Stroke Clinical Trial
— Sleep SMARTOfficial title:
Sleep for Stroke Management and Recovery Trial
Verified date | June 2024 |
Source | University of Michigan |
Contact | Kayla Novitski, MPH, CCRP |
kcgossel[@]med.umich.edu | |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to determine whether treatment of obstructive sleep apnea (OSA) with positive airway pressure starting shortly after acute ischemic stroke or high risk TIA (1) reduces recurrent stroke, acute coronary syndrome, and all-cause mortality 6 months after the event, and (2) improves stroke outcomes at 3 months in patients who experienced an ischemic stroke.
Status | Recruiting |
Enrollment | 3062 |
Est. completion date | November 2026 |
Est. primary completion date | November 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. TIA with ABCD2 =4 or ischemic stroke, within the prior 14 days. Exclusion Criteria: 1. pre-event inability to perform all of own basic ADLs 2. unable to obtain informed consent from subject or legally authorized representative 3. incarcerated 4. known pregnancy 5. current mechanical ventilation (can enroll later if this resolves) or tracheostomy 6. current use of positive airway pressure, or use within one month prior to stroke 7. anatomical or dermatologic anomaly that makes use of CPAP interface unfeasible 8. severe bullous lung disease 9. history of prior spontaneous pneumothorax or current pneumothorax 10. hypotension requiring current treatment with pressors (can enroll later if this resolves) 11. other specific medical circumstances that conceivably, in the opinion of the site PI, could render the patient at risk of harm from use of CPAP 12. massive epistaxis or previous history of massive epistaxis 13. cranial surgery or head trauma within the past 6 months, with known or possible CSF leak or pneumocephalus 14. recent hemicraniectomy or suboccipital craniectomy (i.e. those whose bone has not yet been replaced), or any other recent bone removal procedure for relief of intracranial pressure 15. current receipt of oxygen supplementation >4 liters per minute 16. current contact, droplet, respiratory/airborne precautions |
Country | Name | City | State |
---|---|---|---|
United States | University of New Mexico Hospital | Albuquerque | New Mexico |
United States | Grady Memorial Hospital | Atlanta | Georgia |
United States | University of Maryland | Baltimore | Maryland |
United States | St. Luke's University Hospital Bethlehem Campus | Bethlehem | Pennsylvania |
United States | University of Alabama Hospital | Birmingham | Alabama |
United States | Beth Israel Deaconess Medical Center | Boston | Massachusetts |
United States | Brigham and Women's Hospital | Boston | Massachusetts |
United States | Massachusetts General Hospital | Boston | Massachusetts |
United States | Tufts Medical Center | Boston | Massachusetts |
United States | Montefiore Medical Center | Bronx | New York |
United States | Maimonides Medical Center | Brooklyn | New York |
United States | NYU Langone Brooklyn | Brooklyn | New York |
United States | Buffalo General Medical Center | Buffalo | New York |
United States | The University of Vermont Medical Center Main Campus | Burlington | Vermont |
United States | Mercy San Juan Medical Center | Carmichael | California |
United States | Chandler Regional Medical Center | Chandler | Arizona |
United States | Carolinas Medical Center Atrium Health | Charlotte | North Carolina |
United States | UVA Medical Center | Charlottesville | Virginia |
United States | Rush University Medical Center | Chicago | Illinois |
United States | University of Chicago | Chicago | Illinois |
United States | University of Illinois Hospital and Health Sciences System | Chicago | Illinois |
United States | Christ Hospital | Cincinnati | Ohio |
United States | University of Cincinnati Medical Center | Cincinnati | Ohio |
United States | Morton Plant Hospital | Clearwater | Florida |
United States | Cleveland Clinic | Cleveland | Ohio |
United States | UH Cleveland Medical Center | Cleveland | Ohio |
United States | Palmetto Health Richland | Columbia | South Carolina |
United States | OSU Wexner Medical Center | Columbus | Ohio |
United States | Carolinas Rehab Northeast | Concord | North Carolina |
United States | Baylor Scott & White Institute of Rehabilitation | Dallas | Texas |
United States | Geisinger Clinic | Danville | Pennsylvania |
United States | Henry Ford Hospital | Detroit | Michigan |
United States | Rancho Los Amigos National Rehabilitation Center | Downey | California |
United States | JFK Neuroscience Institute | Edison | New Jersey |
United States | Inova Fairfax | Falls Church | Virginia |
United States | McLaren Flint | Flint | Michigan |
United States | UF Health Shands Hospital | Gainesville | Florida |
United States | St. Mary's Hospital and Medical Center | Grand Junction | Colorado |
United States | Trinity Health Saint Mary's | Grand Rapids | Michigan |
United States | Guilford Neurologic Associates, Inc | Greensboro | North Carolina |
United States | Greenville Memorial Hospital | Greenville | South Carolina |
United States | Hartford Hospital | Hartford | Connecticut |
United States | Penn State Milton S. Hershey Center | Hershey | Pennsylvania |
United States | Memorial Hermann Texas Medical Center | Houston | Texas |
United States | University of Iowa Hospitals and Clinics | Iowa City | Iowa |
United States | University of Mississippi Medical Center | Jackson | Mississippi |
United States | Brooks Rehabilitation Hospital | Jacksonville | Florida |
United States | UF Jacksonville | Jacksonville | Florida |
United States | Bronson Methodist Hospital | Kalamazoo | Michigan |
United States | Saint Luke's Hospital of Kansas City | Kansas City | Missouri |
United States | Gundersen Lutheran Medical Foundation | La Crosse | Wisconsin |
United States | Scripps Memorial | La Jolla | California |
United States | UCSD Health La Jolla | La Jolla | California |
United States | Cedars-Sinai Medical Center | Los Angeles | California |
United States | Kaiser Permanente Los Angeles | Los Angeles | California |
United States | Ronald Reagan UCLA Medical Center | Los Angeles | California |
United States | Norton HealthCare | Louisville | Kentucky |
United States | University of Wisconsin University Hospital | Madison | Wisconsin |
United States | North Shore University Hospital | Manhasset | New York |
United States | Methodist University | Memphis | Tennessee |
United States | Baptist Hospital of Miami | Miami | Florida |
United States | Jackson Memorial Hospital | Miami | Florida |
United States | University of Miami Hospital | Miami | Florida |
United States | Doctors Medical Center of Modesto | Modesto | California |
United States | Ruby Memorial Hospital | Morgantown | West Virginia |
United States | Intermountain Medical Center | Murray | Utah |
United States | Hackensack Meridian Jersey Shore University Medical Center | Neptune | New Jersey |
United States | Yale-New Haven Hospital | New Haven | Connecticut |
United States | Ochsner Medical Center - Main Campus | New Orleans | Louisiana |
United States | NYP Columbia University Medical Center | New York | New York |
United States | NYU Langone -Tish Hospital Medical Center | New York | New York |
United States | University of Nebraska Medical Center | Omaha | Nebraska |
United States | UCLA Kaiser Fontana | Ontario | California |
United States | UC Irvine | Orange | California |
United States | OSF Saint Francis Medical Center | Peoria | Illinois |
United States | Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania |
United States | Temple University Hospital | Philadelphia | Pennsylvania |
United States | Banner University Medical Center Phoenix | Phoenix | Arizona |
United States | Dignity Health - St. Joseph's Hospital and Medical Center | Phoenix | Arizona |
United States | UPMC Presbyterian Hospital | Pittsburgh | Pennsylvania |
United States | Casa Colina | Pomona | California |
United States | Providence St. Vincent Medical Center | Portland | Oregon |
United States | Mayo Clinic Saint Marys Campus | Rochester | Minnesota |
United States | Strong Memorial Hospital | Rochester | New York |
United States | UC Davis Medical Center | Sacramento | California |
United States | Saint Cloud/Centracare Health | Saint Cloud | Minnesota |
United States | Barnes-Jewish Hospital | Saint Louis | Missouri |
United States | University of Utah Healthcare | Salt Lake City | Utah |
United States | UCSD Medical Center - Hillcrest Hospital | San Diego | California |
United States | UCSF Helen Diller Medical Center at Parnassus Heights | San Francisco | California |
United States | Orange County Global Medical Center | Santa Ana | California |
United States | Sarasota Memorial Hospital | Sarasota | Florida |
United States | Harborview Medical Center | Seattle | Washington |
United States | Virginia Mason Medical Center | Seattle | Washington |
United States | University Health Shreveport | Shreveport | Louisiana |
United States | Avera Research Institute | Sioux Falls | South Dakota |
United States | Baystate Health | Springfield | Massachusetts |
United States | Cox Medical Center | Springfield | Missouri |
United States | Memorial Medical Center | Springfield | Illinois |
United States | Staten Island University Hospital | Staten Island | New York |
United States | Olive View- UCLA Medical Center | Sylmar | California |
United States | Suny Upstate Medical University | Syracuse | New York |
United States | St. Joseph's Hospital | Tampa | Florida |
United States | Tampa General Hospital | Tampa | Florida |
United States | Banner- University Medical Center Tucson | Tucson | Arizona |
United States | TMC Healthcare | Tucson | Arizona |
United States | St. John Health System | Tulsa | Oklahoma |
United States | John Muir Medical Center- Walnut Creek Campus | Walnut Creek | California |
United States | George Washington University Hospital | Washington | District of Columbia |
United States | West Chester Hospital | West Chester | Ohio |
United States | Wake Forest University Baptist Medical Center | Winston-Salem | North Carolina |
United States | UMass Memorial Medical Center, | Worcester | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
University of Michigan | FusionHealth LLC, Medical University of South Carolina, National Institute of Neurological Disorders and Stroke (NINDS), University of Cincinnati |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to Event Combined Outcome: new ischemic stroke, acute coronary syndrome, or all-cause mortality | The primary outcome is a time-to-event outcome defined as a participant having at least one of the following events within 6-months from randomization: new ischemic stroke, acute coronary syndrome or all-cause mortality | 6 months post randomization | |
Primary | Modified Rankin Scale Score | Functional outcome as measured by the 9 question modified Rankin Scale (mRS-9Q). The mRS-9Q has 9 questions related to level of function. Outcomes range from 0 (no symptoms) to 6 (death). | 3 months post randomization | |
Secondary | NIH Stroke Score (NIHSS) | Neurological outcome is measured by the NIHSS. The NIHSS scale ranges from 0 (no deficits) to 42. | 3 months post randomization | |
Secondary | Short Montreal Cognitive Assessment (MoCA) Score | Cognitive outcome is measured by the Short MoCA. The short MoCA is a 5 minute short version of the Montreal Cognitive Assessment (MoCA). This instrument tests phonemic verbal fluency (1 point), delayed recall (5 points), and orientation (6 points) with a score ranging from 0-12. | 3 months post randomization | |
Secondary | Quality of Life outcome | Quality of life outcome is measured by the shortened Stroke Specific Quality of Life Scale (SS-QOL). The short SS-QOL has 7 domains that include physical function, language, vision, thinking, energy, mood, and role function. There is 1 question from each domain. The 12 item SS-QOL is calculated by averaging the scores of these 12 questions. | 3 months post randomization |
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