Inhaled Budesonide for Altitude Illness Prevention

Study Overview
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Brief Summary
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A randomized, double-blinded study administering budesonide, a medication to reduce inflammation in the lungs, to healthy volunteers to examine effects on altitude illness prevention by spending 18 hours overnight at 14,000 ft elevation.

Detailed Description
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A randomized, double-blinded study will be conducted to validate the results of previous literature on the use of budesonide in the prevention of altitude sickness. It will be conducted using healthy participants overseen by experienced wilderness medicine and altitude researchers from the Altitude Research Center at University of Colorado Denver. Participants will be recruited from the Denver community and prescreened for eligibility via phone. 100 participants, after consenting, will have baseline data and blood collected and will begin budesonide therapy 72 hours prior to being taken from Denver to Pikes Peak, where they will be observed at altitude for 18 hours. Patients will have the opportunity to withdraw consent at any time and will be monitored continuously by physician-researchers. Data collection and blood draws will be performed at specific time points and analyzed for efficacy of budesonide vs. placebo in the incidence of altitude sickness.

Official Title
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Inhaled Budesonide for Altitude Illness Prevention

Conditions
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Altitude Sickness

Intervention / Treatment
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* Drug: Budesonide
* Other: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: healthy, altitude naive, 21-40 years old Exclusion Criteria: smokers pregnancy hx of asthma current inhaled steroid use those with diseases or disorders known to be affected by hypoxia or the drugs used in this study such as migraine or other chronic headaches, sickle cell trait or disease, or diabetes history of significant head injury or seizures taking any medication (over-the-counter or prescription) or herbal supplements a known hypersensitivity reaction to budesonide inability to be headache-free when consuming the amount of caffeine in two six ounce cups of coffee or less per day exposure to high altitude above 2000m in the previous 1 month or those who have been on an airline flight over six hours (Airplane cabins are pressurized to an elevation that can approximate exposure to high altitude)

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Budesonide<br>Will participate in all study activities but will receive budesonide. | Drug: Budesonide<br>* Budesonide is FDA approved for the treatment of asthma and Chronic Obstructive Pulmonary Disease (COPD). It works by reducing lung inflammation to increase oxygen uptake by the body. The researchers are examining if this medication can prevent altitude sickness.<br>|
| Placebo Comparator: Placebo<br>Will participate in all study activities but will receive placebo. | Other: Placebo<br>* Subject(s) will participate in all study activities but will receive placebo.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Inflammation | Analysis to compare activity in pro-inflammatory pathways and activity in anti-permeability pathways, as measured by serum markers, between budesonide and placebo. | During 18 hours at elevation compared to baseline. | 
| Incidence of Acute Mountain Sickness (AMS) | Comparison of incidence and severity of acute mountain sickness between budesonide and placebo. | During 18 hours at elevation compared to baseline. | 
| Changes in Gene regulation | Comparison of gene regulation involved in acclimatization and altitude illness. | During 18 hours at elevation compared to baseline. |