Use of Polysomnography for Non-Invasive Ventilation Settings' Optimization
NIV-OHS
Interest of Using Nocturnal Polysomnography for Non-Invasive Ventilation (NIV) Settings' Optimization in Obesity-Hypoventilation Syndrome (OHS)
2 other identifiers
interventional
45
1 country
1
Brief Summary
The aim of this randomized controlled trial is comparing the improvement of diurnal PaCO2 in OHS patients after one month of NIV treatment depending upon the tools used for adjusting settings. In one arm settings will be adjusted using only nocturnal oxygen SaO2 and PaCO2 at awakening whereas in the other arm patients will benefit from a complete polysomnography under NIV.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2006
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2006
CompletedFirst Submitted
Initial submission to the registry
January 15, 2008
CompletedFirst Posted
Study publicly available on registry
January 28, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2008
CompletedJanuary 28, 2008
January 1, 2008
2 years
January 15, 2008
January 15, 2008
Conditions
Outcome Measures
Primary Outcomes (1)
Diurnal PaCO2
June 2008
Study Arms (2)
1
EXPERIMENTALpatients will benefit from a complete polysomnography under NIV
2
ACTIVE COMPARATORsettings will be adjusted using only nocturnal oxygen SaO2 and PaCO2 at awakening whereas
Interventions
The aim of this randomized controlled trial is comparing the improvement of diurnal PaCO2 in OHS patients after one month of NIV treatment depending upon the tools used for adjusting settings. In one arm settings will be adjusted using only nocturnal oxygen SaO2 and PaCO2 at awakening whereas in the other arm patients will benefit from a complete polysomnography under NIV.
Eligibility Criteria
You may qualify if:
- Patient male or female, aged 20 to 75 years
- Patient with a OHS in stable condition, with a BMI\> 32 kg/m2 and a PaCO2\> 6 kPa in diurnal spontaneous breathing without other cause of alveolar hypoventilation
- Patient affiliated to a social security insurance
- Having given its written informed consent to participate to the study
You may not qualify if:
- Patients with inherent chronic obstructive pulmonary disease (COPD) with FEV1 on Forced Vital Capacity (FVC) ratio less than 70%
- Patients suffering from heart failure with periodic breathing
- Associated Neurological Diseases, evolving rapidly, leading to a dependency in daily activities
- Unbalanced Psychiatric Diseases
- Patients with a respiratory decompensation the month preceding the study
- Patients not autonomous in the use of the NIV
- Pacemaker patients, constituting a contraindication to magnetic stimulation
- Sensitive subjects, in accordance with article L 1121-6 of the French Public Health Code
- Patients with long term by steroids or other anti-inflammatory drugs
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Laboratoire d'Explorations Fonctionnelles Cardio-Respiratoires - CHU Grenoble
Grenoble, Cedex 9, 38043, France
Related Publications (2)
Borel JC, Tamisier R, Gonzalez-Bermejo J, Baguet JP, Monneret D, Arnol N, Roux-Lombard P, Wuyam B, Levy P, Pepin JL. Noninvasive ventilation in mild obesity hypoventilation syndrome: a randomized controlled trial. Chest. 2012 Mar;141(3):692-702. doi: 10.1378/chest.10-2531. Epub 2011 Sep 1.
PMID: 21885724DERIVEDBorel JC, Roux-Lombard P, Tamisier R, Arnaud C, Monneret D, Arnol N, Baguet JP, Levy P, Pepin JL. Endothelial dysfunction and specific inflammation in obesity hypoventilation syndrome. PLoS One. 2009 Aug 24;4(8):e6733. doi: 10.1371/journal.pone.0006733.
PMID: 19701463DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Louis pepin, Pr
University Hospital, Grenoble
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
January 15, 2008
First Posted
January 28, 2008
Study Start
June 1, 2006
Primary Completion
June 1, 2008
Study Completion
June 1, 2008
Last Updated
January 28, 2008
Record last verified: 2008-01