Using Nicotine to Reverse Age-related Auditory Processing Deficits

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorUniversity of California, Irvine

About this trial

The present study will evaluate the effects of both aging and nicotine on psychophysical tasks and electrophysiological measures. Nicotine will be administered to study participants in the form of gum that is available as an over-the-counter medication. The hypothesis is that nicotine will reverse the detrimental effects of aging on auditory processing. The proposed experiments will characterize the effects of nicotine and may eventually lead to improved treatments of hearing loss in a variety of patient populations and in healthy aging.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

between 18 and 85 years of age

non-smokers with a score of 0-2 out of 10 maximum on the Fagerström index of smoking dependency

cognitive performance within two standard deviations of the CERAD mean

Disqualifiers

less than 18 or greater than 85 years of age

deafness or excessive hearing loss

smokers with a score between 3 and 10 on the Fagerström index of smoking dependency

history of psychiatric illness, neurological disorders, diabetes mellitus, renal failure, or cardiovascular disease

Trial design

Design model

Crossover

Treatments tested in this trial

  • Nicotine gum

    Other intervention

    Nicotine (6 mg) will be administered in the form of polacrilex gum that is available as an over-the-counter medication

  • Placebo gum

    Other intervention

    The placebo will also be a commercially available gum that resembles the nicotine gum in flavor, size, shape, color, and texture.

Treatment groups

48 Participants
are divided into 2 treatment groups
Group A: Nicotine gumExperimental treatment 1 intervention
Group B: Placebo gumPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Hearing thresholds

Hearing thresholds in dB SPL will be measured as a function of sound frequency from 125 Hz to 8000 Hz in quiet or in noise.

Time frame
1 hour
2

Modulation detection

Amplitude-modulated sounds will be presented at 70 dB SPL or a comfortable level. The detection threshold in percent modulation depth (m= 0 to 100) will be recorded and converted into signal-to-noise ratios in dB (=20log(m)).

Time frame
1 hour
3

Envelope following responses

Electrophysiological responses will be recorded in response to amplitude or frequency-modulated sounds. The sounds will be presented at 70 dB SPL or a comfortable level. The EEG signal strength that is in synchrony with the modulation frequency in micro-Volts will be recorded.

Time frame
2 hours

Secondary outcomes

1

Heart rate

Pulse rate in pulses per minute will be measured via pulse oximetry.

Time frame
10 minutes
2

Mood change

Mood change will be measured by a 9-category rating scale including: energy, contentedness, focus, relaxation, calmness, alertness, hunger etc.

Time frame
10 minutes
3

Nicotine side effects

Side effects will be rated on a 5-point scale including: 1 = none (no symptoms at all); 2 = mild (slight jitters); 3 = moderate (jittery, slight dull headache); 4 = moderately severe (jittery, dull headache, mild nausea); 5 = severe (jittery, dull or pounding headache, nausea, vomiting).

Time frame
10 minutes

Other outcomes

1

Cognition

Word learning, recall and animal fluency tests from the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) will be measured and normalized to the national standard distribution, with a score of 0 equaling to the mean and 1 being one standard deviation above the mean performance.

Time frame
1 hour

Sponsors and contacts

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University of California, Irvine

Lead sponsor

National Institute on Aging (NIA)

Collaborator