Development of a *two hit* in vivo autologous platelet transfusion model in healthy volunteers
- Conditions
- thrombocyte transfusion induced hypoxiaacute hypoxia after platelet blood transfusion10038716
- Registration Number
- NL-OMON55634
- Lead Sponsor
- Academisch Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 36
1. Male sex
2. Age 18-35 years
1. No informed consent
2. Any abnormal test result during the screening prior to inclusion of the
study (medical history, physical examination, ECG, blood and urine examination,
spirometry, DLCO measurement, chest x-ray).
3. History of drugs or alcohol abuse
4. Any present medication use on prescription
5. Smoking < 6 months
6. History of blood donation < 3 months
7. Blood loss of more 500 ml < 3 months
8. Previously transfused
9. Participation in any other medical drug study < 3 months
10. Participation in previous volunteer studies using LPS
11. Allergy or hypersensitivity for iodine
12. Active thyroid disease
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>A significant increase (p<0.05, ANOVA multiple comparison test) in total<br /><br>protein leakage in the BAL-fluid of the subjects receiving a *first hit* of LPS<br /><br>and one unit of PLTs stored for 7 days compared to controls.</p><br>
- Secondary Outcome Measures
Name Time Method <p>1. to unravel the several hypothesized inflammatory processes in the lungs of<br /><br>patients that develop TRALI (i.e., production of inflammatory mediators,<br /><br>neutrophil activation, complement activation, disturbed alveolar fibrin<br /><br>turnover).<br /><br>2. to assess the usefulness of several potential biomarkers of lung injury in<br /><br>TRALI (in particular recently proposed potential biomarkers, such as surfactant<br /><br>proteins, Clara cell protein, sRAGE and KL-6).<br /><br>3. to identify phenotypic changes of the transfused platelets and their<br /><br>interaction with other cell types in the receiver*s circulation and their<br /><br>potential contribution to the development of lung injury.<br /><br>4. Study the neurovascular coupling mechanism during endotoxemia</p><br>