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Inspiratory airflow limitation during sleep: its relationship to functional complaints
ISRCTN ISRCTN95777169
ClinicalTrials.gov identifier
Public title Inspiratory airflow limitation during sleep: its relationship to functional complaints
Scientific title
Acronym N/A
Serial number at source Stony Brook Research Foundation #1051610
Study hypothesis Patients with Upper Airway Resistance Syndrome (UARS) who are randomised to therapeutic Continuous Positive Airway Pressure (CPAP) will demonstrate reduced pain, fatigue, daytime sleepiness, headache, gastrointestinal discomfort, hyperarousal, and metabolic risk factors after three weeks of treatment compared to UARS patients randomised to sham CPAP.
Lay summary
Ethics approval Stony Brook University Internal Review Board (reference number: 2006-6309), approved on the 28th August 2006.
Study design Randomised controlled trial
Countries of recruitment United States of America
Disease/condition/study domain Upper airway resistance syndrome
Participants - inclusion criteria 1. Physician-confirmed diagnosis of UARS
2. Aged between 21 years or over and 65 years or under
3. Able to speak and read English
4. Ability to tolerate only one caffeinated beverage in the morning
Participants - exclusion criteria 1. Currently taking an opiate, benzodiazepine, sedative, hypnotic, stimulant, or sleeping medication
2. Currently being treated with a lipid lowering or Blood Pressure (BP) medication
3. Diagnosis and/or treatment for sleep apnea, narcolepsy, or periodic limb movement disorder
4. Diagnosis of diabetes, coronary artery disease, Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS), stroke, or seizures
5. Body Mass Index (BMI) over 32 (no lower limit)
6. Evidence of overt alcohol or other substance abuse
7. History of allergy to lidocaine or similar local anesthestics
8. Presence of an extreme gag reflex
9. Difficulty breathing through nose
10. Smoking
11. Waking after 10:00 a.m. and going to bed after 12:00 a.m
Anticipated start date 11/09/2006
Anticipated end date 30/06/2008
Status of trial Completed
Patient information material
Target number of participants 20
Interventions Following baseline assessment, participants will be randomised to the experimental condition: therapeutic CPAP (n=10) or sham CPAP (n=10). A permuted blocking procedure will be used for the randomisation assignments using two block sizes (four and six). “Allocation concealment” from research assistants conducting outcome assessments will be done to minimise assignment bias and to attempt to maintain blinding of assessors. The study coordinator, who will not have direct contact with participants, will be responsible for implementing randomisation.

Per instruction from the study coordinator, one member of the research team will prepare the CPAP device as therapeutic or sham and provide it to another member of the team (blinded) who will interface with the patients to train them in use of the CPAP and answer questions or coach compliance during the trial. Patients will receive treatment for three weeks and then return for post-treatment assessment. The research assistant responsible for gathering pre- and post-treatment data will also be blinded to experimental condition.
Primary outcome measure(s) 1. Fatigue
2. Daytime sleepiness
3. Sleep quality
Secondary outcome measure(s) 1. Pain
2. Headache
3. Gastrointestinal discomfort
4. Metabolic risk factors
5. Hyperarousal
Sources of funding Respironics, Inc. (USA)
Trial website
Publications
Contact name Dr  Joan  Broderick
  Address Department of Psychiatry & Behavioral Science
Putnam Hall
Stony Brook University
Stony Brook
  City/town New York
  Zip/Postcode 11794-8790
  Country United States of America
Sponsor Respironics, Inc (USA)
  Address 1001 Murry Ridge Lane
Murrysville
  City/town Pennsylvania
  Zip/Postcode 15668-8550
  Country United States of America
  Sponsor website: http://www.respironics.com
Date applied 08/09/2006
Last edited 25/09/2006
Date ISRCTN assigned 25/09/2006
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