Combination Therapy Associating CPAP and Mandibular Advancement Device in OSA
NCT04021810 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5
Last updated 2022-05-26
Summary
The aim of this study is to evaluate the efficacy of a combination of Continuous Positive Airway Pressure (CPAP) and a Mandibular Advancement Device (MAD) on nocturnal Blood Pressure control in hypertensive patients in obstructive sleep apnea low CPAP compliers (less than 4 hours per night).
Hypertensive patients demonstrating low CPAP adherence will be selected during a screening visit; they will be then randomized to one of the three following arms: Education to CPAP ("CPAP only"), Treatment by a MAD ("MAD only") or a combination of both CPAP and MAD ("CPAP+MAD"). Mean systolic, diastolic, diurnal and nocturnal blood pressure will be assessed during 24-h Ambulatory Blood Pressure monitoring, before and after a 3-month treatment intervention. Biological laboratory parameters, patients reported outcomes (daytime sleepiness and Quality of Life), will also be evaluated before and after 3 months of treatment.
Conditions
- Obstructive Sleep Apnea Syndrome
- Hypertension
Interventions
- DEVICE
-
Continuous Positive Airway Pressure (CPAP) and patient education
Mask connected to a pump (CPAP machine) that forces air into the nasal passages at pressures high enough to overcome obstructions in the airways. Plus patient education.
- DEVICE
-
Mandibular Advancement Device
Adjustable oral prosthesis which retains the lower mandible in an anterior position, thus limiting sleep apneas
Sponsors & Collaborators
-
ONIRIS
collaborator INDUSTRY -
University Hospital, Grenoble
lead OTHER
Principal Investigators
-
Jean-Louis Pépin, Pr, PhD · University Hospital, Grenoble
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 30 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-11-18
- Primary Completion
- 2020-03-03
- Completion
- 2021-05-18
Countries
- France
Study Locations
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