This study is in progress, not accepting new patients

Hormonal Mechanisms of Sleep Restriction - Axis Study in Older Men and Postmenopausal Women

a study on Sleep Restriction

Summary

Eligibility
for people ages 60-80 (full criteria)
Healthy Volunteers
healthy people welcome
Location
at UCLA
Dates
study started
completion around
Principal Investigator
by Peter Liu, MD, PhD (ucla)

Description

Summary

The purpose of this study is to 1) determine how hypothalamic-pituitary-adrenal axis (HPA axis) activation occurs with sleep restriction and 2) evaluate how hypothalamic-pituitary-gonadal axis (HPG axis) deactivation occurs with sleep restriction. The investigator will also examine the cognitive function associated with sleep restriction, including food intake and food cravings.

Details

Sleep restriction and its consequences are major public health problems, especially in older adults. Among the more severe physiological sequelae of sleep restriction is the development of insulin resistance. The mechanisms by which sleep restriction leads to increased insulin resistance are unknown, especially in vulnerable older adults; such research informs development of targeted interventions against the sleep loss/insulin resistance link.

This study will administer drugs to clamp the function of each of these nodes to determine the regulatory changes that have occurred with sleep restriction. Even though the study is randomized order in design, the main comparison is before and after sleep restriction under each of these clamp conditions. Participants are admitted to the chronobiology laboratory where they are given 1 night of 10 hours sleep opportunity, followed by 4 nights of 4 hours sleep opportunity.

Up to 40 participants can be enrolled. However, participants will be allowed an opportunity to be randomized to all 4 conditions so that as few as 10 participants may be required. We anticipate 5 men and 5 women will be enrolled assuming each undergoes all 4 clamp conditions.

Keywords

Sleep Restriction, Testosterone, Cortisol, Ketoconazole, Dexamethasone, Dexamethasone acetate, Hydrocortisone, Hydrocortisone hemisuccinate, Pharmaceutical Solutions, Hormones, Cosyntropin, Prolactin Release-Inhibiting Factors, BB 1101, Ganirelix, Ketoconazole Pill (also known as nizoral), Dexamethasone Pill, Dexamethasone injection, Cosyntropin Injectable Product, Recombinant Human Luteinizing Hormone (also known as luveris), Hydrocortisone Injection (also known as solu-cortef), Gonadorelin (also known as Lutrepulse), Corticorelin (also known as Acthrel), Saline Solution, Saline solution for injection

Eligibility

You can join if…

Open to people ages 60-80

  • Men or postmenopausal women aged 60-80 years
  • Willingness to provide written informed consent
  • Stable weight over preceding 6 weeks
  • Body Mass index (BMI) 22-28 kg/m2
  • Physically and psychologically healthy
  • Good habitual sleep with regular bedtimes
  • Neither extreme morning- nor extreme evening-type using Horne-Ostberg Morningness-Eveningness criteria

You CAN'T join if...

  • Medications that interfere with the adrenal or gonadal axis will be excluded
  • Unable or unwilling to provide IRB (Internal Review Board)-approved informed consent
  • Clinical disorders and/or illnesses
  • Current medical or drug treatment, as assessed by questionnaire
  • History of brain injury or of learning disability
  • Vision or hearing impairment unless corrected back to normal
  • Anemia (Hct <38%)
  • History of psychiatric illness
  • Clinically significant abnormalities in blood and urine, and free of traces of drugs
  • Other endocrine abnormalities including hypothyroidism or adrenal failure; primary gonadal disease as indicated by serum LH (luteinizing hormone) or FSH (follicle stimulating hormone) concentration >10 or >15 IU/L, respectively, hyperprolactinemia indicated by prolactin >25ug/L
  • Type 2 Diabetes (HgbA1C)
  • Current smoker
  • Recent or concurrent drug or alcohol abuse
  • Blood donation in previous eight weeks
  • Travel across time zones within one month of entering the study
  • Sleep or circadian disorder
  • Shift work within three months of entering the study
  • Irregular bedtimes (not between 6 and 10 hours in duration)
  • Unoperated obstructive uropathy, recurrent prostatitis, indeterminate prostatic nodularity, Hx or Suspicion of cancer of the prostate gland or PSA (prostate-specific antigen) >4ng/ml
  • Previous adverse reaction to sleep deprivation or any of the drugs to be administered
  • Concurrent participation in another research study
  • Mini- mental state examination (MMSE) < 27

Location

  • Los Angeles Biomedical Research Institute
    Torrance California 90509 United States

Lead Scientist at University of California Health

  • Peter Liu, MD, PhD (ucla)
    Professor-in-Residence, Medicine. Authored (or co-authored) 155 research publications

Details

Status
in progress, not accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
ID
NCT04037605
Phase
Phase 1 Sleep Restriction Research Study
Study Type
Interventional
Participants
About 5 people participating
Last Updated