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Sleep Apnea SyndromesNCT03665818

The Influence of Mandibular Advancement Device Treating OSAHS on Primary Prevention of Ischemic Stroke

A study testing oral appliance treatment in people with Sleep Apnea Syndromes and Atherosclerosis, run by Xuanwu Hospital, Beijing.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

1. The purpose of this study is to detect the differences of carotid atherosclerosis severity between patients with or without OSAHS(Obstructive Sleep Apnea and Hypopnea Syndrome) in a cross-sectional study in a large sample. 2. Read more about this study

Who is it for?
Any age
What is being tested?
oral appliance treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
No sites listed yet
Study dates
9 Jul 2016to 31 Dec 2019
Phase
Interventional
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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • diagnosed with atherosclerosis by vascular ultrasonography
  • diagnosed with OSAHS by polysomnography

Who cannot join

  • patients who have stroke already
  • patients who can not wear oral appliances according to experiment requirements
  • patients who have bad periodontal condition or teeth number less than 20

About this study

  1. The purpose of this study is to detect the differences of carotid atherosclerosis severity between patients with or without OSAHS(Obstructive Sleep Apnea and Hypopnea Syndrome) in a cross-sectional study in a large sample.
  2. Then a longitudinal control study is conducted to observe the progress of the carotid atherosclerosis by vascular ultrasonography and the occurrence of cerebrovascular events after the intervention of the oral appliance for treating OSAHS,and finally explore the feasibility of using oral appliance to treat OSAHS in primary prevention of ischemic stroke.
Read the detailed description
  1. the relevance of OSAHS and carotid atherosclerosis Patients are distributed questionnaire and recruited from neurology clinic,vascular ultrasonography clinic of Xuanwu Hospital if they match the inclusion criteria. After initial screening, carotid atherosclerosis patients with skeptical OSAHS are sent to sleep center for polysomnography examination to determine the severity of OSAHS. At least 50 patients for mild, moderate, severe OSAHS each are recruited for OSAHS Group. At least 100 patients without snoring from questionnaire and without OSAHS after PSG screening are recruited for non OSAHS Group. Vascular ultrasonography examination for carotid are done for the two groups. Data of carotid vascular plaque from two groups are collected. Statistics are done to detect differences of carotid atherosclerosis severity between patients with and without OSAHS, also the severity of OSAHS.
  2. the relevance of the progress of carotid atherosclerosis and oral appliances intervention for treating OSAHS All carotid atherosclerosis patients with OSAHS are from patients of the first study. If they consent the treatment of oral appliances, they are recruited into this second study. At least 100 patients are recruited. They are divided into 2 groups by randomized block design by Evidence-based Medicine Center of Xuanwu Hospital. One group is oral appliance intervention group, the other group is no intervention group. The intervention group patients accept oral appliance treatment, and no intervention group patients do not accept OSAHS treatment. The two groups both accept anti-hypertension treatment or anti-diabetes treatment, or anti-hyperlipidemia treatment according to their own situation in neurology clinic.

At timepoint of initial time, one month after oral appliance treatment, one and a half year after oral appliance treatment, the intervention group should accept PSG(Polysomnography) examination to monitor the treatment of OSAHS.

At timepoint of initial time, one month after oral appliance treatment, one and a half year after oral appliance treatment, the two groups should accept breath holding test to monitor the cerebral vascular reserve.

At timepoint of initial time, one and a half year after oral appliance treatment, the two groups should accept carotid vascular ultrasonography examination to monitor the progress of carotid atherosclerosis.

Cerebrovascular events and death are recorded from initial time. Statistics are done to detect the influence of treatment of OSAHS on carotid atherosclerosis.

Being tested
oral appliance treatment
Medical subject headings
Sleep Apnea Syndromes, Atherosclerosis

What participants receive

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

  • oral appliance treatmentDevice

    mandibular advancement device to enlarge pharyngeal airway space to get rid of apnea and hypopnea events

Study groups in NCT03665818
Study groupRoleWhat they receive
Oral appliance interventionExperimentalNot described
Receives: Device: oral appliance treatment
Without oral appliance interventionNo interventionNot described

What is being measured

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

  1. apnea hypopnea events 0 in Times

    apnea and hypopnea times per hour

    Measured: initial time when patients are recruited

  2. apnea hypopnea events 1 in Times

    apnea and hypopnea times per hour

    Measured: one month after oral appliance treatment

  3. apnea hypopnea events 2 in Times

    apnea and hypopnea times per hour

    Measured: one and a half years after oral appliance treatment

  4. longest apnea time 0 in Seconds

    longest apnea or hypopnea time

    Measured: initial time when patients are recruited

  5. longest apnea time 1 in Seconds

    longest apnea or hypopnea time

    Measured: one month after oral appliance treatment

  6. longest apnea time 2 in Seconds

    longest apnea or hypopnea time

    Measured: one and a half years after oral appliance treatment

  7. Blood oxygen saturation less than 90% of the total monitoring time percentage 0 in percentage

    Blood oxygen saturation less than 90% of the total monitoring time percentage

    Measured: initial time when patients are recruited

  8. Blood oxygen saturation less than 90% of the total monitoring time percentage 1 in percentage

    Blood oxygen saturation less than 90% of the total monitoring time percentage

    Measured: one month after oral appliance treatment

  9. Blood oxygen saturation less than 90% of the total monitoring time percentage 2 in percentage

    Blood oxygen saturation less than 90% of the total monitoring time percentage

    Measured: one and a half years after oral appliance treatment

  10. lowest Oxygen Saturation 0 in percentage

    blood lowest oxygen saturation during the whole night

    Measured: initial time when patients are recruited

  11. lowest Oxygen Saturation 1 in percentage

    blood lowest oxygen saturation during the whole night

    Measured: one month after oral appliance treatment

  12. lowest Oxygen Saturation 2 in percentage

    blood lowest oxygen saturation during the whole night

    Measured: one and a half years after oral appliance treatment

  13. atherosclerosis plaque thickness 0 in common carotid artery in milimetre

    atherosclerosis plaque thickness is distance from the most convex point of plaque to carotid media

    Measured: initial time when patients are recruited

  14. atherosclerosis plaque thickness 1 in common carotid artery in milimetre

    atherosclerosis plaque thickness is distance from the most convex point of plaque to carotid media

    Measured: one and a half years after oral appliance treatment

  15. atherosclerosis plaque length 0 in common carotid artery in milimetre

    atherosclerosis plaque length is distance from the beginning to the end of a separate plaque

    Measured: initial time when patients are recruited

  16. atherosclerosis plaque length 1 in common carotid artery in milimetre

    atherosclerosis plaque length is distance from the beginning to the end of a separate plaqu

    Measured: one and a half years after oral appliance treatment

  17. atherosclerosis plaque thickness 0 in internal carotid artery in milimetre

    atherosclerosis plaque thickness is distance from the most convex point of plaque to carotid media

    Measured: initial time when patients are recruited

  18. atherosclerosis plaque thickness 1 in internal carotid artery in milimetre

    atherosclerosis plaque thickness is distance from the most convex point of plaque to carotid media

    Measured: one and a half years after oral appliance treatment

  19. atherosclerosis plaque thickness 0 in carotid bulb in milimetre

    atherosclerosis plaque thickness is distance from the most convex point of plaque to carotid media

    Measured: initial time when patients are recruited

  20. atherosclerosis plaque thickness 1 in carotid bulb in milimetre

    atherosclerosis plaque thickness is distance from the most convex point of plaque to carotid media

    Measured: one and a half years after oral appliance treatment

  21. atherosclerosis plaque length 0 in internal carotid artery in milimetre

    atherosclerosis plaque length is distance from the beginning to the end of a separate plaque

    Measured: initial time when patients are recruited

  22. atherosclerosis plaque length 1 in internal carotid artery in milimetre

    atherosclerosis plaque length is distance from the beginning to the end of a separate plaque

    Measured: one and a half years after oral appliance treatment

  23. atherosclerosis plaque length 0 in carotid bolb in milimetre

    atherosclerosis plaque length is distance from the beginning to the end of a separate plaque

    Measured: initial time when patients are recruited

  24. atherosclerosis plaque length 1 in carotid bolb in milimetre

    atherosclerosis plaque length is distance from the beginning to the end of a separate plaque

    Measured: one and a half years after oral appliance treatment

  25. breath holding index 0 in percentage/seconds

    breath holding index = (v2-v1)/v2*100/t. v2 is average velocity of middle cerebral artery after breath holding, v1 is average velocity of middle cerebral artery before breath holding, t is time for breath holding.

    Measured: initial time when patients are recruited

  26. breath holding index 0 in percentage/seconds

    breath holding index = (v2-v1)/v2*100/t. v2 is average velocity of middle cerebral artery after breath holding, v1 is average velocity of middle cerebral artery before breath holding, t is time for breath holding.

    Measured: one and a half years after oral appliance treatment

  27. End systolic velocity of common carotid artery 0 in cm/s

    the velocity of common carotid artery at the end of systolic period

    Measured: initial time when patients are recruited

  28. End systolic velocity of common carotid artery 1 in cm/s

    the velocity of common carotid artery at the end of systolic period

    Measured: one and a half years after oral appliance treatment

  29. End systolic velocity of internal carotid artery 0 in cm/s

    the velocity of internal carotid artery at the end of systolic period

    Measured: initial time when patients are recruited

  30. End systolic velocity of internal carotid artery 1 in cm/s

    the velocity of internal carotid artery at the end of systolic period

    Measured: one and a half years after oral appliance treatment

  31. End systolic velocity of carotid bulb 0 in cm/s

    the velocity of carotid bulb at the end of systolic period

    Measured: initial time when patients are recruited

  32. End systolic velocity of carotid bulb 1 in cm/s

    the velocity of carotid bulb at the end of systolic period

    Measured: one and a half years after oral appliance treatment

  33. end diastolic velocity of common carotid artery 0 in cm/s

    the velocity of common carotid artery at the end of diastolic period

    Measured: initial time when patients are recruited

  34. end diastolic velocity of common carotid artery 1 in cm/s

    the velocity of common carotid artery at the end of diastolic period

    Measured: one and a half years after oral appliance treatment

  35. end diastolic velocity of internal carotid artery 0 in cm/s

    the velocity of internal carotid artery at the end of diastolic period

    Measured: initial time when patients are recruited

  36. end diastolic velocity of internal carotid artery 1 in cm/s

    the velocity of internal carotid artery at the end of diastolic period

    Measured: one and a half years after oral appliance treatment

  37. end diastolic velocity of carotid bulb 0 in cm/s

    the velocity of carotid bulb at the end of diastolic period

    Measured: initial time when patients are recruited

  38. end diastolic velocity of carotid bulb 1 in cm/s

    the velocity of carotid bulb at the end of diastolic period

    Measured: one and a half years after oral appliance treatment

Timeline

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

  1. First posted11 Sep 2018
  2. Study start9 Jul 2016
  3. Primary completion1 Sep 2018
  4. Study completion31 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03665818
Sponsor's protocol ID
CSA-Z2015-06
Status last verified
Jul 2020
First submitted
18 Jul 2018
Last updated
22 Jul 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Qin L, Li N, Tong J, Hao Z, Wang L, Zhao Y. Impact of mandibular advancement device therapy on cerebrovascular reactivity in patients with carotid atherosclerosis combined with OSAHS. Sleep Breath. 2021 Sep;25(3):1543-1552. doi: 10.1007/s11325-020-02230-x. Epub 2021 Jan 7.

    PubMed 33415656
  • Hao Z, Qin L, Tong J, Li N, Zhai Y, Zhao Y. The differences of carotid atherosclerosis among non-OSAHS and OSAHS patients of different severities: a cross-sectional study. Sleep Breath. 2021 Jun;25(2):639-648. doi: 10.1007/s11325-020-02145-7. Epub 2020 Jul 27.

    PubMed 32720016

Questions about this trial

What is this clinical trial studying?

A study testing oral appliance treatment in people with Sleep Apnea Syndromes and Atherosclerosis, run by Xuanwu Hospital, Beijing.

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 2 inclusion and 3 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 22 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

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 events 0 in Times (time frame: initial time when patients are recruited). The study lists 38 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 NCT03665818, 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 22 Jul 2020.

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