Sleep for Stroke Management and Recovery Trial

NCT ID: NCT03812653

Last Updated: 2025-11-12

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

RECRUITING

Clinical Phase

NA

Total Enrollment

3062 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-09

Study Completion Date

2026-11-30

Brief Summary

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The purpose of this study is to determine whether treatment of obstructive sleep apnea (OSA) with positive airway pressure starting shortly after acute ischemic stroke (1) reduces recurrent stroke, acute coronary syndrome, and all-cause mortality 6 months after the event, and (2) improves stroke outcomes at 3 months in patients who experienced an ischemic stroke.

Detailed Description

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Sleep SMART has a prospective, randomized, open-label, blinded-endpoint (PROBE) design. It is a multi-site, parallel-group superiority trial that compares 6 months of OSA treatment to usual care. The study includes two trials: a prevention study with an embedded recovery trial. 3062 subjects will be randomized over 5 years at 110 sites within the NINDS-funded StrokeNet clinical trials network.

Conditions

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Ischemic Stroke Sleep Apnea Sleep Apnea, Obstructive Stroke CPAP Telemedicine Home Sleep Apnea Test Randomized Clinical Trial Multicenter Trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Intervention group receives automatically adjusting continuous positive airway pressure (CPAP) plus usual care.The control group receives usual care.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
Eligible participants will be allocated in a 1:1 fashion to CPAP or no CPAP using a randomization method to protect subject treatment allocation and prevent potential selection biases.

Study Groups

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Intervention Arm: CPAP with Usual Care.

6 months of CPAP plus usual medical therapy.

Group Type EXPERIMENTAL

CPAP

Intervention Type DEVICE

Automatically-adjusting continuous positive airway pressure (CPAP) delivered using a study supplied device.

Control Arm: Usual Care.

6 months of usual medical therapy alone.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CPAP

Automatically-adjusting continuous positive airway pressure (CPAP) delivered using a study supplied device.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Ischemic stroke within the prior 7 days.
2. NIH Stroke Scale Score ≥1 at the time of enrollment


1\. Ischemic stroke or TIA with ABCD ≥4, within prior 14 days.

Exclusion Criteria

1. pre-event inability to perform all of own basic ADLs
2. unable to obtain informed consent from subject or legally authorized representative
3. incarcerated
4. known pregnancy
5. current mechanical ventilation (can enroll later if this resolves) or tracheostomy
6. current use of positive airway pressure, or use within one month prior to stroke
7. anatomical or dermatologic anomaly that makes use of CPAP interface unfeasible
8. severe bullous lung disease
9. history of prior spontaneous pneumothorax or current pneumothorax
10. hypotension requiring current treatment with pressors (can enroll later if this resolves)
11. other specific medical circumstances that conceivably, in the opinion of the site PI, could render the patient at risk of harm from use of CPAP
12. massive epistaxis or previous history of massive epistaxis
13. cranial surgery or head trauma within the past 6 months, with known or possible CSF leak or pneumocephalus
14. recent hemicraniectomy or suboccipital craniectomy (i.e. those whose bone has not yet been replaced), or any other recent bone removal procedure for relief of intracranial pressure
15. current receipt of oxygen supplementation \>4 liters per minute
16. current contact, droplet, respiratory/airborne precautions
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

FusionHealth LLC

UNKNOWN

Sponsor Role collaborator

Medical University of South Carolina

OTHER

Sponsor Role collaborator

University of Cincinnati

OTHER

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Devin L. Brown, MD

Professor of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Devin Brown, MD, MS

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Ronald Chervin, MD, MS

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Alabama Hospital

Birmingham, Alabama, United States

Site Status RECRUITING

Chandler Regional Medical Center

Chandler, Arizona, United States

Site Status TERMINATED

Banner University Medical Center Phoenix

Phoenix, Arizona, United States

Site Status RECRUITING

Dignity Health - St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States

Site Status RECRUITING

TMC Healthcare

Tucson, Arizona, United States

Site Status TERMINATED

Banner- University Medical Center Tucson

Tucson, Arizona, United States

Site Status RECRUITING

Mercy San Juan Medical Center

Carmichael, California, United States

Site Status TERMINATED

Rancho Los Amigos National Rehabilitation Center

Downey, California, United States

Site Status TERMINATED

Scripps Memorial

La Jolla, California, United States

Site Status RECRUITING

UCSD Health La Jolla

La Jolla, California, United States

Site Status RECRUITING

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States

Site Status TERMINATED

Kaiser Permanente Los Angeles

Los Angeles, California, United States

Site Status RECRUITING

Doctors Medical Center of Modesto

Modesto, California, United States

Site Status TERMINATED

UCLA Kaiser Fontana

Ontario, California, United States

Site Status RECRUITING

UC Irvine

Orange, California, United States

Site Status RECRUITING

Casa Colina

Pomona, California, United States

Site Status RECRUITING

Kaiser Redwood

Redwood City, California, United States

Site Status RECRUITING

UC Davis Medical Center

Sacramento, California, United States

Site Status RECRUITING

UCSD Medical Center - Hillcrest Hospital

San Diego, California, United States

Site Status RECRUITING

UCSF Helen Diller Medical Center at Parnassus Heights

San Francisco, California, United States

Site Status RECRUITING

Orange County Global Medical Center

Santa Ana, California, United States

Site Status RECRUITING

Olive View- UCLA Medical Center

Sylmar, California, United States

Site Status TERMINATED

John Muir Medical Center- Walnut Creek Campus

Walnut Creek, California, United States

Site Status TERMINATED

St. Mary's Hospital and Medical Center

Grand Junction, Colorado, United States

Site Status RECRUITING

Hartford Hospital

Hartford, Connecticut, United States

Site Status RECRUITING

Yale-New Haven Hospital

New Haven, Connecticut, United States

Site Status RECRUITING

George Washington University Hospital

Washington D.C., District of Columbia, United States

Site Status TERMINATED

Morton Plant Hospital

Clearwater, Florida, United States

Site Status RECRUITING

Broward Health

Fort Lauderdale, Florida, United States

Site Status RECRUITING

UF Health Shands Hospital

Gainesville, Florida, United States

Site Status TERMINATED

UF Jacksonville

Jacksonville, Florida, United States

Site Status RECRUITING

Brooks Rehabilitation Hospital

Jacksonville, Florida, United States

Site Status RECRUITING

Jackson Memorial Hospital

Miami, Florida, United States

Site Status RECRUITING

Baptist Hospital of Miami

Miami, Florida, United States

Site Status TERMINATED

Sarasota Memorial Hospital

Sarasota, Florida, United States

Site Status RECRUITING

Tampa General Hospital

Tampa, Florida, United States

Site Status TERMINATED

St. Joseph's Hospital

Tampa, Florida, United States

Site Status RECRUITING

Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status RECRUITING

Rush University Medical Center

Chicago, Illinois, United States

Site Status RECRUITING

University of Illinois Hospital and Health Sciences System

Chicago, Illinois, United States

Site Status RECRUITING

University of Chicago

Chicago, Illinois, United States

Site Status RECRUITING

OSF Saint Francis Medical Center

Peoria, Illinois, United States

Site Status TERMINATED

Memorial Medical Center

Springfield, Illinois, United States

Site Status TERMINATED

Iowa Methodist

Des Moines, Iowa, United States

Site Status RECRUITING

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status RECRUITING

Norton HealthCare

Louisville, Kentucky, United States

Site Status TERMINATED

Ochsner Medical Center - Main Campus

New Orleans, Louisiana, United States

Site Status TERMINATED

University Health Shreveport

Shreveport, Louisiana, United States

Site Status RECRUITING

University of Maryland

Baltimore, Maryland, United States

Site Status RECRUITING

Tufts Medical Center

Boston, Massachusetts, United States

Site Status TERMINATED

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status TERMINATED

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status RECRUITING

UMass Memorial Medical Center,

Worcester, Massachusetts, United States

Site Status RECRUITING

Henry Ford Hospital

Detroit, Michigan, United States

Site Status RECRUITING

McLaren Flint

Flint, Michigan, United States

Site Status RECRUITING

Trinity Health Saint Mary's

Grand Rapids, Michigan, United States

Site Status RECRUITING

Bronson Methodist Hospital

Kalamazoo, Michigan, United States

Site Status RECRUITING

Mayo Clinic Saint Marys Campus

Rochester, Minnesota, United States

Site Status RECRUITING

Saint Cloud/Centracare Health

Saint Cloud, Minnesota, United States

Site Status RECRUITING

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

Cox Medical Center

Springfield, Missouri, United States

Site Status RECRUITING

Barnes-Jewish Hospital

St Louis, Missouri, United States

Site Status RECRUITING

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status TERMINATED

JFK Neuroscience Institute

Edison, New Jersey, United States

Site Status RECRUITING

Cooperman Barnabas Medical Center

Livingston, New Jersey, United States

Site Status RECRUITING

Hackensack Meridian Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status RECRUITING

University of New Mexico Hospital

Albuquerque, New Mexico, United States

Site Status RECRUITING

Maimonides Medical Center

Brooklyn, New York, United States

Site Status RECRUITING

NYU Langone Brooklyn

Brooklyn, New York, United States

Site Status RECRUITING

Buffalo General Medical Center

Buffalo, New York, United States

Site Status RECRUITING

North Shore University Hospital

Manhasset, New York, United States

Site Status RECRUITING

Bellevue Hospital

New York, New York, United States

Site Status RECRUITING

NYU Langone -Tish Hospital Medical Center

New York, New York, United States

Site Status RECRUITING

NYP Columbia University Medical Center

New York, New York, United States

Site Status RECRUITING

Strong Memorial Hospital

Rochester, New York, United States

Site Status TERMINATED

Staten Island University Hospital

Staten Island, New York, United States

Site Status TERMINATED

Suny Upstate Medical University

Syracuse, New York, United States

Site Status RECRUITING

Montefiore Medical Center

The Bronx, New York, United States

Site Status TERMINATED

Carolinas Medical Center Atrium Health

Charlotte, North Carolina, United States

Site Status RECRUITING

Carolinas Rehab Northeast

Concord, North Carolina, United States

Site Status RECRUITING

Guilford Neurologic Associates, Inc

Greensboro, North Carolina, United States

Site Status RECRUITING

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status TERMINATED

Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Site Status RECRUITING

UH Cleveland Medical Center

Cleveland, Ohio, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status TERMINATED

OSU Wexner Medical Center

Columbus, Ohio, United States

Site Status RECRUITING

West Chester Hospital

West Chester, Ohio, United States

Site Status RECRUITING

St. John Health System

Tulsa, Oklahoma, United States

Site Status RECRUITING

Providence St. Vincent Medical Center

Portland, Oregon, United States

Site Status RECRUITING

St. Luke's University Hospital Bethlehem Campus

Bethlehem, Pennsylvania, United States

Site Status TERMINATED

Geisinger Clinic

Danville, Pennsylvania, United States

Site Status TERMINATED

Penn State Milton S. Hershey Center

Hershey, Pennsylvania, United States

Site Status RECRUITING

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

UPMC Presbyterian Hospital

Pittsburgh, Pennsylvania, United States

Site Status TERMINATED

Palmetto Health Richland

Columbia, South Carolina, United States

Site Status RECRUITING

Greenville Memorial Hospital

Greenville, South Carolina, United States

Site Status RECRUITING

Avera Research Institute

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Fort Sanders Regional Medical Center

Knoxville, Tennessee, United States

Site Status RECRUITING

Methodist University

Memphis, Tennessee, United States

Site Status RECRUITING

Baylor Scott & White Institute of Rehabilitation

Dallas, Texas, United States

Site Status TERMINATED

Memorial Hermann Texas Medical Center

Houston, Texas, United States

Site Status RECRUITING

Intermountain Medical Center

Murray, Utah, United States

Site Status RECRUITING

University of Utah Healthcare

Salt Lake City, Utah, United States

Site Status RECRUITING

The University of Vermont Medical Center Main Campus

Burlington, Vermont, United States

Site Status TERMINATED

UVA Medical Center

Charlottesville, Virginia, United States

Site Status RECRUITING

Inova Fairfax

Falls Church, Virginia, United States

Site Status TERMINATED

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status RECRUITING

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status TERMINATED

Harborview Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Ruby Memorial Hospital

Morgantown, West Virginia, United States

Site Status RECRUITING

Gundersen Lutheran Medical Foundation

La Crosse, Wisconsin, United States

Site Status TERMINATED

University of Wisconsin University Hospital

Madison, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kayla Novitski, MPH, CCRP

Role: CONTACT

Email: [email protected]

Joelle Sickler, MSN, CCRC, CCRA

Role: CONTACT

Email: [email protected]

Facility Contacts

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Sarah Bruton

Role: primary

Karla Granados

Role: primary

Gabrielle Romero

Role: primary

Baylee Reed

Role: primary

Sandra Sanchez

Role: primary

Theresa McQuaid

Role: primary

Sung Min Na

Role: primary

Fatima Rodriguez

Role: primary

Kimberly Cortez

Role: primary

Josue Prado

Role: primary

Jeanette Gumarang

Role: primary

Quyen Chau

Role: primary

Andrea Diaz Sevilla

Role: primary

Theresa McQuaid

Role: primary

Eboni Bailey

Role: primary

Natalia Dorantes

Role: primary

Chelsea Lorimor

Role: primary

Laura Grenier

Role: primary

Radu Radulescu

Role: primary

Breanna Sterling

Role: primary

Laura Hudson

Role: primary

Yasmeen Shabbir

Role: primary

Taisiya Matev

Role: primary

Andrea Escobar

Role: primary

Flora Arevalo

Role: primary

Kristen Grey

Role: primary

Alicia Moore

Role: primary

Henna McCoy

Role: primary

Lucia LeBlanc Perez

Role: primary

Samantha Jankowski

Role: primary

Heather Shaull

Role: primary

Heena Olalde

Role: primary

Chelsie Liegey

Role: primary

Beata Assadi

Role: primary

Elizabeth Heistand

Role: primary

Nimmy Francis

Role: primary

Teresa Long

Role: primary

Kiona Graham

Role: primary

Bill Boshoven

Role: primary

Lynn Perez

Role: primary

Amy Headlee

Role: primary

Dawn Bauerly-Pieper

Role: primary

Joy Walker

Role: primary

Christine Kennish

Role: primary

Jessica Ratcliff

Role: primary

Angela Wolford

Role: primary

Surekha Patel

Role: primary

Jacob Huhn

Role: primary

Abimbola Coker

Role: primary

Maryna Mootoo

Role: primary

Maria Cotrina

Role: primary

Annemarie Crumlish

Role: primary

Siddharth Dholiya

Role: primary

Lara Balick

Role: primary

Maria Cotrina

Role: primary

Angela Velazquez

Role: primary

Lena Deb

Role: primary

Maria Helms

Role: primary

Kiandra Austrie

Role: primary

Jamil Admed

Role: primary

Ranjaka Gunawardena

Role: primary

Ranjaka Gunawardena

Role: primary

Mary Andrews

Role: primary

Luke Herren

Role: primary

Ranjaka Gunawardena

Role: primary

Elvis Tamo

Role: primary

Emily Lehman

Role: primary

Reba Chivari

Role: primary

Nichole Gallatti

Role: primary

Sandra Combs

Role: primary

Georgia Taylor

Role: primary

Reilly Leonard

Role: primary

Cassidy Kaiser

Role: primary

Allyson Holt

Role: primary

Quentin Thacker

Role: primary

Ariana Hernandez

Role: primary

Nic Unsworth

Role: primary

Annette Blackburn

Role: primary

Allison Ramsey

Role: primary

Keila Najera

Role: primary

Belqeis Abatiyow

Role: primary

Jay Sherman

Role: primary

Sima Sayyahmelli

Role: primary

References

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Brown DL, Novitski K, Sickler JB, Hankla RM, Khattak F, Philpot E, Durkalski-Mauldin V, Sayyahmelli S, Patino C, Arevalo-Bermudez F, Roberts M, Sahelian A, Chervin RD. Use of a Generative Pretrained Transformer to Answer Questions and Facilitate a Large Randomized Controlled Trial. J Am Heart Assoc. 2025 Oct 21;14(20):e043333. doi: 10.1161/JAHA.125.043333. Epub 2025 Oct 21.

Reference Type DERIVED
PMID: 41120814 (View on PubMed)

Other Identifiers

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1U01NS099043-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00147316

Identifier Type: -

Identifier Source: org_study_id