Exhaled NO as a Biomarker of Gestational OSA and Persistence Postpartum

NCT ID: NCT02100943

Last Updated: 2017-04-20

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

Total Enrollment

76 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-03-31

Study Completion Date

2016-11-14

Brief Summary

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This study will evaluate the presence or absence of Obstructive Sleep Apnea (OSA) in the third trimester of pregnancy and again postpartum.

Detailed Description

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This is a prospective cohort study to evaluate the presence or absence of OSA in the third trimester of pregnancy and again postpartum. The investigators will use the Watch-PAT200® device as their accepted standard for diagnosis of obstructive sleep apnea.

When enrolled, women will be taught how to use the Watch-PAT200® via a company produced video that will be shown in the clinic and will be available via YouTube for review later if needed. They will also complete the Berlin Questionnaire. The patient will then use the Watch-PAT200® device overnight to evaluate for obstructive sleep apnea. This will be performed between 32-36 weeks gestation. Apnea-hypopnea indices (AHI) will be calculated and an AHI\>5 will be considered diagnostic for OSA.

The next morning when the patient returns the Watch-PAT200® device they will exhale into the NIOX MINO® to assess their exhaled nitric oxide levels. This will be performed between 800-1000 am by one of the study personnel.

The patient will also wear the Watch-PAT200® device the first postpartum night. The entire process will be repeated between 6-8 weeks postpartum.

Conditions

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Pregnancy OSA

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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OSA in Pregnancy

Pregnant women between 32 0/7 prior to 35 6/7 weeks gestation

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Female (\> or equal 18 year of age)
* Pregnant between 32 0/7 prior to 35 6/7 weeks gestation
* Anticipated delivery at Forsyth Medical Center: Winston Salem, North Carolina

Exclusion Criteria

* Illicit drug/Alcohol abuse
* Current treatment for obstructive sleep apnea
* Age \<18 years
* Inability to speak/read English proficiently enough to give informed consent
* Usage of alpha blockers or short acting nitrates
* Permanent pacemaker
* Sustained non-sinus cardiac arrhythmias
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Linda M Street, M.D.

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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Wake Forest School of Medicine, Forsyth Medical Center

Winston-Salem, North Carolina, United States

Site Status

Countries

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United States

References

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Street LM, Aschenbrenner CA, Houle TT, Pinyan CW, Eisenach JC. Gestational Obstructive Sleep Apnea: Biomarker Screening Models and Lack of Postpartum Resolution. J Clin Sleep Med. 2018 Apr 15;14(4):549-555. doi: 10.5664/jcsm.7042.

Reference Type DERIVED
PMID: 29609706 (View on PubMed)

Other Identifiers

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00026736

Identifier Type: -

Identifier Source: org_study_id

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