AzTrials
AzTrials

Obstructive Sleep ApneaHFNCNCT05549310

Long-term Effect of High Flow Nasal Canula Therapy on Obstructive Sleep Apnea

A study testing CPAP and high-flow nasal canula oxygen therapy in people with Obstructive Sleep Apnea and High Flow Nasal Canula, run by Qilu Hospital of Shandong University at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Patients meeting the criteria of obstructive sleep apnea were included, and all patients signed informed consent, which met the requirements of the ethics Committee of our unit. All subjects were hospitalized patients. Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
CPAP and high-flow nasal canula oxygen therapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
186 participants
Where
1 siteChina
Study dates
22 Aug 2022to May 2025
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 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • meet any one of these
  • There were typical symptoms of sleep snoring at night with apnea and daytime sleepiness (ESS score ≥9). Stenosis and obstruction in any part of the upper airway were observed on physical examination, with AHI≥5 times /h.
  • For patients with no significant daytime sleepiness (ESS score < 9), AHI≥10 times /h; ③ Patients with AHI≥5 times /h had one or more OSAHS complications, such as cognitive impairment, hypertension, coronary heart disease, cerebrovascular disease, diabetes and insomnia.

Who cannot join

  • meet any one of these
  • Patients who cannot tolerate non-invasive ventilator or transnasal high-flow oxygen therapy.
  • Ongoing treatment may affect sleep, such as sedatives, hypnotics, muscle relaxants, etc.
  • Hemodynamic instability;
  • Severe respiratory diseases;

Trial locations and contacts

1 site in 1 country.

Dedong Ma, doctor contact

18560082806

ma@qiluhuxi.com

China1 site, 1 recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

    Dedong Ma, Doctor, 18560082806, ma@qiluhuxi.com

    Zhuo Han, Master, 17860623815, 1783498197@qq.com

    Recruiting

Other trials in China

About this study

Patients meeting the criteria of obstructive sleep apnea were included, and all patients signed informed consent, which met the requirements of the ethics Committee of our unit. All subjects were hospitalized patients. Subjects were randomly enrolled into High-flow Nasal Cannula Oxygen Therapy group or Continuos Positive Airway Pressure group for 1 month of treatment. Sleep respiration monitoring data including AHI, blood oxygen saturation decline index (ODI) and minimum blood oxygen saturation were recorded before and after treatment.

After one month of the first stage of treatment, patients voluntarily continued to receive treatment and observers were included in the second stage of treatment. HFNC group and CPAP group continue to receive corresponding treatment for 6 months.Before and after the study, sleep respiratory monitoring datas,treatment failure rate,good compliance rate are recorded.

Read the detailed description

Patients meeting the criteria of obstructive sleep apnea were included, and all patients signed informed consent, which met the requirements of the ethics Committee of our unit. All subjects were hospitalized patients. Subjects were randomly enrolled into High-flow Nasal Cannula Oxygen Therapy group or Continuos Positive Airway Pressure group.

Procedure

  1. The first stage ( RCT study ) : subjects were divided into HFNC group and CPAP group, HFNC group received HFNC treatment 6 hours / night, 1 month ; CPAP group : receiving CPAP treatment for 6 hours / night, for 1 month. Patients in the treatment group first use pressure titration, select the appropriate pressure after treatment. Patients receiving CPAP treatment were enrolled in the study. Pressure titration was used first, and appropriate pressure was selected before treatment. The initial gas flow rate of patients receiving HFNC treatment was set to 30 - 40 L / min, and FiO2 was titrated to maintain the pulse oxygen saturation above 92 %, which was adjusted according to the patient 's tolerance and comfort.Record nightly sleep respiratory monitoring data, including 1 sleep characteristics : total sleep time, REM time, NREM time, sleep efficiency ( SE ) ; 2 awakening time, awakening index ( Arl ) ; aHI, average apnea time, longest apnea time ; 4 the cumulative time of average oxygen saturation, minimum oxygen saturation, ODI, and oxygen saturation below 90 % ; 5 heart rate, blood pressure, etc.
  2. The second stage ( cohort study ) : After one month of the first stage of treatment, patients voluntarily continued to receive treatment and observers were included in the second stage of treatment. HFNC group and CPAP group continued to receive corresponding treatment for 6 months. Follow-up after each stage of treatment, recording sleep respiratory monitoring data, including the main endpoint : 1 Treatment failure rate 2.treatment compliance
Being tested
CPAP, high-flow nasal canula oxygen therapy
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.

  • CPAPDevice

    At the beginning of the experiment we will choose the most suitable pressure and flow for the patient by titration,

  • high-flow nasal canula oxygen therapyDevice

    At the beginning of the experiment we will choose the most suitable pressure and flow for the patient by titration,

Study groups in NCT05549310
Study groupRoleWhat they receive
CPAP groupActive comparatorCPAP group : The first stage:receiving CPAP treatment for 6 hours / night, for 1 month. Patients in the treatment group first use pressure titration, select the appropriate pressure after treatment. The second stage ( cohort study ) : After one month of the first stage of treatment, patients voluntarily continued to receive treatment and observers were included in the second stage of treatment. CPAP group continued to receive corresponding treatment for 6 months.
Receives: Device: CPAP
HFNC groupExperimentalHFNC group : The first stage:receiving HFNC treatment for 6 hours / night, for 1 month. Patients in the treatment group first use pressure titration, select the appropriate pressure after treatment. The second stage ( cohort study ) : After one month of the first stage of treatment, patients voluntarily continued to receive treatment and observers were included in the second stage of treatment. HFNC group continued to receive corresponding treatment for 6 months.
Receives: Device: high-flow nasal canula oxygen therapy

What is being measured

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

  1. AHI

    The data of the patient's AHI will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline AHI data at 1 month and 6 months.

  2. Treatment failure rate

    The data of the patient's AHI will be collected to evaluate the change of the patient's device adaptation.

    Measured: about sixth month

  3. Good compliance rate

    refers to the replacement of patients during treatment to another group of respiratory support or patients give up treatment

    Measured: about sixth month

  4. mean apnea time

    The data of the patient's mean apnea time will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline mean apnea time data at 1 month and 6 months.

  5. longest apnea time

    The data of the patient's mean apnea time will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline longest apnea time data at 1 month and 6 months.

  6. Mean oxygen saturation

    The data of the patient's mean apnea time will be collected to evaluate the change of the patient's oxygen saturation.

    Measured: Change from Baseline Mean oxygen saturation data at 1 month and 6 months.

  7. minimum oxygen saturation

    The data will be collected to evaluate the change of the patient's oxygen saturation.

    Measured: Change from Baseline minimum oxygen saturation data at 1 month and 6 months.

  8. ODI

    The data will be collected to evaluate the change of the patient's oxygen saturation.

    Measured: Change from Baseline ODI data at 1 month and 6 months.

  9. oxygen saturation < 90 % cumulative timesaturation

    The data will be collected to evaluate the change of the patient's oxygen saturation.

    Measured: Change from Baseline oxygen saturation < 90 % cumulative timesaturation data at 1 month and 6 months.

  10. Gender

    general condition

    Measured: by experiment finished:about 1 year

  11. age

    general condition

    Measured: by experiment finished:about 1 year

  12. height

    general condition

    Measured: by experiment finished:about 1 year

  13. weight

    general condition

    Measured: by experiment finished:about 1 year

Secondary outcomes (8)
  1. total sleep time

    The data will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline total sleep time data at 1 month and 6 months.

  2. REM time

    The data will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline REM time data at 1 month and 6 months.

  3. NREM time

    The data will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline NREM time data at 1 month and 6 months.

  4. sleep efficiency ( SE )

    The data will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline sleep efficiency ( SE ) data at 1 month and 6 months.

  5. awakening time

    The data will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline awakening time data at 1 month and 6 months.

  6. awakening index ( Arl )

    The data will be collected to evaluate the change of the patient's sleep.

    Measured: Change from Baseline awakening index ( Arl ) data at 1 month and 6 months.

  7. heart rate

    The data will be collected to evaluate the change of the patient's circulation condition.

    Measured: Change from Baseline heart rate data at 1 month and 6 months.

  8. blood pressure

    The data will be collected to evaluate the change of the patient's circulation condition..

    Measured: Change from Baseline blood pressure data at 1 month and 6 months.

Timeline

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

  1. First posted22 Sep 2022
  2. Study start22 Aug 2022
  3. Primary completionMay 2024 (estimated)
  4. Study completionMay 2025 (estimated)

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
Model description
Subjects are divided into 2 groups:HFNC group and CPAP group
Masking
None (open label)
Enrolment
186 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05549310
Sponsor's protocol ID
2022037
Acronym
HFNC
Status last verified
Jul 2022
First submitted
14 Aug 2022
Last updated
22 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014 Feb 22;383(9918):736-47. doi: 10.1016/S0140-6736(13)60734-5. Epub 2013 Aug 2.

    PubMed 23910433
  • Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, Nunez CM, Patel SR, Penzel T, Pepin JL, Peppard PE, Sinha S, Tufik S, Valentine K, Malhotra A. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019 Aug;7(8):687-698. doi: 10.1016/S2213-2600(19)30198-5. Epub 2019 Jul 9.

    PubMed 31300334
  • Parke RL, McGuinness SP. Pressures delivered by nasal high flow oxygen during all phases of the respiratory cycle. Respir Care. 2013 Oct;58(10):1621-4. doi: 10.4187/respcare.02358. Epub 2013 Mar 19.

    PubMed 23513246
  • Nakanishi N, Suzuki Y, Ishihara M, Ueno Y, Tane N, Tsunano Y, Itagaki T, Oto J. Effect of High-Flow Nasal Cannula on Sleep-disordered Breathing and Sleep Quality in Patients With Acute Stroke. Cureus. 2020 Jul 20;12(7):e9303. doi: 10.7759/cureus.9303.

    PubMed 32832300
  • Nilius G, Wessendorf T, Maurer J, Stoohs R, Patil SP, Schubert N, Schneider H. Predictors for treating obstructive sleep apnea with an open nasal cannula system (transnasal insufflation). Chest. 2010 Mar;137(3):521-8. doi: 10.1378/chest.09-0357. Epub 2009 Dec 1.

    PubMed 19952061
  • Yan H, Qinghua L, Mengyuan P, Yaoyu C, Long Z, Mengjie L, Xiaosong D, Fang H. High flow nasal cannula therapy for obstructive sleep apnea in adults. Sleep Breath. 2022 Jun;26(2):783-791. doi: 10.1007/s11325-021-02453-6. Epub 2021 Aug 12.

    PubMed 34383275

Questions about this trial

What is this clinical trial studying?

A study testing CPAP and high-flow nasal canula oxygen therapy in people with Obstructive Sleep Apnea and High Flow Nasal Canula, run by Qilu Hospital of Shandong University at 1 site in China.

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 3 inclusion and 5 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: status not confirmed, as of the sponsor's last update on 22 Sep 2022. 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 China. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Dedong Ma, doctor (18560082806, ma@qiluhuxi.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

AHI (time frame: Change from Baseline AHI data at 1 month and 6 months.). The study lists 13 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 NCT05549310, which also lists 6 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 Sep 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in