SPA Therapy in the Treatment of Sleep Apnea Syndrome

NCT ID: NCT02559427

Last Updated: 2018-06-29

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2019-03-31

Brief Summary

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The purpose of this study is to determine whether 3-week of SPA therapy improves sleep apnea in patients with chronic venous insufficiency and concomitant Obstructive Sleep Apnea Syndrome (OSAS).

Detailed Description

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Obstructive Sleep Apnea Syndrome (OSAS), characterized by repetitive episodes of partial or complete upper airway (UA) obstruction, is highly prevalent in the general population (2% in women, 4% in men). OSAS is associated with hypersomnolence and it increases the risk of cardiovascular morbidity and mortality. Its pathogenesis is largely multifactorial. In patients with chronic venous insufficiency, fluid retention contributes to this pathogenesis: during the day, fluid accumulates in the legs due to gravity ; during sleep in recumbent position, this accumulated fluid redistributes rostrally in the neck and causes upper airway narrowing and predisposes to OSAS.

The hypothesis is that a comprehensive treatment program for chronic venous insufficiency (SPA therapy) would reduce sleep apnea in patients with chronic venous insufficiency and concomitant sleep apnea Syndrome.

The objective is to assess the efficacy of a 3-week SPA therapy on attenuation of sleep apnea in this population of patients.

Conditions

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Obstructive Sleep Apnea Syndrome Chronic Venous Insufficiency

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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Immediate SPA treatment

3-week immediate SPA treatment (soon after randomization)

Group Type ACTIVE_COMPARATOR

3-week immediate SPA treatment

Intervention Type OTHER

a comprehensive program soon after randomization including sessions of balneotherapy, diet information, exercise training. The most adapted to the concerned pathology and common to all SPA resorts (walk in a specially pool, whirlpool bath with automatic air and water massages cycles, massages shower...)

Late SPA treatment

3-week late SPA treatment (soon after primary endpoint at 4 1/2 months visit)

Group Type SHAM_COMPARATOR

3-week late SPA treatment

Intervention Type OTHER

a comprehensive program after 4.5 months, including sessions of balneotherapy, diet information, exercise training. The most adapted to the concerned pathology and common to all SPA resorts (walk in a specially pool, whirlpool bath with automatic air and water massages cycles, massages shower...)

Interventions

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3-week immediate SPA treatment

a comprehensive program soon after randomization including sessions of balneotherapy, diet information, exercise training. The most adapted to the concerned pathology and common to all SPA resorts (walk in a specially pool, whirlpool bath with automatic air and water massages cycles, massages shower...)

Intervention Type OTHER

3-week late SPA treatment

a comprehensive program after 4.5 months, including sessions of balneotherapy, diet information, exercise training. The most adapted to the concerned pathology and common to all SPA resorts (walk in a specially pool, whirlpool bath with automatic air and water massages cycles, massages shower...)

Intervention Type OTHER

Other Intervention Names

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Immediate SPA treatment Late SPA treatment

Eligibility Criteria

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Inclusion Criteria

* Patient with Chronic Venous Insufficiency with oedema (CEAP clinical classes C3 to C5) and concomitant Sleep Apnea Syndrome (AHI \> 15 events/hour)
* Patient in stable state (no change in medical treatment and no hospitalization for respiratory, cardiac or metabolic event in the 2 months preceding inclusion)
* Patient available for a program of 3-week SPA Therapy

Exclusion Criteria

* Patient with no social insurance
* Pregnant and nursing woman
* Patient detained by judicial order
* Patient with contra-indication to SPA therapy
* Patient with chronic venous insufficiency \< CEAP C3 or CEAP C6
* Patient already treated by class IV compression stockings for severe veinolymphatic insufficiency
* Patient already treated for sleep apnea
* Patient who have already benefited of SPA therapy (any type) within 9 months before the enrollment
* Patient with severe comorbidities
* Patient who could not respect the constraints related to the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Floralis

INDUSTRY

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role collaborator

Association Francaise pour la Recherche Thermale

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean Louis PEPIN, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Grenoble

Locations

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Medical pratice (angiology)

Annecy, , France

Site Status

Medical practice (angiology)

Bourgoin, , France

Site Status

Medical practice (angiology)

Castelnau-le-Lez, , France

Site Status

University Hospital Grenoble

Grenoble, , France

Site Status

Medical pratice (angiology)

Grenoble, , France

Site Status

University Hospital Grenoble

Grenoble, , France

Site Status

Clinic Beau Soleil

Montpellier, , France

Site Status

Medical pratice (angiology)

Tarbes, , France

Site Status

Medical practice (angiology)

Valence, , France

Site Status

Countries

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France

References

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Other Identifiers

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THERMA SAS

Identifier Type: -

Identifier Source: org_study_id

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