Morbidity in Patients With Hypertension and Obstructive Sleep Apnea

NCT ID: NCT02270658

Last Updated: 2023-09-28

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

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2020-12-31

Brief Summary

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MORPHEOS is a multicenter, randomized, unblinded study, for patients diagnosed with uncontrolled hypertension and at least one antihypertensive medication. Those patients with significant sleep apnea wil be randomized to CPAP or nasal strips for 6 months.

Detailed Description

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Conditions

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Hypertension Sleep Apnea, Obstructive

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Continuous positive airway pressure

Continuous positive airway pressure therapy (CPAP)

Group Type EXPERIMENTAL

CPAP

Intervention Type DEVICE

Nasal strips

Nasal strips applied to the outside surface of the nose with adhesive.

Group Type PLACEBO_COMPARATOR

CPAP

Intervention Type DEVICE

Interventions

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CPAP

Intervention Type DEVICE

Other Intervention Names

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Continuous positive airway pressure

Eligibility Criteria

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Inclusion Criteria

* Systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥ 90 mm Hg
* Current treatment with at least 1 antihypertensive drug

Exclusion Criteria

* Age \<18 and \>65 years
* BMI ≥ 40 kg/m2
* Heart failure, EF \< 45%, acute myocardial infarction, stroke, significant valvular dysfunction
* Chronic renal failure (serum creatinine \> 2 mg/dL)
* Use of cocaine, amphetamines, alcohol, illicit drugs
* Use of sympathomimetics (decongestants, appetite suppressants)
* Use of oral contraceptives and chronic use of NSAIDs
* Pregnancy
* Secondary causes of hypertension (other than sleep apnea)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Financiadora de Estudos e Projetos

OTHER

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Geraldo Lorenzi Filho

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Geraldo Lorenzi, M.D. PhD

Role: PRINCIPAL_INVESTIGATOR

Fundação Zerbini - Instituto do Coração (InCor)

Locations

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Pronto Socorro Cardiológico de Pernambuco (PROCAPE)

Recife, Pernambuco, Brazil

Site Status

Hospital das Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto

Ribeirão Preto, São Paulo, Brazil

Site Status

Fundação Zerbini - Instituto do Coração (InCor)

São Paulo, São Paulo, Brazil

Site Status

Hospital Universitário da Universidade de São Paulo (HU)

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Cruz FCSG, Drager LF, Queiroz DBC, Souza GA, Pedrosa RP, Patriota TLGC, Dorea EL, Vieira MLC, Righi CG, Martinez D, Silva GAD, Silva GV, Pio-Abreu A, Lotufo PA, Benseaor IM, Bortolotto LA, Fuchs FD, Lorenzi-Filho G. The effect of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea and uncontrolled hypertension - Study design and challenges during the COVID-19 pandemic. Clinics (Sao Paulo). 2021 Sep 3;76:e2926. doi: 10.6061/clinics/2021/e2926. eCollection 2021.

Reference Type RESULT
PMID: 34495079 (View on PubMed)

Lorenzi-Filho G, Cruz FCSG, Queiroz DBC, Vieira MLC, Pedrosa RP, Couto Patriota TLG, Righi CG, Martinez D, da Silva GA, Silva GV, Pio-Abreu A, Cabrini ML, Giampa SQC, Dorea EL, Lotufo PA, Bensenor IM, Bortolotto LA, Fuchs FD, Drager LF. Effects of Continuous Positive Airway Pressure on Central and Peripheral Blood Pressure in Patients with Uncontrolled Hypertension and Obstructive Sleep Apnea: The Randomized Controlled MORPHEOS Clinical Trial. Ann Am Thorac Soc. 2025 May;22(5):757-767. doi: 10.1513/AnnalsATS.202407-688OC.

Reference Type DERIVED
PMID: 39879540 (View on PubMed)

Other Identifiers

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3230/08/146

Identifier Type: -

Identifier Source: org_study_id

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