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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06370806
Other study ID # INTERAPNEA-Women
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date May 1, 2024
Est. completion date December 1, 2025

Study information

Verified date April 2024
Source Universidad de Granada
Contact Almudena Carneiro-Barrera, PhD
Phone 656556547
Email acarneiro@uloyola.es
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Obesity is a major risk factor for obstructive sleep apnoea (OSA), the most common sleep-disordered breathing related to neurocognitive and metabolic syndromes, type II diabetes, and cardiovascular diseases. Although strongly recommended for this condition, there are no studies on the effectiveness of an interdisciplinary weight loss and lifestyle intervention including nutrition, exercise, sleep hygiene, and smoking and alcohol cessation in women. INTERAPNEA-Women is a randomized controlled trial with a two-arm parallel design aimed at determining the effects of an interdisciplinary tailored weight loss and lifestyle intervention on OSA outcomes. The study will include 180 females aged 18-65 with a body mass index of ≥25 kg/m2 and severe to moderate OSA randomly assigned to usual care (i.e., continuous positive airway pressure), or interdisciplinary weight loss and lifestyle intervention combined with usual care. Outcomes will be measured at baseline, intervention end-point, and six-month post-intervention, including apnoea-hypopnoea index (primary outcome), other neurophysical and cardiorespiratory polysomnographic outcomes, sleep quality, daily functioning and mood, body weight and composition, physical fitness, blood biomarkers, and health-related quality of life. INTERAPNEA may serve to establish a cost-effective treatment not only for the improvement of OSA and its vast and severe comorbidities, but also for a potential remission of this condition.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 180
Est. completion date December 1, 2025
Est. primary completion date December 1, 2025
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: - Previous clinical diagnosis of moderate/severe OSA (AHI > 15) - Female patients aged between 18-65 years. - Body mass index > 25 kg/m2. - Use of CPAP. - Motivation to participate in the study. - Signed informed consent form. Exclusion Criteria: - Sleep disorder other than OSA. - Clinically significant psychiatric, neurological, or medical disorders other than OSA. - Use of prescription drugs or clinically significant drugs affecting sleep.

Study Design


Intervention

Behavioral:
Weight loss and lifestyle intervention
Interdisciplinary intervention addressing weight loss and lifestyle change including nutritional behavior change, aerobic exercise, sleep hygiene, and alcohol and tobacco cessation combined with usual care (i.e., CPAP)

Locations

Country Name City State
n/a

Sponsors (3)

Lead Sponsor Collaborator
Universidad de Granada Fundación BBVA, Universidad Loyola Andalucia

Outcome

Type Measure Description Time frame Safety issue
Primary Apnoea-hypopnoea index (AHI) Change in apnea (airflow reduction greater than or equal to 90%) and hypopnea (airflow reduction greater than or equal to 30%) episodes per hour of sleep measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Oxygen desaturation index (ODI) Change in the number of oxygen desaturations greater than or equal to 4%/h measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Oxygen saturation (SaO2) mean Change in the average of oxygen saturation measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Oxygen saturation (SaO2) nadir Minimum oxygen saturation measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Sleep efficiency Change in the total sleep time/total time in bed measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Light sleep (N1 and N2 stages) Change in the percentage of light sleep (N1 and N2 stages) measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Deep sleep (N3 stage) Change in the percentage of deep sleep (N3 stage) measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Rapid eye movement (REM) sleep Change in the percentage of REM sleep measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Excessive daytime sleepiness (EDS) Change in the difficulty in maintaining a desired level of wakefulness, measured by the Epworth sleepiness scale (ESS) from baseline to post-intervention. ESS is a 4-point scale (0 = no chance of dozing, 1 = slight chance of dozing, 2 = moderate chance of dozing, 3 = high chance of dozing) that measures the usual chances of dozing off or falling asleep while engaged in eight different activities. An ESS total score from 0 to 9 is considered to be normal while an ESS total score > 9 indicates high daytime sleepiness. Post-intervention (2 months)
Secondary Sleep Quality Change in Pittsburgh Sleep Quality Index (PSQI) from baseline to post-intervention. This scale includes a total of 19 self-rated items combined to form seven component scores i.e., subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications, and daytime dysfunction), each of which has a range of 0-3 points. The sum of these seven PSQI component scores is considered to obtain a global PSQI score (ranging from 0-21), with higher scores indicating poorer sleep quality. Post-intervention (2 months)
Secondary Wake After Sleep Onset (WASO) Change in Wake After Sleep Onset (WASO; minutes) measured by a respiratory polygraphy, from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Fat mass (kg) Change in fat mass (kg) measured by a whole-body densitometry using dual-energy X-ray absorptiometry (DEXA), from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Visceral adipose tisue (g) Change in visceral adipose tisue (g) measured by a whole-body densitometry using dual-energy X-ray absorptiometry (DEXA), from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Body weight (kg) Change in body weight (kg) measured by a scale from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Neck circumference (cm) Change in neck circumference (cm) measured by a tape measure from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Chest circumference (cm) Change in chest circumference (cm) measured by a tape measure from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Waist circumference (cm) Change in waist circumference (cm) measured by a tape measure from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Mean blood pressure (mm HG) Change in mean blood pressure (mm HG) measured by a blood pressure cuff from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Plasma glucose (mg/dL) Change in plasma glucose (mg/dL) measured by a blood test from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Change in total cholesterol (mg/dL) from baseline to post-intervention Change in total cholesterol (mg/dL) measured by a blood test from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
Secondary Change in total triglycerides (mg/dL) from baseline to post-intervention Change in total triglycerides (mg/dL) measured by a blood test from baseline (week 0) to post-intervention (2 months) Post-intervention (2 months)
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