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Sleep Apnea/Hypopnea SyndromeNCT02569749

Sleep Apnea Screening

An observational study of Sleep Apnea/Hypopnea Syndrome, run by Arrhythmia Network Technology S.L. at 9 sites in Spain.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

To assess the incidence of Sleep Apnea-Hypopnea Syndrome (SAHS), both obstructive and central, in patients with: 1) pacemaker indication; 2) implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRTD), 3) heart failure and preserved left ventricular ejection fraction (LVEF) and 4) heart… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sleep Apnea/Hypopnea Syndrome
What is being tested?
Berlin and Epworth questionaries, Sleep apnea monitoring in those patients in whom a pacemaker with monitoring apnea system has been implanted. and Night polygraph / Polysomnography
How many people
15 participants
Where
9 sitesSpain
Study dates
Jun 2015to Mar 2016
How long will I take part?
1 Month
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients to be included in the registry: * 200 patients with pacemaker indication in whom a pacemaker with sleep apnea monitoring system has been implanted. * 100 patients with pacemaker indication in whom a pacemaker with no sleep apnea monitoring system has been implanted. * 100 patients with ICD or CRDT therapy indication. * 100 patients with heart failure and preserved LVEF (40-50%). * 100 patients with heart failure and reduced LVEF (<40%).

Who may be able to join

  • Age 18 years or older
  • No previous diagnosis of sleep apnea
  • Fulfilling at least one of the following:
  • Pacemaker indication
  • ICD or CRTD therapy indication
  • Heart failure and preserved LVEF (40-50%)
  • Heart failure and reduced LVEF (<40%)
  • Signed informed consent

Who cannot join

  • Age younger than 18 years
  • Renal hemodialysis
  • Cardiac transplant indication
  • Women who are pregnant
  • Advanced cancer
  • Enrollment in another investigational study
  • Able and willing to comply with all testing and requirements
  • Patient not suitable for inclusion due to psychiatric conditions or short life expectancy

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

Spain9 sites
  • Hospital Nuestra Señora de Sonsoles

    Ávila

  • Hospital Infanta Cristina

    Badajoz

  • Hospital Universitario de Burgos

    Burgos

  • Hospital General Universitario de Ciudad Real

    Ciudad Real

  • HM Hospitales

    Madrid

  • Hospital Clínico Universitario San Carlos

    Madrid

  • Hospital Universitario de Fuenlabrada

    Madrid

  • Hospital Universitario La Paz

    Madrid

  • Hospital Universitario Puerta de Hierro

    Madrid

Other trials in Spain

About this study

Official title: Sleep Apnea-Hypopnea Syndrome Screening

To assess the incidence of Sleep Apnea-Hypopnea Syndrome (SAHS), both obstructive and central, in patients with: 1) pacemaker indication; 2) implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRTD), 3) heart failure and preserved left ventricular ejection fraction (LVEF) and 4) heart failure and reduced LVEF.

Being tested
Berlin and Epworth questionaries, Sleep apnea monitoring in those patients in whom a pacemaker with monitoring apnea system has been implanted., Night polygraph / Polysomnography
Medical subject headings
Sleep Apnea, Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Berlin and Epworth questionariesOther

  • Sleep apnea monitoring in those patients in whom a pacemaker with monitoring apnea system has been implanted.Other

  • Night polygraph / PolysomnographyOther

Study groups in NCT02569749
Study groupRoleWhat they receive
Group 1Patients with pacemaker indication (pacemaker already implanted or to be implanted)
Receives: Other: Berlin and Epworth questionaries; Other: Sleep apnea monitoring in those patients in whom a pacemaker with monitoring apnea system has been implanted.; Other: Night polygraph / Polysomnography
Group 2Patients with ICD or CRTD therapy indication (device already implanted or to be implanted)
Receives: Other: Berlin and Epworth questionaries; Other: Night polygraph / Polysomnography
Group 3Patients with heart failure an preserved LVEF (40-50%)
Receives: Other: Berlin and Epworth questionaries; Other: Night polygraph / Polysomnography
Group 4Patients with heart failure and reduced LVEF (<40%)
Receives: Other: Berlin and Epworth questionaries; Other: Night polygraph / Polysomnography

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of patients with SAHS in patients with pacemaker indication

    Measured: 1 month

  2. Percentage of patients with SAHS in patients with ICD or CRTD therapy

    Measured: 1 month

  3. Percentage of patients with SAHS in patients with heart failure and preserved LVEF

    Measured: 1 month

  4. Percentage of patients with SAHS in patients with reduced LVEF

    Measured: 1 month

Secondary outcomes (2)
  1. Percentage of patients with obstructive sleep apnea in all groups

    Measured: 1 month

  2. Percentage of patients with central sleep apnea in all groups

    Measured: 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Oct 2015 (estimated)
  2. Study startJun 2015
  3. Primary completionMar 2016 (estimated)

Why it stopped: Administrative reasons

Resources

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
15 participants (actual)
Target duration
1 Month
IDs, dates and publications
ClinicalTrials.gov ID
NCT02569749
Sponsor's protocol ID
SAHS2
Status last verified
Nov 2015
First submitted
6 Oct 2015
Last updated
3 Nov 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep. 1997 Sep;20(9):705-6. doi: 10.1093/sleep/20.9.705.

    PubMed 9406321
  • Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993 Apr 29;328(17):1230-5. doi: 10.1056/NEJM199304293281704.

    PubMed 8464434
  • Marshall NS, Wong KK, Liu PY, Cullen SR, Knuiman MW, Grunstein RR. Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep. 2008 Aug;31(8):1079-85.

    PubMed 18714779
  • Young T, Finn L, Peppard PE, Szklo-Coxe M, Austin D, Nieto FJ, Stubbs R, Hla KM. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep. 2008 Aug;31(8):1071-8.

    PubMed 18714778
  • Ronald J, Delaive K, Roos L, Manfreda J, Bahammam A, Kryger MH. Health care utilization in the 10 years prior to diagnosis in obstructive sleep apnea syndrome patients. Sleep. 1999 Mar 15;22(2):225-9. doi: 10.1093/sleep/22.2.225.

    PubMed 10201067
  • Fietze I, Rottig J, Quispe-Bravo S, Riedel F, Witte J, Baumann G, Witt C. Sleep apnea syndrome in patients with cardiac pacemaker. Respiration. 2000;67(3):268-71. doi: 10.1159/000029509.

    PubMed 10867594
  • Garrigue S, Pepin JL, Defaye P, Murgatroyd F, Poezevara Y, Clementy J, Levy P. High prevalence of sleep apnea syndrome in patients with long-term pacing: the European Multicenter Polysomnographic Study. Circulation. 2007 Apr 3;115(13):1703-9. doi: 10.1161/CIRCULATIONAHA.106.659706. Epub 2007 Mar 12.

    PubMed 17353437
  • Pepin JL, Chouri-Pontarollo N, Tamisier R, Levy P. Cheyne-Stokes respiration with central sleep apnoea in chronic heart failure: proposals for a diagnostic and therapeutic strategy. Sleep Med Rev. 2006 Feb;10(1):33-47. doi: 10.1016/j.smrv.2005.10.003. Epub 2005 Dec 22.

    PubMed 16376589
  • Javaheri S. Sleep disorders in systolic heart failure: a prospective study of 100 male patients. The final report. Int J Cardiol. 2006 Jan 4;106(1):21-8. doi: 10.1016/j.ijcard.2004.12.068.

    PubMed 16321661
  • Tremel F, Pepin JL, Veale D, Wuyam B, Siche JP, Mallion JM, Levy P. High prevalence and persistence of sleep apnoea in patients referred for acute left ventricular failure and medically treated over 2 months. Eur Heart J. 1999 Aug;20(16):1201-9. doi: 10.1053/euhj.1999.1546.

    PubMed 10448029
  • Defaye P, de la Cruz I, Marti-Almor J, Villuendas R, Bru P, Senechal J, Tamisier R, Pepin JL. A pacemaker transthoracic impedance sensor with an advanced algorithm to identify severe sleep apnea: the DREAM European study. Heart Rhythm. 2014 May;11(5):842-8. doi: 10.1016/j.hrthm.2014.02.011. Epub 2014 Feb 19.

    PubMed 24561163
  • Javaheri S, Parker TJ, Liming JD, Corbett WS, Nishiyama H, Wexler L, Roselle GA. Sleep apnea in 81 ambulatory male patients with stable heart failure. Types and their prevalences, consequences, and presentations. Circulation. 1998 Jun 2;97(21):2154-9. doi: 10.1161/01.cir.97.21.2154.

    PubMed 9626176
  • Arias MA, Garcia-Rio F, Alonso-Fernandez A, Sanchez AM. [Sleep apnea-hypopnea syndromes and heart failure]. Rev Esp Cardiol. 2007 Apr;60(4):415-27. Spanish.

    PubMed 17521550
  • Kasai T, Bradley TD. Obstructive sleep apnea and heart failure: pathophysiologic and therapeutic implications. J Am Coll Cardiol. 2011 Jan 11;57(2):119-27. doi: 10.1016/j.jacc.2010.08.627.

    PubMed 21211682

Questions about this trial

What is this clinical trial studying?

An observational study of Sleep Apnea/Hypopnea Syndrome, run by Arrhythmia Network Technology S.L. at 9 sites in Spain.

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 8 inclusion and 8 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 3 Nov 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Spain. 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: Administrative reasons). 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?

Percentage of patients with SAHS in patients with pacemaker indication (time frame: 1 month). The study lists 4 primary outcomes in all. 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 NCT02569749, which also lists 14 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 3 Nov 2015.

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