How younger adults' brain blood vessels respond to changes in blood flow
Official title: Cerebrovascular Responses to Acute Hypoperfusion
Run by University of Wisconsin, Madison · NCT06629090 · Data updated 2026-11-12
We will use MRI to test how brain blood flow changes during a simulated postural shift and while breathing more carbon dioxide in healthy adults aged 20–40, and whether prazosin changes those responses.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 20 Years to 40 Years |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | University of Wisconsin, Madison Academic / other |
| Locations | 1 site (Madison, Wisconsin) |
| Status | Recruiting |
| Started | December 17, 2025 |
| Main results expected | May 2027 |
| Study ends | May 2027 |
| Registry record updated | July 6, 2026 |
| Trial ID | NCT06629090 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Healthy adults 20–40 years old who are nonsmokers, under 72 inches tall, with BMI ≤34.5 kg/m2 and without major cardiovascular, cerebrovascular, neurologic, psychiatric, hepatic, renal disease, or uncontrolled diabetes are the intended participants.
✕Probably not a fit
People with mild cognitive impairment or Alzheimer's, significant cardiovascular or cerebrovascular disease, uncontrolled hypertension, active major psychiatric/addictive disorders, smokers, severe untreated sleep apnea, or those outside the age/height/BMI criteria are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2 interventional protocol uses MRI to measure global cerebral blood flow in adults aged 20–40 during two controlled physiological challenges: a simulated postural change (via lower body negative pressure) and controlled increases in inhaled carbon dioxide. Participants will receive prazosin or placebo and undergo MRI scans while investigators record cerebrovascular responses and blood flow regulation. The trial excludes people with major cardiovascular, cerebrovascular, neurologic, psychiatric, hepatic, or renal disease, as well as smokers and those outside the specified BMI and height limits. Data will compare responses with and without alpha‑1 blockade to clarify mechanisms of cerebrovascular control that could relate to later cognitive risk.
Why it matters
Potential benefit: If successful, the results could help identify early problems in blood flow regulation and guide strategies to prevent or delay cognitive decline.
How similar studies have gone: Prior human work has characterized cerebrovascular responses to CO2 and orthostatic stress, but combining MRI with pharmacologic alpha‑1 blockade in younger adults is relatively novel and has limited precedent.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Between the ages of 20-40 years * Have a BMI ≤34.5 kg/m2 * are less than 72 in (182.88 cm) height * Nonsmoker Exclusion Criteria: * Diagnosis of Mild Cognitive Impairment (MCI) or Alzheimer's disease (AD) * History or evidence of hepatic disease, hematological disease, or peripheral vascular disease; severe kidney injury requiring hemodialysis * History of cardiovascular disease including: severe congestive heart failure, coronary artery disease, ischemic heart disease (stents, coronary artery bypass grafts) and tachycardia * Uncontrolled hypertension * History of clinically significant ischemic or hemorrhagic stroke, or significant cerebrovascular disease * Severe untreated obstructive sleep apnea * History of diabetes with HbA1c greater than 9.5 percent * Major neurologic disorders other than dementia (e.g., MS, ALS, brain surgery, etc.) * Current or recent (less than1 year) major psychiatric condition (Axis I) or addictive disorders * Significant surgical history * Other significant medical conditions at investigators' discretion * Contraindications to MRI * Prescribed medications that interfere with prazosin * Lactose allergy * lower body will not fit in lower body negative pressure (LBNP) chamber (regardless of overall height and BMI)
Where it's running
-
University of Wisconsin
Madison, Wisconsin, United States Recruiting
Study contacts
- Principal investigator: Jill Barnes, PhD — UW Madison
- Study coordinator: Anna Howery
- Email: ahowery@wisc.edu
- Phone: 608-262-9572
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.