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BronchiectasisNCT07147803

Sleep Quality in Patients With Non-cystic Fibrosis Bronchiectasis

An observational study of Bronchiectasis and Sleep-Disordered Breathing, run by Assiut University at 1 site in Egypt.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Non-cystic fibrosis (non-CF) bronchiectasis is a chronic, heterogeneous airway disease characterized by irreversible bronchial dilatation, persistent airway infection, and neutrophilic inflammation that together drive daily cough, sputum production, recurrent exacerbations, and progressive functional decline. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bronchiectasis, Sleep-Disordered Breathing
What is being tested?
Pittsburgh Sleep Quality Index
How many people
200 participants
Where
1 siteEgypt
Study dates
14 Oct 2025to 25 May 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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: * Age ≥18 years (adults). * Confirmed stable non-CF bronchiectasis on high-resolution CT (HRCT) by a chest radiologist, with standard features (e.g., broncho-arterial ratio >1, lack of tapering, airways visible within 1 cm of pleura), documented in the medical record.

Who may be able to join

  • Age ≥18 years (adults).
  • Confirmed stable non-CF bronchiectasis on high-resolution CT (HRCT) by a chest radiologist, with standard features (e.g., broncho-arterial ratio >1, lack of tapering, airways visible within 1 cm of pleura), documented in the medical record.
  • Non-cystic fibrosis etiology: no clinical diagnosis of cystic fibrosis; if prior doubt, a negative/normal sweat chloride or genetic report is required.
  • Ability and willingness to participate in scheduled follow-up assessments at 3, 6, 9, and 12 months.

Who cannot join

  • Acute bronchiectasis exacerbation at screening or within the preceding 4 weeks, including treatment with systemic antibiotics and/or systemic corticosteroids for respiratory deterioration during that period.
  • Severe hemoptysis, unstable respiratory status, or any medical condition making completion of study questionnaires or scheduled assessments unsafe or unreliable in the investigator's judgment.
  • Primary sleep disorders likely to substantially confound interpretation of sleep-quality measures, including newly diagnosed moderate-to-severe obstructive sleep apnea initiating positive airway pressure therapy, narcolepsy, or untreated restless legs syndrome; patients with previously diagnosed sleep disorders on stable treatment for ≥3 months may be included.
  • Active pulmonary tuberculosis, interstitial lung disease, lung malignancy, pregnancy, or severe neurological or cognitive impairment that would prevent reliable completion of study assessments.

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Assiut University hospital

    Asyut, 71515

Other trials in Egypt

About this study

Official title: Sleep Quality in Patients With Non-cystic Fibrosis Bronchiectasis in Asyut University Hospitals: Correlation With Clinical, Functional, and Radiological Parameters

Non-cystic fibrosis (non-CF) bronchiectasis is a chronic, heterogeneous airway disease characterized by irreversible bronchial dilatation, persistent airway infection, and neutrophilic inflammation that together drive daily cough, sputum production, recurrent exacerbations, and progressive functional decline. Sleep is a key determinant of Health-Related Quality of Life (HRQoL) and cardiometabolic health. In chronic lung diseases, nocturnal hypoxemia, cough, dyspnea, and systemic inflammation commonly disrupt sleep continuity and architecture. In bronchiectasis specifically, several studies show high rates of poor sleep quality using the Pittsburgh Sleep Quality Index (PSQI), with ~50-60% of clinically stable patients classified as "poor sleepers," often accompanied by daytime dysfunction. Poor sleep correlates with disease severity indices and symptoms such as nocturnal cough.

Participants are assessed at baseline and followed at 3, 6, 9, and 12 months to evaluate changes in sleep quality over time and their relationships with changes in clinical status, functional measures, quality of life, and subsequent bronchiectasis-related outcomes.

Read the detailed description

In Egypt, bronchiectasis is a frequent clinical problem seen across tertiary hospitals. Recent tertiary-center studies from Upper Egypt (including Asyut) have described the prevalence and early outcomes of bronchiectasis among admitted adults, underscoring its local clinical significance. However, despite multiple Egyptian works on sleep quality in other respiratory conditions (e.g., COPD) using the PSQI, there remains a clear evidence gap regarding sleep quality specifically in adult non-CF bronchiectasis. International cohorts consistently demonstrate prevalent sleep disturbance in bronchiectasis and links to clinical severity, but Egyptian data in non-CF adult bronchiectasis are scarce. Locally contextualized evidence is needed to understand whether sleep impairment in our patients aligns with international observations and how it relates to spirometric function, structural disease burden, composite severity indices, and inflammatory biomarkers within an Upper Egypt setting.

Our study aims to Quantify sleep quality using the PSQI in adults with non-CF bronchiectasis attending Asyut University Hospitals, and Evaluate its correlations with clinical parameters (symptoms, exacerbations, mMRC, Quality of Life). Participants are also followed at 3, 6, 9, and 12 months to assess longitudinal changes in sleep quality and their relationships with changes in clinical and functional status, quality of life, and subsequent bronchiectasis-related outcomes.

Being tested
Pittsburgh Sleep Quality Index
Keywords
Bronchiectasis, Sleep, Quality of life, Exacerbations
Medical subject headings
Bronchiectasis, Sleep Apnea Syndromes

What participants receive

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

  • Pittsburgh Sleep Quality IndexOther

    PSQI (Arabic validated version) - main sleep measure; global score 0-21; PSQI >5 = poor sleep quality; assessed at baseline and during scheduled follow-up visits.

Study groups in NCT07147803
Study groupRoleWhat they receive
Bronchiectasis PatientsConfirmed non-CF bronchiectasis on high-resolution CT (HRCT) by a chest radiologist, with standard features (e.g., broncho-arterial ratio >1, lack of tapering, airways visible within 1 cm of pleura), documented in the medical record
Receives: Other: Pittsburgh Sleep Quality Index

What is being measured

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

  1. Prevalence of poor sleep quality

    Assessment of the proportion of participants with poor sleep quality using the validated Arabic version of the Pittsburgh Sleep Quality Index (PSQI). The PSQI global score ranges from 0 to 21, with higher scores indicating poorer sleep quality. Poor sleep quality is defined as a PSQI global score >5. Unit of measure: percentage of participants with PSQI >5.

    Measured: Baseline

Secondary outcomes (14)
  1. Change in Pittsburgh Sleep Quality Index Global Score From Baseline to Month 12

    Assessment of change in PSQI global score from baseline through scheduled follow-up visits at Months 3, 6, 9, and 12. The PSQI global score ranges from 0 to 21, with higher scores indicating poorer sleep quality. Unit of measure: PSQI score points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  2. Number of Bronchiectasis Exacerbations During 12-Month Follow-up

    Assessment of the number of clinically documented bronchiectasis exacerbations occurring during follow-up. Exacerbation frequency will be recorded for each participant over the 12-month observation period. Unit of measure: number of exacerbations per participant.

    Measured: Baseline to 12 months follow-up

  3. Time to First Bronchiectasis Exacerbation

    Assessment of time from baseline to the first clinically documented bronchiectasis exacerbation during follow-up. Longer time to first exacerbation indicates a longer exacerbation-free interval. Unit of measure: days.

    Measured: Baseline to 12 months follow-up

  4. Time to First Bronchiectasis-Related Hospital Admission

    Assessment of time from baseline to the first hospital admission attributable to bronchiectasis exacerbation or respiratory deterioration during follow-up. Longer time to first bronchiectasis-related hospitalization indicates a longer hospitalization-free interval. Unit of measure: days.

    Measured: Baseline to 12 months follow-up

  5. Change in Forced Expiratory Volume in One Second Percent Predicted From Baseline to Month 12

    Assessment of change in forced expiratory volume in one second percent predicted (FEV1% predicted) from baseline through Month 12. Greater preservation or improvement in FEV1% predicted indicates better pulmonary functional status. Unit of measure: percentage points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  6. Change in Forced Vital Capacity Percent Predicted From Baseline to Month 12

    Assessment of longitudinal change in forced vital capacity percent predicted (FVC% predicted). Greater preservation or improvement indicates better pulmonary functional status. Unit of measure: percentage points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  7. Change in Modified Medical Research Council Dyspnea Score From Baseline to Month 12

    Assessment of longitudinal change in dyspnea severity using the modified Medical Research Council (mMRC) scale. Scores range from 0 to 4, with higher scores indicating greater dyspnea-related functional limitation. Unit of measure: mMRC score points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months

  8. Change in Cough Severity Visual Analogue Scale From Baseline to Month 12

    Assessment of longitudinal change in cough severity using a 0-10 visual analogue scale. Higher scores indicate greater cough severity. Unit of measure: VAS score points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  9. Change in Six-Minute Walk Distance From Baseline to Month 12

    Assessment of longitudinal change in functional exercise capacity using the six-minute walk test. Greater walking distance indicates better exercise capacity. Unit of measure: meters.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  10. Change in Pittsburgh Sleep Quality Index Component Scores From Baseline to Month 12

    Assessment of longitudinal change in the seven PSQI component scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction. Each component ranges from 0 to 3, with higher scores indicating greater impairment. Unit of measure: PSQI component score points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  11. Change in Resting Peripheral Oxygen Saturation From Baseline to Month 12

    Assessment of longitudinal change in resting peripheral oxygen saturation measured by pulse oximetry during clinical stability. Higher values indicate better resting oxygenation. Unit of measure: percentage points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  12. Change in Quality of Life-Bronchiectasis Domain Scores From Baseline to Month 12

    Assessment of longitudinal change in Quality of Life-Bronchiectasis (QoL-B) domain scores during scheduled follow-up. QoL-B domains are scored from 0 to 100, with higher scores indicating better bronchiectasis-related health status and quality of life. Unit of measure: QoL-B domain score points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months.

  13. Number of Bronchiectasis-Related Hospital Admissions During 12-Month Follow-up

    Assessment of the number of hospital admissions attributable to bronchiectasis exacerbation or respiratory deterioration during follow-up. Unit of measure: number of hospital admissions per participant.

    Measured: Baseline to 12 months follow-up.

  14. Change in FEV1/FVC Ratio From Baseline to Month 12

    Assessment of longitudinal change in the ratio of forced expiratory volume in one second to forced vital capacity (FEV1/FVC) during scheduled follow-up. Higher values generally indicate less airflow obstruction. Unit of measure: percentage points.

    Measured: Baseline, 3 months, 6 months, 9 months, and 12 months

Timeline

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

  1. First posted29 Aug 2025
  2. Study start14 Oct 2025
  3. Primary completion15 May 2027 (estimated)
  4. Study completion25 May 2027 (estimated)

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
Case only
Time perspective
Prospective
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07147803
Sponsor's protocol ID
MGAhmed-Sleep-Bronchiectasis
Status last verified
Oct 2026
First submitted
22 Aug 2025
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gao Y, Guan W, Xu G, Lin Z, Tang Y, Lin Z, Li H, Gao Y, Luo Q, Zhong N, Chen R. Sleep disturbances and health-related quality of life in adults with steady-state bronchiectasis. PLoS One. 2014 Jul 18;9(7):e102970. doi: 10.1371/journal.pone.0102970. eCollection 2014.

    PubMed 25036723
  • Martinez-Garcia MA, Athanazio RA, Giron R, Maiz-Carro L, de la Rosa D, Olveira C, de Gracia J, Vendrell M, Prados-Sanchez C, Gramblicka G, Corso Pereira M, Lundgren FL, Fernandes De Figueiredo M, Arancibia F, Rached SZ. Predicting high risk of exacerbations in bronchiectasis: the E-FACED score. Int J Chron Obstruct Pulmon Dis. 2017 Jan 18;12:275-284. doi: 10.2147/COPD.S121943. eCollection 2017.

    PubMed 28182132

Questions about this trial

What is this clinical trial studying?

An observational study of Bronchiectasis and Sleep-Disordered Breathing, run by Assiut University at 1 site in Egypt.

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 4 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 27 Oct 2026. 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 Egypt. 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?

This study is still under way. Results are not available in the source record yet.

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?

Prevalence of poor sleep quality (time frame: Baseline). 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 NCT07147803, 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 27 Oct 2026.

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