NCT03072173

Brief Summary

We intend to study, in depth, the quantitative and qualitative properties of nasal respiration in sleep-disordered breathing and sleep apnea and its relation to (CPAP) treatment with the final goal of improving patient outcome. To do this we will temporarily alter patients' nasal airflow during monitored sleep to lower CPAP air pressure, making CPAP treatment more acceptable to the patient. Additionally we plan to implement highly advanced computerized modelling in collaboration with the OSASMOD research consortium at St. Olavs Hospital/NTNU and SINTEF to predict the results of our alterations and ultimately, to use these predictions to improve both the planning and the outcomes of nasal surgery.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2017

Geographic Reach
1 country

1 active site

Status
unknown

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

March 1, 2017

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

March 2, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 7, 2017

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2018

Completed
Last Updated

March 7, 2017

Status Verified

February 1, 2017

Enrollment Period

1.3 years

First QC Date

March 2, 2017

Last Update Submit

March 6, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Level in therapeutic CPAP pressure

    Therapeutic CPAP pressure levels are measured automatically in CPAP device

    6 months

Study Arms (2)

PSG with Xylometazoline then placebo

EXPERIMENTAL

Patients are administered nasal CPAP with humidifier prior to PSG Patients in this arm receive Xylometazoline on night 2 of PSG and placebo on night 3 of PSG.

Drug: XylometazolineDrug: placebo (saline)

PSG with placebo then Xylometazoline

EXPERIMENTAL

Patients are administered nasal CPAP with humidifier prior to PSG Patients in this arm receive placebo on night 2 of PSG and Xylometazoline on night 3 of PSG.

Drug: XylometazolineDrug: placebo (saline)

Interventions

Patient will be given a nasal decongestant (Xylometazoline) prior to their 2nd or 3rd night of PSG.

PSG with Xylometazoline then placeboPSG with placebo then Xylometazoline

Patient will be given a placebo nasal spray (saline) prior to their 2nd or 3rd night of PSG.

PSG with Xylometazoline then placeboPSG with placebo then Xylometazoline

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with manifest OSAS and in need of CPAP-treatment

You may not qualify if:

  • Not speaking Norwegian Language, Congestive heart failure (ejection fraction \<40%)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Lovisenberg Diaconal Hospital

Oslo, 0456, Norway

RECRUITING

Related Publications (2)

  • Hoel HC, Kvinnesland K, Berg S. Outcome of nasal measurements in patients with OSA - Mounting evidence of a nasal endotype. Sleep Med. 2023 Mar;103:131-137. doi: 10.1016/j.sleep.2023.01.028. Epub 2023 Feb 3.

  • Hoel HC, Kvinnesland K, Berg S. Impact of nasal resistance on the distribution of apneas and hypopneas in obstructive sleep apnea. Sleep Med. 2020 Jul;71:83-88. doi: 10.1016/j.sleep.2020.03.024. Epub 2020 Apr 17.

MeSH Terms

Conditions

Nasal ObstructionSleep Apnea, Obstructive

Interventions

xylometazolineSodium Chloride

Condition Hierarchy (Ancestors)

Nose DiseasesRespiratory Tract DiseasesAirway ObstructionRespiratory InsufficiencyRespiration DisordersOtorhinolaryngologic DiseasesSleep Apnea SyndromesApneaSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System Diseases

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Study Officials

  • Søren Berg, MD PhD

    University of Lund

    STUDY CHAIR

Central Study Contacts

Hans Christian Hoel, MD

CONTACT

Søren Berg, MD PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
DIAGNOSTIC
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 2, 2017

First Posted

March 7, 2017

Study Start

March 1, 2017

Primary Completion

June 1, 2018

Study Completion

June 1, 2018

Last Updated

March 7, 2017

Record last verified: 2017-02

Data Sharing

IPD Sharing
Will not share

Locations