Clinical trial NCT01606527: NSAID RCT for Prevention of Altitude Sickness
Official title: Prospective, Double-blind, Randomized, Placebo-controlled Trial of Ibuprofen Versus Placebo for Prevention of Neurologic Forms of Altitude Sickness
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
Conditions: Spectrum of Altitude-associated Neurologic Forms of Altitude
Keywords: Spectrum of Altitude-associated acute mountain sickness
hypoxia
high altitude headache
high altitude cerebral edemat is.....
Lead sponsor: Naval Health Research Center
Sponsor class: FED
Collaborators: name: University of California, San Diego
First posted: 2012-05-25
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The proposed study is a prospective, randomized, double-blind, placebo-controlled clinical trial evaluating ibuprofen and placebo for the prevention of neurological forms of altitude illness \[including high altitude headache (HAH), acute mountain sickness (AMS), high altitude cerebral edema (HACE), and an emerging concept of High Altitude Anxiety\]. The study will take place in the spring and summer of 2012 at the Marine Corps Mountain Warfare Training Center in the Eastern Sierras near Bridgeport, California. US Marines from near sea level will participate in battalion-level training exercises at between 8,500-11,500 Feet, where some altitude illness is expected. Concurrent measures used to determine objective markers of altitude illness, such that validated clinical scales, rapid cognitive screening tests, will inform us of symptoms of altitude illness.


Eligibility criteria: INCLUSION CRITERIA:

Active duty military

Current in their medical screening

EXCLUSION CRITERIA:

Upper respiratory tract infection or influenza

Have had a reaction to Ibuprofen, aspirin or other Non-Steroidal Anti-inflammatory Drugs (NSAIDs).

Stayed the night at an altitude of greater than 6,700 feet within the last 7 days

Headache at baseline

Have altitude sickness or more than one mild symptom of any severity on the Lake Louise Questionnaire including headache, poor appetite, nausea, vomiting, fatigue, weakness, dizziness, and/or poor sleep (insomnia)

Low blood oxygen or low oxygen saturation (\<90%)

Pregnant or cannot exclude the possibility of being pregnant, or have missed menses by over 7 days.

Have taken any of the following in 48 hours preceding enrollment: acetazolamide/Diamox, steroids (dexamethasone/Decadron, prednisone), theophylline, or diuretics such as Lasix

Have taken any of the following within 12 hours preceding enrollment: Ibuprofen/Motrin, Naprosyn/Naproxen/Aleve, aspirin, or Acetaminophen/Tylenol.

Have taken any other medication that may be known to have potential for drug-drug interactions with ibuprofen, including (but not limited to): ACE-inhibitor antihypertiensives, thiazide diuretics, furosemide, lithium, methotrexate, and H-2 Agonists.

Have any medical conditions which may make participation hazardous (\*by self-report which can be clarified before enrollment with the study physicians as necessary), including:

* Heart disease - Congestive heart failure, heart attack in the last month or severe coronary artery disease, or significant heart valve problems or other congenital problems.
* Lung disease - Restrictive lung disease, chronic obstructive pulmonary disease (COPD), severe obstructive sleep apnea, or pulmonary hypertension of any cause.
* Neurological disorders - Hydrocephalus, history of brain tumor, history of severe brain trauma or coma, pseudotumor cerebri, or severe uncontrolled headaches/migraine disorder (as diagnosed by a doctor).
* Gastrointestinal - Known stomach ulcer or history of gastrointestinal bleeding.
* Blood disorders - Anemia, leukemia, or other coagulopathies of any kind.
* Kidney disease - Kidney failure or other known kidney disease.

General - The Principal Investigator and co-investigator reserve the right to exclude a potential participant with conditions that in their judgment are not listed above, but which would reasonably represent concern for the participant's health and welfare, including (but not limited to) conditions that may directly antagonize mechanisms of acclimatization to altitude, organ failure, metastatic/malignant neoplasm, space-occupying brain lesions or diagnoses typically known to raise intracranial pressure, and disorders that are likely to antagonize adequate respiration, blood oxygenation, and/or circulation.

Primary outcomes:
measure: Change in the incidence of AMS as measured on the Lake Louise AMS Questionnaire across the study.
timeFrame: Twice daily
Secondary outcomes:
measure: 1. Change in High Altitude Headache measured by the Visual Analog Scale (VAS) across the study.
timeFrame: Twice daily
measure: 2. Change in cognitive performance as measured by King-Devick across the study.
timeFrame: Twice daily
measure: 3. Change in the presence of anxiety and somatic symptoms using the BSI-12 screening tool across the study
timeFrame: Twice daily
measure: 4. Change in the oxygen concentration using Pulse Oximetry across the study.
timeFrame: Twice daily
measure: 5. Change in hydration status as measured by urine specific gravity across the study.
timeFrame: Twice daily
measure: 6. Change in HAH incidence and severity as measured on the Lake Louise AMS Questionnaire across the study.
timeFrame: Twice daily
measure: 7. Change in cognitive performance as measured by the Quickstick across the study
timeFrame: Twice daily
measure: 8. Change in the presence of anxiety and somatic symptoms using the GAD-2 screening tool across the study
timeFrame: Twice daily
measure: 9. Incidence of severe AMS as measured by a score of 6 or greater on the Lake Louise AMS Questionnaire.
timeFrame: Twice Daily
Other outcomes:
Locations:
city: Bridgeport
country: United States
facility: Marine Mountain Warfare Training Center
state: California
Study officials:
affiliation: Naval Health Research Center - San Diego
name: Jeffrey H Gertsch, MD
role: PRINCIPAL_INVESTIGATOR
References: