Continuous Positive Airway Pressure and Acetazolamide to Treat Sleep Apnea Syndrome Patients at Altitude

NCT ID: NCT00928655

Last Updated: 2014-05-20

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

PHASE4

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2009-11-30

Brief Summary

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The purpose of the study is to investigate the effect of nasal continuous positive airway pressure in combination with acetazolamide as a treatment for sleep related breathing disturbances in patients with the obstructive sleep apnea syndrome living at low altitude during a sojourn at moderate altitude.

Detailed Description

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Conditions

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Obstructive Sleep Apnea Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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acetazolamide

combination of acetazolamide and nocturnal continuous positive airway pressure ventilation

Group Type EXPERIMENTAL

acetazolamide

Intervention Type DRUG

acetazolamide 250mg 1/0/2

nocturnal continuous positive airway pressure

Intervention Type PROCEDURE

continuous positive airway pressure

placebo capsules

combination of placebo and nocturnal continuous positive airway pressure ventilation

Group Type PLACEBO_COMPARATOR

nocturnal continuous positive airway pressure

Intervention Type PROCEDURE

continuous positive airway pressure

placebo

Intervention Type DRUG

placebo capsules

Interventions

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acetazolamide

acetazolamide 250mg 1/0/2

Intervention Type DRUG

nocturnal continuous positive airway pressure

continuous positive airway pressure

Intervention Type PROCEDURE

placebo

placebo capsules

Intervention Type DRUG

Other Intervention Names

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Diamox (trade name) placebo capsules placebo capsules

Eligibility Criteria

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Inclusion Criteria

* Obstructive sleep apnea syndrome, successfully on CPAP therapy
* Residence at low altitude (\< 800 m)
* Obstructive apnea/hypopnea index \>20/h and a complaint of excessive daytime sleepiness before introduction of CPAP therapy
* \> 15 oxygen desaturations/h (\> 3% dips) during an ambulatory nocturnal pulse oximetry performed at the end of a 4-night period without CPAP

Exclusion Criteria

* Sleep disorders other than OSA
* More than mild cardiovascular disease, unstable cardiovascular disease
* Any lung disease, pulmonary hypertension
* Chronic rhinitis
* Treatment with drugs that affect respiratory center drive (benzodiazepines or other sedatives or sleep inducing drugs, morphine or codeine derivates), stimulants (modafinil, methylphenidate, theophylline)
* Internal, neurologic or psychiatric disease that interfere with sleep quality
* Previous intolerance to moderate or low altitude (\< 2600 m)
* Exposure to altitudes \> 1500m for \> 1 day within the last 4 weeks before the study
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Konrad E Bloch, MD

Role: STUDY_DIRECTOR

University Hospital of Zurich, Pulmonary Division and Sleep Disorders Centre, Zurich, Switzerland

Locations

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University Hospital of Zurich, Pulmonary Division and Sleep Disorders Centre

Zurich, , Switzerland

Site Status

Countries

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Switzerland

References

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Latshang TD, Nussbaumer-Ochsner Y, Henn RM, Ulrich S, Lo Cascio CM, Ledergerber B, Kohler M, Bloch KE. Effect of acetazolamide and autoCPAP therapy on breathing disturbances among patients with obstructive sleep apnea syndrome who travel to altitude: a randomized controlled trial. JAMA. 2012 Dec 12;308(22):2390-8. doi: 10.1001/jama.2012.94847.

Reference Type BACKGROUND
PMID: 23232895 (View on PubMed)

Latshang TD, Bloch KE, Lynm C, Livingston EH. JAMA patient page. Traveling to high altitude when you have sleep apnea. JAMA. 2012 Dec 12;308(22):2418. doi: 10.1001/jama.2012.4097. No abstract available.

Reference Type BACKGROUND
PMID: 23232901 (View on PubMed)

Latshang TD, Bloch KE. How to treat patients with obstructive sleep apnea syndrome during an altitude sojourn. High Alt Med Biol. 2011 Winter;12(4):303-7. doi: 10.1089/ham.2011.1055.

Reference Type BACKGROUND
PMID: 22206552 (View on PubMed)

Stadelmann K, Latshang TD, Nussbaumer-Ochsner Y, Tarokh L, Ulrich S, Kohler M, Bloch KE, Achermann P. Impact of acetazolamide and CPAP on cortical activity in obstructive sleep apnea patients. PLoS One. 2014 Apr 7;9(4):e93931. doi: 10.1371/journal.pone.0093931. eCollection 2014.

Reference Type BACKGROUND
PMID: 24710341 (View on PubMed)

Other Identifiers

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EK-1522A#1-4

Identifier Type: -

Identifier Source: org_study_id

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