Nocturnal hypertension in the sleep apnea-hypopnea syndrome. MedDRA version: 17.1 Level: LLT Classification code 10040976 Term: Sleep apnea syndrome System Organ Class: 100000004855 MedDRA version: 17.1 Level: LLT Classification code 10019180 Term: HBP System Organ Class: 100000004866
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a) Men aged between 18 and 65 years old. b) Apnea hypopnea index (AHI) during sleep greater than 30. c) Nocturnal hypertension (Mean nocturnal systolic blood pressure equal or greater than 120 mmHg). d) Signature of informed consent to participate in the study. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: a) Obesity (BMI> 35). b) Previous treatment with CPAP (Continuous Positive Airway Pressure). c) Disabling daytime sleepiness or difficulting patient activity. d) Notorious cardiovascular, renal, hepatic or hematologic comorbidities at the discretion of the investigator would interfere with the study results. e) Antihypertensive drugs intake. f) Any contraindication to domperidone (allergy compound, prolactinoma, gastrointestinal hemorrhage, mechanical obstruction, perforation, mesenteric ischemia) (see ANNEX I: Overview of the drug). g) Intake of anticholinergic drugs, ketoconazole, erythromycin or other potent CYP3A4 inhibitors that prolong the QT interval. h) Written informed consent not obtained.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the safety and tolerability of treatment with domperidone and to analyze pressure values after administration of domperidone in male patients with sleep apnea-hypopnea syndrome during sleep (SAHS) and nocturnal hypertension.;Secondary Objective: To analyze possible changes in quality of life for male patients with SAHS and nocturnal hypertension evaluating possible differences in clinical questionnaires before and after administration of domperidone.;Primary end point(s): Incidence of adverse events related to study medication, and changes in nocturnal blood pressure (BP): SBP and DBP by ambulatory monitoring of blood pressure..;Timepoint(s) of evaluation of this end point: Adverse reactions will be evaluated along the study (12 weeks). Ambulatory monitoring of blood pressure will be evaluated at the Screening, Week 6 and Week 12. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Changes in Epworth Sleepiness Scale and Quebec questionnaire. Changes in the quality of life of patients using EuroQoL-5D.;Timepoint(s) of evaluation of this end point: Day 0 and Week 12. | — |
Countries
Spain
Contacts
Dynamic Science S.L.