Cetirizine for Exercise-induced Arterial Hypoxemia

RF
CS
Overseen ByCurtis S Goss, MS
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if cetirizine HCl, a common allergy medication, can improve oxygen levels in the blood during intense swimming for highly-trained swimmers. Researchers seek to understand whether swimmers experience low blood oxygen while exercising and if this is linked to histamine, a chemical involved in allergies. Participants will receive different treatments, including a placebo, cetirizine, and nedocromil sodium (an anti-inflammatory medication), to assess any improvement in oxygen levels during swimming. The trial seeks collegiate or professional swimmers who train at least 300 minutes a week and are generally healthy. As a Phase 4 trial, cetirizine is already FDA-approved and proven effective, and this research aims to understand how it benefits more patients.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are currently using medication for severe allergies, asthma, or exercise-induced asthma. If you have any of these conditions, you would not be eligible for the trial.

What is the safety track record for cetirizine HCl and nedocromil sodium?

Research has shown that cetirizine HCl is generally safe for use. This antihistamine often treats allergies and has FDA approval for this purpose, indicating safety when used as directed. Studies have found that cetirizine HCl can cause mild side effects like drowsiness or dry mouth, but serious side effects are rare.

Specific information about cetirizine HCl's safety for swimmers with exercise-induced breathing issues is lacking, but its common use for allergies suggests general safety. Always consult healthcare professionals before starting any new treatment.12345

Why are researchers enthusiastic about this study treatment?

Unlike the standard treatments for exercise-induced arterial hypoxemia, which typically involve bronchodilators or corticosteroids, cetirizine HCl offers a unique approach as an antihistamine. Researchers are excited about cetirizine because it targets histamine receptors, which may help reduce inflammation and improve oxygen levels in highly-trained swimmers during intense exercise. This novel mechanism could provide a new way to manage symptoms without the side effects associated with steroids or bronchodilators.

What evidence suggests that cetirizine HCl and nedocromil sodium could be effective for exercise-induced arterial hypoxemia?

Research has shown that cetirizine HCl effectively reduces symptoms caused by histamine, common in allergies. It often surpasses other allergy medications in alleviating reactions like rashes and stuffy noses. Cetirizine blocks histamine, a chemical that causes swelling and other symptoms. This action may improve breathing during exercise by reducing lung inflammation. In this trial, some participants will receive cetirizine HCl to explore its potential benefits for swimmers who experience breathing difficulties during intense exercise.678910

Who Is on the Research Team?

RF

Robert F Chapman, PhD

Principal Investigator

Professor

Are You a Good Fit for This Trial?

Inclusion Criteria

Men and women
Current collegiate or professional swimmer
Currently training at least 300 minutes per week
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 session
1 visit (in-person)

Initial Testing

Assessment of risk factors for EIAH and blood biomarker changes pre- and post-swimming exercise

1 session
1 visit (in-person)

Experimental Trials

Participants undergo swimming tests with placebo or cetirizine HCl treatment in a double-blind, randomized crossover design

2 sessions
2 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cetirizine HCl
  • Nedocromil Sodium
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Experimental groupExperimental Treatment2 Interventions
Group II: Selection poolActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Indiana University

Lead Sponsor

Trials
1,063
Recruited
1,182,000+

Published Research Related to This Trial

In a double-blind, placebo-controlled trial with 104 patients, intranasal nedocromil sodium (1%) significantly relieved symptoms of ragweed allergic rhinitis within 2 hours of the first dose, showing its rapid efficacy.
The relief of symptoms was sustained throughout a 2-day exposure to pollen and was maintained even after leaving the study site, indicating that nedocromil can effectively manage allergic rhinitis symptoms during peak allergy seasons.
Nedocromil sodium is rapidly effective in the therapy of seasonal allergic rhinitis.Donnelly, A., Casale, TB.[2019]

Citations

Focus on the cetirizine use in clinical practice - PubMed CentralOral cetirizine 10 mg is more effective than other antihistamines in inhibiting the histamine-induced wheal and flare [9]. The increase in nasal ...
Cetirizine - StatPearls - NCBI BookshelfCetirizine is a relatively safe and effective medication for treating allergic rhinitis, urticaria, and allergic conjunctivitis. As cetirizine is also available ...
Cetirizine: Uses, Interactions, Mechanism of ActionThe clinical efficacy of cetirizine for allergic respiratory diseases has been well established in numerous trials. Effects on urticaria/anti-inflammatory ...
211415Orig1s000 - accessdata.fda.govETTAU-03 is a double-blind, randomized, active- controlled, noninferiority efficacy trial comparing IV cetirizine to IV diphenhydramine in 262 adults with acute ...
High‐risks drug adverse events associated with Cetirizine ...It is worth noting that several studies have pointed out that Cetirizine was more effective than Loratadine in clinical treatment responses when ...
SAFETY DATA SHEETPrecautionary Statements. Prevention. Wash face, hands and any exposed skin thoroughly after handling. Do not eat, drink or smoke when using ...
Material Safety Data SheetAdditional Hazard Information: Short Term: Active ingredient may be harmful if swallowed. Accidental ingestion may cause effects similar.
Safety Data SheetHazards not otherwise classified. There are no adverse physical or health effects known that are not covered by the hazard classes of the.
SAFETY DATA SHEETP301 + P312 + P330. IF SWALLOWED: Call a POISON CENTER/ doctor if you feel unwell. Rinse mouth. P501. Dispose of contents/ container to an ...
Cetirizine (hydrochloride) SAFETY DATA SHEETP202: Do not handle until all safety precautions have been read and understood. P261: Avoid breathing {dust/fume/gas/mist/vapors/spray}. P264: ...
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