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Trial registered on ANZCTR
Registration number
ACTRN12619001682134
Ethics application status
Approved
Date submitted
21/11/2019
Date registered
2/12/2019
Date last updated
2/12/2019
Date data sharing statement initially provided
2/12/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessing cerebrovascular function using magnetic resonance imaging: A pilot study
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Scientific title
Assessing cerebrovascular function in healthy individuals with MRI: A pilot study
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Secondary ID [1]
299946
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None
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Universal Trial Number (UTN)
U1111-1241-3720
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dementia
315286
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Condition category
Condition code
Neurological
313585
313585
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0
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Studies of the normal brain and nervous system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
MRI Safety Screening Form and Health Screening Questionnaire
Delivered by a trained investigator. Delivered face-to-face.
Delivered once. Takes 5-10 min to complete this paper form.
Measurement of cerebral blood flow and cerebral metabolic rate for oxygen using MRI
Assessed under baseline/resting conditions, and during neurovacular coupling and CO2 reactivity testing described below.
Delivered by a trained radiologist and investigator team. Delivered face-to-face.
Neurovascular coupling test in MRI scanner
Participants will view a black/white flickering radial checkerboard visual stimulus alternated with a neutral grey screen baseline.
Delivered by a trained radiologist and investigator team. Delivered face-to-face.
Delivered as 5 x ~30s exposures, separated by ~30 s.
Procedure conducted on a single occasion.
Cerebrovascular CO2 reactivity
Participants alternate between breathing room air and a premixed gas mixture with a mildly elevated partial pressure of CO2 (5% CO2, 21% O2, balance N2) via a Douglas bag (~2 min).
Delivered by a trained radiologist and investigator team. Delivered face-to-face.
Procedure conducted on a single occasion.
Cardiac MRI
Conventional ECG-gated retrospective cine cardiac MRI acquisitions will be acquired parallel and perpendicular to the cardiac long-axis.
Delivered by a trained radiologist and investigator team. Delivered face-to-face.
Delivered once. Takes ~15-20 min to complete.
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Intervention code [1]
316139
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Diagnosis / Prognosis
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Comparator / control treatment
No control group. This is a pilot study which serves to help develop post-aquisition analysis methods.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
322039
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Neurovascular coupling as assessed using a MRI scan.
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Assessment method [1]
322039
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Timepoint [1]
322039
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Single timepoint of acquisition (i.e., at experimental session)
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Secondary outcome [1]
377130
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Cerebrovascular CO2 reactivity as assessed with a MRI scan.
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Assessment method [1]
377130
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Timepoint [1]
377130
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Single timepoint of acquisition
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Eligibility
Key inclusion criteria
• Healthy individuals
• Not taking any prescription or over-the-counter medications (other than oral contraceptive pill)
• Men and women
• Aged over 18 years
• Body mass index less than 30 kg/m2 (i.e. kilograms divided by height in metres squared)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
• Body mass index less than 18 kg/m2 (i.e. kilograms divided by height in metres squared)
• Smokers
• Alcohol intake > 28 units/week
• Users of recreational drugs
• Cardiovascular disease (e.g., coronary heart disease, hypertension)
• Significant arrhythmias (e.g., atrial fibrillation, previous VT / significant ventricular ectopy)
• Severe respiratory disease (e.g., chronic obstructive pulmonary disease)
• Metabolic disease (e.g., type II diabetes)
• Cancer
• Connective tissue or inflammatory disease
• Neurological or cerebrovascular disease
• Infection or pyrexial illness
• Thyroid disorders
• Hepatic or renal impairment
• Outside the stated age range
• Current pregnancy
• Underlying medical conditions, which in the opinion of the Investigator place the participant at unacceptably high risk for participating in the study
• Inability to fully or appropriately provide consent (e.g., language issue, reading capability)
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/12/2019
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Actual
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Date of last participant enrolment
Anticipated
6/07/2020
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Actual
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Date of last data collection
Anticipated
31/07/2020
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
22134
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New Zealand
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State/province [1]
22134
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Auckland
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Funding & Sponsors
Funding source category [1]
304334
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University
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Name [1]
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University of Auckland
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Address [1]
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University of Auckland Centre for Advanced MRI,
Auckland Uniservices Ltd,
Department of Anatomy and Medical Imaging,
University of Auckland | 85 Park Road, Grafton, Auckland 1023
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Country [1]
304334
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New Zealand
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Primary sponsor type
University
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Name
University of Auckland
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Address
The University of Auckland
Office of Research Strategy and Integrity
Email:
[email protected]
Private Bag 92019, Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
304581
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None
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Name [1]
304581
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Address [1]
304581
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Country [1]
304581
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304785
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
304785
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Health and Disability Ethics Committees Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011 0800 4 ETHICS hdecs@health.govt.nz
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Ethics committee country [1]
304785
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New Zealand
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Date submitted for ethics approval [1]
304785
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10/10/2019
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Approval date [1]
304785
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08/11/2019
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Ethics approval number [1]
304785
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19/CEN/178
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Summary
Brief summary
The brain has a high metabolic rate and it is therefore important that local blood flow is closely matched to brain cell activation and metabolism (neurovascular coupling), and that brain blood flow increases to limit build up of metabolic waste products, such as carbon dioxide (cerebrovascular CO2 reactivity). The aim of this project is to conduct pilot studies to establish state-of-the-art methods for assessing neurovascular coupling and cerebrovascular CO2 reactivity within the Centre for Advanced Magnetic Resonance Imaging (CAMRI) at the University of Auckland. These studies will provide a foundation for future work investigating cerebrovascular dysfunction in clinical populations.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof James P Fisher
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Address
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Faculty of Medical and Health Sciences,
Department of Physiology,
University of Auckland | 85 Park Road, Grafton, Auckland 1023
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Country
98194
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New Zealand
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Phone
98194
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+64 09 373 7599
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Fax
98194
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Email
98194
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[email protected]
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Contact person for public queries
Name
98195
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James P Fisher
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Address
98195
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Faculty of Medical and Health Sciences,
Department of Physiology,
University of Auckland | 85 Park Road, Grafton, Auckland 1023
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Country
98195
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New Zealand
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Phone
98195
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+64 09 373 7599
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Fax
98195
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Email
98195
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[email protected]
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Contact person for scientific queries
Name
98196
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James P Fisher
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Address
98196
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Faculty of Medical and Health Sciences,
Department of Physiology,
University of Auckland | 85 Park Road, Grafton, Auckland 1023
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Country
98196
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New Zealand
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Phone
98196
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+64 09 373 7599
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Fax
98196
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Email
98196
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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