Continuous Positive Airway Pressure and Acetazolamide to Treat Sleep Apnea Syndrome Patients at Altitude - Full Text View

Sponsor:	University of Zurich
Information provided by:	University of Zurich
ClinicalTrials.gov Identifier:	NCT00928655

Purpose

The purpose of the study is to investigate the effect of nasal continuous positive airway pressure in combination with acetazolamide as a treatment for sleep related breathing disturbances in patients with the obstructive sleep apnea syndrome living at low altitude during a sojourn at moderate altitude.

Condition	Intervention	Phase
Obstructive Sleep Apnea Syndrome	Drug: acetazolamide Procedure: nocturnal continuous positive airway pressure Drug: placebo	Phase IV

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Crossover Assignment, Efficacy Study
Official Title:	Continuous Positive Airway Pressure (CPAP) and Acetazolamide for Treatment of Patients With the Obstructive Sleep Apnea Syndrome at Altitude

Resource links provided by NLM:

MedlinePlus related topics: Sleep Apnea

Drug Information available for: Acetazolamide Acetazolamide sodium

U.S. FDA Resources

Further study details as provided by University of Zurich:

Primary Outcome Measures:

sleep disordered breathing and oxygenation [ Time Frame: day 2 and 3 at altitude ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

sleep quality, vigilance, acute mountain sickness, blood pressure [ Time Frame: day 2 and 3 at altitude ] [ Designated as safety issue: No ]

Estimated Enrollment:	52
Study Start Date:	June 2009
Estimated Study Completion Date:	November 2009
Estimated Primary Completion Date:	November 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
acetazolamide: Experimental combination of acetazolamide and nocturnal continuous positive airway pressure ventilation	Drug: acetazolamide acetazolamide 250mg 1/0/2 Procedure: nocturnal continuous positive airway pressure continuous positive airway pressure
placebo capsules: Placebo Comparator combination of placebo and nocturnal continuous positive airway pressure ventilation	Procedure: nocturnal continuous positive airway pressure continuous positive airway pressure Drug: placebo placebo capsules

Eligibility

Ages Eligible for Study:	20 Years to 80 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Obstructive sleep apnea syndrome, successfully on CPAP therapy
Residence at low altitude (< 800 m)
Obstructive apnea/hypopnea index >20/h and a complaint of excessive daytime sleepiness before introduction of CPAP therapy
> 15 oxygen desaturations/h (> 3% dips) during an ambulatory nocturnal pulse oximetry performed at the end of a 4-night period without CPAP

Exclusion Criteria:

Sleep disorders other than OSA
More than mild cardiovascular disease, unstable cardiovascular disease
Any lung disease, pulmonary hypertension
Chronic rhinitis
Treatment with drugs that affect respiratory center drive (benzodiazepines or other sedatives or sleep inducing drugs, morphine or codeine derivates), stimulants (modafinil, methylphenidate, theophylline)
Internal, neurologic or psychiatric disease that interfere with sleep quality
Previous intolerance to moderate or low altitude (< 2600 m)
Exposure to altitudes > 1500m for > 1 day within the last 4 weeks before the study

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00928655

Locations

Switzerland
University Hospital of Zurich, Pulmonary Division and Sleep Disorders Centre
Zurich, Switzerland, CH-8091

Sponsors and Collaborators

University of Zurich

Investigators

Study Director:

Konrad E Bloch, MD

University Hospital of Zurich, Pulmonary Division and Sleep Disorders Centre, Zurich, Switzerland

More Information

No publications provided

Responsible Party:	University Hospital of Zurich, Switzerland ( Konrad E. Bloch, Professor, MD )
Study ID Numbers:	EK-1522A#1-4
Study First Received:	June 22, 2009
Last Updated:	December 21, 2009
ClinicalTrials.gov Identifier:	NCT00928655 History of Changes
Health Authority:	Switzerland: Ethikkommission

Keywords provided by University of Zurich:

apnea
sleep
altitude

hypoxia
treatment
CPAP

Additional relevant MeSH terms:

Molecular Mechanisms of Pharmacological Action
Sleep Apnea, Obstructive
Diuretics
Physiological Effects of Drugs
Acetazolamide
Sleep Disorders
Sleep Disorders, Intrinsic
Signs and Symptoms
Pathologic Processes
Respiratory Tract Diseases
Syndrome
Therapeutic Uses
Signs and Symptoms, Respiratory

Sleep Apnea Syndromes
Disease
Apnea
Nervous System Diseases
Respiration Disorders
Dyssomnias
Enzyme Inhibitors
Cardiovascular Agents
Pharmacologic Actions
Carbonic Anhydrase Inhibitors
Natriuretic Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on February 08, 2010