Effect of Liraglutide vs CPAP on Cardiometabolic Outcomes in Obstructive Sleep Apnea

NCT ID: NCT04186494

Last Updated: 2023-12-18

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-02

Study Completion Date

2022-07-31

Brief Summary

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This is an explorative, proof-of-concept study exploring the potential therapeutic role of a Liraglutide-based weight loss regimen versus standard CPAP or the combination of both on metabolic parameters, blood pressure, endothelial function, coronary artery calcification, vascular inflammation and apnea/hypopnea index in non-diabetic patients with moderate to severe obstructive sleep apnea

Detailed Description

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Conditions

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Sleep Apnea, Obstructive

Keywords

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Liraglutide Continuous positive airway pressure Insulin resistance Vascular inflammation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Continuous positive airway pressure (CPAP)

Standard CPAP Therapy

Group Type ACTIVE_COMPARATOR

Continuous positive airway pressure treatment

Intervention Type DEVICE

Gold standard treatment for obstructive sleep apnea

Liraglutide-based weight loss regimen

Once daily s.c. injections of Liraglutide, starting at a dose of 0.6 mg with weekly 0.6 mg increments to 3.0 mg in adjunct to advice on a weight-reduction diet and physical exercise

Group Type EXPERIMENTAL

Liraglutide (Saxenda) 6Mg/Ml Inj Pen 3Ml

Intervention Type DRUG

GLP-1 analogue treatment in combination with advice on diet and physical exercise

Combination CPAP/Liraglutide

Combination of both interventions

Group Type EXPERIMENTAL

Liraglutide and CPAP

Intervention Type COMBINATION_PRODUCT

Combination of both treatments

Interventions

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Liraglutide (Saxenda) 6Mg/Ml Inj Pen 3Ml

GLP-1 analogue treatment in combination with advice on diet and physical exercise

Intervention Type DRUG

Continuous positive airway pressure treatment

Gold standard treatment for obstructive sleep apnea

Intervention Type DEVICE

Liraglutide and CPAP

Combination of both treatments

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed moderate-severe OSA (by standard PSG)
* Body mass index between 30 - 40
* Age 18 - 60 years
* Able to provide written, informed consent

Exclusion Criteria

* Pregnancy
* Requirement for supplemental oxygen
* Previous diagnosis of OSA or previous CPAP treatment
* Diagnosis of Diabetes
* Previous treatment with GLP-1 analogue
* Previous surgical treatment for obesity
* Active treatment for malignancy or severe psychiatric disorder
* Acute coronary syndrome or stroke within 3 months prior to study
* History of decompensated heart failure
* Professional drivers or drivers with a history of road-traffic accident due to sleepiness
* Severe excessive daytime sleepiness defined as Epworth sleepiness scale \>15
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University College Dublin

OTHER

Sponsor Role collaborator

Health Research Board, Ireland

OTHER

Sponsor Role collaborator

St Vincent's University Hospital, Ireland

OTHER

Sponsor Role lead

Responsible Party

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Dr Silke Ryan

Associate Professor, Consultant in Respiratory and Sleep Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Silke Ryan, PhD, MD

Role: PRINCIPAL_INVESTIGATOR

St Vincent's University Hospital, University College Dublin

Locations

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St Vincent's University Hospital

Dublin, Dublin 4, Ireland

Site Status

Countries

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Ireland

References

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O'Donnell C, Crilly S, O'Mahony A, O'Riordan B, Traynor M, Gitau R, McDonald K, Ledwidge M, O'Shea D, Murphy DJ, Dodd JD, Ryan S. Continuous Positive Airway Pressure but Not GLP1-mediated Weight Loss Improves Early Cardiovascular Disease in Obstructive Sleep Apnea: A Randomized Proof-of-Concept Study. Ann Am Thorac Soc. 2024 Mar;21(3):464-473. doi: 10.1513/AnnalsATS.202309-821OC.

Reference Type DERIVED
PMID: 38096106 (View on PubMed)

Other Identifiers

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RS19-023

Identifier Type: -

Identifier Source: org_study_id