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NCT05869747 | Recruiting | Exposure


Firefighter Collaborative Research Project
Sponsor:

University of Arizona

Brief Summary:

The goal of this research is to test interventions to reduce firefighter cardiovascular, cognitive, and overall disease risks, including but not limited to risks associated with Per- and Polyfluorinated Substances (PFAS) exposure. Approximately 1,500 - 2,000 Arizona firefighters will be enrolled in the Fire Fighter Cancer Cohort Study (FFCCS). Among these individuals, those that express interest will then be screened for eligibility for the Firefighter Collaborative Research Project (FCRP) using information they provided for the Fire Fighter Cancer Cohort Study. Firefighters enrolled in the study will provide an initial blood sample and urine sample. The blood sample will be analyzed to determine the participant's PFAS levels. Based upon serum PFAS levels and responses from the screening survey, eligible participants will be randomly assigned into one of the following interventions: 1. Blood Donation, or Plasma Donation or Blood/Plasma Control Group; 2. Zone 2 Training or Zone 2 Control; 3. Intermittent Fasting or Intermittent Fasting Control. Individuals participating in the blood donation, plasma donation or blood/plasma control group would donate blood every 12 weeks, plasma every 6 weeks, or not donate blood or plasma. Participants in this intervention arm would continue this for a 12-month period. Individuals in the zone 2 training, zone 2 training control, intermittent fasting or intermittent fasting control group would participate in their intervention or control for a 4-month period. After 4 to 12 months participating in an intervention or control group, participants will be asked to provide a final urine sample and blood draw to determine if and to what degree their PFAS levels or other cardiovascular disease and other health risks have changed.

Condition or disease

Exposure

Cardiopulmonary

Intervention/treatment

Blood Donation

Plasma Donation

Zone 2 Training

Intermittent Fasting

Surveys

Phase

Not Applicable

Study Type : Interventional
Estimated Enrollment : 1200 participants
Masking: Single
Primary Purpose: Other
Official Title: Firefighter Collaborative Research Project
Actual Study Start Date : June 22, 2023
Estimated Primary Completion Date : December 31, 2025
Estimated Study Completion Date : December 31, 2025
Arm Intervention/treatment

Active Comparator: Blood Donation

Behavioral: Blood Donation

Active Comparator: Plasma Donation

Behavioral: Surveys

Placebo Comparator: Blood/Plasma Control

Behavioral: Plasma Donation

Active Comparator: Zone 2 Training

Behavioral: Surveys

Active Comparator: Intermittent Fasting

Behavioral: Surveys

Placebo Comparator: Zone 2 Control

Behavioral: Zone 2 Training

Placebo Comparator: Intermittent Fasting Control

Behavioral: Surveys

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Accepts Healthy Volunteers
Criteria
Inclusion Criteria
  • • Active firefighter (including emergency medical responder and all firefighter subgroups) with either a volunteer or career status
  • Individual plans to remain in active service with their current agency for the next 2 years (not planning to retire or resign)
  • 18 years of age and older
  • Fluently speak and write in English
  • All genders, races, and ethnicities
  • Enrolled in the Fire Fighter Cancer Cohort Study (FFCCS) prior to enrolling in the Firefighter Collaborative Research Project (FCRP)
  • Complete a signed and dated informed consent document that indicates the participant has been informed of all aspects of the study prior to enrollment
  • Agree to avoid participating in FCRP intervention activities outside of their assigned intervention group for the duration of the study
  • Able to comply with scheduled visits, laboratory tests and other study procedures
  • BMI of 17.5 kg/m2 or greater and be greater than 115 pounds
  • Must also be eligible to donate blood and blood-based products if randomized into the blood or plasmapheresis intervention groups
  • Exclusion criteria from overall study
    • Not able to fluently speak or write in English
    • Less than 18 years of age
    • Currently a tobacco smoker or vaping (e.g. >2 cigarettes or cigars, or incidents of vaping in the past month)
    • Those with planned travel or extended leave (e.g. >6 weeks) that would prevent their ability to participate in other interventions
    • Those who are pregnant, breastfeeding, or have given birth within the past year
    • Those with a history or diagnosis of any significant metabolic, hematologic, pulmonary, cardiovascular, gastrointestinal, neurological, immune, hepatic, renal, urological disorders, severe injury or cancer that, in the opinion of the investigator, would potentially put the candidate at risk.
    • Exclusion criteria from blood or plasma donation intervention
      • Those with any medical contraindication (medical condition or medication) to blood donation
      • Those that donated blood or plasma in the past three months
      • Those knowing they have a condition indicative of levels of hemoglobin, hematocrit, red blood cells, or iron below the lower limit of normal levels
      • Exclusion criteria from the intermittent fasting intervention
        • Those with a history or diagnosis of diabetes, hypoglycemia thyroid disease, and/or an eating disorder
        • Those who recently participated in intermittent fasting or Time Restricted Eating
        • Those that recently used antidiabetic medication such as Semaglutide (sold as Ozempic, Wegovy, and Rybelsus) or Tirzepatide (sold as Mounjaro) for the treatment of type 2 diabetes or for weight loss will also be excluded from this group.
        • Use of drugs that might affect intermittent fasting or eating behaviors
        • Exclusion from the zone-2 physical activity intervention
          • • Currently participating in more than 90 minutes per week of aerobic, cardiovascular training (e.g. jogging, cycling, walking, swimming, HIIT) at >60% of their max heart rate.

Firefighter Collaborative Research Project

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Firefighter Collaborative Research Project

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Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations


Recruiting

United States, Arizona

Gilbert Fire & Rescue Department

Gilbert, Arizona, United States, 85295

Recruiting

United States, Arizona

Green Valley Fire

Green Valley, Arizona, United States, 85622

Recruiting

United States, Arizona

Tucson Fire Department Headquarters

Tucson, Arizona, United States, 85701

Recruiting

United States, Arizona

Tucson Fire Department Station 9

Tucson, Arizona, United States, 85711

Recruiting

United States, Arizona

University of Arizona

Tucson, Arizona, United States, 85719

Recruiting

United States, Arizona

Northwest Fire District

Tucson, Arizona, United States, 85743

Recruiting

United States, Arizona

Drexel Heights Fire

Tucson, Arizona, United States, 85746

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