Clinical trial

Evaluating Potential Benefits of Intranasal Oxytocin on Undersea Operator Training and Performance: Hyperoxic Swim-Induced Oxidative Stress and Inflammation

Name
IRB-2020-0000
Description
Naval Special Warfare (NSW) operators are exposed to a variety of extreme environmental conditions and intense physical demands. In addition to breathing high pressure gases at depth, prolonged cold water immersion and inadequate recovery from sustained physical exertion negatively impact individual and team performance. Biotechnologies that could mitigate the effects of cold as well as support physical recovery represent a significant unmet need for the NSW operational community. Oxytocin (OT) has a wide range of actions both locally in the brain and peripherally in the body including skeletal muscle. These peripheral effects can be mediated by classic ligand-receptor activation given the abundant expression of the oxytocin receptor in peripheral tissues, along with local expression of OT in peripheral tissues where it is likely to act in an autocrine manner. Exogenous OT via intranasal administration is FDA Investigational New Drug (IND)-approved and has been demonstrated as an easy and safe method to increase circulating OT concentrations that may augment actions on peripheral tissues. Due to the pleiotropic effects of OT on whole body metabolism, thermogenesis, stress responses, pain, mood, inflammation, appetite, glycemic control, skeletal homeostasis, and skeletal muscle repair and regeneration, there is increasing interest in the administration of exogenous OT for benefits to human health, performance and resilience. However, the biological mechanisms by which OT exerts tissue-specific effects (e.g., skeletal muscle) remain poorly understood, particularly in humans. This project is designed to significantly advance this understanding while testing the central hypothesis that intranasally administered OT attenuates systemic and skeletal muscle oxidative stress and inflammation induced by the combined stressor of resistance swim exercise and hyperoxia.
Trial arms
Trial start
2022-02-01
Estimated PCD
2023-09-15
Trial end
2023-09-15
Status
Completed
Phase
Early phase I
Treatment
Oxytocin nasal spray
Intranasal treatment with oxytocin via nasal spray (48 IU per dose)
Arms:
Oxytocin nasal spray
Other names:
Oxytocin
Placebo nasal spray
Intranasal treatment with placebo via nasal spray
Arms:
Placebo nasal spray
Other names:
Placebo
Size
40
Primary endpoint
Change in muscle oxidative stress via glutathione reductase activity
Change in muscle glutathione reductase activity from before to 3 hours after the resistance swim + hyperoxia
Change in blood oxidative stress via glutathione reductase activity
Change in blood glutathione reductase activity from before to 3 hours after the resistance swim + hyperoxia
Eligibility criteria
Inclusion Criteria: * Apparently healthy (assessed via health, activity, and medical history) * BMI \< 30 * No chronic conditions that would preclude participation * Recreationally skilled swimmer capable of a continuous 30 min kickboard swim Exclusion Criteria: - Regular smoking. The smoking exclusion includes all forms (cigarettes, vaping, etc) due to well-established effects on lung function and systemic oxidative stress and inflammation
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Double-blind, placebo-controlled, randomized trial leveraging a wash-in design', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'QUADRUPLE', 'maskingDescription': 'All will remain blinded until completion of human subjects data collection except the research pharmacist providing intranasal oxytocin or placebo.', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 40, 'type': 'ACTUAL'}}
Updated at
2024-02-22

1 organization

2 products

2 indications

Product
Oxytocin
Indication
Inflammation