Sleep Disordered Breathing CentralHTx-HDZ-SDB-1NCT03026634
Prevalence and Dynamic of Sleep-disordered Breathing in Patients Pre and Post Heart Transplantation
An observational study of Sleep Disordered Breathing Central and Heart Failure, run by Heart and Diabetes Center North-Rhine Westfalia at 1 site in Germany.
Trial summary
Sleep-disordered breathing is believed to appear at a high prevalence in end-stage heart failure patients and the presence of sleep-disordered breathing has been associated with increased mortality. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Sleep Disordered Breathing Central, Heart Failure, Heart Transplantation
- What is being tested?
- Sleep-disordered breathing
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 500 participants
- Where
- 1 siteGermany
- Study dates
- 1 Jan 2017to 31 Dec 2020
- 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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: End-stage heart failure patients assigned and eligible for heart transplantation
Who may be able to join
- End-stage heart failure patients assigned and eligible for heart transplantation
Who cannot join
- heart failure patients not eligible for heart transplantation
Trial locations and contacts
1 site in 1 country.
Germany1 site
Herz- und Diabeteszentrum NRW
Bad Oeynhausen, North Rhine-Westphalia, 32545
About this study
Official title: Prevalence and Dynamic of Sleep-disordered Breathing in Patients Pre and Post Heart Transplantation - a Prospective Single Center Trial
Sleep-disordered breathing is believed to appear at a high prevalence in end-stage heart failure patients and the presence of sleep-disordered breathing has been associated with increased mortality. This study is designed to investigate prevalence and dynamics of sleep-disordered breathing in end-stage heart failure patients pre and post heart transplantation.
Read the detailed description
Sleep-disordered breathing is believed to appear at a high prevalence in end-stage heart failure patients and the presence of sleep-disordered breathing has been associated with increased mortality. This study is designed to investigate prevalence and dynamics of sleep-disordered breathing in end-stage heart failure patients pre and post heart transplantation, as this topic is hardly studied yet and previous reports suggest changes in the entity of sleep-disordered breathing through heart transplantation. The circumstances and the impact of sleep-disordered breathing or residuals in heart transplant patients is not well understood yet and will be subject of this study.
- Being tested
- Sleep-disordered breathing
- Keywords
- Sleep-Disordered Breathing, Heart Failure, Heart Transplantation
- Medical subject headings
- Sleep Apnea, Central, Heart Failure, Sleep Apnea Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sleep-disordered breathingBehavioural
Prevalence and dynamic of sleep-disordered breathing after heart transplantation
What is being measured
The primary outcome is the main question the study is designed to answer.
Apnea Hypopnea Index
Change in Apnea Hypopnea Index (AHI /h) before and after heart transplantation
Measured: 30 days after heart transplantation
Secondary outcomes (10)
Apnea Index
Change in Apnea Index (AI /h) before and after heart transplantation
Measured: 30 days after heart transplantation
Hypopnea Index
Change in Hypopnea Index (HI /h) before and after heart transplantation
Measured: 30 days after heart transplantation
Oxygen Desaturation Index
Change in Oxygen Desaturation (ODI /h) before and after heart transplantation
Measured: 30 days after heart transplantation
Time SaO2 < 90 (%)
Change in Time SaO2 < 90 (%) before and after heart transplantation
Measured: 30 days after heart transplantation
Respiration cycle length
Change in Respiration cycle lengths before and after heart transplantation
Measured: 30 days after heart transplantation
Health Questionnaires
Change in MLWH questionnaire, this questionnaires obtains patient's quality of life in a score (in points)
Measured: 30 days after heart transplantation
Health Questionnaires
ESS questionnaire, this questionnaires obtains patient's sleepiness in daily life in a score (in points)
Measured: 30 days after heart transplantation
Health Questionnaires
Short Form 12 Health Survey Questionnaire, this questionnaires obtains patient's health status in a score (in points)
Measured: 30 days after heart transplantation
Right heart catheter
Changes in right heart catheter before and after heart transplantation
Measured: 30 days after heart transplantation
Blood gas analysis
Changes in blood gas analyses before and after heart transplantation
Measured: 30 days after heart transplantation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jan 2017 (estimated)
- Study start1 Jan 2017
- Primary completion9 Oct 2020
- Study completion31 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Sleep Disordered Breathing CentralStudies 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
- 500 participants (actual)
- Target duration
- 1 Month
Sponsor and investigators
- Lead sponsor
- Heart and Diabetes Center North-Rhine Westfalia
- Sponsor type
- University, hospital or other
- Collaborators
- The German Heart Foundation, Deutsche Stiftung für Herzforschung
- Responsible party
- Principal investigator, Henrik Fox, MD, Heart and Diabetes Center North-Rhine Westfalia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03026634
- Sponsor's protocol ID
- PDSAP-HTX
- Acronym
- HTx-HDZ-SDB-1
- Status last verified
- May 2021
- First submitted
- 14 Dec 2016
- Last updated
- 6 May 2021
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Fox H, Puehler T, Schulz U, Bitter T, Horstkotte D, Oldenburg O. Delayed recovery from Cheyne-Stokes respiration in heart failure after successful cardiac transplantation: a case report. Transplant Proc. 2014 Sep;46(7):2462-3. doi: 10.1016/j.transproceed.2014.06.063.
PubMed 25242802Basic K, Fox H, Spiesshofer J, Bitter T, Horstkotte D, Oldenburg O. Improvements of central respiratory events, Cheyne-Stokes respiration and oxygenation in patients hospitalized for acute decompensated heart failure. Sleep Med. 2016 Nov-Dec;27-28:15-19. doi: 10.1016/j.sleep.2016.10.006. Epub 2016 Oct 28.
PubMed 27938912Oldenburg O, Wellmann B, Buchholz A, Bitter T, Fox H, Thiem U, Horstkotte D, Wegscheider K. Nocturnal hypoxaemia is associated with increased mortality in stable heart failure patients. Eur Heart J. 2016 Jun 1;37(21):1695-703. doi: 10.1093/eurheartj/ehv624. Epub 2015 Nov 26.
PubMed 26612581Potratz M, Manukyan T, Schramm R, Costard-Jackle A, Fuchs U, Morshuis M, Guenther SPW, Rojas SV, Rudolph V, Gummert JF, Fox H. Nocturnal Hypoxemic Burden Predicts Mortality in Patients Awaiting Heart Transplantation. J Sleep Res. 2026 Jun;35(3):e70256. doi: 10.1111/jsr.70256. Epub 2025 Nov 27.
PubMed 41306066
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prevalence and Dynamic of Sleep-disordered Breathing in Patients Pre and Post Heart Transplantation - a Prospective Single Center Trial
- ClinicalTrials.gov ID
- NCT03026634
- Acronym / sponsor ID
- HTx-HDZ-SDB-1 / PDSAP-HTX
- Keywords
- Sleep-Disordered Breathing, Heart Failure, Heart Transplantation
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 500 participants (actual)
- Lead sponsor
- Heart and Diabetes Center North-Rhine WestfaliaUniversity, hospital or other
- Collaborators
- The German Heart Foundation, Deutsche Stiftung für Herzforschung
- Study start
- 1 Jan 2017 (actual)
- Primary completion
- 9 Oct 2020 (actual)
- Study completion
- 31 Dec 2020 (actual)
- First posted
- 20 Jan 2017 (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.
Sleep-disordered breathing is believed to appear at a high prevalence in end-stage heart failure patients and the presence of sleep-disordered breathing has been associated with increased mortality. This study is designed to investigate prevalence and dynamics of sleep-disordered breathing in end-stage heart failure patients pre and post heart transplantation.
Detailed description
Sleep-disordered breathing is believed to appear at a high prevalence in end-stage heart failure patients and the presence of sleep-disordered breathing has been associated with increased mortality. This study is designed to investigate prevalence and dynamics of sleep-disordered breathing in end-stage heart failure patients pre and post heart transplantation, as this topic is hardly studied yet and previous reports suggest changes in the entity of sleep-disordered breathing through heart transplantation. The circumstances and the impact of sleep-disordered breathing or residuals in heart transplant patients is not well understood yet and will be subject of this study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 1 Month
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- End-stage heart failure patients assigned and eligible for heart transplantation
Key inclusion criteria (1 listed)
- End-stage heart failure patients assigned and eligible for heart transplantation
Key exclusion criteria (1 listed)
- heart failure patients not eligible for heart transplantation
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 |
|---|---|---|
| Sleep-disordered breathingPrevalence and dynamic of sleep-disordered breathing after heart transplantation | Behavioural | – |
Primary outcome
Apnea Hypopnea Index
Time frame: 30 days after heart transplantation
Change in Apnea Hypopnea Index (AHI /h) before and after heart transplantation
10 secondary outcomes
Apnea Index
Time frame: 30 days after heart transplantation
Hypopnea Index
Time frame: 30 days after heart transplantation
Oxygen Desaturation Index
Time frame: 30 days after heart transplantation
Time SaO2 < 90 (%)
Time frame: 30 days after heart transplantation
Respiration cycle length
Time frame: 30 days after heart transplantation
Health Questionnaires
Time frame: 30 days after heart transplantation
Health Questionnaires
Time frame: 30 days after heart transplantation
Health Questionnaires
Time frame: 30 days after heart transplantation
Right heart catheter
Time frame: 30 days after heart transplantation
Blood gas analysis
Time frame: 30 days after heart transplantation
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2021.
- Results publication: PubMed 25242802Fox H, Puehler T, Schulz U, Bitter T, Horstkotte D, Oldenburg O. Delayed recovery from Cheyne-Stokes respiration in heart failure after successful cardiac transplantation: a case report. Transplant Proc. 2014 Sep;46(7):2462-3. doi: 10.1016/j.transproceed.2014.06.063.
- Results publication: PubMed 27938912Basic K, Fox H, Spiesshofer J, Bitter T, Horstkotte D, Oldenburg O. Improvements of central respiratory events, Cheyne-Stokes respiration and oxygenation in patients hospitalized for acute decompensated heart failure. Sleep Med. 2016 Nov-Dec;27-28:15-19. doi: 10.1016/j.sleep.2016.10.006. Epub 2016 Oct 28.
- Results publication: PubMed 26612581Oldenburg O, Wellmann B, Buchholz A, Bitter T, Fox H, Thiem U, Horstkotte D, Wegscheider K. Nocturnal hypoxaemia is associated with increased mortality in stable heart failure patients. Eur Heart J. 2016 Jun 1;37(21):1695-703. doi: 10.1093/eurheartj/ehv624. Epub 2015 Nov 26.
- Derived from this study: PubMed 41306066Potratz M, Manukyan T, Schramm R, Costard-Jackle A, Fuchs U, Morshuis M, Guenther SPW, Rojas SV, Rudolph V, Gummert JF, Fox H. Nocturnal Hypoxemic Burden Predicts Mortality in Patients Awaiting Heart Transplantation. J Sleep Res. 2026 Jun;35(3):e70256. doi: 10.1111/jsr.70256. Epub 2025 Nov 27.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Sleep Disordered Breathing Central and Heart Failure, run by Heart and Diabetes Center North-Rhine Westfalia at 1 site in Germany.
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 1 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: finished, as of the sponsor's last update on 6 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Apnea Hypopnea Index (time frame: 30 days after heart transplantation). 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 NCT03026634, which also lists 4 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 6 May 2021.