Continuous Positive Airway Pressure and Acetazolamide to Treat Sleep Apnea Syndrome Patients at Altitude
NCT ID: NCT00928655
Last Updated: 2014-05-20
Study Results
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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COMPLETED
PHASE4
51 participants
INTERVENTIONAL
2009-06-30
2009-11-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
TREATMENT
QUADRUPLE
Study Groups
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acetazolamide
combination of acetazolamide and nocturnal continuous positive airway pressure ventilation
acetazolamide
acetazolamide 250mg 1/0/2
nocturnal continuous positive airway pressure
continuous positive airway pressure
placebo capsules
combination of placebo and nocturnal continuous positive airway pressure ventilation
nocturnal continuous positive airway pressure
continuous positive airway pressure
placebo
placebo capsules
Interventions
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acetazolamide
acetazolamide 250mg 1/0/2
nocturnal continuous positive airway pressure
continuous positive airway pressure
placebo
placebo capsules
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* 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
20 Years
80 Years
ALL
No
Sponsors
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University of Zurich
OTHER
Responsible Party
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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
Countries
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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.
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.
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.
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.
Other Identifiers
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EK-1522A#1-4
Identifier Type: -
Identifier Source: org_study_id
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