Obesity in Sleep Medicine - Focusing on OHS Phenotypes

NCT ID: NCT04570540

Last Updated: 2020-09-30

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

Total Enrollment

82 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-04-24

Study Completion Date

2019-09-10

Brief Summary

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This study focuses on a comprehensive examination of obese patients with sleep-related breathing disorders including patients with OSA, sleep hypoventilation and OHS. The aim of this study is to (1) evaluate characteristics of and differences between severity levels of obesity-related breathing disorders, (2) discuss pathophysiological variables associated with hypoventilation during sleep or at daytime and (3) find functional parameters indicating sleep hypoventilation.

Detailed Description

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Conditions

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Obesity Hypoventilation Syndrome (OHS)

Keywords

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Obstructive Sleep Apnea Sleep Hypoventilation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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OSA

Obstructive Sleep Apnea as confirmed by full-night attended in-lab polysomnography showing an apnea-hypopnea index of \>=15 per hour or, alternatively, an apnea-hypopnea index \>=5 with excessive daytime sleepiness as defined by an Epworth Sleepiness Scale score \>9.

Sleep Study

Intervention Type DIAGNOSTIC_TEST

Full-night attended in-lab polysomnography with accompanying transcutaneous capnometry

Pulmonary Function Test

Intervention Type DIAGNOSTIC_TEST

Bodyplethysmographic assessment

Hypercapnic ventilatory response

Intervention Type DIAGNOSTIC_TEST

Measurement of hypercapnic ventilatory response based on the method described by Read in 1967, using a rebreathing bag

Cardiopulmonary Exercise Test

Intervention Type DIAGNOSTIC_TEST

Symptom-limited cardiopulmonary exercise test with a ramp protocol according to the ATS/ACCP and ERS recommendations

OSA+SH

Obstructive Sleep Apnea as confirmed by full-night attended in-lab polysomnography showing an apnea-hypopnea index of \>=15 per hour or, alternatively, an apnea-hypopnea index \>=5 with excessive daytime sleepiness as defined by an Epworth Sleepiness Scale score \>9. Furthermore, co-existing hypoventilation during sleep, defined by the presence of intermittent hypercapnia as measured by transcutaneous capnometry and arterialized capillary blood gas analysis.

Sleep Study

Intervention Type DIAGNOSTIC_TEST

Full-night attended in-lab polysomnography with accompanying transcutaneous capnometry

Pulmonary Function Test

Intervention Type DIAGNOSTIC_TEST

Bodyplethysmographic assessment

Hypercapnic ventilatory response

Intervention Type DIAGNOSTIC_TEST

Measurement of hypercapnic ventilatory response based on the method described by Read in 1967, using a rebreathing bag

Cardiopulmonary Exercise Test

Intervention Type DIAGNOSTIC_TEST

Symptom-limited cardiopulmonary exercise test with a ramp protocol according to the ATS/ACCP and ERS recommendations

OHS

Obstructive Sleep Apnea as confirmed by full-night attended in-lab polysomnography showing an apnea-hypopnea index of \>=15 per hour or, alternatively, an apnea-hypopnea index \>=5 with excessive daytime sleepiness as defined by an Epworth Sleepiness Scale score \>9. Furthermore, co-existing hypoventilation during wakefulness, defined by a PCO2\>45mmHg as measured by arterialized capillary blood gas analysis.

Sleep Study

Intervention Type DIAGNOSTIC_TEST

Full-night attended in-lab polysomnography with accompanying transcutaneous capnometry

Pulmonary Function Test

Intervention Type DIAGNOSTIC_TEST

Bodyplethysmographic assessment

Hypercapnic ventilatory response

Intervention Type DIAGNOSTIC_TEST

Measurement of hypercapnic ventilatory response based on the method described by Read in 1967, using a rebreathing bag

Cardiopulmonary Exercise Test

Intervention Type DIAGNOSTIC_TEST

Symptom-limited cardiopulmonary exercise test with a ramp protocol according to the ATS/ACCP and ERS recommendations

Interventions

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Sleep Study

Full-night attended in-lab polysomnography with accompanying transcutaneous capnometry

Intervention Type DIAGNOSTIC_TEST

Pulmonary Function Test

Bodyplethysmographic assessment

Intervention Type DIAGNOSTIC_TEST

Hypercapnic ventilatory response

Measurement of hypercapnic ventilatory response based on the method described by Read in 1967, using a rebreathing bag

Intervention Type DIAGNOSTIC_TEST

Cardiopulmonary Exercise Test

Symptom-limited cardiopulmonary exercise test with a ramp protocol according to the ATS/ACCP and ERS recommendations

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* BMI ≥ 30 kg/m²
* Indication for sleep lab admission or indication for BiLevel or non-invasive ventilation therapy initiation due to existing hypoventilation/OHS

Exclusion Criteria

* Age \<18 years
* Pregnancy, Lactation
* Any medical, psychological or other condition impairing the patient's ability to provide informed consent.
* Missing informed consent
* Participation in another clinical study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Philips Respironics

INDUSTRY

Sponsor Role collaborator

Wissenschaftliches Institut Bethanien e.V

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Winfried J Randerath, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Chief Physician

Locations

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Institut für Pneumologie an der Universität zu Köln / Wissenschaftliches Institut Bethanien für Pneumologie e.V.

Solingen, North Rhine-Westphalia, Germany

Site Status

Countries

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Germany

References

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Herkenrath SD, Treml M, Hagmeyer L, Matthes S, Randerath WJ. Severity stages of obesity-related breathing disorders - a cross-sectional cohort study. Sleep Med. 2022 Feb;90:9-16. doi: 10.1016/j.sleep.2021.12.015. Epub 2022 Jan 4.

Reference Type DERIVED
PMID: 35051737 (View on PubMed)

Other Identifiers

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WI_137/2013

Identifier Type: -

Identifier Source: org_study_id