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N/A N=47 Randomized Single-blind Treatment

Estimating Apnea Phenotypes From Polysomnography: Oxygen

Sleep Apnea

Enrolled (actual)
47
Serious AEs
0.0%
Results posted
Jan 2018
Primary outcome: Primary: Apnea-hypopnea Index — 40.5; 57.9; 48.5; 74.3 events/hour — p=0.4

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Inspired oxygen (40%) (Drug); Sham (Other)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Brigham and Women's Hospital
Primary completion
Jul 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Apnea-hypopnea Index
40.5; 57.9; 48.5; 74.3; 35.9; 48.5 0.4
SECONDARY
Frequency of EEG Arousals (Events Per Hour)
35.9; 50.3; 20.8; 39.7; 45.4; 57.0
SECONDARY
Overnight Change in Systolic Blood Pressure
-0.8; 3.0; -2.8; 3.4; 0.5; 2.8
SECONDARY
Overnight Change in Diastolic Blood Pressure
0.9; 4.1; -0.7; 6.4; 2.0; 2.5
SECONDARY
Subjective Sleep Quality (Oxygen vs Sham)
0.34; 0.69; 0.14
SECONDARY
Subjective Sleepiness/Alertness (Stanford Sleepiness Scale)
2.13; 2.03; 2.14; 2.11; 2.13; 1.99

Summary

This study seeks to employ advanced methods to estimate the individual factors contributing to sleep apnea from standard recordings made during routine clinical sleep studies. This study focuses on breathing control or "loop gain" as one of the factors contributing to sleep apnea. Increased levels of oxygen in the air is known to make breathing more stable by lowering "loop gain". Here, our goal is to use a new method capable of detecting a reduction in loop gain with oxygen. The investigators also aim to test whether a high loop gain measured at baseline/placebo predicts a greater improvement in sleep apnea with oxygen therapy.

Eligibility Criteria

Inclusion Criteria

  • Apnea/hypopnea index >20 events per hour
  • Age 20-79 years

Exclusion Criteria

  • COPD with desaturation (resting SpO2<96%)
  • Use of respiratory stimulants or depressants
  • Pregnancy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01751971). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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