Atomoxetine and Oxybutynin in Obstructive Sleep Apnea

NCT ID: NCT02908529

Last Updated: 2019-01-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-30

Study Completion Date

2018-01-31

Brief Summary

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Obstructive sleep apnea (OSA) is common and has major health implications but treatment options are limited. OSA patients show a marked reduction in upper airway (UA) dilator muscle activity at sleep onset and this phenomenon leads to increased collapsibility of UA compared to normal subjects. Until recently, the search for medicines to activate pharyngeal muscles in sleeping humans has been discouraging. However, exciting new animal research has shown that drugs with noradrenergic and antimuscarinic effects can restore pharyngeal muscle activity to waking levels. In this protocol the investigators will test the effect of atomoxetine (a norepinephrine reuptake inhibitor) and oxybutynin (an antimuscarinic drug) administered together on OSA phenotype traits and OSA severity during sleep.

Detailed Description

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Conditions

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Obstructive Sleep Apnea (OSA)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Placebo 2 hours before bedtime

Group Type PLACEBO_COMPARATOR

Placebo, 2 tablets

Intervention Type DRUG

Placebo 2 tablets 2 hours before sleep

Combination product of Atomoxetine and Oxybutynin

Combination product of Atomoxetine 80 mg and Oxybutynin 5 mg 2 hours before sleep

Group Type ACTIVE_COMPARATOR

Combination product of Atomoxetine and Oxybutynin

Intervention Type DRUG

Combination product of Atomoxetine 80 mg and Oxybutynin 5 mg 2 hours before sleep

Interventions

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Combination product of Atomoxetine and Oxybutynin

Combination product of Atomoxetine 80 mg and Oxybutynin 5 mg 2 hours before sleep

Intervention Type DRUG

Placebo, 2 tablets

Placebo 2 tablets 2 hours before sleep

Intervention Type DRUG

Other Intervention Names

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Strattera + Ditropan

Eligibility Criteria

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Inclusion Criteria

\- AHI \> 20

Exclusion Criteria

* Any medical condition other than well controlled hypertension.
* Any medication known to influence breathing, sleep/arousal or muscle physiology.
* Claustrophobia.
* Inability to sleep supine.
* Allergy to lidocaine, Oxymetazoline HCl, atomoxetine/oxybutynin.
* Individuals with underlying cardiac disease, such as arrhythmias.
* Individuals taking psychiatric medications, such as atomoxetine, or any of the studied medications for medical care.
* History of seizures
* For women: Pregnancy.
* History of panic disorder / hyperventilation syndrome / Attention deficit-hyperactivity disorder (ADHD) / autism
Minimum Eligible Age

21 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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David Andrew Wellman

Assistant Professor of Medicine - Harvard Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sleep Disorders Research Program Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Taranto-Montemurro L, Messineo L, Sands SA, Azarbarzin A, Marques M, Edwards BA, Eckert DJ, White DP, Wellman A. The Combination of Atomoxetine and Oxybutynin Greatly Reduces Obstructive Sleep Apnea Severity. A Randomized, Placebo-controlled, Double-Blind Crossover Trial. Am J Respir Crit Care Med. 2019 May 15;199(10):1267-1276. doi: 10.1164/rccm.201808-1493OC.

Reference Type DERIVED
PMID: 30395486 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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BWH-2014P001033

Identifier Type: -

Identifier Source: org_study_id

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