Effectiveness of Auto-adjusted Continuous Positive Airway Pressure for Long-term Treatment of Sleep Apnea
1 other identifier
interventional
208
1 country
1
Brief Summary
Hypothesis: Computer controlled continuous positive airway pressure (autoCPAP) is equally effective in improving obstructive sleep apnea syndrome symptoms, breathing disturbances, objective vigilance, and it is cost-effective compared to conventional fixed continuous positive airway pressure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2006
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
January 20, 2006
CompletedFirst Posted
Study publicly available on registry
January 23, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedOctober 30, 2017
October 1, 2017
7.9 years
January 20, 2006
October 26, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
subjective sleepiness and other OSAS symptoms
3 months, 1 year, 2 years
quality of life
3 months, 1 year, 2 years
percentage of withdrawal and cross-over to other CPAP mode
3 months, 1 year, 2 years
objective vigilance
3 months, 1 year, 2 years
blood pressure
3 months, 1 year, 2 years
cost/utility ratios
3 months, 1 year, 2 years
Secondary Outcomes (5)
major outcomes in subgroups of patients with severe and mild OSAS
3 months, 1 year, 2 years
circulating markers of inflammation and cardiovascular risk
3 months, 1 year, 2 years
side effects
3 months, 1 year, 2 years
nocturnal respiratory disturbances
3 months, 1 year, 2 years
treatment adherence
3 months, 1 year, 2 years
Study Arms (2)
1
ACTIVE COMPARATORconstant CPAP
2
EXPERIMENTALautomatic CPAP
Interventions
Eligibility Criteria
You may qualify if:
- Excessive sleepiness, and Epworth Sleepiness Score \> or = 8
- Apnea- Hypopnea-Index (AHI) \> or = 10/hour
- Age 18-75
You may not qualify if:
- Psychophysiological incapacity to perform questionnaires
- Other sleep disorders
- Psychiatric disease requiring treatment
- Previous CPAP therapy
- Previous uvulopalatopharyngoplasty
- Chronic nasal obstruction that required treatment for more than 1 month
- Cancer
- COPD, with FEV1 \< 50% predicted
- Symptomatic cardiovascular disease requiring treatment defined as congestive heart failure \> NYHA II
- Previous stroke with neurological residuum
- Cheyne-Stokes respiration
- Chronic pain syndromes, fibromyalgia
- Drug or alcohol addiction
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Konrad E. Blochlead
- University of Zurichcollaborator
- Kantonsspital Münsterlingencollaborator
- Zuercher Hoehenklinik Waldcollaborator
- Cantonal Hospital of St. Gallencollaborator
Study Sites (1)
Pulmonary Division and Sleep Disorders Center, University Hospital of Zurich
Zurich, CH-8091, Switzerland
Related Publications (2)
Crook S, Sievi NA, Bloch KE, Stradling JR, Frei A, Puhan MA, Kohler M. Minimum important difference of the Epworth Sleepiness Scale in obstructive sleep apnoea: estimation from three randomised controlled trials. Thorax. 2019 Apr;74(4):390-396. doi: 10.1136/thoraxjnl-2018-211959. Epub 2018 Aug 12.
PMID: 30100576DERIVEDBloch KE, Huber F, Furian M, Latshang TD, Lo Cascio CM, Nussbaumer-Ochsner Y, Senn O, Russi EW, Kohler M, Schoch OD, Turk A, Imhof E, Laube I, Matthews F, Thurnheer R. Autoadjusted versus fixed CPAP for obstructive sleep apnoea: a multicentre, randomised equivalence trial. Thorax. 2018 Feb;73(2):174-184. doi: 10.1136/thoraxjnl-2016-209699. Epub 2017 Oct 5.
PMID: 28982804DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Konrad E Bloch, MD
Pulmonary Division and Sleep Disorders Center, University Hospital of Zürich, Switzerland
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 20, 2006
First Posted
January 23, 2006
Study Start
January 1, 2006
Primary Completion
December 1, 2013
Study Completion
March 1, 2014
Last Updated
October 30, 2017
Record last verified: 2017-10