UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016883
Receipt number R000019283
Scientific Title Regional cerebral blood flow and metabolic changes associated with brain dysfunction induced by antihistamines
Date of disclosure of the study information 2015/03/23
Last modified on 2019/04/02 20:20:15

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Basic information

Public title

Regional cerebral blood flow and metabolic changes associated with brain dysfunction induced by antihistamines

Acronym

Cerebral blood flow and metabolic changes associated with antihistamines

Scientific Title

Regional cerebral blood flow and metabolic changes associated with brain dysfunction induced by antihistamines

Scientific Title:Acronym

Cerebral blood flow and metabolic changes associated with antihistamines

Region

Japan


Condition

Condition

Allergy (Healthy volunteers)

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

H1 antihistamines are often used in the medication for allergic diseases, coughs and colds, and insomnia, with or without prescription, even though their sedative properties are a potentially dangerous unwanted side effect that is not properly recognized. These sedative properties have been evaluated using the incidence of subjective sleepiness, objective cognitive and psychomotor functions in a cognitive study. This study is designed to evaluate the impairment in cognitive tasks after oral administration of levocetirizine 5 mg and diphenhydramine 50mg, as an active placebo, in healthy volunteers. In addition, regional cerebral blood flow and metabolism will be measured using near infrared spectroscopy (NIRS) and positron emission tomograhpy (PET).

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

regional cerebral blood flow and metabolism in cognitive tests done after oral administration of levocetirizine 5 mg and diphenhydramine 50mg and placebo.

Key secondary outcomes

subjective sleepiness and performance in cognitive tests done after oral administration of levocetirizine 5 mg and diphenhydramine 50mg and placebo.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Non-randomized

Randomization unit


Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

levocetirizine 5mg

Interventions/Control_2

diphenhydramine 50mg

Interventions/Control_3

placebo

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

25 years-old >=

Gender

Male

Key inclusion criteria

1) Healthy volunteers (men; young subgroup ranging 20-25 years old) who understand the purpose of this study well.
2) Healthy volunteers with his/her own will and without any subordinate relation.
3) Subjects who can take enough sleep and rest during the night before the clinical test.
4) Subjects who can contact by mobile phones and who can participate 3 serial clinical tests.

Key exclusion criteria

Subjects with the following conditions are to be excluded:
1) Subjects who take medication acting on histaminergic nervous systems including antihistamines
2) Subjects with past history of severe epilepsy and allergic reactions
3) Subjects with past history of frequent hospitalization.
4) Subjects with moderate to severe glaucoma and uninary tract obstruction such as prostatic enlargement
5) Subjects with other disorders to which administration of anticholinergic and antihistaminergic treatment is not suitable
6) Subjects with moderate to severe abnormality in renal and liver functions
7) Subjects with moderate to severe cognitive impairment
8) Subjects with abnormality in brain MRI images.
9) other abnormalities, the investigators think the inclusion to this study is not suitable

Target sample size

26


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name TASHIRO

Organization

Tohoku University Cyclotron and Radioisotope Center/Tohoku University Graduate School of Medicine

Division name

Division of Cyclotron Nulclear Medicine (a branch clinic of Tohoku University Hospital)

Zip code

980-8578

Address

6-3 AzaAoba Aramaki Aoba-ku Sendai-shi Myagi-ken 980-8578 Japan

TEL

022-795-7797

Email

mtashiro@m.tohoku.ac.jp


Public contact

Name of contact person

1st name Manabu
Middle name
Last name TASHIRO

Organization

Tohoku University Cyclotron and Radioisotope Center

Division name

Division of Cyclotron Nulclear Medicine (a branch clinic of Tohoku University Hospital)

Zip code

980-8578

Address

6-3 AzaAoba Aramaki Aoba-ku Sendai-shi Myagi-ken 980-8578 Japan

TEL

022-795-7797

Homepage URL


Email

mtashiro@m.tohoku.ac.jp


Sponsor or person

Institute

Tohoku University Cyclotron and Radioisotope Center

Institute

Department

Personal name



Funding Source

Organization

GSK Japan

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Tohoku University Graduate School of Medicine, Department of Pharmacology

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics comittee of Tohoku University Graduate School of Medicine

Address

1-1 Seiryo-cho Aoba-ku Sendai-shi Japan

Tel

022-717-8007

Email

med-kenkyo@grp.tohoku.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東北大学サイクロトロン・ラジオアイソトープセンター・サイクロトロン核医学(東北大学病院出張診療所)


Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 23 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

42

Results

Healthy young Japanese men received single doses of levocetirizine or diphenhydramine. Subjective feeling, task performances, and brain activity were evaluated during cognitive tests. Regional cerebral glucose consumption changes and hemodynamic responses were measured using [18F]FDG-PET and NIRS, respectively. Energy consumption in the brain was significantly increased after antihistamine administration. Stroop test accuracy was significantly impaired by diphenhydramine.

Results date posted

2019 Year 04 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2018 Year 03 Month 13 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 02 Month 16 Day

Date of IRB

2014 Year 10 Month 27 Day

Anticipated trial start date

2015 Year 03 Month 23 Day

Last follow-up date

2018 Year 12 Month 21 Day

Date of closure to data entry

2018 Year 12 Month 21 Day

Date trial data considered complete

2019 Year 03 Month 15 Day

Date analysis concluded

2019 Year 03 Month 20 Day


Other

Other related information



Management information

Registered date

2015 Year 03 Month 23 Day

Last modified on

2019 Year 04 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019283


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name