Effects of Vitamin C on Hyperoxia-Induced Reduction of Retinal Blood Flow
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Purpose
High arterial blood oxygen tension leads to vasoconstriction of retinal vessels, possibly related to an interaction between reactive oxygen species and endothelium-derived vasoactive factors. Vitamin C is a potent antioxidant capable of reversing endothelial dysfunction due to increased oxidant stress. Vitamin C appears to have vasodilatory properties, but the underlying mechanisms are not well understood.
In the present study we hypothesized that hyperoxic vasoconstriction of retinal vessels could be diminished by vitamin C.
Ocular blood flow will be determined by non-invasive methods, including laser Doppler velocimetry and the Zeiss retinal vessel analyser.
| Condition | Intervention |
|---|---|
|
Ocular Physiology Regional Blood Flow |
Dietary Supplement: vitamin C (Mayrhofer) 24mg/min i.v. for 64 min Dietary Supplement: Placebo Other: 100% O2 (AGA) two times for 12 min |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Diagnostic |
| Official Title: | Effects of Vitamin C on Hyperoxia-Induced Reduction of Retinal Blood Flow |
- Retinal arterial and venous diameter (Zeiss retinal vessel analyzer) [ Time Frame: in total 6 hours ] [ Designated as safety issue: No ]
- Retinal blood flow velocity (laser Doppler velocimetry) [ Time Frame: in total 6 hours ] [ Designated as safety issue: No ]
- Intraocular pressure (applanation tonometry) [ Time Frame: in total 10 minutes ] [ Designated as safety issue: No ]
| Enrollment: | 12 |
| Study Start Date: | February 2003 |
| Study Completion Date: | May 2003 |
| Primary Completion Date: | May 2003 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
vitamin C (Mayrhofer)
|
Dietary Supplement: vitamin C (Mayrhofer) 24mg/min i.v. for 64 min
Substance: Ascorbic acid (Mayrhofer) Manufacturer: Mayrhofer, Linz, Austria Dosage form: i.v. Dosage: 24mg/min over 64 min Dosage reference: Ting HH 1996
Other: 100% O2 (AGA) two times for 12 min
Substance: 100% oxygen (AGA, Vienna, Austria, gases for human use) Manufacturer: AGA, Vienna, Austria, gases for human use Dosage form: Inhalation through an oxygenmask over a period of 12 minutes two times per study day. Dosage reference: Strenn K 1997 |
|
Placebo Comparator: 2
Placebo
|
Dietary Supplement: Placebo
Substance: Physiologic saline solution 0.9% (placebo) Dosage form: i.v. Dosage: 24ml/min over 64 min
Other: 100% O2 (AGA) two times for 12 min
Substance: 100% oxygen (AGA, Vienna, Austria, gases for human use) Manufacturer: AGA, Vienna, Austria, gases for human use Dosage form: Inhalation through an oxygenmask over a period of 12 minutes two times per study day. Dosage reference: Strenn K 1997 |
Eligibility| Ages Eligible for Study: | 19 Years to 35 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Men aged between 19 and 35 years, nonsmokers
- Body mass index between 15th and 85th percentile (Must A 1991)
- Normal findings in the medical history and physical examination unless the investigator considers an abnormality to be clinically irrelevant
- Normal laboratory values unless the investigator considers an abnormality to be clinically irrelevant
- Normal ophthalmic findings, ametropia < 3 Dpt.
Exclusion Criteria:
- Regular use of medication, abuse of alcoholic beverages, participation in a clinical trial in the 3 weeks preceding the study
- Treatment in the previous 3 weeks with any drug
- Symptoms of a clinically relevant illness in the 3 weeks before the first study day
- History of hypersensitivity to the trial drug or to drugs with a similar chemical structure
- History or presence of gastrointestinal, liver or kidney disease, or other conditions known to interfere with, distribution, metabolism or excretion of study drugs
- Blood donation during the previous 3 weeks
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Gabriele Fuchsjäger-Mayrl, MD, Department of Clinical Pharmacology |
| ClinicalTrials.gov Identifier: | NCT00712907 History of Changes |
| Other Study ID Numbers: | OPHT-161202 |
| Study First Received: | July 8, 2008 |
| Last Updated: | July 9, 2008 |
| Health Authority: | Austria: Agency for Health and Food Safety |
Keywords provided by Medical University of Vienna:
|
vitamin C retinal blood flow intraocular pressure retinal vessel diameter |
Additional relevant MeSH terms:
|
Hyperoxia Signs and Symptoms, Respiratory Signs and Symptoms Ascorbic Acid Vitamins Antioxidants |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Protective Agents Physiological Effects of Drugs Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 22, 2013