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Carbon Dioxide (CO2) and Cognitive Impairment

Carbon Dioxide (CO2): A Pilot Study of a Hypothesized Mechanism to Explain Cognitive Impairment

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05292378
Enrollment
27
Registered
2022-03-23
Start date
2022-07-14
Completion date
2025-03-20
Last updated
2026-03-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

Carbon Dioxide, Cognitive Impairment

Brief summary

The purpose of the study is to better understand the biological mechanisms of carbon dioxide (CO2)-induced cognitive impairments.

Detailed description

Participants will complete 2 study visits. Each study visit will consist of a 2.5-hour exposure session. Concentrations of CO2 during the exposure session will be either 600 ppm (control) or 2500 ppm (exposure). The order of the exposure sessions will be randomized and the exposure sessions will be at least one week apart. Up to two participants will take part in each exposure session. During each exposure a neurobehavioral assessment (Strategic Management Simulations or SMS) will be administered. Venous blood (30 mL) will be collected from subjects immediately before entering the chamber and immediately after the exposure. A subset of subjects (n=12) will also undergo a 60-minute fMRI scan. Another subset of subjects (up to 10) will not complete the SMS during the exposures but will undergo computer-assisted intravital microscopy (CAIM) to exam the conjunctival microvasculature before and after the exposure.

Interventions

OTHER2500 ppm Carbon Dioxide

2.5 hour exposure to 2500 ppm carbon dioxide

OTHER600 ppm Carbon Dioxide

2.5 hour exposure to 600 ppm carbon dioxide

Sponsors

Rutgers, The State University of New Jersey
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* History of COVID-19 vaccination * Weigh at least 110 pounds

Exclusion criteria

* Colorblindness * Inability to hear verbal instructions * Cardiovascular disease, including a history of stroke * Diabetes requiring the use of insulin * Pregnancy * Current asthma (an asthma attack within the past five years) * Medications for or history of anxiety disorder diagnosis or panic attacks * Medications which may affect cognition such as beta-blockers and CNS depressants Temporary

Design outcomes

Primary

MeasureTime frameDescription
Change in PMN (Polymorphonuclear Leukocyte) Activation as Measured by Basal Oxygen Consumption (OCR)4 hours after each exposureUsing blood samples collected 4 hours post-exposure, PMN activation was assessed by measurement of oxidative burst (oxygen consumption rate).
Change in PMN (Polymorphonuclear Leukocyte) Activation as Measured by Total Stimulated Oxygen Consumption.4 hours after each exposureUsing blood samples collected 4 hours post-exposure, PMN activation was assessed by measurement of total stimulated oxygen consumption.
Change in PMN (Polymorphonuclear Leukocyte) Activation as Measured by Time to Peak (TTP) Oxygen Consumption4 hours after each exposureUsing blood samples collected 4 hours post-exposure, PMN activation was assessed by measurement of time to peak (TTP) oxygen consumption.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORHoward Kipen, MD

Professor

Participant flow

Recruitment details

There were 27 participants that started the study. Of these, 26 completed the study by completing both study visits. One participant was withdrawn from the investigator due to a protocol deviation.

Baseline characteristics

Characteristic
Age, Continuous21 years
STANDARD_DEVIATION 2.38
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
13 Participants
Race (NIH/OMB)
Black or African American
2 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
Race (NIH/OMB)
White
8 Participants
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
10 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 27
other
Total, other adverse events
0 / 27
serious
Total, serious adverse events
0 / 27

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 17, 2026