Clinical Trials Logo

Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04646902
Other study ID # Kyntosa_02_20200428
Secondary ID PTDC/MED-TOX3041
Status Active, not recruiting
Phase
First received
Last updated
Start date March 25, 2021
Est. completion date March 1, 2024

Study information

Verified date December 2023
Source Universidade Nova de Lisboa
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Obstructive Sleep Apnea (OSA) is an independent risk factor for hypertension (HTN) and the most common cause of resistant HTN. The mechanisms underlying OSA-associated HTN are not completely understood. This is crucial to find novel therapeutic targets of OSA-associated HTN. The Aryl Hydrocarbon Receptor (AHR) is a cytosolic transcription factor that has been linked with the pathogenesis of HTN. This study aims to evaluate the role of endogenous ligands of AHR such as kynurenine in discriminating patients with OSA-associated HTN. For that aim, a case-control study will be performed in patients with and without hypertension exposed and not exposed to OSA. Kynurenine and other metabolites will be quantified in urine and serum samples.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 203
Est. completion date March 1, 2024
Est. primary completion date September 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 30 Years and older
Eligibility CASES (subjects with hypertension with and without OSA) Inclusion Criteria: - Adults = 30 years old attending the outpatient clinics of the clinical sites. - Diagnosis of hypertension defined either as: a) use of antihypertensive drug(s) and stable dose for at least 2 weeks prior to inclusion; or b) in untreated patients: office systolic blood pressure values >= 140 mmHg and/ or diastolic blood pressure values >= 90 mmHg. - Able to understand and communicate effectively with study personnel. - Giving written informed consent to participate. Exclusion Criteria: - Self-reported pregnancy or breastfeeding. - Patients on haemodialysis or peritoneal dialysis. - Chronic liver disease with Child-Pugh score B or higher. - Hypertension attributed to renal artery stenosis, primary hyperaldosteronism, pheochromocytoma, Cushing's syndrome, coarctation of aorta. - History of any OSA surgical treatment to the palatal and hypopharyngeal regions, notably uvulopalatopharyngoplasty surgery (UPPP), palatal radio frequency ablation, tonsillectomy, lingual tonsillectomy, partial glossectomy, tongue base radio frequency ablation, genioglossal advancement, hyoid suspension, maxillomandibular advancement surgery (MMA) and active use of hypoglossal nerve stimulator. - Patients with a good adherence to CPAP, defined as the use of CPAP for at least 4 hours/night on 70% of nights during the last 3 months. - Pulmonary hypertension. - Current diagnosed oncological disease. - Patients with known chronic or acute infectious diseases. - Other current severe progressive or uncontrolled disease which in the judgement of the investigator renders the patient unsuitable for the study CONTROLS (individuals without hypertension with and without OSA) For each case, an age and gender-matched control will be selected. Exclusion Criteria: - Pregnancy or breastfeeding. - Patients on haemodialysis or peritoneal dialysis. - Chronic liver disease with Child-Pugh score b or higher. - History of any OSA surgical treatment to the palatal and hypopharyngeal regions, notably uvulopalatopharyngoplasty surgery (UPPP), palatal radio frequency ablation, tonsillectomy, lingual tonsillectomy, partial glossectomy, tongue base radio frequency ablation, genioglossal advancement, hyoid suspension, maxillomandibular advancement surgery (MMA) and active use of hypoglossal nerve stimulator. - Patients with a good adherence to CPAP, defined as the use of CPAP for at least 4 hours/night on 70% of nights during the last 3 months. - Pulmonary hypertension. - Current diagnosed oncological disease. - Patients with known chronic or acute infectious diseases. - Patients with known chronic or acute infectious diseases. - Other current severe progressive or uncontrolled disease which in the judgement of the investigator renders the patient unsuitable for the study.

Study Design


Locations

Country Name City State
Portugal Centro Hospitalar de Lisboa Central Lisboa
Portugal Centro Hospitalar Lisboa Ocidental Lisboa
Portugal Hospital Beatriz Ângelo Lisboa
Portugal Hospital da Luz Lisboa
Portugal Hospital Fernando Fonseca Lisboa

Sponsors (6)

Lead Sponsor Collaborator
Universidade Nova de Lisboa Centro Hospitalar de Lisboa Central, Centro Hospitalar Lisboa Ocidental, Hospital Beatriz Ângelo, Hospital da Luz, Portugal, Hospital Fernando Fonseca

Country where clinical trial is conducted

Portugal, 

Outcome

Type Measure Description Time frame Safety issue
Primary Kynurenine / Tryptophan ratio Ratio between kynurenine and tryptophan concentrations Day 1 (visit 1)
Secondary Concentrations of metabolites The relevant metabolites and their concentration will be identified by Partial Least Square Discriminant Analysis (PLS-DA) applied to non-targeted metabolomics. Day 1 (visit 1)
See also
  Status Clinical Trial Phase
Completed NCT05539443 - Telehealth-Enhanced Assessment and Management After Stroke-Blood Pressure N/A
Active, not recruiting NCT03753633 - Efficiency of Speech Therapy in Resistant Hypertensive Patients With Mild Obstructive Sleep Apnea Syndrome N/A
Completed NCT03155139 - Primary Aldosteronism In Hypertensive Patients in China
Completed NCT03105531 - Screening for Primary Aldosteronism in a Population of Patients With Hypertension
Completed NCT03246022 - Characteristics of Obstructive Sleep Apnea Syndrome Related Hypertension and the Effect of Continuous Positive Airway Pressure Treatment on Blood Pressure