Assessment of Circuit Rebreathing During CPAP Therapy

NCT ID: NCT07062770

Last Updated: 2025-07-14

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

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-27

Study Completion Date

2025-12-01

Brief Summary

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The goal of this research is to better understand how different CPAP mask designs affect airflow and rebreathing of exhaled carbon dioxide (CO₂) during sleep in individuals with obstructive sleep apnea (OSA).

Detailed Description

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To understand the existence and severity of circuit rebreathing during treatment with continuous positive airway pressure (CPAP) using different sizes of the exhaust ports in individuals with obstructive sleep apnea (OSA).

Flow-adjusted end-tidal oxygen (PetO2) and carbon dioxide (PetCO2) will be assessed to determine the magnitude of hypoxic load during both wakefulness and sleep. To systematically assess these conditions, the conditions were defined as follows:

* 5A: 35 L/s exhaust flow with 5 cmH₂O PAP
* 5B: 23 L/s exhaust flow with 5 cmH₂O PAP
* 5C: 18 L/s exhaust flow with 5 cmH₂O PAP
* 5D: 13 L/s exhaust flow with 5 cmH₂O PAP
* 5E: 8 L/s exhaust flow with 5 cmH₂O PAP
* 0P: 35 L/s exhaust flow with 0 cmH₂O PAP
* 10A: 35 L/s exhaust flow with 10 cmH₂O PAP
* 10B: 23 L/s exhaust flow with 10 cmH₂O PAP
* 10C: 18 L/s exhaust flow with 10 cmH₂O PAP
* 10D: 13 L/s exhaust flow with 10 cmH₂O PAP
* 10E: 8 L/s exhaust flow with 10 cmH₂O PAP Primary endpoint is to evaluate the effect of exhaust flow on flow-adjusted average inspired oxygen fraction (FiO₂) during (1) wakefulness and (2) sleep between 5B vs. 5D.

Conditions

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Obstructive Sleep Apnea (OSA)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Subjects will perform 1 in-lab sleep study visit consisting of an evening wake session followed by an overnight sleep study.

Subjects will receive randomized sequences of 11 conditions (varying in exhaust flow and PAP levels) during the evening and sleep portions of the night.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants
The exhaust flow and PAP level conditions will be blinded for the participant.

Study Groups

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5 cmH2O with 35L/s

35 L/s exhaust flow with 5 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

5 cmH2O with 23L/s

23 L/s exhaust flow with 5 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

5 cmH2O with 18L/s

18 L/s exhaust flow with 5 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

5 cmH2O with 13L/s

13 L/s exhaust flow with 5 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

5 cmH2O with 8L/s

8 L/s exhaust flow with 5 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

0 cmH2O with 35L/s

35 L/s exhaust flow with 0 cmH₂O PAP

Group Type PLACEBO_COMPARATOR

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

10 cmH2O with 35L/s

35 L/s exhaust flow with 10 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

10 cmH2O with 23L/s

23 L/s exhaust flow with 10 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

10 cmH2O with 18L/s

18 L/s exhaust flow with 10 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

10 cmH2O with 13L/s

13 L/s exhaust flow with 10 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

10 cmH2O with 8L/s

8 L/s exhaust flow with 10 cmH₂O PAP

Group Type EXPERIMENTAL

Continuous positive airway pressure (CPAP)

Intervention Type DEVICE

Subjects will be administered either 0, 5 or 10 cmH2O

Mask exhaust port flow

Intervention Type OTHER

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

Interventions

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Continuous positive airway pressure (CPAP)

Subjects will be administered either 0, 5 or 10 cmH2O

Intervention Type DEVICE

Mask exhaust port flow

Subjects will be administered varying levels of exhaust flow: 35, 23, 18, 13 and 8 L/s

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Moderate to severe OSA (AHI\>20)
* Self-reported CPAP users or have previously used CPAP
* Self-reported holding pressure of maximum 13 cmH2O (if known)
* Age: 21-70
* BMI: 18-40 kg/m2

Exclusion Criteria

* Self-reported severe mouth-breathing
* Requirement for nocturnal supplemental oxygen or other ventilatory support
* Severe cardiovascular or pulmonary disease
* Any unstable or acute medical condition
* Any additional sleep disorder, including insomnia, except for OSA.
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sleep Res, Inc.

UNKNOWN

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Atqiya Aishah, Ph.D.

Postdoctoral Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Atqiya Aishah, PhD

Role: PRINCIPAL_INVESTIGATOR

Harvard Medical School & Brigham and Women's Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Atqiya Aishah, PhD

Role: CONTACT

857 396 3808

Scott A Sands, PhD

Role: CONTACT

6172780911

Facility Contacts

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Atqiya Aishah, PhD

Role: primary

857 396 3808

Scott A Sands, PhD

Role: backup

617 278 0911

Other Identifiers

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2025P000798

Identifier Type: -

Identifier Source: org_study_id

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