Obstructive Sleep ApneaSTIFFSLEEPNCT02273089
CPAP to Reduce Arterial Stiffness in Non Sleepy, Moderate to Severe Obstructive Sleep Apnea (STIFFSLEEP)
An observational study of Obstructive Sleep Apnea and Vascular Stiffness, run by Centro Hospitalar de Lisboa Central at 2 sites in Portugal.
Trial summary
This study intends to determine whether continuous positive airway pressure (CPAP) can reduce arterial stiffness (measured by pulse wave velocity) in nonsleepy as well as in sleepy patients with obstructive sleep apnea . Read more about this study
- Who is it for?
- Ages 30 to 65 years, men only
- Conditions the study is for
- Obstructive Sleep Apnea, Vascular Stiffness, Sleep Disorder Daytime Somnolence
- What is being tested?
- CPAP (ResMed S9 AutoSet)
- Type of treatment
- Medical device
- How many people
- 45 participants
- Where
- 2 sitesPortugal
- Study dates
- Oct 2012to Jun 2017
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 65 years
- Men only
- No healthy volunteers
- Adult, Older adult
Study population: Men with moderate to severe obstructive sleep apnea, with or without excessive daytime sleepiness
Who may be able to join
- moderate to severe obstructive sleep apnea, defined as apnea/hypopnea index superior to 15
Who cannot join
- Epworth sleep scale superior to 16
- other sleep diseases
- moderate or severe lung disease
- cardiac disease other than hypertension
- cerebrovascular diseases
- other vascular diseases
- other chronic diseases except metabolic syndrome
Trial locations and contacts
2 sites in 1 country.
Portugal2 sites
Consulta de Sono, Departamento de Pneumologia, Centro Hospitalar de Lisboa Central
Lisbon, 1169-024
Núcleo de Hipertensão Arterial, Consulta de Medicina do Hospital de Santa Marta, Centro Hospitalar de Lisboa Central
Lisbon, 1169-024
About this study
Official title: Use of CPAP to Reduce Arterial Stiffness in Moderate to Severe Obstructive Sleep Apnea, Without Excessive Daytime Sleepiness (STIFFSLEEP)
This study intends to determine whether continuous positive airway pressure (CPAP) can reduce arterial stiffness (measured by pulse wave velocity) in nonsleepy as well as in sleepy patients with obstructive sleep apnea .
Read the detailed description
Obstructive sleep apnea (OSA) is associated with increased cardiovascular morbidity and mortality. Arterial stiffness, evaluated by pulse wave velocity, is related to atherosclerosis and cardiovascular risk. It has been reported that arterial stiffness is higher in patients with OSA than in healthy control groups, and it is assumed that it decreases after treatment with CPAP.
In patients with OSA without daytime hypersomnolence it is not clear if CPAP has some benefits on cardiovascular events and hypertension.
This study aims to evaluate the effect of CPAP therapy in an interventional cohort of patients with moderate to severe OSA, in which each patient will be is own control, for ethical reasons; the effect of CPAP therapy on the subcohorts of sleepy and of nonsleepy patients will be compared. The effect of a three months trial of CPAP will be assessed.
- Being tested
- CPAP (ResMed S9 AutoSet)
- Keywords
- Obstructive sleep apnea, arterial stiffness, CPAP, excessive daytime sleepiness, pulse wave velocity
- Medical subject headings
- Sleep Apnea, Obstructive, Disorders of Excessive Somnolence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CPAP (ResMed S9 AutoSet)Device
nocturnal CPAP for three months
| Study group | Role | What they receive |
|---|---|---|
| OSA w/o EDS | Males with moderate to severe obstructive sleep apnea without excessive daytime sleepiness will be proposed nocturnal CPAP (ResMed S9 AutoSet) for three months Receives: Device: CPAP (ResMed S9 AutoSet) | |
| OSA w EDS | Males with moderate to severe obstructive sleep apnea with excessive daytime sleepiness will be proposed nocturnal CPAP (ResMed S9 AutoSet) for three months Receives: Device: CPAP (ResMed S9 AutoSet) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Aortic pulse wave velocity (PWV)
carotid-femoral (aortic) pulse wave velocity (PWV) measured by noninvasive piezo-electronic system with Complior(R) (Colson, France).
Measured: Change on PWV from baseline up to three months of intervention
Secondary outcomes (3)
Apnea-Hypopnea Index (AHI)
AHI is an index used to assess the severity of sleep apnea based on the total number of complete cessations (apnea) and partial obstructions (hypopnea) of breathing occurring per hour of sleep, using polygraphic study.
Measured: Change on AHI from baseline up to three months of intervention
Nocturnal oxygenation
Measure of minimal saturation of oxygen (SO2), time under 90% SO2, average SO2, oxygen desaturation index, using polygraphic study.
Measured: Change from baseline up to three months of intervention
Excessive daytime sleepiness
Epworth sleep scale (ESS)
Measured: Change on ESS from baseline up to three months of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2014 (estimated)
- Study startOct 2012
- Primary completionDec 2016
- Study completionJun 2017
Why it stopped: Recruitment stopped due to time restrains
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Obstructive Sleep ApneaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centro Hospitalar de Lisboa Central
- Sponsor type
- University, hospital or other
- Collaborators
- Universidade Nova de Lisboa
- Responsible party
- Sponsor
- Investigators
- Alexandra Mineiro, MD, Principal investigator, Centro Hospitalar de Lisboa CentralPedro Marques-da-Silva, MD, Study chair, Centro Hospitalar de Lisboa CentralJoão Cardoso, MD, Study chair, Centro Hospitalar de Lisboa CentralMaria João Marques-Gomes, MD, PhD, Study director, Universidade Nova de Lisboa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02273089
- Sponsor's protocol ID
- CHLC.CI.105.2014
- Acronym
- STIFFSLEEP
- Status last verified
- Jul 2017
- First submitted
- 6 Oct 2014
- Last updated
- 13 Jul 2017
- Results posted
- No
- Data monitoring committee
- No
Publications
Mineiro MA, Silva PMD, Alves M, Papoila AL, Marques Gomes MJ, Cardoso J. The role of sleepiness on arterial stiffness improvement after CPAP therapy in males with obstructive sleep apnea: a prospective cohort study. BMC Pulm Med. 2017 Dec 8;17(1):182. doi: 10.1186/s12890-017-0518-z.
PubMed 29221483Mineiro MA, Marques da Silva P, Alves M, Virella D, Marques Gomes MJ, Cardoso J. Use of CPAP to reduce arterial stiffness in moderate-to-severe obstructive sleep apnoea, without excessive daytime sleepiness (STIFFSLEEP): an observational cohort study protocol. BMJ Open. 2016 Jul 12;6(7):e011385. doi: 10.1136/bmjopen-2016-011385.
PubMed 27406645
Study at a glance
From the registry record, last updated by the sponsor on 13 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Use of CPAP to Reduce Arterial Stiffness in Moderate to Severe Obstructive Sleep Apnea, Without Excessive Daytime Sleepiness (STIFFSLEEP)
- ClinicalTrials.gov ID
- NCT02273089
- Acronym / sponsor ID
- STIFFSLEEP / CHLC.CI.105.2014
- Keywords
- Obstructive sleep apnea, arterial stiffness, CPAP, excessive daytime sleepiness, pulse wave velocity
- Study type
- Observational
- Recruitment status
- TerminatedReason stopped: Recruitment stopped due to time restrains
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Centro Hospitalar de Lisboa CentralUniversity, hospital or other
- Collaborators
- Universidade Nova de Lisboa
- Study start
- Oct 2012 (actual)
- Primary completion
- Dec 2016 (actual)
- Study completion
- Jun 2017 (actual)
- First posted
- 23 Oct 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study intends to determine whether continuous positive airway pressure (CPAP) can reduce arterial stiffness (measured by pulse wave velocity) in nonsleepy as well as in sleepy patients with obstructive sleep apnea .
Detailed description
Obstructive sleep apnea (OSA) is associated with increased cardiovascular morbidity and mortality. Arterial stiffness, evaluated by pulse wave velocity, is related to atherosclerosis and cardiovascular risk. It has been reported that arterial stiffness is higher in patients with OSA than in healthy control groups, and it is assumed that it decreases after treatment with CPAP.
In patients with OSA without daytime hypersomnolence it is not clear if CPAP has some benefits on cardiovascular events and hypertension.
This study aims to evaluate the effect of CPAP therapy in an interventional cohort of patients with moderate to severe OSA, in which each patient will be is own control, for ethical reasons; the effect of CPAP therapy on the subcohorts of sleepy and of nonsleepy patients will be compared. The effect of a three months trial of CPAP will be assessed.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| OSA w/o EDS | – | Device: CPAP (ResMed S9 AutoSet)Males with moderate to severe obstructive sleep apnea without excessive daytime sleepiness will be proposed nocturnal CPAP (ResMed S9 AutoSet) for three months |
| OSA w EDS | – | Device: CPAP (ResMed S9 AutoSet)Males with moderate to severe obstructive sleep apnea with excessive daytime sleepiness will be proposed nocturnal CPAP (ResMed S9 AutoSet) for three months |
Who may qualify
- Ages
- 30 to 65 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Men with moderate to severe obstructive sleep apnea, with or without excessive daytime sleepiness
Key inclusion criteria (1 listed)
- moderate to severe obstructive sleep apnea, defined as apnea/hypopnea index superior to 15
Key exclusion criteria (7 listed)
- Epworth sleep scale superior to 16
- other sleep diseases
- moderate or severe lung disease
- cardiac disease other than hypertension
- cerebrovascular diseases
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CPAP (ResMed S9 AutoSet)nocturnal CPAP for three months | Device | OSA w EDS, OSA w/o EDS |
Primary outcome
Aortic pulse wave velocity (PWV)
Time frame: Change on PWV from baseline up to three months of intervention
carotid-femoral (aortic) pulse wave velocity (PWV) measured by noninvasive piezo-electronic system with Complior(R) (Colson, France).
3 secondary outcomes
Apnea-Hypopnea Index (AHI)
Time frame: Change on AHI from baseline up to three months of intervention
Nocturnal oxygenation
Time frame: Change from baseline up to three months of intervention
Excessive daytime sleepiness
Time frame: Change on ESS from baseline up to three months of intervention
Results and safety
The study was stopped early (reason given: Recruitment stopped due to time restrains). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jul 2017.
- Derived from this study: PubMed 29221483Mineiro MA, Silva PMD, Alves M, Papoila AL, Marques Gomes MJ, Cardoso J. The role of sleepiness on arterial stiffness improvement after CPAP therapy in males with obstructive sleep apnea: a prospective cohort study. BMC Pulm Med. 2017 Dec 8;17(1):182. doi: 10.1186/s12890-017-0518-z.
- Derived from this study: PubMed 27406645Mineiro MA, Marques da Silva P, Alves M, Virella D, Marques Gomes MJ, Cardoso J. Use of CPAP to reduce arterial stiffness in moderate-to-severe obstructive sleep apnoea, without excessive daytime sleepiness (STIFFSLEEP): an observational cohort study protocol. BMJ Open. 2016 Jul 12;6(7):e011385. doi: 10.1136/bmjopen-2016-011385.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Alexandra Mineiro, MD principal investigator
Centro Hospitalar de Lisboa Central
Pedro Marques-da-Silva, MD study chair
Centro Hospitalar de Lisboa Central
João Cardoso, MD study chair
Centro Hospitalar de Lisboa Central
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Obstructive Sleep Apnea and Vascular Stiffness, run by Centro Hospitalar de Lisboa Central at 2 sites in Portugal.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 13 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Portugal. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: Recruitment stopped due to time restrains). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Aortic pulse wave velocity (PWV) (time frame: Change on PWV from baseline up to three months of intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02273089, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2017; AzTrials last refreshed its copy on 7 Nov 2026.