assignment if they had abnormal pulmonary function, or voluntarily discontinued with study procedures after completing a graded maximal exercise test and familiarization trial of exercise performance tests on a cycle ergometer. Two subjects withdrew prior to initial group assignments.

Participant milestones

Participant milestones
Measure
Cetirizine/Hypoxia, Placebo/Hypoxia, Placebo/Normoxia
During the first visit, subjects orally ingested 10 mg of Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the third visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen).
Placebo/Hypoxia, Placebo/Normoxia, Cetirizine/Hypoxia
During the first visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the third visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Placebo/Normoxia, Cetirizine/Hypoxia, Placebo/Hypoxia
During the first visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the second visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the third visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Cetirizine/Hypoxia, Placebo/Normoxia, Placebo/Hypoxia
During the first visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the third visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Placebo/Normoxia, Placebo/Hypoxia, Cetirizine/Hypoxia
During the first visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the second visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). During the third visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Placebo/Hypoxia, Cetirizine/Hypoxia, Placebo/Normoxia
During the first visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the third visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen).
First Intervention (d1)
STARTED
1
5
2
1
1
1
First Intervention (d1)
COMPLETED
1
5
2
1
1
1
First Intervention (d1)
NOT COMPLETED
0
0
0
0
0
0
First Washout (>6d)
STARTED
1
5
2
1
1
1
First Washout (>6d)
COMPLETED
1
5
1
1
1
0
First Washout (>6d)
NOT COMPLETED
0
0
1
0
0
1
Second Intervention (d1)
STARTED
1
5
1
1
1
0
Second Intervention (d1)
COMPLETED
1
5
1
1
1
0
Second Intervention (d1)
NOT COMPLETED
0
0
0
0
0
0
Second Washout (>6d)
STARTED
1
5
1
1
1
0
Second Washout (>6d)
COMPLETED
1
5
1
1
1
0
Second Washout (>6d)
NOT COMPLETED
0
0
0
0
0
0
Third Intervention (d1)
STARTED
1
5
1
1
1
0
Third Intervention (d1)
COMPLETED
1
5
1
1
0
0
Third Intervention (d1)
NOT COMPLETED
0
0
0
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cetirizine/Hypoxia, Placebo/Hypoxia, Placebo/Normoxia
During the first visit, subjects orally ingested 10 mg of Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the third visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen).
Placebo/Hypoxia, Placebo/Normoxia, Cetirizine/Hypoxia
During the first visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the third visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Placebo/Normoxia, Cetirizine/Hypoxia, Placebo/Hypoxia
During the first visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the second visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the third visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Cetirizine/Hypoxia, Placebo/Normoxia, Placebo/Hypoxia
During the first visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the third visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Placebo/Normoxia, Placebo/Hypoxia, Cetirizine/Hypoxia
During the first visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen). For the second visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). During the third visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft).
Placebo/Hypoxia, Cetirizine/Hypoxia, Placebo/Normoxia
During the first visit, subjects orally ingested a 10 mg Placebo 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the second visit, subjects orally ingested 10 mg Cetirizine 60 min before exercising in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). For the third visit, subjects orally ingested a 10 mg gelatin Placebo 60 min before exercising in a normoxic (room-air) environment (20.9% oxygen).
First Washout (>6d)
Withdrawal by Subject
0
0
1
0
0
1
Third Intervention (d1)
Adverse Event
0
0
0
0
1
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects Completing All 3 Study Arms
n=8 Participants
Completed: Hypoxia/ Cetirizine (14.3% oxygen with 10mg cetirizine), Hypoxia/ Placebo (21% oxygen with gelatin placebo), and Normoxia/Placebo (21% oxygen with gelatin placebo)
Age, Categorical
<=18 years
1 Participants
n=8 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=8 Participants
Age, Categorical
>=65 years
0 Participants
n=8 Participants
Age, Continuous
20 years
STANDARD_DEVIATION 1 • n=8 Participants
Sex: Female, Male
Female
2 Participants
n=8 Participants
Sex: Female, Male
Male
6 Participants
n=8 Participants
Region of Enrollment
United States
8 participants
n=8 Participants
Body Fat Percentage
12.1 percentage
STANDARD_DEVIATION 3.9 • n=8 Participants
Body Mass Index
23 kg/m^2
STANDARD_DEVIATION 2 • n=8 Participants
Maximal Aerobic Capacity (VO2max)
44.3 ml/kg/min
STANDARD_DEVIATION 8.3 • n=8 Participants
Height
172 cm
STANDARD_DEVIATION 8 • n=8 Participants
Weight
68.3 kg
STANDARD_DEVIATION 11.1 • n=8 Participants
Physical Activity
441 minutes per week
STANDARD_DEVIATION 310 • n=8 Participants

PRIMARY outcome

Timeframe: Performed 60min after pill ingestion

Population: Subjects who completed all three interventions were included in the outcome analysis.

Time to complete 8km cycling time trial

Outcome measures

Outcome measures
Measure
Cetirizine and Hypoxia
n=8 Participants
10 mg of Cetirizine given 60 min before exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Cetirizine: Cetirizine tablet 10 mg
Placebo and Hypoxia
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Placebo oral capsule: Gelatin placebo
Placebo and Normoxia
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: Gelatin placebo
Placebo and Hypoxia (Post-Exercise)
Placebo given 60 min prior to exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Placebo oral capsule: gelatin placebo Histamine: assessed 60 min after pill ingestion, 5-10 after 8km time trial exercise
Placebo and Normoxia (Baseline)
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: gelatin placebo Histamine: assessed 60 min after pill ingestion, prior to exercise
Placebo and Normoxia (Post-Exercise)
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: gelatin placebo Histamine: assessed 60 min after pill ingestion, 5-10 min following 8km time trial exercise
Performance Time
17.03 minutes
Standard Deviation 1.92
18.08 minutes
Standard Deviation 2.87
16.32 minutes
Standard Deviation 1.98

SECONDARY outcome

Timeframe: baseline and immediately post-exercise, same day as pill ingestion

Population: Subjects included are those who completed all three intervention visits.

Plasma histamine concentrations (ng/mL) were determined baseline and post-exercise for each experimental condition. Baseline measures were taken immediately prior to exercise and the post-exercise measures were taken 5-10 minutes after the cessation of exercise.

Outcome measures

Outcome measures
Measure
Cetirizine and Hypoxia
n=8 Participants
10 mg of Cetirizine given 60 min before exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Cetirizine: Cetirizine tablet 10 mg
Placebo and Hypoxia
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Placebo oral capsule: Gelatin placebo
Placebo and Normoxia
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: Gelatin placebo
Placebo and Hypoxia (Post-Exercise)
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Placebo oral capsule: gelatin placebo Histamine: assessed 60 min after pill ingestion, 5-10 after 8km time trial exercise
Placebo and Normoxia (Baseline)
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: gelatin placebo Histamine: assessed 60 min after pill ingestion, prior to exercise
Placebo and Normoxia (Post-Exercise)
n=8 Participants
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: gelatin placebo Histamine: assessed 60 min after pill ingestion, 5-10 min following 8km time trial exercise
Plasma Histamine Concentrations at Baseline and Post-Exercise
.36 ng/mL
Standard Deviation .14
.49 ng/mL
Standard Deviation .21
.56 ng/mL
Standard Deviation .39
.61 ng/mL
Standard Deviation .34
.37 ng/mL
Standard Deviation .09
.47 ng/mL
Standard Deviation .15

Adverse Events

Cetirizine and Hypoxia

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo and Hypoxia

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

Placebo and Normoxia

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cetirizine and Hypoxia
n=11 participants at risk
10 mg of Cetirizine given 60 min before exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Cetirizine: Cetirizine tablet 10 mg
Placebo and Hypoxia
n=11 participants at risk
Placebo given 60 min prior to exercise in a normobaric hypoxic environment (14.3% oxygen simulating an altitude of 3,000m/9,000ft). Placebo oral capsule: Gelatin placebo
Placebo and Normoxia
n=11 participants at risk
Placebo given 60 min prior to exercise in a normobaric room-air environment (21% oxygen). Placebo oral capsule: Gelatin placebo
Nervous system disorders
Fainting
9.1%
1/11 • Number of events 1 • Adverse event data was collected at the time of each intervention visit and for a period of up to one month following each intervention visit date.
The definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions. All-cause mortality was monitored/assessed.
0.00%
0/11 • Adverse event data was collected at the time of each intervention visit and for a period of up to one month following each intervention visit date.
The definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions. All-cause mortality was monitored/assessed.
0.00%
0/11 • Adverse event data was collected at the time of each intervention visit and for a period of up to one month following each intervention visit date.
The definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions. All-cause mortality was monitored/assessed.

Additional Information

Robert Chapman

Indiana University

Phone: 812-856-2452

Results disclosure agreements

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