Oxygen Versus PAP for Sleep Apnea in Heart Failure
NCT01807897 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 74
Last updated 2023-01-25
Summary
The purpose of this study is to compare three treatment modalities for central, or mixed obstructive and central, sleep apnea in patients with chronic heart failure and reduced ejection fraction. The modalities to be tested are nocturnal supplemental oxygen (NSO) and continuous positive airway pressure (CPAP). The main outcome measures will be left ventricular ejection fraction on echocardiogram and peak oxygen consumption on cardiopulmonary exercise testing.
Conditions
- Heart Failure
- Sleep Apnea Syndromes
Interventions
- DEVICE
-
Continuous positive airway pressure
Nocturnal continuous positive airway pressure, titrated to minimize apnea-hypopnea index
- DEVICE
-
Nocturnal supplemental oxygen
Nocturnal supplemental oxygen, titrated to 2-4 liters/minute with target of eliminating nocturnal hypoxemia
- BEHAVIORAL
-
Healthy Lifestyle and Sleep Education
A 60-minute educational intervention with slide show and printed materials, educating the patient in healthy sleep habits and heart-healthy lifestyle
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Daniel J Gottlieb, MD MPH · VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-06-23
- Primary Completion
- 2020-06-30
- Completion
- 2020-06-30
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Continuous Positive Airway Pressure (PAP) Titration and Treatment Versus Auto-adjusting PAP Treatment for Sleep Apnea
NCT00988351 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Breathing, Sleep and the Effects of Continuous Positive Airway Pressure During Wakefulness in Children With Heart Failure
NCT02414126 ·Status: COMPLETED ·Phase: NA
-
Reducing Heart Failure Re-admissions by Enhancing Sleep Apnea Treatment Adherence
NCT02312765 ·Status: COMPLETED ·Phase: NA
-
The Effect of Adaptive Servo Ventilation and Oxygen Therapy in Central Sleep Apnea Patients
NCT01187823 ·Status: COMPLETED ·Phase: NA
-
Treatment of Sleep Disordered Breathing In Acute Decompensated Heart Failure Patients
NCT00804349 ·Status: COMPLETED ·Phase: PHASE4
-
Central Apnea in Heart Failure: Physiological Mechanisms to Inform Treatment
NCT07210606 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
The Impact of Low Flow Nocturnal Oxygen Therapy on Hospital Admissions and Mortality in Patients With Heart Failure and Central Sleep Apnea
NCT03745898 ·Status: TERMINATED ·Phase: PHASE3
-
Assessing the Validity of the PAP Problems Triage Tool in Patients With PAP Treatment for Obstructive Sleep Apnea
NCT05530967 ·Status: UNKNOWN ·Phase: NA
-
Continuous Positive Airway Pressure Treatment of Obstructive Sleep Apnea to Prevent Cardiovascular Disease
NCT00738179 ·Status: UNKNOWN ·Phase: PHASE3
-
Initiation of CPAP for Newly Diagnosed OSA in Hospitalized Heart Failure Patients
NCT03056443 ·Status: COMPLETED ·Phase: NA
-
Evaluation of a Portable Device for Assessing Sleep Disordered Breathing in Congestive Heart Failure
NCT00493948 ·Status: COMPLETED
-
Diagnosis and Treatment of Sleep Apnea in the Acute Exacerbation of Heart Failure
NCT00701038 ·Status: COMPLETED ·Phase: NA
-
Combined Upper-airway and Breathing Control Therapies for Obstructive Sleep Apnea
NCT03189173 ·Status: COMPLETED ·Phase: PHASE2
-
The Role of Sleep Apnea in the Acute Exacerbation of Heart Failure
NCT00679549 ·Status: COMPLETED ·Phase: NA
-
Cardiac Hemodynamics in Overlap Syndrome (COPD With Obstructive Sleep Apnea)
NCT01261377 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Sleep Apnea in Heart Failure With Preserved Ejection Fraction
NCT05008432 ·Status: COMPLETED
-
Effect of CPAP vs Control on Nocturnal Dipping in Normotensive Patients With Obstructive Sleep Apnea
NCT04938128 ·Status: WITHDRAWN ·Phase: NA
-
Effects of PAP Treatment of OSA in Patients With Heart Failure
NCT01136122 ·Status: WITHDRAWN ·Phase: NA
-
Prevention of Airway Obstruction Events
NCT04873024 ·Status: COMPLETED ·Phase: NA
-
Effect of Continuous Positive Airway Pressure (CPAP) Versus Auto-titrating Continuous Positive Airway Pressure (APAP) on Resistant Hypertension (HTN) and Arterial Stiffness
NCT01044355 ·Status: UNKNOWN ·Phase: NA
-
Effect of Treating Sleep Disorder Breathing in Patients With Resistant Hypertension
NCT00973531 ·Status: WITHDRAWN ·Phase: NA
-
Sleep Apnea-hypopnea Syndrome (SAHS) and Ventricular Arrhythmias
NCT00765713 ·Status: COMPLETED ·Phase: PHASE4
-
Sleep Apnea Intervention for Cardiovascular Disease Reduction
NCT01261390 ·Status: COMPLETED ·Phase: NA
-
The Effects of Treating Obese and Lean Patients With Sleep Apnea
NCT01578031 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of the Treatment With Continuous Positive Airway Pressure(CPAP)in Stable Heart Failure With Ejection Fraction More Than 45% and Sleep Disordered Breathing
NCT01347411 ·Status: COMPLETED ·Phase: NA