Trial Outcomes & Findings for Assessment of the Effect of PAP on Energy and Vitality in Mild OSA Patients: The Merge Study (NCT NCT02699463)

NCT ID: NCT02699463

Last Updated: 2021-01-26

Results Overview

The Short Form 36 (SF-36) questionnaire measures quality of life through a range of questions asking about patients physical and mental functioning. Specifically, the Energy and Vitality subscale records patients perceptions of their levels of energy and fatigue. Participants were administered the Short Form 36 (SF-36) questionnaire at baseline and 3 months. The change in score (value at 3 months minus value at baseline) was compared between the CPAP group and the Control group. In the SF-36 Energy and Vitality subscale, an increase in score indicates improvement, with a minimum score of 0 and a maximum score of 100 possible.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

301 participants

Primary outcome timeframe

3 months

Results posted on

2021-01-26

Participant Flow

301 participants were randomised. 233 patients formed the primary analysis group. Of those, 115 were allocated to the CPAP group and 118 were allocated to standard care. The remaining 68 patients were not analysed as part of the primary analysis but were analysed for secondary analysis.

Participant milestones

Participant milestones
Measure
Continous Positive Airway Pressure
Participants in this group will use CPAP therapy, nightly, for the 3 month duration of the trial Continous Positive Airway Pressure: CPAP refers to the application of positive airway pressure through a mask and tubing to splint a patients throat open at night. CPAP is considered standard treatment for OSA
Control Group
Participants will receive standard care (Sleep hygiene counseling) during the study. Control Group: Standard sleep hygiene counseling as per published guidelines
Overall Study
STARTED
115
118
Overall Study
COMPLETED
100
109
Overall Study
NOT COMPLETED
15
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Continous Positive Airway Pressure
Participants in this group will use CPAP therapy, nightly, for the 3 month duration of the trial Continous Positive Airway Pressure: CPAP refers to the application of positive airway pressure through a mask and tubing to splint a patients throat open at night. CPAP is considered standard treatment for OSA
Control Group
Participants will receive standard care (Sleep hygiene counseling) during the study. Control Group: Standard sleep hygiene counseling as per published guidelines
Overall Study
Lost to Follow-up
11
8
Overall Study
Withdrawal by Subject
4
1

Baseline Characteristics

Assessment of the Effect of PAP on Energy and Vitality in Mild OSA Patients: The Merge Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Continous Positive Airway Pressure
n=115 Participants
Participants in this group will use CPAP therapy, nightly, for the 3 month duration of the trial Continous Positive Airway Pressure: CPAP refers to the application of positive airway pressure through a mask and tubing to splint a patients throat open at night. CPAP is considered standard treatment for OSA
Control Group
n=118 Participants
Participants will receive standard care (Sleep hygiene counseling) during the study. Control Group: Standard sleep hygiene counseling as per published guidelines
Total
n=233 Participants
Total of all reporting groups
Age, Continuous
50.6 years
STANDARD_DEVIATION 11.3 • n=5 Participants
50.2 years
STANDARD_DEVIATION 12.1 • n=7 Participants
50.4 years
STANDARD_DEVIATION 11.7 • n=5 Participants
Sex: Female, Male
Female
34 Participants
n=5 Participants
37 Participants
n=7 Participants
71 Participants
n=5 Participants
Sex: Female, Male
Male
81 Participants
n=5 Participants
81 Participants
n=7 Participants
162 Participants
n=5 Participants
Race/Ethnicity, Customized
white
105 Participants
n=5 Participants
103 Participants
n=7 Participants
208 Participants
n=5 Participants
Race/Ethnicity, Customized
non-white
10 Participants
n=5 Participants
15 Participants
n=7 Participants
25 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months

The Short Form 36 (SF-36) questionnaire measures quality of life through a range of questions asking about patients physical and mental functioning. Specifically, the Energy and Vitality subscale records patients perceptions of their levels of energy and fatigue. Participants were administered the Short Form 36 (SF-36) questionnaire at baseline and 3 months. The change in score (value at 3 months minus value at baseline) was compared between the CPAP group and the Control group. In the SF-36 Energy and Vitality subscale, an increase in score indicates improvement, with a minimum score of 0 and a maximum score of 100 possible.

Outcome measures

Outcome measures
Measure
Continous Positive Airway Pressure
n=115 Participants
Participants in this group will use CPAP therapy, nightly, for the 3 month duration of the trial Continous Positive Airway Pressure: CPAP refers to the application of positive airway pressure through a mask and tubing to splint a patients throat open at night. CPAP is considered standard treatment for OSA
Control Group
n=118 Participants
Participants will receive standard care (Sleep hygiene counseling) during the study. Control Group: Standard sleep hygiene counseling as per published guidelines
Change in Quality of Life Using the Energy and Vitality Subscale of the Short Form 36 (SF-36) Questionnaire
7.5 score on a scale
Interval 6.0 to 9.0
0 score on a scale
Interval -1.5 to 1.5

Adverse Events

Continous Positive Airway Pressure

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Control Group

Serious events: 2 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Continous Positive Airway Pressure
n=115 participants at risk
Participants in this group will use CPAP therapy, nightly, for the 3 month duration of the trial Continous Positive Airway Pressure: CPAP refers to the application of positive airway pressure through a mask and tubing to splint a patients throat open at night. CPAP is considered standard treatment for OSA
Control Group
n=118 participants at risk
Participants will receive standard care (Sleep hygiene counseling) during the study. Control Group: Standard sleep hygiene counseling as per published guidelines
Vascular disorders
Stroke
0.87%
1/115 • Number of events 1 • 3 months
0.00%
0/118 • 3 months
Cardiac disorders
hospitalization for dizziness, existing cardiac condition
0.00%
0/115 • 3 months
0.85%
1/118 • Number of events 1 • 3 months
Cardiac disorders
symptoms of transient ischemic attack (TIA)
0.00%
0/115 • 3 months
0.85%
1/118 • Number of events 1 • 3 months

Other adverse events

Other adverse events
Measure
Continous Positive Airway Pressure
n=115 participants at risk
Participants in this group will use CPAP therapy, nightly, for the 3 month duration of the trial Continous Positive Airway Pressure: CPAP refers to the application of positive airway pressure through a mask and tubing to splint a patients throat open at night. CPAP is considered standard treatment for OSA
Control Group
n=118 participants at risk
Participants will receive standard care (Sleep hygiene counseling) during the study. Control Group: Standard sleep hygiene counseling as per published guidelines
Cardiac disorders
dizziness
2.6%
3/115 • Number of events 4 • 3 months
0.00%
0/118 • 3 months
General disorders
exacerbation of pre-existing condition
1.7%
2/115 • Number of events 2 • 3 months
6.8%
8/118 • Number of events 8 • 3 months
Pregnancy, puerperium and perinatal conditions
pregnancy
0.00%
0/115 • 3 months
0.85%
1/118 • Number of events 1 • 3 months
Injury, poisoning and procedural complications
physical accident
0.00%
0/115 • 3 months
2.5%
3/118 • Number of events 3 • 3 months
Infections and infestations
virus
3.5%
4/115 • Number of events 4 • 3 months
0.85%
1/118 • Number of events 1 • 3 months

Additional Information

Dr Alison Wimms

ResMed Ltd

Phone: +61 8884 1123

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place