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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03138746
Registration number
NCT03138746
Ethics application status
Date submitted
1/05/2017
Date registered
3/05/2017
Titles & IDs
Public title
Insulin Sensitivity During Hyperbaric Oxygen Compared to Hyperbaric Air
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Scientific title
Insulin Sensitivity During Hyperbaric Oxygen Compared to Hyperbaric Air
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Secondary ID [1]
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R20160801
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Universal Trial Number (UTN)
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Trial acronym
HOTAIR4
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diabetes Mellitus, Type II
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Insulin Resistance
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Condition category
Condition code
Metabolic and Endocrine
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Diabetes
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Inflammatory and Immune System
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Allergies
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Surgery - HBO
Treatment: Surgery - Hyperbaric air
HBO - On day 2, the participant will undergo a 2-hour hyperbaric exposure breathing 100% oxygen
Hyperbaric air - On day 2, the participant will undergo a 2-hour hyperbaric exposure breathing air
Treatment: Surgery: HBO
Compression in a hyperbaric chamber in air to 2 atmospheres absolute, then donning a "hood" supplying high flow oxygen for 90-minutes followed by a linear decompression back to 1 atmosphere over 30 minutes
Treatment: Surgery: Hyperbaric air
Compression in a hyperbaric chamber in air to 2 atmospheres absolute, then donning a "hood" supplying high flow air for 90-minutes followed by a linear decompression back to 1 atmosphere over 30 minutes
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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insulin sensitivity
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Assessment method [1]
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As measured by the glucose infusion rate during the steady-state phase of the hyperinsulinaemic euglycaemic clamp on day 2
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Timepoint [1]
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Baseline to Day 2
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Secondary outcome [1]
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change in inflammatory cytokines
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Assessment method [1]
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analysis of serum inflammatory markers pre and post procedures on Days 1 and 2
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Timepoint [1]
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Day 1 and 2
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Eligibility
Key inclusion criteria
* Men with T2DM, n=40 (numbers are based on power analysis of previous studies)
* Normal to obese weight (BMI 25-40 kg/m2)
* Age > 40 (no specific upper age limit)
* All participants will attend the Hyperbaric Medicine Unit to be assessed by a hyperbaric physician (DW) to determine fitness to enter the hyperbaric chamber the standard clinical criteria of the Hyperbaric Medicine Unit will be used
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* use of prescribed or non-prescribed medications which may affect glucose homeostasis (eg steroids)
* uncontrolled asthma, current fever, upper respiratory infections
* individuals who regularly perform high intensity exercise (>2 week)
* current intake of > 140g alcohol/week
* current smokers of cigarettes/cigars/marijuana
* current intake of any illicit substance
* experience claustrophobia in confined spaces
* has donated blood within past 3-months
* has been involved in any other study within the past 3-months
* unable to comprehend study protocol
* any other contraindication to HBO (eg Eustachian tube dysfunction making middle ear inflation ineffective)
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
13/08/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
15/01/2020
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Sample size
Target
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Accrual to date
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Final
25
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Hyperbaric Medicine Unit, Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Adelaide
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Royal Adelaide Hospital
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
In a recent series of studies performed by our group, we have shown that exposure to hyperbaric oxygen (HBO) leads to an increase in insulin sensitivity in male subjects with type-2 diabetes (T2DM) and in obese and overweight men without diabetes. The aim of this study is to investigate the relationship between pressure and oxygen in producing this effect, specifically, is this effect measurable in hyperbaric air or is some higher pressure of oxygen required? Aims: 1. To determine whether the insulin sensitising effect of HBO is apparent in hyperbaric air at the same pressure as HBO. 2. To examine mechanisms underpinning the increase in insulin sensitivity following HBO.
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Trial website
https://clinicaltrials.gov/study/NCT03138746
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Trial related presentations / publications
Wilkinson D, Chapman IM, Heilbronn LK. Hyperbaric oxygen therapy improves peripheral insulin sensitivity in humans. Diabet Med. 2012 Aug;29(8):986-9. doi: 10.1111/j.1464-5491.2012.03587.x. Wilkinson D, Nolting M, Mahadi MK, Chapman I, Heilbronn L. Hyperbaric oxygen therapy increases insulin sensitivity in overweight men with and without type 2 diabetes. Diving Hyperb Med. 2015 Mar;45(1):30-6.
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Public notes
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Contacts
Principal investigator
Name
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David C Wilkinson, FANZCA
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Address
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University of Adelaide
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03138746