Treatment Adherence and Outcomes in Three Modalities of Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea

NCT ID: NCT00873977

Last Updated: 2011-12-01

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

COMPLETED

Clinical Phase

NA

Total Enrollment

93 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2011-07-31

Brief Summary

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The purpose of this study is to compare the treatment adherence and effects in three modalities of Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea.

Detailed Description

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Obstructive sleep apnea (OSA) is a common disorder that is associated with substantial morbidity, including excessive daytime sleepiness, hypertension, and cardiovascular disease. Although Continuous Pressure Airway Pressure (CPAP) is effective treatment of objective and subjective complaints, adherence to CPAP therapy is suboptimal. Recently, pressure-relief CPAP (C-flex,A-flex; Respironics; Murrysville, PA) is available. The present study is single-blind,prospective, randomised, crossover study to compare the adherence and effects of therapy with C-flex, A-flex, and autoadjusting CPAP after 3 months of CPAP treatment.

Additionally, after 3 months of CPAP treatment, the patients who treated with C-flex and A-flex will crossovered, we will acess to change of adherence and effects of CPAP treatment.

Conditions

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Obstructive Sleep Apnea

Keywords

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Adherence Continuous Positive Airway Pressure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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C-flex

Group Type ACTIVE_COMPARATOR

CPAP (REMstar (Respironics))

Intervention Type DEVICE

Pressure-relief CPAP treatment may reduce the sensation of breathing against high pressure without causing the upper airways to collapse and improve adherence.

A-flex

Group Type ACTIVE_COMPARATOR

CPAP (REMstar (Respironics))

Intervention Type DEVICE

Pressure-relief CPAP treatment may reduce the sensation of breathing against high pressure without causing the upper airways to collapse and improve adherence.

Auto-CPAP

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CPAP (REMstar (Respironics))

Pressure-relief CPAP treatment may reduce the sensation of breathing against high pressure without causing the upper airways to collapse and improve adherence.

Intervention Type DEVICE

Other Intervention Names

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REMstar (Respironics)

Eligibility Criteria

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Inclusion Criteria

* Subjects on admission for sleep study under the Respiratory Care and Sleep Control Medicine, Kyoto University Hospital.
* Subjects diagnosed with OSA (apnea hypopnea index \>=5/hour) by overnight polysomnography.

Exclusion Criteria

* Subjects diagnosed with CSA by overnight polysomnography.
* Subjects ever used CPAP for OSA.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyoto University, Graduate School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Toru Oga

Medical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kazuo Chin, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Kyoto University, Graduate School of Medicine

Yuichi Chihara, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Kyoto University, Graduate School of Medicine

Locations

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Kyoto University Graduate School of Medicine

Kyoto, Kyoto, Japan

Site Status

Countries

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Japan

References

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Chihara Y, Tsuboi T, Hitomi T, Azuma M, Murase K, Toyama Y, Harada Y, Aihara K, Tanizawa K, Handa T, Yoshimura C, Oga T, Yamamoto K, Mishima M, Chin K. Flexible positive airway pressure improves treatment adherence compared with auto-adjusting PAP. Sleep. 2013 Feb 1;36(2):229-36. doi: 10.5665/sleep.2378.

Reference Type DERIVED
PMID: 23372270 (View on PubMed)

Other Identifiers

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C-285

Identifier Type: -

Identifier Source: org_study_id