Continuous Positive Airway Pressure (CPAP) for Fatigue in Patients With Multiple Sclerosis (MS) and Obstructive Sleep Apnea (OSA)
NCT01563900 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2013-04-18
Summary
Fatigue is a symptom present in 76 to 92% of people with multiple sclerosis (MS). Fatigue is usually described as an overwhelming sense of tiredness, lack of energy, and feeling of exhaustion which is different from sleepiness. Fatigue is also a symptom commonly seen in people with obstructive sleep apnea (OSA). The overall objective is to develop a non-pharmacological treatment for fatigue in MS. The objective of this study is to evaluate if treatment of OSA with continuous positive airway pressure (CPAP) improves fatigue in MS subjects with OSA and fatigue. This will be a small pilot randomized, double-blind, sham-controlled clinical trial; the control group will be treated with a sham-CPAP machine and intervention group will be treated with an auto-titration CPAP machine. The primary outcome measure will be improvement (decrease) in the Modified Fatigue Impact Scale from baseline. The duration of intervention will be 12 weeks to achieve a clinical response in the treatment group. After this intervention participants in both groups will be offered a referral to the sleep clinic of their preference for formal treatment as per standard of care.
Conditions
Interventions
- DEVICE
-
Auto-titration CPAP
An auto-titration CPAP will be set at a pressure between 5 to 15 cwp. This device delivers pressure as needed by the patient at any given time while using the device.
- DEVICE
-
Sham-CPAP
The sham-CPAP device will be set at 4 centimeters of water pressure (cwp). An exhalation connector will be place between the mask interface and the tubing without the enlarged port to maintain blinding; the final pressure delivered to the participant will be 2 cwp.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Hrayr Attarian, MD · Northwestern University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-02-29
- Primary Completion
- 2015-02-28
- Completion
- 2016-02-29
Countries
- United States
Study Locations
More Related Trials
-
CPAP Therapy in Patients With Heart Failure and Obstructive Sleep Apnea.
NCT00756366 ·Status: COMPLETED ·Phase: PHASE1
-
Usefulness of Nasal Continuous Positive Airway Pressure (CPAP) Treatment in Patients With a First Ever Stroke and Sleep Apnea Syndrome
NCT00202501 ·Status: COMPLETED ·Phase: NA
-
Effect of Continuous Positive Airway Pressure (CPAP) on Cognitive and Functional Performance in Stroke Patients With Obstructive Sleep Apnea
NCT00221065 ·Status: COMPLETED ·Phase: PHASE3
-
Sleep for Stroke Management and Recovery Trial
NCT03812653 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Outcome and Treatment of Complex Sleep Apnea
NCT01137214 ·Status: WITHDRAWN ·Phase: PHASE2
-
Sleep Apnea Treatment After Stroke (SATS)
NCT00282815 ·Status: TERMINATED ·Phase: PHASE2
-
Outcomes Post Treatment: Impact on Motor Impairment of Sleep Efficiency in SCI (OPTIMISE SCI Trial)
NCT05473689 ·Status: RECRUITING ·Phase: NA
-
Evaluation of a Full-Face Mask for the Treatment of Obstructive Sleep Apnea (OSA)
NCT03329352 ·Status: COMPLETED ·Phase: NA
-
Assessment of the Effect of PAP on Energy and Vitality in Mild OSA Patients: The Merge Study
NCT02699463 ·Status: COMPLETED ·Phase: NA
-
Continuous Positive Airway Pressure (CPAP), Oral Appliance and Physical Exercise in the Obstructive Sleep Apnea
NCT01289392 ·Status: COMPLETED ·Phase: NA
-
Effects of Suboptimal CPAP Therapy on Symptoms of Obstructive Sleep Apnoea
NCT02781740 ·Status: COMPLETED ·Phase: NA
-
Continuous Positive Airway Pressure Treatment of Obstructive Sleep Apnea to Prevent Cardiovascular Disease
NCT00738179 ·Status: UNKNOWN ·Phase: PHASE3
-
Feasibility and Predictive Accuracy of an In-Home Computer Controlled Mandibular Positioner in Identifying Favorable Candidates for Oral Appliance Therapy
NCT03011762 ·Status: COMPLETED ·Phase: NA
-
Combinations of Oral Appliance and CPAP for Patients With Severe Obstructive Sleep Apnea Untolerate High-pressure CPAP
NCT02217397 ·Status: UNKNOWN ·Phase: NA
-
Intermittent Hypoxia-initiated Plasticity in Humans: A Multi-pronged Therapeutic Approach to Treat Sleep Apnea and Overlapping Co-morbidities
NCT05558501 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Mild Intermittent Hypoxia and Its Multipronged Effect on Sleep Apnea
NCT03736382 ·Status: RECRUITING ·Phase: NA
-
Consequences of Obstructive Sleep Apnea Syndrome (OSAS) After Ischemic Subtentorial Stroke.
NCT01561677 ·Status: UNKNOWN ·Phase: NA
-
Effects of Continuous Positive Airway Pressure (CPAP) Treatment on Glucose Control in Patients With Type 2 Diabetes
NCT01136785 ·Status: COMPLETED ·Phase: NA
-
Continuous Positive Airway Pressure and Oral Appliances Treatments in Mild Obstructive Sleep Apnea
NCT01461486 ·Status: COMPLETED ·Phase: NA
-
Comparing CPAP and BiPAP for Sleep-Disordered Breathing in People with Cervical Spinal Cord Injuries
NCT06818604 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Obstructive Sleep Apnea Treatment With CPAP With and Without the Use of Expiratory Pressure Relief Technology
NCT05219591 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effects of CPAP on Cognitive Function, Neurocognitive Architecture and Function in Patients With OSA: The SMOSAT Trial
NCT02886156 ·Status: COMPLETED ·Phase: NA
-
Continuous Positive Airway Pressure for the Treatment of Stroke
NCT00368628 ·Status: COMPLETED ·Phase: PHASE2
-
Positional Therapy to Treat Obstructive Sleep Apnea in Stroke Patients
NCT03558659 ·Status: TERMINATED ·Phase: NA
-
Evaluation of the Comfort of a Continuous Positive Airway Pressure Nasal Mask in the Treatment of OSA Syndrome
NCT04925739 ·Status: COMPLETED