Systemic Inflammation and Obstructive Sleep Apnea Syndrome: Effect of Atorvastatin

NCT ID: NCT00669695

Last Updated: 2013-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2013-02-28

Brief Summary

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The aim of this clinical trial is to evaluate the effect of Atorvastatin on the endothelial function improvement during the obstructive sleep apnea syndrome (OSAS) after 3 months of treatment, by a double-blind, randomized, placebo-controlled, multi-center study.

An interim analysis will be performed when 25 patients per group will be included.

Detailed Description

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Secondary objectives of this clinical trial :

* To evaluate the effect of Atorvastatin in comparison with the placebo on the inflammation occurring during OSAS, after 3 months of treatment.
* To evaluate the effect of Atorvastatin in comparison with the placebo on the insulin-resistance associated to OSAS, after 3 months of treatment.
* To evaluate the effect of Atorvastatin in comparison with the placebo on the hypercholesterolemia associated to OSAS, after 3 months of treatment.
* To evaluate at 6 months, the effect of the continuous positive airway pressure (CPAP) + Atorvastatin association on the previously cited parameters, in comparison with Atorvastatin, CPAP and placebo.
* To measure the CPAP efficiency in comparison with sham CPAP in patients receiving the placebo, after 3 months of treatment.

Conditions

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Obstructive Sleep Apnea Syndrome

Keywords

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statins cardiovascular risk Obstructive sleep apnea syndrome (OSAS) patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Stat/CPAP

Atorvastatin and CPAP treatments

Group Type PLACEBO_COMPARATOR

Atorvastatin treatment

Intervention Type DRUG

Atorvastatin treatment: tablets of 40 mg Atorvastatin will be administered orally, respecting the dosage of 40 mg/day, for 6 months.

CPAP device

Intervention Type OTHER

This device consists in a nasal continuous positive airway pressure (CPAP). It will be applied 3 months after the beginning of drug treatment and for 3 months.

Stat/sham CPAP

Atorvastatin and sham CPAP treatments

Group Type PLACEBO_COMPARATOR

Atorvastatin treatment

Intervention Type DRUG

Atorvastatin treatment: tablets of 40 mg Atorvastatin will be administered orally, respecting the dosage of 40 mg/day, for 6 months.

sham CPAP treatment

Intervention Type OTHER

This device consists in a sham CPAP. It will be applied 3 months after the beginning of drug treatment and for 3 months.

Placebo/CPAP

Placebo and CPAP treatments

Group Type SHAM_COMPARATOR

CPAP device

Intervention Type OTHER

This device consists in a nasal continuous positive airway pressure (CPAP). It will be applied 3 months after the beginning of drug treatment and for 3 months.

Placebo/sham CPAP

Placebo and sham CPAP treatments

Group Type ACTIVE_COMPARATOR

sham CPAP treatment

Intervention Type OTHER

This device consists in a sham CPAP. It will be applied 3 months after the beginning of drug treatment and for 3 months.

Interventions

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Atorvastatin treatment

Atorvastatin treatment: tablets of 40 mg Atorvastatin will be administered orally, respecting the dosage of 40 mg/day, for 6 months.

Intervention Type DRUG

CPAP device

This device consists in a nasal continuous positive airway pressure (CPAP). It will be applied 3 months after the beginning of drug treatment and for 3 months.

Intervention Type OTHER

sham CPAP treatment

This device consists in a sham CPAP. It will be applied 3 months after the beginning of drug treatment and for 3 months.

Intervention Type OTHER

Other Intervention Names

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statin positive air way pressure sham CPAP

Eligibility Criteria

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Inclusion Criteria

* Men or women \> 18 years old
* Subjects diagnosed with OSAS (apnea/hypopnea index = AHI \> 30/h)
* Subjects with clinical ATH from grade I or II controlled with mono-therapy(140\<SAP\<180 mmHg and 90\<DAP\<110 mmHg)

Exclusion Criteria

* Patients with a history of prior stroke or coronary ischemic disease
* Chronic respiratory disease (PaO2 \< 60 mmHg and/or PaCO2 \> 45 mmHg)
* Lung disease
* Hypothyroidism
* Statin treatment
* Antihypertensive treatment with more than one drug
* Pregnant or lactating women
* Alcohol consumption \> 3 units/day
* Treatment by itraconazole, ketoconazole, antiprotease, fibrates, antivitamin K, diltiazem, verapamil, erythromycin, clarithromycin, cyclosporin.
* Hypersensitivity to one of the drug compounds
* Patients with modified concomitant treatments during the 3 months before inclusion
* Potentially dangerous sleepiness
* Jobs at risk
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Louis PEPIN, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Grenoble, France

Locations

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Universitary Hospital of Angers

Angers, , France

Site Status

Hospital of Annemasse

Annemasse, , France

Site Status

University Hospital of Grenoble

Grenoble, , France

Site Status

Universitary Hospital of Geneva

Geneva, , Switzerland

Site Status

Countries

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France Switzerland

References

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Bergeron C, Kimoff J, Hamid Q. Obstructive sleep apnea syndrome and inflammation. J Allergy Clin Immunol. 2005 Dec;116(6):1393-6. doi: 10.1016/j.jaci.2005.10.008. No abstract available.

Reference Type BACKGROUND
PMID: 16337480 (View on PubMed)

Jullian-Desayes I, Tamisier R, Zarski JP, Aron-Wisnewsky J, Launois-Rollinat SH, Trocme C, Levy P, Joyeux-Faure M, Pepin JL. Impact of effective versus sham continuous positive airway pressure on liver injury in obstructive sleep apnoea: Data from randomized trials. Respirology. 2016 Feb;21(2):378-85. doi: 10.1111/resp.12672. Epub 2015 Nov 16.

Reference Type DERIVED
PMID: 26567858 (View on PubMed)

Joyeux-Faure M, Tamisier R, Baguet JP, Dias-Domingos S, Perrig S, Leftheriotis G, Janssens JP, Trzepizur W, Launois SH, Stanke-Labesque F, Levy PA, Gagnadoux F, Pepin JL. Response to statin therapy in obstructive sleep apnea syndrome: a multicenter randomized controlled trial. Mediators Inflamm. 2014;2014:423120. doi: 10.1155/2014/423120. Epub 2014 Aug 25.

Reference Type DERIVED
PMID: 25221387 (View on PubMed)

Other Identifiers

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2007-005286-35

Identifier Type: REGISTRY

Identifier Source: secondary_id

0721

Identifier Type: -

Identifier Source: org_study_id