What this study is
The Purpose of the study is to test the hypothesis that administration of an S-nitrosylating (SNO) agent can improve tissue oxygenation during transfusion of packed red blood cells (RBCs).
What's being tested
- SNO
Intervention · DRUG
S-nitrosylating agent (SNO) Inhalation
- Normal Saline
Intervention · DRUG
Normal Saline transfusion
- Red Blood Cell
Intervention · DRUG
Blood transfusion (RBCs)
Study details
- Official title
- Phase 1 Study of S-Nitrosylation Therapy to Improve Tissue Oxygenation During Autologous Blood Transfusion in Healthy Volunteer
- Sponsor
- James Reynolds
- Conditions
- Transfusion Related Complication
- Enrolling
- 35 people
- Starts
- 2019-07-25
- Est. completion
- 2028-02-29
- Design
- Open-label, randomized, parallel groups, Phase 1
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years – 35 YearsSex ALLHealthy volunteers AcceptedYou may qualify if
- Eligibility Criteria Recruiting and studying of healthy human subjects with no pre-existing pathologic conditions from the local population. As a result the inclusion criteria is deliberately broad.
- Hemoglobin > 12 g/dl
- Healthy, non-pregnant adults with no pre-existing blood disorders or disease states that impact oxygen delivery. 2a. Active blood and platelet donors will be sought as study participants since these individuals are familiar with the routines for blood withdrawal and re-infusion.
You can't join if
- The exclusion criteria is derived from the American Red Cross(ARC) Standard Operating Procedure (SOP) for autologous donation AND the parameters set out in the investigational new drug application (IND).
- Individuals who are pregnant, breastfeeding, or are unwilling to avoid pregnancy during the study.
- Individuals with an anatomic anomaly that would increase the risks associated with placement of the vascular catheters.
- Individuals who report chronic diseases requiring medication of the heart, lungs, kidney, liver, etc or afflicted with any acute or chronic pathology that in the opinion of the screening physician makes them unsuitable for study.
- Individuals with a recent history of antibiotic therapy (check for underlying cause).
- Individuals unwilling to refrain from taking any phosphodiesterase 5 (PDE-5) inhibitor for at least 24 h prior to donation and/or autologous transfusion.
- Individuals taking a vitamin K antagonist (warfarin) or other anticoagulant (e.g. heparin, clopidogrel, enoxaparin or dalteparin).
- Individuals taking allopurinol, beta-adrenergic blockers, tricyclic antidepressants, meperidine (or related central nervous system (CNS) agents), or nitrates.
- Individuals on long-term antihistamine therapy 8a. The study physician will determine on a case by case basis the suitability for inclusion of individuals who control seasonal or acute allergies with occasional antihistamine use.
- Individuals with blood pressure parameters outside the normal range, i.e., higher than 130 mm Hg systolic and/or higher than 90 mm Hg diastolic; mild hypertension is acceptable by the Red Cross for blood donation.
- Individuals with heart rates outside the range of 50 to 100 beats per minutes or with a pathologic irregularity. 10a. Pulses lower than 50 may be acceptable if the study participant participates in endurance training. The study physician will be consulted for evaluation.
- Individuals with an inherited or acquired blood coagulation disorder, congenital methemoglobinemia, or a familial hemoglobinopathy that impacts oxygen delivery (e.g. sickle cell).
- Individuals with any illness that may increase the risks associated with the study.
- Individuals who previously received blood products to treat an acute condition will be evaluated on a case by case basis.
- Individuals who report an acute or chronic disease state that may impact oxygen delivery.
- Individuals with evidence of diminished lung capacity.
- Individuals who might have difficulty with the placement of a face mask (e.g. claustrophobia, uncontrolled asthma, severe allergies, sensitive skin) and/or the inhalation of a product for approximately 2-3 hours.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (1)
1 openUniversity Hospitals Cleveland Medical Center
Cleveland, Ohio, United States
- Sindhuja Senigarapu, MD · Contact216-334-9277Sindhuja.Senigarapu@uhhospitals.org
- James D Reynolds, PhD · Contact(216) 368-5727jxr343@case.edu
- Mada Helou, MD · Principal investigator
- Basanta Mohapatra, MD · Sub-investigator
- Reid Rubsamen, MD · Sub-investigator
Recruiting
Study team
Sponsor
James Reynolds
Study ID STUDY20221492
Principal investigator
James D. Reynolds, PhD
Case Western Reserve University
Study director
Mada Helou, MD
University Hospitals Cleveland Medical Center
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.