UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038834
Receipt number R000044252
Scientific Title Effects of a 50 Hz magnetic field on blood flow velocity, ECG and vascular endothelial function in healthy adults
Date of disclosure of the study information 2019/12/12
Last modified on 2021/12/10 12:29:23

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Basic information

Public title

Effects of a 50 Hz magnetic field on blood flow velocity, ECG and vascular endothelial function in healthy adults

Acronym

Effects of a 50 Hz magnetic field on physiological parameters in healthy adults

Scientific Title

Effects of a 50 Hz magnetic field on blood flow velocity, ECG and vascular endothelial function in healthy adults

Scientific Title:Acronym

Effects of a 50 Hz magnetic field on physiological parameters in healthy adults

Region

Japan


Condition

Condition

healthy adults

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this study, we attempted to clarify the acute physiological effects of a 50 Hz sinusoidal magnetic field exposure at peak magnetic flux density Bmax 180 mT on blood flow velocity and electrocardiogram (ECG) and flow-mediated dilation (FMD) in healthy human subjects.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Measurement of blood flow velocity was conducted under one of three types of regional exposures, i.e., forearm exposure, upper arm exposure and neck exposure to a 50 Hz MF at Bmax 180 mT/Brms 127 mT on the surface of the MF exposure device. The MF or sham exposure was performed continuously for 15 min. In all cases of exposures, an ultrasound probe was positioned on the ventral skin surface of the bared left forearm to assess the blood flow velocity in an ulnar artery. In the case of forearm exposure, after putting on the dorsal side of the left forearm on the MF exposure device for about 5 min, the blood flow velocity (peak systolic velocity [PSV] in pulsed wave [PW] mode) in an ulnar artery was measured noninvasively from the ventral side of the forearm at 5-min intervals for 25 min by using a potable digital color Doppler ultrasound system (JS2 with a linear probe L741, 5-12 MHz, Medicare Co., Ltd., Shenzhen, China).
The forearm was positioned on an MF exposure device for about 30 min to keep the arm motionless as long as possible during the clinical trial in each subject. At each time point, the PSV was measured in triplicate for the blood flow velocity and the mean values was calculated. For upper arm exposure, an additional second MF exposure device was positioned to the dorsal side of the upper arm. For neck exposure, an additional third MF exposure device was positioned laterally to the dorsal side of the neck. In the cases of upper arm and neck exposure experiments, the MF exposure device for forearm exposure was used to keep posture the same as in the case of forearm exposure experiment without turning on the power. Each crossover trial for each participant was performed twice on different days after a washout period of at least two days and the duplicate data were averaged for each individual in each test. Therefore, the mean value of two trials in MF or sham exposure was used for statistical analysis.

Key secondary outcomes

The ECG monitoring was conducted under neck exposure alone. ECG was recorded continuously for 25 min using a multi-channel telemetry system (WEB-1000, Nihon Kohden Co., Ltd., Tokyo, Japan). The MF or sham exposure was conducted continuously for 15 min. RRI was extracted and used in this analysis. A power spectral analysis of RRI by fast Fourier transformation was performed to obtain the low-frequency (LF) and high-frequency (HF) components and the HF component and the LF/HF ratio were analyzed.
FMD is an index of artery endothelium-derived nitric oxide function. The brachial artery FMD measurement was performed using an FMD monitoring device (UNEXEF18G; UNEX Co., Ltd., Nagoya, Japan). Exposure of the dorsal side of the left upper arm was performed with the subject lying on a bed in the supine position. The brachial artery FMD values in the left upper arm was monitored at the baseline (pre-exposure) and post-exposure. After putting on the dorsal side of the left upper arm on an MF exposure device and attaching the cuff around the left forearm, the FMD values were monitored before and immediately after exposures. FMD test was repeated with an interval of 30 min and the MF or sham exposure was conducted continuously for 30 min.
After the muscle loading exercise, hemoglobin oxygenation index values were measured and analyzed using a functional near-infrared spectroscopy (fNIRS) device (Pocket NIRS Duo, DynaSense, Hamamatsu, Japan).
To conduct muscle loading exercises, the participants in sitting position performed the wrist curl exercise (3 sets of 20 repetition cycles) in their left hand using a 3kg dumbbell.
MF exposure to the left forearm was carried out for 15 min.


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

6

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Effects of forearm exposure to magnetic field (MF) on ulnar arterial blood flow velocity. The MF or sham exposure is conducted continuously for 15 min.

Interventions/Control_2

Effects of upper arm exposure to MF on ulnar arterial blood flow velocity. The MF or sham exposure was conducted continuously for 15 min.

Interventions/Control_3

Effects of neck exposure to MF on ulnar arterial blood flow velocity. The MF or sham exposure was conducted continuously for 15 min.

Interventions/Control_4

Effects of neck exposure to MF on ECG. The MF or sham exposure was conducted continuously for 15 min.

Interventions/Control_5

Effects of upper arm exposure to MF on brachial artery flow-mediated dilation (FMD). The MF or sham exposure was conducted continuously for 30 min.

Interventions/Control_6

Effects of forearm exposure to MF on hemoglobin oxygenation index after muscle loading exercise in forearm. The MF or sham exposure was conducted continuously for 15 min.

Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

90 years-old >

Gender

Male

Key inclusion criteria

During the study period, subjects are not used any form of physical therapy and were not taking any vasoactive medication. Subjects' body temperature and systolic and diastolic blood pressures were within normal ranges.

Key exclusion criteria

Cases other than abobe.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Hideyuki
Middle name
Last name Okano

Organization

Saitama University

Division name

Advanced Institute of Innovative Technology

Zip code

338-8570

Address

255 Shimo-Okubo, Sakura-ku, Saitama City, Saitama

TEL

+81-80-7992-1919

Email

hideyukiokano@aol.com


Public contact

Name of contact person

1st name Hideyuki
Middle name
Last name Okano

Organization

Saitama University

Division name

Advanced Institute of Innovative Technology

Zip code

338-8570

Address

255 Shimo-Okubo, Sakura-ku, Saitama City, Saitama

TEL

+81-80-7992-1919

Homepage URL


Email

hideyukiokano@aol.com


Sponsor or person

Institute

Saitama University

Institute

Department

Personal name



Funding Source

Organization

Saitama University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama University

Address

255 Shimo-Okubo, Sakura-ku, Saitama City, Saitama

Tel

048-858-3010

Email

kshinkou@gr.saitama-u.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



Other administrative information

Date of disclosure of the study information

2019 Year 12 Month 12 Day


Related information

URL releasing protocol

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0255242

Publication of results

Published


Result

URL related to results and publications

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0255242

Number of participants that the trial has enrolled

20

Results

1)Forearm, upper arm, or neck exposure, had significantly increased ulnar arterial blood flow velocity compared to the sham exposures.
2)After muscle loading exercise, MF exposure recovered hemoglobin oxygenation index values faster and higher than sham exposure.
3)MF exposure in the neck region had significantly increased parasympathetic high-frequency activity relative to the sham exposure.
4)The MF exposure in the upper arm region significantly increased the FMD compared to the sham exposure.

Results date posted

2021 Year 12 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 08 Month 05 Day

Baseline Characteristics

The inclusion criteria were as follows:
1) participants have not used any form of physical therapy and have not taken any vasoactive medication during the study period;
2) subjects' body temperature, heart rate (HR), systolic and diastolic blood pressures (BP) were within normal ranges.

Participant flow

First, 18 healthy right-handed adult male volunteer students were recruited by e-mail from Saitama University. We asked them to participate in face-to-face interview. A response was obtained from 14 men, of whom 12 were eligible and then enrolled in protocol A including the measurements of blood flow velocity, blood pressure and heart rate, the functional near infrared spectroscopy (fNIRS) measurement, and the ECG measurement. Two subjects were excluded as they did not meet inclusion criteria. Eventually, recruitment and enrollment of 10 participants in protocol A was conducted from October 2017 to April 2020. Thus, protocol A was completed in 10 participants
Second, 16 healthy right-handed adult male volunteer students were recruited and enrolled in protocol B for FMD measurement alone using the same criteria. Protocol B included 6 participants from protocol A. Recruitment and enrollment in protocol B was conducted from February 2018 to March 2020.

Adverse events

None

Outcome measures

1) Ulnar arterial blood flow velocity
2) Hemoglobin oxygenation index, oxyhemoglobin (oxyHb), deoxyhemoglobin (deoxyHb) and total hemoglobin
3) Electrocardiogram(ECG), RRI, HF, LF/HF
4) Flow-mediated dilation(FMD)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 02 Month 07 Day

Date of IRB

2017 Year 10 Month 24 Day

Anticipated trial start date

2017 Year 10 Month 25 Day

Last follow-up date

2021 Year 07 Month 11 Day

Date of closure to data entry

2021 Year 07 Month 11 Day

Date trial data considered complete

2021 Year 07 Month 11 Day

Date analysis concluded

2021 Year 07 Month 17 Day


Other

Other related information



Management information

Registered date

2019 Year 12 Month 09 Day

Last modified on

2021 Year 12 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044252


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name