About this trial
Acute Intermittent Hypoxia (AIH) is a rehab approach attributed to serotonin. AIH signaling also occurs via adenosine, and the pathways inhibit each other. Increased neural adenosine in aging may stymie AIH plasticity. The hypothesis is pre-treatment with adenosine 2A receptor inhibition (A2AI) enhances AIH effects on motor plasticity in unaffected adults. AIH exposures will be paired with A2AI or placebo, with a 4-week washout. Primary outcome measures include inspiratory and grip strength.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 40-79 years Non-smokers Ambulatory in the community Do not require assistance to complete activities of daily living
Disqualifiers
Restrictive or obstructive lung conditions Pregnancy Active respiratory infections Use of antibiotics in the last 4 weeks Symptomatic cardiac disease BMI >35 kg/m2 Seizure disorder or progressive neurological condition Uses positive pressure mechanical ventilation when awake and upright, or oxygen assistance at any time
Trial design
Crossover
Treatments tested in this trial
Istradefylline 20 mg
DrugParticipants will receive 20 mg istradefylline active treatment, followed by acute intermittent hypoxia
Placebo
DrugParticipants will receive a methylcellulose capsule identical in appearance to the active treatment, followed by acute intermittent hypoxia
Acute Intermittent Hypoxia (AIH)
Other interventionShort periods (\~1 minute) of breathing lower-oxygen gas, separated by periods (\~1 minute) of breathing normal oxygen air.
Treatment groups
Trial outcomes
Primary outcomes
Maximal Inspiratory Pressure
Most negative pressure generated during a maximal inspiratory effort.
Maximal grip force
Highest tension generated by the flexor muscles of the hand during a maximal grip.
Locations
Sponsors and contacts
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