Intraoral Appliance in the Treatment of Obstructive Sleep Apnea Syndrome in Obese

NCT ID: NCT03517150

Last Updated: 2018-05-21

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-12

Study Completion Date

2018-06-12

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study evaluates the effectiveness of intraoral appliance in the treatment of obstructive sleep Apnea Syndrome in class III obese in comparison to an adjustable silicone appliance. Both treatments will be test by all of the participants and they will make the polysomnography exam to have the outcomes.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Obstructive Sleep Apnea Obesity

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Experimental group

This group will use an oral appliance for treatment of obstructive sleep apnea. The oral appliance is custom-made and its titration is attained by means of progressive mandibular advancement that incrementally moves the mandible forward. This group of patients will use the oral appliance for 45 days.

Group Type EXPERIMENTAL

mandibular advancement device

Intervention Type DEVICE

Control group

This group will use a single adjustable silicone appliance in maxillar for 45 days, in order to compare to the experimental group.

Group Type ACTIVE_COMPARATOR

mandibular advancement device

Intervention Type DEVICE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

mandibular advancement device

Intervention Type DEVICE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* BMI ≥40 kg/m² and ≤ 49,9 kg/m²
* Female and male patients (Both of gender patients) with ages between 20 to 65 years old
* Obstructive Sleep Apnea (OSA) diagnosis by polysomnography

Exclusion Criteria

* sedative drugs users
* Oxygen-dependent or decompensated lung disease
* Decompensated congestive heart failure
* Signs and symptoms of other sleeping disorders (narcolepsy, restless legs syndrome, insomnia)
* craniofacial deformities carriers
* previous OSAS Diagnosis and treatment
* Active Oncological diseases in the last ten years
* Patients with less than 8 teeth per arcade;
* Patients with advanced periodontitis;
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Silvia de Carvalho Alvarenga

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

References

Explore related publications, articles, or registry entries linked to this study.

Takama N, Kurabayashi M. Influence of untreated sleep-disordered breathing on the long-term prognosis of patients with cardiovascular disease. Am J Cardiol. 2009 Mar 1;103(5):730-4. doi: 10.1016/j.amjcard.2008.10.035. Epub 2009 Jan 12.

Reference Type BACKGROUND
PMID: 19231343 (View on PubMed)

Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013 Jan 2;309(1):71-82. doi: 10.1001/jama.2012.113905.

Reference Type BACKGROUND
PMID: 23280227 (View on PubMed)

Hamilton GS, Meredith IT, Walker AM, Solin P. Obstructive sleep apnea leads to transient uncoupling of coronary blood flow and myocardial work in humans. Sleep. 2009 Feb;32(2):263-70. doi: 10.1093/sleep/32.2.263.

Reference Type BACKGROUND
PMID: 19238814 (View on PubMed)

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014 Feb 26;311(8):806-14. doi: 10.1001/jama.2014.732.

Reference Type BACKGROUND
PMID: 24570244 (View on PubMed)

Prospective Studies Collaboration; Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009 Mar 28;373(9669):1083-96. doi: 10.1016/S0140-6736(09)60318-4. Epub 2009 Mar 18.

Reference Type BACKGROUND
PMID: 19299006 (View on PubMed)

Tefft BC. Prevalence of motor vehicle crashes involving drowsy drivers, United States, 1999-2008. Accid Anal Prev. 2012 Mar;45:180-6. doi: 10.1016/j.aap.2011.05.028.

Reference Type BACKGROUND
PMID: 22269499 (View on PubMed)

Gottlieb DJ, Ellenbogen JM, Bianchi MT, Czeisler CA. Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study. BMC Med. 2018 Mar 20;16(1):44. doi: 10.1186/s12916-018-1025-7.

Reference Type BACKGROUND
PMID: 29554902 (View on PubMed)

Jurado-Gamez B, Guglielmi O, Gude F, Buela-Casal G. Workplace accidents, absenteeism and productivity in patients with sleep apnea. Arch Bronconeumol. 2015 May;51(5):213-8. doi: 10.1016/j.arbres.2014.07.003. Epub 2014 Aug 13. English, Spanish.

Reference Type BACKGROUND
PMID: 25129165 (View on PubMed)

Guglielmi O, Jurado-Gamez B, Gude F, Buela-Casal G. Occupational health of patients with obstructive sleep apnea syndrome: a systematic review. Sleep Breath. 2015 Mar;19(1):35-44. doi: 10.1007/s11325-014-1015-8. Epub 2014 Jun 22.

Reference Type BACKGROUND
PMID: 24952614 (View on PubMed)

Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, Dinges DF, Gangwisch J, Grandner MA, Kushida C, Malhotra RK, Martin JL, Patel SR, Quan SF, Tasali E. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015 Jun 1;38(6):843-4. doi: 10.5665/sleep.4716.

Reference Type BACKGROUND
PMID: 26039963 (View on PubMed)

Guglielmi O, Sanchez AI, Jurado-Gamez B, Buela-Casal G, Bardwell WA. [Obesity and sleep quality: the predictors of depression and anxiety in obstructive sleep apnea syndrome patients]. Rev Neurol. 2011 May 1;52(9):515-21. Spanish.

Reference Type BACKGROUND
PMID: 21484722 (View on PubMed)

Kern PA, Di Gregorio GB, Lu T, Rassouli N, Ranganathan G. Adiponectin expression from human adipose tissue: relation to obesity, insulin resistance, and tumor necrosis factor-alpha expression. Diabetes. 2003 Jul;52(7):1779-85. doi: 10.2337/diabetes.52.7.1779.

Reference Type BACKGROUND
PMID: 12829646 (View on PubMed)

Lee B, Shao J. Adiponectin and energy homeostasis. Rev Endocr Metab Disord. 2014 Jun;15(2):149-56. doi: 10.1007/s11154-013-9283-3.

Reference Type BACKGROUND
PMID: 24170312 (View on PubMed)

Ohashi K, Ouchi N, Matsuzawa Y. Anti-inflammatory and anti-atherogenic properties of adiponectin. Biochimie. 2012 Oct;94(10):2137-42. doi: 10.1016/j.biochi.2012.06.008. Epub 2012 Jun 17.

Reference Type BACKGROUND
PMID: 22713764 (View on PubMed)

Destors M, Tamisier R, Galerneau LM, Levy P, Pepin JL. [Pathophysiology of obstructive sleep apnea syndrome and its cardiometabolic consequences]. Presse Med. 2017 Apr;46(4):395-403. doi: 10.1016/j.lpm.2016.09.008. Epub 2017 Jan 23. French.

Reference Type BACKGROUND
PMID: 28126503 (View on PubMed)

Baron KG, Reid KJ, Kim T, Van Horn L, Attarian H, Wolfe L, Siddique J, Santostasi G, Zee PC. Circadian timing and alignment in healthy adults: associations with BMI, body fat, caloric intake and physical activity. Int J Obes (Lond). 2017 Feb;41(2):203-209. doi: 10.1038/ijo.2016.194. Epub 2016 Oct 31.

Reference Type BACKGROUND
PMID: 27795550 (View on PubMed)

Taheri S, Lin L, Austin D, Young T, Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med. 2004 Dec;1(3):e62. doi: 10.1371/journal.pmed.0010062. Epub 2004 Dec 7.

Reference Type BACKGROUND
PMID: 15602591 (View on PubMed)

Yaggi HK, Araujo AB, McKinlay JB. Sleep duration as a risk factor for the development of type 2 diabetes. Diabetes Care. 2006 Mar;29(3):657-61. doi: 10.2337/diacare.29.03.06.dc05-0879.

Reference Type BACKGROUND
PMID: 16505522 (View on PubMed)

Cowan DC, Allardice G, Macfarlane D, Ramsay D, Ambler H, Banham S, Livingston E, Carlin C. Predicting sleep disordered breathing in outpatients with suspected OSA. BMJ Open. 2014 Apr 15;4(4):e004519. doi: 10.1136/bmjopen-2013-004519.

Reference Type BACKGROUND
PMID: 24736037 (View on PubMed)

Correa CM, Gismondi RA, Cunha AR, Neves MF, Oigman W. Twenty-four hour Blood Pressure in Obese Patients with Moderate-to-Severe Obstructive Sleep Apnea. Arq Bras Cardiol. 2017 Oct;109(4):313-320. doi: 10.5935/abc.20170130. Epub 2017 Sep 4.

Reference Type BACKGROUND
PMID: 28876375 (View on PubMed)

Lopez PP, Stefan B, Schulman CI, Byers PM. Prevalence of sleep apnea in morbidly obese patients who presented for weight loss surgery evaluation: more evidence for routine screening for obstructive sleep apnea before weight loss surgery. Am Surg. 2008 Sep;74(9):834-8.

Reference Type BACKGROUND
PMID: 18807673 (View on PubMed)

Bartlett D, Wong K, Richards D, Moy E, Espie CA, Cistulli PA, Grunstein R. Increasing adherence to obstructive sleep apnea treatment with a group social cognitive therapy treatment intervention: a randomized trial. Sleep. 2013 Nov 1;36(11):1647-54. doi: 10.5665/sleep.3118.

Reference Type BACKGROUND
PMID: 24179297 (View on PubMed)

Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. J Clin Sleep Med. 2015 Jul 15;11(7):773-827. doi: 10.5664/jcsm.4858.

Reference Type BACKGROUND
PMID: 26094920 (View on PubMed)

Battan G, Kumar S, Panwar A, Atam V, Kumar P, Gangwar A, Roy U. Effect of CPAP Therapy in Improving Daytime Sleepiness in Indian Patients with Moderate and Severe OSA. J Clin Diagn Res. 2016 Nov;10(11):OC14-OC16. doi: 10.7860/JCDR/2016/23800.8876. Epub 2016 Nov 1.

Reference Type BACKGROUND
PMID: 28050420 (View on PubMed)

Doff MH, Hoekema A, Wijkstra PJ, van der Hoeven JH, Huddleston Slater JJ, de Bont LG, Stegenga B. Oral appliance versus continuous positive airway pressure in obstructive sleep apnea syndrome: a 2-year follow-up. Sleep. 2013 Sep 1;36(9):1289-96. doi: 10.5665/sleep.2948.

Reference Type BACKGROUND
PMID: 23997361 (View on PubMed)

Young D, Collop N. Advances in the treatment of obstructive sleep apnea. Curr Treat Options Neurol. 2014 Aug;16(8):305. doi: 10.1007/s11940-014-0305-6.

Reference Type BACKGROUND
PMID: 24957654 (View on PubMed)

Wozniak DR, Lasserson TJ, Smith I. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea. Cochrane Database Syst Rev. 2014 Jan 8;(1):CD007736. doi: 10.1002/14651858.CD007736.pub2.

Reference Type BACKGROUND
PMID: 24399660 (View on PubMed)

Dieltjens M, Braem MJ, Vroegop AVMT, Wouters K, Verbraecken JA, De Backer WA, Van de Heyning PH, Vanderveken OM. Objectively measured vs self-reported compliance during oral appliance therapy for sleep-disordered breathing. Chest. 2013 Nov;144(5):1495-1502. doi: 10.1378/chest.13-0613.

Reference Type BACKGROUND
PMID: 23928873 (View on PubMed)

Almeida FR, Dal-Fabbro C, Chaves Jr CM. Síndrome da apneia e hipopneia obstrutiva do sono (SAHOS): tratamento com aparelhos intra-orais. In: Tufik, S. Medicina e biologia do sono.1ª ed. São Paulo: Manole; 2008. p. 263-80.

Reference Type BACKGROUND

Shelgikar AV, Aronovich S, Stanley JJ. Multidisciplinary Alternatives to CPAP Program for CPAP-Intolerant Patients. J Clin Sleep Med. 2017 Mar 15;13(3):505-510. doi: 10.5664/jcsm.6508.

Reference Type BACKGROUND
PMID: 28095977 (View on PubMed)

Spicuzza L, Caruso D, Di Maria G. Obstructive sleep apnoea syndrome and its management. Ther Adv Chronic Dis. 2015 Sep;6(5):273-85. doi: 10.1177/2040622315590318.

Reference Type BACKGROUND
PMID: 26336596 (View on PubMed)

Chan AS, Sutherland K, Schwab RJ, Zeng B, Petocz P, Lee RW, Darendeliler MA, Cistulli PA. The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea. Thorax. 2010 Aug;65(8):726-32. doi: 10.1136/thx.2009.131094.

Reference Type BACKGROUND
PMID: 20685749 (View on PubMed)

Kuhn E, Schwarz EI, Bratton DJ, Rossi VA, Kohler M. Effects of CPAP and Mandibular Advancement Devices on Health-Related Quality of Life in OSA: A Systematic Review and Meta-analysis. Chest. 2017 Apr;151(4):786-794. doi: 10.1016/j.chest.2017.01.020. Epub 2017 Jan 24.

Reference Type BACKGROUND
PMID: 28130044 (View on PubMed)

Schwartz M, Acosta L, Hung YL, Padilla M, Enciso R. Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: a systematic review and meta-analysis. Sleep Breath. 2018 Sep;22(3):555-568. doi: 10.1007/s11325-017-1590-6. Epub 2017 Nov 11.

Reference Type BACKGROUND
PMID: 29129030 (View on PubMed)

Sutherland K, Phillips CL, Cistulli PA (2015) Efficacy versus effectiveness in the treatment of obstructive sleep apnea: CPAP and oralappliances.J Dent Sleep Med2:175-181.10.15331/jdsm.5120

Reference Type BACKGROUND

Haviv Y, Bachar G, Aframian DJ, Almoznino G, Michaeli E, Benoliel R. A 2-year mean follow-up of oral appliance therapy for severe obstructive sleep apnea: a cohort study. Oral Dis. 2015 Apr;21(3):386-92. doi: 10.1111/odi.12291. Epub 2014 Oct 28.

Reference Type BACKGROUND
PMID: 25207802 (View on PubMed)

Hoffstein V. Review of oral appliances for treatment of sleep-disordered breathing. Sleep Breath. 2007 Mar;11(1):1-22. doi: 10.1007/s11325-006-0084-8.

Reference Type BACKGROUND
PMID: 17136406 (View on PubMed)

AlGhanim N, Comondore VR, Fleetham J, Marra CA, Ayas NT. The economic impact of obstructive sleep apnea. Lung. 2008 Jan-Feb;186(1):7-12. doi: 10.1007/s00408-007-9055-5. Epub 2007 Dec 8.

Reference Type RESULT
PMID: 18066623 (View on PubMed)

Anandam A, Akinnusi M, Kufel T, Porhomayon J, El-Solh AA. Effects of dietary weight loss on obstructive sleep apnea: a meta-analysis. Sleep Breath. 2013 Mar;17(1):227-34. doi: 10.1007/s11325-012-0677-3. Epub 2012 Feb 29.

Reference Type RESULT
PMID: 22374151 (View on PubMed)

Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, Marcus CL, Mehra R, Parthasarathy S, Quan SF, Redline S, Strohl KP, Davidson Ward SL, Tangredi MM; American Academy of Sleep Medicine. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 2012 Oct 15;8(5):597-619. doi: 10.5664/jcsm.2172.

Reference Type RESULT
PMID: 23066376 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

http://www.aasmnet.org/store/product.aspx?pid=10

American Academy of Sleep Medicine

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

FOB apnea

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.