Ultrasound Therapy Effects to Modulate the Inflammatory Reflex

Trial ID or NCT#

NCT05457907

Status

recruiting iconRECRUITING

Purpose

This two treatment group study, including sham treatment, attempts to measure how ultrasound frequency, duration, intensity, and duty cycle impact its acute anti-inflammatory effect in healthy volunteers. It also attempts to contribute to the evidence regarding the comfort and safety of using therapeutic ultrasound. This pilot dose-finding study will be the basis for a larger Phase 2 trial in Rheumatoid Arthritis (RA) patients.

Official Title

Ultrasound Therapy Effects to Modulate the Inflammatory Reflex

Eligibility Criteria

Ages Eligible for Study: 22 Years to 65 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Yes
Inclusion Criteria:
  1. - Individuals between 22 and 65 years of age - No physical disabilities or conditions/diseases that limit capacity to participate in study procedures or otherwise increases risk of harm - No significant past medical or surgical histories that would render participants at a greater risk of harm - Sufficient proficiency with the english language to follow verbal instructions during the ultrasound session and to actively participate in the consent process - Able to attend all study visits at approximately the same time of day (i.e., 8 - 12 pm) - Able to comprehend the study goals and procedures, and are able to provide informed consent for participation
Exclusion Criteria:
  1. - Individuals participating in another research study that may affect the conduct or results of this study - Individuals considered substantially overweight or obese via body mass index (≥ 29) - Individuals having or exhibiting any of the following: - surgery in the past 90 days - previous surgery of the spleen or splenectomy, esophagus, lungs, stomach, duodenum, or liver - recent traumatic injury, including intracerebral hemorrhage and visceral injury - end stage renal disease and/or uremia - active malignancy - previous leukemia and/or lymphoma - human immunodeficiency virus infection or AIDS - rheumatoid arthritis or other immune-mediated diseases (e.g. inflammatory bowel disease) - arrhythmias, including but not limited to, atrial fibrillation, atrial flutter, clinically significant bradycardia, ventricular arrhythmias, and A-V block - implanted pacemaker or cardioverter/defibrillator (AICD) - a history of stable or unstable angina, myocardial infarction, angioplasty or coronary arterial by-pass grafting surgery - history of stroke or transient ischemic attack (TIA) - history of deep venous thrombosis (DVT) and/or pulmonary embolism (PE) - previous episodes of pancreatitis - spinal disorders - chronic pain syndromes - history of thrombosis or bleeding disorders - stage III-IV pressure ulcers - sickle cell anemia or other anemia syndromes - monocytosis - thrombocytopenia - diagnosed with fever of unknown origin (FUO) - previously or currently implanted vagus nerve stimulator - previously or currently implanted spinal cord stimulator - other chronically-implanted electronic medical device - history of diabetes - history of hypertension - history of seizures - history of cancer - Individuals who have taken any of the following medications within one week of receiving ultrasound delivery: - anti-coagulant (Coumadin, Xarelto) - anti-platelet (aspirin, Plavix) - anti-inflammatory (aspirin, NSAIDs) - anti-hypertensive (α-methyldopa) - epinephrine-related drugs, norepinephrine-related drugs, and drugs that stimulate release of epinephrine and/or norepinephrine (Micronefrin, Asthmanefrin) - immunosuppressive agents (steroids, newer immunomodulatory drugs) - alpha and/or beta adrenoceptor blocking agents - anti-seizure medications - other medications, supplements, etc. that may interfere with the ultrasound delivery or study results - Individuals that consumed alcohol within 2 days of the baseline visit - Individuals currently using or have used tobacco or nicotine products within the past 1 month - Pregnant women

Investigator(s)

Robert Michael Fairchild
Robert Michael Fairchild
Rheumatologist
Assistant Professor of Medicine (Immunology and Rheumatology)
Alexander Sackeim
Clinical Assistant Professor, Emergency Medicine

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Contact

Alexander Sackeim, MD
914-523-7345