NCT03771469

Brief Summary

This will be a prospective validation study of a sample of consecutive pediatric Down syndrome patients who are seen through the weekly Down syndrome clinic at OHSU/Doernbecher's. Questionnaires will be administered to approximately 5 new patients per month. Since this population has a higher prevalence of OSA than the general pediatric population, and OSA is a potentially modifiable determinant of quality of life, validated instruments are critical in assessing disease burden and response to treatment.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
81

participants targeted

Target at P50-P75 for not_applicable

Timeline
8mo left

Started Jun 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

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 Progress92%
Jun 2018Jan 2027

Study Start

First participant enrolled

June 25, 2018

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

August 10, 2018

Completed
4 months until next milestone

First Posted

Study publicly available on registry

December 11, 2018

Completed
7.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2026

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2027

Expected
Last Updated

September 24, 2025

Status Verified

September 1, 2025

Enrollment Period

7.7 years

First QC Date

August 10, 2018

Last Update Submit

September 23, 2025

Conditions

Keywords

OSAobstructive sleep apneaDown syndromesleep questionnairessleep study

Outcome Measures

Primary Outcomes (1)

  • Apnea-hypopnea index (AHI) from polysomnography

    Overnight attended polysomnography is the gold standard for diagnosis of OSA. Assessment of sleep staging is done through electroencephalogram, electro-oculogram, and submental electromyogram. The primary output parameter that is commonly used to diagnose and characterize the severity of OSA is the apnea-hypopnea index (AHI).

    AHI collected at initial sleep study and 3 months later (if a second sleep study is needed as determined by doctor)

Secondary Outcomes (3)

  • Sleep Related Breathing Disorder subscale total of the Pediatric Sleep Questionnaire (SRBD-PSQ)

    SRBD score tallied at initial clinic visit.

  • Sleep-Related Quality of Life (OSA-18 total score)

    OSA-18 total collected at initial clinic visit.

  • Generic Quality of Life

    PedsQL summary scores collected at initial clinic visit.

Study Arms (1)

Questionnaires and sleep studies

EXPERIMENTAL

Caregivers of patients meeting eligibility criteria will be invited to participate. If they agree to participate, baseline SRBD-PSQ, OSA-18, and PedsQL questionnaires along with written informed consent forms will be mailed to them along with their standard scheduling paperwork. Caregivers will be asked to review the consent form and complete the questionnaires and bring the paperwork to clinic on the day of their visit. Sleep study testing will also be ordered prior to their visit so that it can be scheduled within a month of the initial clinic visit and again three months later.

Other: Sleep study

Interventions

Sleep study

Also known as: polysomnography
Questionnaires and sleep studies

Eligibility Criteria

Age2 Years - 17 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Children with Down syndrome aged 2-17 years who are seen through the Down syndrome clinic at Oregon Health and Science University who either have a recently completed sleep study (within the past 6 months and no surgical treatment for OSA since then) or who will be having a sleep study.

You may not qualify if:

  • Presence of tracheostomy
  • Presence of subglottic or tracheal stenosis
  • Severe cardiopulmonary disease requiring supplemental oxygen
  • Parents or caregivers who are unable to read written English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Doernbecher Children's Hospital

Portland, Oregon, 97239, United States

Location

Related Publications (31)

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    PMID: 16321451BACKGROUND
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    PMID: 23382017BACKGROUND
  • Mitchell RB, Pereira KD, Friedman NR. Sleep-disordered breathing in children: survey of current practice. Laryngoscope. 2006 Jun;116(6):956-8. doi: 10.1097/01.MLG.0000216413.22408.FD.

    PMID: 16735907BACKGROUND
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    PMID: 25503255BACKGROUND
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    PMID: 27260508BACKGROUND
  • Friedman NR, Ruiz AG, Gao D, Ingram DG. Accuracy of Parental Perception of Nighttime Breathing in Children with Down Syndrome. Otolaryngol Head Neck Surg. 2018 Feb;158(2):364-367. doi: 10.1177/0194599817726286. Epub 2017 Sep 5.

    PMID: 28871845BACKGROUND
  • Nehme J, LaBerge R, Pothos M, Barrowman N, Hoey L, Monsour A, Kukko M, Katz SL. Predicting the presence of sleep-disordered breathing in children with Down syndrome. Sleep Med. 2017 Aug;36:104-108. doi: 10.1016/j.sleep.2017.03.032. Epub 2017 May 31.

    PMID: 28735906BACKGROUND
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    PMID: 17954492BACKGROUND
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    PMID: 16618913BACKGROUND
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    PMID: 24679609BACKGROUND
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    PMID: 21788214BACKGROUND
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    PMID: 20934896BACKGROUND
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    PMID: 28124477BACKGROUND
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    PMID: 17372077BACKGROUND
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    PMID: 10733617BACKGROUND
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    PMID: 10889473BACKGROUND
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    PMID: 12646836BACKGROUND
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    PMID: 15096422BACKGROUND
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    PMID: 16213931BACKGROUND
  • Varni JW, Seid M, Rode CA. The PedsQL: measurement model for the pediatric quality of life inventory. Med Care. 1999 Feb;37(2):126-39. doi: 10.1097/00005650-199902000-00003.

    PMID: 10024117BACKGROUND
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    PMID: 1829151BACKGROUND

MeSH Terms

Conditions

Sleep Apnea, ObstructiveDown Syndrome

Condition Hierarchy (Ancestors)

Sleep Apnea SyndromesApneaRespiration DisordersRespiratory Tract DiseasesSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesIntellectual DisabilityNeurobehavioral ManifestationsNeurologic ManifestationsAbnormalities, MultipleCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesChromosome DisordersGenetic Diseases, Inborn

Study Officials

  • Derek Lam, MD

    Oregon Health and Science University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SCREENING
Intervention Model
SINGLE GROUP
Model Details: This will be a prospective validation study of a sample of consecutive pediatric Down syndrome patients who are seen through the weekly Down syndrome clinic at OHSU/Doernbecher's.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

August 10, 2018

First Posted

December 11, 2018

Study Start

June 25, 2018

Primary Completion

March 1, 2026

Study Completion (Estimated)

January 1, 2027

Last Updated

September 24, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Only the PI and members of the study team will have direct access to identifiable private information. Subjects will be assigned a unique randomly generated study identification number and extracted datasets will be coded for use in subsequent analysis.

Locations