Obstructive Sleep Apnea Syndrome Clinical Trial
Official title:
CPAP Treatment : Fixed Versus Auto-adjusting Mode Impact on Clinical Blood Arterial Pressure. Randomised, Controlled and Double Blinded Trial in SAOS Patients
Background: Continuous positive airway pressure (CPAP) is the first line therapy for
obstructive sleep apnea syndrome (OSAS). Two positive airway pressure (PAP) modalities can
be used: Fixed pressure, in which the effective pressure is set and kept constant all night,
and auto CPAP devices where the positive pressure changes during the night depend on
patient's requirements.
Hypothesis: Pressure variations associated with autoCPAP functioning can lead to sleep
fragmentation and alterations in sleep structure. This can limit blood pressure dipping
during sleep and then impact clinical blood pressure reduction.
Main objective: To compare in a randomized controlled trial 4 months clinical blood pressure
(BP) evolution depending on CPAP mode: fixed pressure versus autoCPAP. Secondary outcomes:
Evolution of arterial stiffness, biological parameters, quality of life and symptoms.
Methods: Patients will be randomised depending on CPAP mode. Baseline and 4 months
evaluation will include: 24-h ambulatory blood pressure monitoring, clinical BP measurements
and carotid-to-femoral pulse wave velocity (PWV). Patients will also complete quality of
life and symptoms questionnaires.
2 interim analysis will be carried out when 150 and 220 patients respectively will have
completed the study. The Peto's method will be used to correct the p-values.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
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