Obstructive Sleep Apnea in World Trade Center Responders
NCT01753999 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 317
Last updated 2025-04-30
Summary
The goal of the study is to examine the possible underlying causes of sleep apnea (a disorder in which there are problems with breathing during sleep) in World Trade Center Responders. The study will look at the relationship between sleep apnea and various nose and throat conditions. Specifically, the study will look at upper airway disease (problems with the nose and throat), nasal inflammation, and nasal resistance (the amount of airflow through the nose). Subjects will have a physical exam and answer questions about nasal symptoms and sleeping problems. Nasal lavage (washing the inner nasal passages) will be performed on the subjects and markers of inflammation will be measured in the lavage fluid. Rhinomanometry (measuring the airflow through the nose) will also be performed to measure the degree of airflow obstruction. All subjects will be asked to perform in-home sleep apnea monitoring. Those subjects who are diagnosed with sleep apnea will test two treatment methods. Sleep apnea is treated by using a CPAP (continuous positive airway pressure) device. This device blows air into a mask worn by the patient during sleep. The two treatment methods that will be tested are the fixed pressure CPAP (pressure is constant during use) and CPAP-flex (pressure decreases when the subject exhales). Patients will be randomly assigned to one treatment method for one month then crossed to the other treatment method for the next month. The investigators will determine if patients with certain nasal conditions (high nasal resistance) are more likely to use CPAP-flex rather than CPAP.
Conditions
Interventions
- DEVICE
-
Standard CPAP
Use of the REMstar Auto A-Flex in standard CPAP therapy mode
- DEVICE
-
CPAP - Flex
Use of Philips Respironics REMstar Auto A-Flex in C-Flex mode
Sponsors & Collaborators
- collaborator OTHER
-
Rutgers, The State University of New Jersey
lead OTHER
Principal Investigators
-
Jag Sunderram, MD · Rutgers RWJMS
-
Indu Ayappa, PhD · NYUMC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2012-12-31
- Primary Completion
- 2017-03-31
- Completion
- 2017-03-31
Countries
- United States
Study Locations
More Related Trials
-
Tongue Protrusion Force: A Pilot Study
NCT02781701 ·Status: WITHDRAWN ·Phase: NA
-
Impact of Resynchronization Therapy on Sleep Disordered Breathing in Advanced Congestive Heart Failure
NCT00521534 ·Status: COMPLETED
-
Obstructive Sleep Apnoea and Adipose Tissue Dysfunction
NCT02518633 ·Status: COMPLETED
-
Impact Of Closure Of Patent Foramen Ovale On Apnoea-Hypopnoea-Index, Nocturnal Hypoxemia And Systemic Vascular Function In Patients With Obstructive Sleep Apnoea
NCT01780207 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Obstructive Sleep Apnea With Long Range 3D Endoscopic Fourier Domain Optical Coherence Tomography (FDOCT)
NCT01485497 ·Status: WITHDRAWN ·Phase: PHASE1
-
The Efficacy of Tongue Stabilizing Device in Patients With Obstructive Sleep Apnea
NCT02329925 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Endothelial Cell Dysfunction in Sleep Apnea
NCT00859950 ·Status: COMPLETED ·Phase: NA
-
Phrenic Nerve Stimulation for Treatment of Central Sleep Apnea
NCT03238937 ·Status: WITHDRAWN ·Phase: NA
-
Mechanisms of Pharyngeal Collapse in Sleep Apnea, Study B
NCT01738009 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Pharyngeal Collapse in Sleep Apnea, Study D
NCT01733784 ·Status: WITHDRAWN ·Phase: NA
-
Recording of Multiple Nights Using a New Contactless Device (Sleepiz One Connect) in Obstructive Sleep Apnea
NCT05134402 ·Status: COMPLETED
-
The Effect of CRT on the Hypercapnic Ventilatory Response
NCT02203383 ·Status: SUSPENDED
-
Effects of Lung Volume on Upper Airway Patency During Drug Induced Sleep Endoscopy
NCT05350332 ·Status: RECRUITING ·Phase: NA
-
Data Collection Study to Review Novel Methods for Diagnosing Obstructive Sleep Apnea
NCT06930404 ·Status: RECRUITING
-
Early Feasibility Study of Transcutaneous Upper Airway Stimulation in Obstructive Sleep Apnea
NCT05881512 ·Status: COMPLETED ·Phase: NA
-
Pilot Study of Negative Pressure Neck Therapy (NPNT)
NCT07301567 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effects of CPAP on Diet, Physical Activity, and Cardiovascular Risk
NCT01944020 ·Status: COMPLETED ·Phase: NA
-
Assessment of Continuous Positive Airway Pressure Therapy in OSA and ILD
NCT03901534 ·Status: TERMINATED ·Phase: NA
-
Pathogenesis and Outcomes of Sleep Disordered Breathing in Chronic Obstructive Pulmonary Disease (COPD)
NCT01764165 ·Status: COMPLETED ·Phase: NA
-
Obstructive Sleep Apnea and Endothelial Function in Patients With Resistant Hypertension
NCT01854190 ·Status: COMPLETED
-
Evaluation of Potential Biomarkers for Obstructive Sleep Apnea and the Effect of Positive Pressure Treatment
NCT01976052 ·Status: COMPLETED
-
Investigating the Neuropathology of Obstructive Sleep Apnoea
NCT02967536 ·Status: COMPLETED
-
Obstructive Sleep Apnea Treatment to Improve Cardiac Rehabilitation
NCT02005445 ·Status: TERMINATED ·Phase: NA
-
Domiciliary Transcutaneous Electrical Stimulation in Obstructive Sleep Apnoea
NCT03160456 ·Status: COMPLETED ·Phase: NA
-
Validation and Reproducibility of the Six-minute Step Test in Individuals With Obstructive Sleep Apnea Treated With CPAP
NCT03334331 ·Status: COMPLETED