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Phase 2 N=18 Randomized Quadruple-blind Treatment

Tiagabine to Enhance Slow Wave Sleep in Patients With Sleep Apnea

Sleep Apnea, Obstructive

Enrolled (actual)
18
Serious AEs
0.0%
Results posted
Jun 2017
Primary outcome: Primary: Apnea Hypopnea Index (AHI) — 39.1; 40.8 events/hour — p=>0.5

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Tiagabine (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Brigham and Women's Hospital
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Apnea Hypopnea Index (AHI)
39.1; 40.8 >0.5
SECONDARY
Slow Wave Sleep (% Total Sleep Time)
8.3; 8.8
SECONDARY
Arousal Threshold (Esophageal Pressure Swing)
-27.6; -26.5

Summary

Obstructive sleep apnea (OSA) is common and has major health implications but treatment options are limited. Interestingly, the severity of OSA is profoundly reduced in deep sleep (called "slow wave sleep"), potentially via an increase in the stimulus required to arouse from sleep. Here the investigators test the idea that the medication called "tiagabine" improves slow wave sleep and reduces OSA severity. The investigators will also test whether tiagabine raises the arousal threshold (more negative esophageal pressure), and whether detailed OSA "phenotyping" characteristics can predict the improvement in OSA severity with this intervention.

Eligibility Criteria

Inclusion Criteria

  • Diagnosed OSA (moderate-to-severe; apnea hypopnea index >15 events/hr)

Exclusion Criteria

  • History of seizures
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02387710). 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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