Sleep Apnea, Obstructive Clinical Trial
— SASQTOfficial title:
SASQT: SensAwake™ Sleep Quality Trial A Study to Test the Efficacy of the SensAwake™ Modification to Automatically Titrating Continuous Positive Airway Pressure to Reduce Wake After Sleep Onset in Patients With Moderate to Severe Obstructive Sleep Apnea.
The SensAwake™ modification to the Fisher and Paykel automatically titrating positive airway
pressure (APAP) device aims to sense whether the patient is awake via respiratory patterns
that differentiate between sleep and wake. Upon sensing that the patient is awake the device
is able to reduce positive airway pressure PAP aiming to improve patient comfort which
should result in more consolidated sleep. This study will investigate Obstructive Sleep
Apnea (OSA) and a automatically Adjusting Positive Airway Pressure (APAP) device with new
technology called SensAwake™. This requires experimental confirmation in a randomised
controlled trial. Double−blind randomised crossover trial comparing WASO on standard APAP
with WASO using APAP modified by the addition of the SensAwake™ modification on consecutive
nights in participants with moderate−to−severe OSA.
A total number of 45 participants will be recruited from an OSA population, aged 18−65.
Participants will consist of male and female patients diagnosed with moderate−severe OSA
(Apnea Hypopnea Index (AHI) greater than or equal to 15 per hour. Eligible participants,
according to the protocol approved by the HREC, providing written informed consent will be
enrolled into the study. Patients will be enrolled sequentially according to the
randomisation list. Patients will be randomised to APAP or APAP with the addition of the
SensAwake™ modification. The investigator and study staff will be blinded to the treatment
of any participant.
| Status | Completed |
| Enrollment | 45 |
| Est. completion date | August 2009 |
| Est. primary completion date | May 2009 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years to 65 Years |
| Eligibility |
Inclusion Criteria: - Aged 18-65 years with moderate-to-severe OSA (Apnea Hypopnea index equal to or greater than 15 per hour). - Epworth Sleepiness Scale (ESS) scores 0-15 inclusive (normal to moderately severe daytime sleepiness). - Fluency in both written and spoken English. - Do not have unstable psychiatric disease. - No other significant sleep disorder. Exclusion Criteria: - Participants prescribed and fitted with any PAP device in the past 2 years. - Unstable cardiovascular disease (untreated or resistant hypertension acceptable). - Inability to tolerate CPAP due to nasal obstruction or claustrophobia as determined by the study investigator. - Any known factor or disease that might interfere with treatment compliance, study conduct or interpretation of the results such as psychiatric disease, history of non compliance to medical regimens, or unwillingness to comply with study requirements. - Participation in another clinical trial in the previous month. |
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| Australia | Woolcock Institute of Medical Research | Sydney | New South Wales |
| Lead Sponsor | Collaborator |
|---|---|
| Fisher and Paykel Healthcare |
Australia,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Change in Wake After Sleep Onset (WASO) between treatment with standard APAP and APAP modified by the addition of the SensAwake™ modification | 1 Night | No | |
| Secondary | Sleep Efficiency | 1 night | No | |
| Secondary | Percentage of Slow Wave Sleep | 1 night | No |
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