Validity of a Home Respiratory Polygraphy for the Diagnosis of Obstructive Sleep Apnea

NCT ID: NCT03415633

Last Updated: 2018-09-06

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

251 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2018-09-30

Brief Summary

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To assess the diagnostic validity and cost-effectiveness of a APNiA device, a home respiratory polygraphy (HRP).

Detailed Description

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To assess the diagnostic validity and cost-effectiveness of a APNiA device, a home respiratory polygraphy (HRP), performed at home compared with the standard polysomnography (PSG) in adults with clinically suspected Obstructive Sleep Apnea (OSA).

METHODOLOGY: DESIGN: Randomized, prospective, multicenter, and crossover trial. The study will include 240 adults, both sexes, with clinical suspicion of obstructive sleep apnea (OSA). MEASUREMENTS: To all patients with clinical suspected OSA and referred to the sleep units, the following questionnaires and measurements will be performed: a) clinical history; b) Anthropometric variables: weight, height, body mass index, neck circumference and percentile; c)Epworth sleepiness scale; OSA questionnaire, quality of life and clinical questionnaires and comorbidity; d) PSG in the sleep laboratory; e) HRP at home; f) Cost-effectiveness variables.

ANALYSIS: Data from HRP and from full PSG will be compared as follows: 1) Agreement of results according to the different apnea-hypopnea index by using the Receiver Operating Characteristic (ROC) curve; 2) The concordance of the diagnosis and treatment decisions when using clinical findings and data from PSG or HRP at home; 3) All data will be analyzed independently; 4) A cost-effectiveness analysis of the different diagnostic and therapeutic procedures will be performed.

Conditions

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Obstructive Sleep Apnea (OSA)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Investigators

Study Groups

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Diagnostic Randomizing

Randomizing to start with home respiratory polygraphy (APNIA) or Standard Polysomnography (PSG)

Group Type ACTIVE_COMPARATOR

Home Respiratory Polygraphy (APNIA)

Intervention Type OTHER

Randomizing to start with home respiratory polygraphy (APNIA)

Standard Polysomnography (PSG)

Intervention Type OTHER

Randomizing to start with Standard Polysomnography (PSG)

Therapeutic Randomizing

Randomizing for therapeutic decision taken with home respiratory polygraphy (APNIA) or Standard Polysomnography (PSG)

Group Type ACTIVE_COMPARATOR

Home Respiratory Polygraphy (APNIA)

Intervention Type OTHER

Randomizing for therapeutic decision taken with home respiratory polygraphy (APNIA)

Standard Polysomnography (PSG)

Intervention Type OTHER

Randomizing for therapeutic decision taken with Standard Polysomnography (PSG)

Interventions

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Home Respiratory Polygraphy (APNIA)

Randomizing to start with home respiratory polygraphy (APNIA)

Intervention Type OTHER

Standard Polysomnography (PSG)

Randomizing to start with Standard Polysomnography (PSG)

Intervention Type OTHER

Home Respiratory Polygraphy (APNIA)

Randomizing for therapeutic decision taken with home respiratory polygraphy (APNIA)

Intervention Type OTHER

Standard Polysomnography (PSG)

Randomizing for therapeutic decision taken with Standard Polysomnography (PSG)

Intervention Type OTHER

Other Intervention Names

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Validity Validity Effectiveness Effectiveness

Eligibility Criteria

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Inclusion Criteria

* Men and women over 18 years to 75 years old, with clinical suspicion of OSA
* Written informed consent signed

Exclusion Criteria

* Psycho-Physical inability to perform the study at home
* Presence of insomnia or depressive syndrome
* Patient with malformation syndromes, Down syndrome and neuromuscular diseases
* Cardiovascular, cerebrovascular or respiratory disease exacerbated.
* Previous Positive continuous pressure (CPAP ) treatment or surgery for OSA
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BTI Biotechnology Institute S.L

UNKNOWN

Sponsor Role collaborator

Instituto de Investigación Sanitaria BIO-ARABA

UNKNOWN

Sponsor Role collaborator

Hospital Universitario Araba

OTHER

Sponsor Role lead

Responsible Party

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Joaquin Duran-Cantolla, MD

Principal Investigator. MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joaquin Duran-Cantolla

Role: STUDY_DIRECTOR

Hospital Universitario Araba

Eduardo Anitua-Aldecoa

Role: PRINCIPAL_INVESTIGATOR

BTI Technology Institute SL

Locations

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Hospital Universitario Araba

Vitoria-Gasteiz, Araba, Spain

Site Status

Countries

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Spain

References

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1. Durán-Cantolla J, Puertas FJ, Pin G y el Grupo Español de Sueño (GES).Documento de consenso nacional sobre el SAHS. Arch Bronconumol 2005;41(nº4):1-110.

Reference Type BACKGROUND

Lloberes P, Duran-Cantolla J, Martinez-Garcia MA, Marin JM, Ferrer A, Corral J, Masa JF, Parra O, Alonso-Alvarez ML, Teran-Santos J. Diagnosis and treatment of sleep apnea-hypopnea syndrome. Spanish Society of Pulmonology and Thoracic Surgery. Arch Bronconeumol. 2011 Mar;47(3):143-56. doi: 10.1016/j.arbres.2011.01.001. No abstract available. English, Spanish.

Reference Type BACKGROUND
PMID: 21398016 (View on PubMed)

Punjabi NM, Caffo BS, Goodwin JL, Gottlieb DJ, Newman AB, O'Connor GT, Rapoport DM, Redline S, Resnick HE, Robbins JA, Shahar E, Unruh ML, Samet JM. Sleep-disordered breathing and mortality: a prospective cohort study. PLoS Med. 2009 Aug;6(8):e1000132. doi: 10.1371/journal.pmed.1000132. Epub 2009 Aug 18.

Reference Type BACKGROUND
PMID: 19688045 (View on PubMed)

Duran Cantolla J, Esnaola Sukia S, Rubio Aramendi R, Egea Santaolalla C. [Validity of a portable recording system (MESAM IV) for the diagnosis of sleep apnea syndrome]. Arch Bronconeumol. 1994 Aug-Sep;30(7):331-8. Spanish.

Reference Type BACKGROUND
PMID: 7952834 (View on PubMed)

Esnaola S, Duran J, Infante-Rivard C, Rubio R, Fernandez A. Diagnostic accuracy of a portable recording device (MESAM IV) in suspected obstructive sleep apnoea. Eur Respir J. 1996 Dec;9(12):2597-605. doi: 10.1183/09031936.96.09122597.

Reference Type BACKGROUND
PMID: 8980975 (View on PubMed)

Parra O, Garcia-Esclasans N, Montserrat JM, Garcia Eroles L, Ruiz J, Lopez JA, Guerra JM, Sopena JJ. Should patients with sleep apnoea/hypopnoea syndrome be diagnosed and managed on the basis of home sleep studies? Eur Respir J. 1997 Aug;10(8):1720-4. doi: 10.1183/09031936.97.10081720.

Reference Type BACKGROUND
PMID: 9272909 (View on PubMed)

Jimenez Gomez A, Golpe Gomez R, Carpizo Alfayate R, de la Roza Fernandez C, Fernandez Rozas S, Garcia Perez MM. [The validation of a portable 3-channel recording system (Oxyflow, Edentec) for the diagnosis of the sleep apnea syndrome]. Arch Bronconeumol. 2000 Jan;36(1):7-12. doi: 10.1016/s0300-2896(15)30226-x. Spanish.

Reference Type BACKGROUND
PMID: 10726178 (View on PubMed)

Calleja JM, Esnaola S, Rubio R, Duran J. Comparison of a cardiorespiratory device versus polysomnography for diagnosis of sleep apnoea. Eur Respir J. 2002 Dec;20(6):1505-10. doi: 10.1183/09031936.02.00297402.

Reference Type BACKGROUND
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Nunez R, Rey de Castro J, Socarras E, Calleja JM, Rubio R, Aizpuru F, Duran-Cantolla J. [Validation study of a polygraphic screening device (BREAS SC20) in the diagnosis of sleep apnea-hypopnea syndrome]. Arch Bronconeumol. 2003 Dec;39(12):537-43. doi: 10.1016/s0300-2896(03)75451-9. Spanish.

Reference Type BACKGROUND
PMID: 14636489 (View on PubMed)

Masa JF, Corral J, Pereira R, Duran-Cantolla J, Cabello M, Hernandez-Blasco L, Monasterio C, Alonso A, Chiner E, Rubio M, Garcia-Ledesma E, Cacelo L, Carpizo R, Sacristan L, Salord N, Carrera M, Sancho-Chust JN, Embid C, Vazquez-Polo FJ, Negrin MA, Montserrat JM. Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome. Thorax. 2011 Jul;66(7):567-73. doi: 10.1136/thx.2010.152272. Epub 2011 May 20.

Reference Type BACKGROUND
PMID: 21602541 (View on PubMed)

Masa JF, Corral J, Pereira R, Duran-Cantolla J, Cabello M, Hernandez-Blasco L, Monasterio C, Alonso A, Chiner E, Zamorano J, Aizpuru F, Montserrat JM; Spanish Sleep Network. Therapeutic decision-making for sleep apnea and hypopnea syndrome using home respiratory polygraphy: a large multicentric study. Am J Respir Crit Care Med. 2011 Oct 15;184(8):964-71. doi: 10.1164/rccm.201103-0428OC. Epub 2011 Jul 7.

Reference Type BACKGROUND
PMID: 21737584 (View on PubMed)

Kushida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J Jr, Friedman L, Hirshkowitz M, Kapen S, Kramer M, Lee-Chiong T, Loube DL, Owens J, Pancer JP, Wise M. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep. 2005 Apr;28(4):499-521. doi: 10.1093/sleep/28.4.499.

Reference Type BACKGROUND
PMID: 16171294 (View on PubMed)

Duran Cantolla J, Amilibia Alonso J, Barbe Illa F, Capote Gil F, Gonzalez-Mangado N, Jimenez Gomez A, Marin Trigo JM, Masa Jimenez JF, Montserrat Canal JM, Teran Santos J. [Availability of technical resources for diagnosis and treatment of sleep obstructive apnea syndrome in state hospitals in Spain]. Arch Bronconeumol. 1995 Nov;31(9):463-9. No abstract available. Spanish.

Reference Type BACKGROUND
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Johns MW. Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale. Chest. 1993 Jan;103(1):30-6. doi: 10.1378/chest.103.1.30.

Reference Type BACKGROUND
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Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, Khajehdehi A, Shapiro CM. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008 May;108(5):812-21. doi: 10.1097/ALN.0b013e31816d83e4.

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Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91. doi: 10.7326/0003-4819-131-7-199910050-00002.

Reference Type BACKGROUND
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Ragette R, Wang Y, Weinreich G, Teschler H. Diagnostic performance of single airflow channel recording (ApneaLink) in home diagnosis of sleep apnea. Sleep Breath. 2010 Jun;14(2):109-14. doi: 10.1007/s11325-009-0290-2. Epub 2009 Aug 28.

Reference Type BACKGROUND
PMID: 19714380 (View on PubMed)

Other Identifiers

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2015-026

Identifier Type: -

Identifier Source: org_study_id

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