ORal ApplianCes for sLeep Apnea of the Elderly

NCT ID: NCT02325089

Last Updated: 2016-03-03

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2020-12-31

Brief Summary

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Sleep apnea involves significant increases in disease and death, but its consequences in people over 65 years of age are incompletely recognized. Intraoral mandibular advancement appliances reduce the number of apneas and hypopneas. The investigators hypothesized that oral appliances provided to the elderly may prevent hypertension and other consequences of sleep apnea in large populations, at a favorable cost/benefit relationship for the public health system.

Detailed Description

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Sleep disorders involve significant increases in morbidity and mortality, particularly in those over 60 years. Sleep apnea is the leading identifiable cause of hypertension, which is the main cause of cardiovascular disease. Some degree of sleep apnea is present in up to 95% of the elderly. Intraoral mandibular advancement appliances reduce the number of apneas and hypopneas.

We hypothesized that reducing the number of sleep apnea events through oral appliances is effective in preventing high blood pressure and other consequences of sleep apnea in the elderly in the public health system setting. In this superiority parallel, randomized, and double-blinded study we will compare the effect of an intraoral appliance with mandibular advancement to a placebo device without mandibular advancement in preventing high blood pressure and other consequences of sleep apnea in the elderly. The duration of intervention will be of 12 months, with assessments at three, six months, and 12 months.

Conditions

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Obstructive Sleep Apnea Hypertension Cardiovascular Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Mandibular advancement device

Mandibular advancement device titrated to reduce or eliminate snoring and sleep apnea

Group Type EXPERIMENTAL

Mandibular advancement device

Intervention Type DEVICE

Use of a mandibular advancement device every night during one year. Device will be titrated to reduce or - if possible - eliminate snoring and sleep apnea.

Placebo

Oral appliance identical to the mandibular advancement device without mandibular advancement

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DEVICE

Placebo oral appliance will be identical to the mandibular advancement device without, however, the attachemnt to allow mandibular advancement. It will be used every night during one year.

Interventions

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Mandibular advancement device

Use of a mandibular advancement device every night during one year. Device will be titrated to reduce or - if possible - eliminate snoring and sleep apnea.

Intervention Type DEVICE

Placebo

Placebo oral appliance will be identical to the mandibular advancement device without, however, the attachemnt to allow mandibular advancement. It will be used every night during one year.

Intervention Type DEVICE

Other Intervention Names

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MAD Placebo device

Eligibility Criteria

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Inclusion Criteria

* Mandibular advancement of at least 3 mm
* Mouth opening of at least 30 mm
* Sleep apnea with apnea-hypopnea index between 10 and 50 events/hour
* Agree to participate in the study by signing the informed consent

Exclusion Criteria

* Already in treatment for sleep apnea
* Self-reported severe or terminal Illness
* Physical disability
* Inability to communicate verbally
* Dementia in the Mini-Mental State Examination
* Plan to move to a different a city or to be institutionalized in the next year
* Participation in another clinical trial
* Less than eight teeth, periodontal disease, or TMJ problems
Minimum Eligible Age

65 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul, Brazil

OTHER

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Hospital de Clinicas de Porto Alegre

OTHER

Sponsor Role lead

Responsible Party

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Denis Martinez

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Denis Martinez, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Federal University of Rio Grande do Sul

Locations

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Hospital de Clinicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Cintia Z Fiori, MsC

Role: CONTACT

555130222282

Facility Contacts

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Cintia Z Fiori, MSc

Role: primary

555133598289

Denis Martinez, MD, PhD

Role: primary

555130222282

Cintia Z Fiori

Role: backup

Other Identifiers

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140069

Identifier Type: -

Identifier Source: org_study_id

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