Local Sleep in Idiopathic Hypersomnia

NCT ID: NCT06153615

Last Updated: 2023-12-01

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-31

Study Completion Date

2024-05-31

Brief Summary

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Idiopathic hypersomnia (IH) is a rare and poorly studied disease characterized by excessive daytime sleepiness different from that of narcolepsy (sleep drunkness non-recuperative naps and nocturnal blackout). Local sleep is a recent concept, proposing a local regulation of the sleep-wake state, characterized by slow waves (SW) restricted to certain regions of a globally awake brain. The investigators are going to investigate whether local sleep could explain the sleepiness of these patients better than the global occurrence of sleep which are not very frequent during daytime tests in IH.

The investigators propose to look for local sleep through the detection of local slow waves in the EEG of resting wakefulness and during an attentional task in people with IH compared to people with NT1 (sleepy, but with a different type of sleepiness from IH, more abrupt and including REM sleep) and non sleepy people.

Detailed Description

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Local sleep is a recent concept, suggesting a local regulation of the sleep-wake state, characterized for example in wakefulness by slow waves restricted to certain regions of a globally awake brain, correlating with modifications of mental experience and behavior. Although the phenomenon of local sleep has been demonstrated following acute sleep deprivation, its importance in explaining attentional fluctuations during a normal day is only beginning to be investigated. Moreover, inter-individual variations remain unexplored. The investigators propose to study in EEG (64 electrodes) the occurrence of local sleep in different states of sleepiness, in particular in idiopathic hypersomnia (IH) in comparison to that of narcolepsy type 1 (NT1) and to non-drowsy individuals, both in the resting state and during a sustained attention test (SART). This study will provide a better understanding of intra- (over the course of a day) and inter-individual fluctuations in the local sleep phenomenon potentially involved in this disease and its impact on cognition.

Anticipated number of participants:

60 including:

* 20 people with idiopathic hypersomnia
* 20 people with type 1 narcolepsy
* 20 people with no previous history

Practical procedure:

Single visit: presence from 9:30 am to 3:30 pm

* General questionnaire on sleep habits and symptoms.
* Equipment: EEG 32 electrodes, EOG, ECG, eye tracker and thoracoabdominal belts.
* Morning and afternoon recording: 10 minutes in resting state, 60 minutes of digital SART (go-no-go test in front of a screen, with intermittent evaluation of mental state), then 10 minutes of rest.

Conditions

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Idiopathic Hypersomnia

Keywords

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Idiopathic Hypersomnia Narcolepsia type 1

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Idiopathic Hypersomnia

Group Type EXPERIMENTAL

EEG (64 electrodes)

Intervention Type OTHER

EEG recording while awake, at rest then during an attentional cognitive test

Cognitive task (SART)

Intervention Type OTHER

Sustained attention go-no-go task (press a button each time a number is presented on a screen (1/second) except when the 3 appears) Assessment of mental status approximately every 45 seconds (task focus, mind wandering, mental blank, and sleepiness status)

Pupillometry and eye tracking

Intervention Type OTHER

Study of pupil size and gaze path during the cognitive test (correlated with alertness)

Thoracoabdominal belts

Intervention Type OTHER

Abdominal and thoracic belts (used in all nocturnal polysomnographic recordings) for respiratory movement studies (correlated with sleepiness)

Narcolepsy type 1

Group Type ACTIVE_COMPARATOR

EEG (64 electrodes)

Intervention Type OTHER

EEG recording while awake, at rest then during an attentional cognitive test

Cognitive task (SART)

Intervention Type OTHER

Sustained attention go-no-go task (press a button each time a number is presented on a screen (1/second) except when the 3 appears) Assessment of mental status approximately every 45 seconds (task focus, mind wandering, mental blank, and sleepiness status)

Pupillometry and eye tracking

Intervention Type OTHER

Study of pupil size and gaze path during the cognitive test (correlated with alertness)

Thoracoabdominal belts

Intervention Type OTHER

Abdominal and thoracic belts (used in all nocturnal polysomnographic recordings) for respiratory movement studies (correlated with sleepiness)

Healthy subject

Group Type ACTIVE_COMPARATOR

EEG (64 electrodes)

Intervention Type OTHER

EEG recording while awake, at rest then during an attentional cognitive test

Cognitive task (SART)

Intervention Type OTHER

Sustained attention go-no-go task (press a button each time a number is presented on a screen (1/second) except when the 3 appears) Assessment of mental status approximately every 45 seconds (task focus, mind wandering, mental blank, and sleepiness status)

Pupillometry and eye tracking

Intervention Type OTHER

Study of pupil size and gaze path during the cognitive test (correlated with alertness)

Thoracoabdominal belts

Intervention Type OTHER

Abdominal and thoracic belts (used in all nocturnal polysomnographic recordings) for respiratory movement studies (correlated with sleepiness)

Interventions

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EEG (64 electrodes)

EEG recording while awake, at rest then during an attentional cognitive test

Intervention Type OTHER

Cognitive task (SART)

Sustained attention go-no-go task (press a button each time a number is presented on a screen (1/second) except when the 3 appears) Assessment of mental status approximately every 45 seconds (task focus, mind wandering, mental blank, and sleepiness status)

Intervention Type OTHER

Pupillometry and eye tracking

Study of pupil size and gaze path during the cognitive test (correlated with alertness)

Intervention Type OTHER

Thoracoabdominal belts

Abdominal and thoracic belts (used in all nocturnal polysomnographic recordings) for respiratory movement studies (correlated with sleepiness)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy subjects and people with IH and NT1:

-\>18 years old, of both sexes, without legal protection.
* Affiliated to the French social security system
* Signature of free and informed consent
* Fluency in spoken and written French
* Specific to people with IH:

-Diagnosis of IH according to the ICSD-3, already made in the sleep pathology department of the Pitié after a specialized medical interview and a standardized 48h assessment (Night 1+TILE+Night 2+two naps): Sleep time \> 660 min or TILE latency \<8 min, \<2 SOREMPs.
* Specific to people with NT1:

* Diagnosis of narcolepsy type 1 according to the ICSD-3, already made in the sleep pathology department of the Pitié after a specialized medical interview and a standardized 48h workup (Night 1+TILE+Night 2+two naps) and sometimes a lumbar puncture: hypocretin \<110 pmol/L in CSF or cataplexy and TILE latency \<8 min, \>1 SOREMP.

Exclusion Criteria

* Shift or night work
* Sleep debt on the day of the recording (questioning and sleep diary one week before the recording)
* Other sleep pathology causing daytime sleepiness (sleep apnea, insomnia, parasomnia for example)
* Cerebral neurological pathology
* Depressive episode
* Any psychotropic treatment modifying the EEG structure
* Failure to wean from arousing treatment on the day of the test.
* Inability to travel by transport or to be transported by a relative on the day of the recording.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Isabelle Arnulf, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Pitié Salpêtrière

Paris, , France

Site Status

Countries

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France

Central Contacts

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Isabelle Arnulf, MD, PhD

Role: CONTACT

Phone: 01 42 16 77 04

Email: [email protected]

Facility Contacts

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Isabelle Arnulf, MD, PhD

Role: primary

Other Identifiers

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APHP230749

Identifier Type: -

Identifier Source: org_study_id