Managing Opioid Related Sleep Apnea With Acetazolamide
NCT06043830 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 39
Last updated 2026-03-10
Summary
Patients with chronic pain who use opioids appear to be at increased risk for breathing issues during sleep, termed sleep disordered breathing (SDB). Treatment of SDB often consists of use of a device during sleep that provides continuous positive airway pressure (CPAP) via a mask interface. However, this device is not effective or tolerated in all individuals. The goal of this study is to examine whether a medication called acetazolamide can improve SDB, as an alternative to CPAP treatment.
The investigators will measure the improvement in SDB, as well as any change in symptoms, during a 1 week treatment with acetazolamide compared with 1 week of placebo (sugar pill). This study will help to provide data for longer term studies of treatment for SDB in patients who use opioids.
Conditions
- Sleep-Disordered Breathing
- Obstructive Sleep Apnea
- Central Sleep Apnea
- Chronic Pain
- Opioid Use
Interventions
- DRUG
-
Acetazolamide
Acetazolamide 250 mg 2 capsules by mouth nightly
- OTHER
-
Placebo
Sugar capsule manufactured to match encapsulated Acetazolamide 2 capsules by mouth nightly
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH -
University of California, San Diego
lead OTHER
Principal Investigators
-
Jeremy Orr, MD · UC San Diego
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-10-18
- Primary Completion
- 2025-12-23
- Completion
- 2025-12-23
- FDA Drug
- Yes
Countries
- United States
Study Locations
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