Menu
Peptide Database
Results
No peptides found
Featured

Use search to browse all 100+ peptides

Pancragen

Lys-Glu-Asp-Trp, KEDW

Quick Stats
Studies 7
Trials 18
Recruiting NA INTERVENTIONAL NCT05012982

Immunometabolic Mechanisms of Blood Flow Restriction (BFR) Training After Anterior Cruciate Ligament Reconstruction

View on ClinicalTrials.gov Updated Dec 15, 2025

Brief Summary

This is a crossover phase 4 study to evaluate the impact of blood flow restriction on immunometabolism and gene expression in immune cells in individuals undergoing rehabilitation from anterior cruciate ligament reconstruction.

Detailed Description

This is a single-blind crossover phase 4 study in which participants will be randomized as to the order in which each of two sessions are completed. Although all analyses will be performed by a blinded investigator and participants will wear an uninflated AirBand as the control intervention during the session in which BFR is not performed, participants will likely know which of the two interventions is being performed on which study day. The AirBands will be placed at each of the two training sessions and inflated while an ultrasound probe is placed over the femoral artery. The cuff will be inflated until the artery reaches 60% occlusion. The force will be applied using a wireless Bluetooth signal; participants will not be asked to adjust the device. Participants will be observed by a certified Personal Therapist throughout the training session in order to determine compliance and ensure safety as is standard protocol for a physical therapy session. The study team hypothesizes that the BFR will: * Promote an anabolic immunometabolic signature, reflected in the composition of serum amino acid concentrations and anabolic hormone content * Enhance anaerobic glycolysis in leukocytes (which has been associated with increased activation in other settings (Marelli-Berg and Jangani, 2018; Pearce and Pearce, 2013)) * Increase leukocyte glucose and pyruvate concentrations, which corresponds to acute energy provision to promote repair

Interventions

Name: AirBand
Type: DEVICE
Description: The AirBands will be placed at each of the two training sessions and inflated while an ultrasound probe is placed over the femoral artery. The cuff will be inflated until the artery reaches 60% occlusion. The force will be applied using a wireless Bluetooth signal; participants will not be asked to adjust the device. Participants will be observed by a certified Personal Therapist throughout the training session in order to determine compliance and ensure safety as is standard protocol for a physical therapy session.
Name: uninflated AirBand
Type: DEVICE
Description: Uninflated AirBand will be used as the control intervention during the session in which BFR is not performed

Primary Outcomes

Measure: Change in Leukocyte metabolic gene expression
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Gene expression measured by RNAseq. Because of the nature of RNAseq it is not possible to provide a comprehensive list of gene expression that will be measured; however, genes of particular interest include Slc2a3, Slc2a1, Slc2a4, Slc16a3, PC, Pdha1, Acc1, Fasn.
Measure: Change in leukocyte substrate preference
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Fractional contributions of glucose and fatty acids to total mitochondrial oxidation will be measured. Each can fuel between 0 and 100% of total mitochondrial oxidation.
Measure: Change in amino acids concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Concentrations of all amino acids (alanine, arginine, asparagine, aspartic acid, cysteine, glutamine, glutamate, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine, valine). Amino acid concentrations may be between 1 and 500 uM. Higher amino acid concentrations may indicate greater muscle breakdown (proteolysis).
Measure: Change in glucose concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Glucose may be between 4 and 15 mM. Higher glucose may be indicative of diabetes.
Measure: Change in lactate concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Lactate may be between 0.2 and 8 mM. Higher lactate may be indicative of a more intense exercise response.
Measure: Change in fatty acid concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Saturated and unsaturated fatty acid concentrations will be measured. Each fatty acid may range from 0 to 5 mM. Increased fatty acid concentrations may be indicative of a greater stress response to exercise.
Measure: Change in insulin concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Insulin may range from 0 to 100 uU/ml. Higher insulin may indicate a greater stress response.
Measure: Change in glucagon concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Glucagon may range from 0 to 500 pM. Higher glucagon may indicate lower blood glucose concentrations.
Measure: Change in catecholamines concentrations
TimeFrame: Baseline, 0 (immediately at the end of the exercise session), 30, and 60 minutes post exercise
Description: Epinephrine and norepinephrine (also known as adrenaline and noradrenaline) will be measured. They can range from 0-1000 nM. Higher catecholamide concentrations may indicate a greater stress response to training.

Trial Information

NCT ID

NCT05012982

Status

Recruiting

Study Type

INTERVENTIONAL

Phases

NA

Sponsor

Yale University

Last Updated

December 15, 2025

Related Peptides