Effects of Sleep Deprivation on Cerebrospinal Fluid (CSF) Amyloid-beta (Aβ) Dynamics (AWAKE)
Recruitment status was Recruiting
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Purpose
Introduction: Alzheimer's disease (AD) is characterized by neurodegeneration of the brain in the form of neurofibrillary tangles and plaques containing the amyloid-beta protein (Abeta). Recent animal studies have shown that extended wakefulness is associated with increased production of these Abeta proteins and that sleep leads to a marked fall in their production.
Aim: The investigators aim to distinguish a similar effect of sleep disturbance on cerebrospinal fluid (CSF) Abeta levels in humans, which may point out sleep disturbance as an important factor in AD development.
Methods: a cross-over study in 12 healthy male volunteers, measuring CSF Abeta levels during a sleep deprivation night and before and after a control night with unrestricted sleep.
Expected results: The investigators expect sleep deprivation to lead to an increase in CSF Abeta levels, as compared to the levels in the control night.
| Condition | Intervention |
|---|---|
|
Alzheimer Disease |
Behavioral: Sleep deprivation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacodynamics Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Losing Sleep Over Alzheimer's Disease? Effects of Sleep Deprivation on Cerebrospinal Fluid Amyloid-beta Dynamics |
- Amyloid beta [ Time Frame: 6 timepoints during one night of sleep deprivation ] [ Designated as safety issue: No ]Subjects will undergo one night of sleep deprivation before, during and after which a total of 9 CSF samples (6ml each) will be drawn through a spinal catheter. From these CSF samples Amyloid beta will be analysed.
| Estimated Enrollment: | 12 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | October 2011 |
| Estimated Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Sleep deprivation
in 6 subjects the control night will precede the deprivation night (group 1), while in the other 6 subjects the control night will follow after the deprivation night (group 2), thus becoming a recovery night.
|
Behavioral: Sleep deprivation
Complete sleep deprivation for one night
|
|
No Intervention: Control night
control night of unrestricted sleep either before or after the sleep deprivation night
|
Eligibility| Ages Eligible for Study: | 40 Years to 60 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Written informed consent
- Age 40-60 years
- Male
- Subject is in good health as established by medical history, physical examination, ECG and laboratory examination
- Laboratory parameters (as described on in section 3.7 screening) should be within the normal ranges as applicable in RUNMC, Nijmegen, or clinically acceptable to the investigator
- Normal sleep behaviour, Pittsburg Sleep Quality index score ≤5
- MMSE 28 or higher
- Medication free
Exclusion Criteria:
- Presence of blood coagulopathy, established by medical history
- Allergy to local anesthetic agents
- Contra-indication for spinal catheter placement: medical history of compression of spinal cord, spinal surgery, skin infection, developmental abnormalities in lower spine
- Subjects who are currently participating in another study or have participated in a clinical study within 30 days, based on their own report about participation history
- Subjects with a history of drug or alcohol abuse
- Subjects who are part of the study staff personnel or family members of the study staff personnel
Contacts and Locations| Netherlands | |
| Clinical Research Centre Nijmegen | Recruiting |
| Nijmegen, Gelderland, Netherlands, 6500HB | |
| Contact: J AHR Claassen, PHD, MD +31 24 3616772 J.claassen@ger.umcn.nl | |
More Information
No publications provided
| Responsible Party: | Dr. Jurgen A.H.R. Claassen, Radboud University Nijmegen Medical Center, Department of Clinical Geriatrics |
| ClinicalTrials.gov Identifier: | NCT01194713 History of Changes |
| Other Study ID Numbers: | AWAKE32920 |
| Study First Received: | September 1, 2010 |
| Last Updated: | May 17, 2011 |
| Health Authority: | Netherlands: Medical Ethics Review Committee (METC) |
Keywords provided by University Medical Center Nijmegen:
|
Alzheimer Disease Cerebrospinal fluid Sleep Abeta |
Additional relevant MeSH terms:
|
Alzheimer Disease Sleep Deprivation Dementia Brain Diseases Central Nervous System Diseases Nervous System Diseases Tauopathies |
Neurodegenerative Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders Dyssomnias Sleep Disorders Neurologic Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013