Actively Recruiting

Phase Not Applicable
Age: 50Years - 74Years
All Genders
ID07574333

A Single-Center Randomized Clinical Trial Evaluating Short and Long Intermittent Hypoxic-Hyperoxic Training Courses in Adults With Type 2 Diabetes Mellitus

Led by National Medical Research Center for Therapy and Preventive Medicine · Updated on 2026-05-07

250

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness and safety of short versus long courses of intermittent hypoxic-hyperoxic training (IHHT) in patients aged 50 to 74 years with type 2 diabetes. This single-center randomized controlled trial compares a 3-day IHHT course, a 10-day IHHT course, and a control group receiving a constant oxygen gas mixture. The primary focus is on changes in fasting glucose and HbA1c levels, with secondary measures including cardiovascular health, quality of life, cognitive function, and biological age. Participants are randomly assigned to one of three groups: the short course group receives three daily IHHT sessions lasting 24 minutes each with cycles of low and high oxygen levels; the long course group receives ten daily IHHT sessions lasting 40 minutes each excluding weekends and holidays; the control group receives ten daily sessions breathing a gas mixture with constant oxygen at 21% for 40 minutes excluding weekends and holidays. The IHHT sessions use the HYPO-OXY-1 (OXYTERRA) device targeting oxygen saturation levels between 80-85%. During the study, participants undergo assessments at baseline, during the intervention, and about 30 days after completing the sessions. These include blood tests for fasting glucose and HbA1c, cardiovascular measurements like the Cardio-Ankle Vascular Index and blood pressure monitoring, quality of life and cognitive function questionnaires, anxiety and depression scales, biological age evaluation, and a 6-minute walk test. Safety and adherence are monitored throughout the intervention and follow-up periods, with the total participation lasting over one month post-intervention.

CONDITIONS

Brief Title

Effects of Short and Long Courses of Intermittent Hypoxic-Hyperoxic Training in Patients With Type 2 Diabetes Including Elderly

Who Can Participate

Age: 50Years - 74Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 50 to 74 years inclusive
  • Confirmed diagnosis of type 2 diabetes mellitus by medical documentation
  • Stable treatment for diabetes and other chronic diseases for at least 4 weeks before enrollment
  • Ability to follow the study protocol requirements
  • Signed informed consent form
Not Eligible

You will not qualify if you...

  • Diagnosis of type 1 diabetes mellitus
  • Acute diabetes complications within the last 6 months (e.g., diabetic ketoacidosis, hyperosmolar hyperglycemic state, lactic acidosis, hypoglycemic coma)
  • Acute or active chronic infections
  • Angina pectoris functional class III-IV
  • Uncontrolled grade 3 arterial hypertension (systolic BP ≥180 mmHg and/or diastolic BP ≥110 mmHg)
  • Acute cerebrovascular accident, myocardial infarction, surgery, or significant injuries within 6 months
  • Internal carotid artery stenosis greater than 60% or symptomatic stenosis between 50-99%
  • Chronic obstructive pulmonary disease or bronchial asthma
  • Exacerbation or decompensation of chronic diseases within 1 month with elevated liver enzymes (ALT and/or AST more than 2-3 times upper normal limits)
  • Congenital heart and major vessel abnormalities
  • Implanted cardiac pacemaker
  • Cancer with remission less than 5 years
  • Mental illness, drug addiction, or alcohol dependence
  • Pregnancy
  • Inability to participate for the entire study period

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 3 to 10 days excluding weekends and holidays

Participants undergo either 3 or 10 daily sessions of intermittent hypoxic-hyperoxic training, or 10 daily sessions of normoxic gas breathing as a control.

Daily visits for treatment sessions

Follow-up

Duration - Approximately 30 days after treatment completion

Participants are monitored for changes in glucose levels, vascular function, blood pressure, quality of life, cognitive function, and other health measures following treatment completion.

Visits at about 17-19 days and 30 days post-treatment

Trial Site Locations

Total: 1 location

1

National Medical Research Center for Therapy and Preventive Medicine

Moscow, Russia

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Research Team

M

Mikhail G Chashchin, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease.

Anne E Holland, Martijn A Spruit, Thierry Troosters...

https://pubmed.ncbi.nlm.nih.gov/25359355

Intermittent Hypoxia/Hyperoxia Versus Intermittent Hypoxia/Normoxia: Comparative Study in Prediabetes.

Tetiana V Serebrovska, Oksana N Grib, Volodymyr I Portnichenko...

https://pubmed.ncbi.nlm.nih.gov/31589074