Effects of CPAP on Visceral Fat Thickness
A Randomized Controlled Study on the Effects of Continuous Positive Airway Pressure (CPAP) on Visceral Fat Thickness, Carotid Intima-media Thickness and Adipokines in Patients With Obstructive Sleep Apnoea Syndrome (OSAS)
1 other identifier
interventional
141
1 country
1
Brief Summary
We hypothesize that patients with untreated OSAS will have more visceral fat, fatty liver and increased carotid artery thickness whereas treatment with CPAP may reduce the mesenteric and liver fat, plasma lipids, carotid artery thickness.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2012
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
February 1, 2012
CompletedFirst Submitted
Initial submission to the registry
April 8, 2013
CompletedFirst Posted
Study publicly available on registry
April 10, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedResults Posted
Study results publicly available
November 16, 2015
CompletedNovember 16, 2015
October 1, 2015
1.7 years
April 8, 2013
August 13, 2015
October 15, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Mesenteric Fat Thickness
3 months
Secondary Outcomes (1)
Mean Changes in Adiponectin Over 3 Months
Baseline, 3 months
Other Outcomes (1)
Mean Hours of CPAP Usage Per Day
3 months
Study Arms (2)
Therapeutic CPAP
ACTIVE COMPARATORTherapeutic CPAP
control
SHAM COMPARATORsubtherapeutic CPAP using 4 cm water
Interventions
All subjects will undergo ultrasound examination of the abdomen the day after overnight polysomnography (PSG) and then at 3 months after completion of therapeutic or subtherapeutic CPAP treatment of 4 cm water.
Eligibility Criteria
You may qualify if:
- symptomatic patients with OSA of apnea hypopnea index (AHI) \>= 5/hr
You may not qualify if:
- Recent or past history of myocardial infarction/stroke/heart failure, unstable angina, underlying malignancy,
- patients with clinical features of any active infection
- those who require urgent CPAP treatment because of associated respiratory failure or to prevent job loss through excessive daytime sleepiness (eg professional drivers, those handling dangerous machinery)
- moderate to severe valvular heart disease, cardiomyopathy, and previous diagnosis of OSA and/or previous use of CPAP therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Respiratory Division
Hong Kong, China
Related Publications (1)
Ng SS, Liu EK, Ma RC, Chan TO, To KW, Chan KK, Ngai J, Yip WH, Ko FW, Wong CK, Hui DS. Effects of CPAP therapy on visceral fat thickness, carotid intima-media thickness and adipokines in patients with obstructive sleep apnoea. Respirology. 2017 May;22(4):786-792. doi: 10.1111/resp.12963. Epub 2016 Dec 9.
PMID: 27933703DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Prof David SC Hui
- Organization
- Chinese University of Hong Kong
Study Officials
- PRINCIPAL INVESTIGATOR
Hui David, MD
Chinese University of Hong Kong
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
April 8, 2013
First Posted
April 10, 2013
Study Start
February 1, 2012
Primary Completion
October 1, 2013
Study Completion
August 1, 2015
Last Updated
November 16, 2015
Results First Posted
November 16, 2015
Record last verified: 2015-10