Obstructive sleep apnea syndrome Obstructive sleep apnea
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Ages 20-70 years -Diagnosed moderate to severe OSA (AHI between 15 and 60) -Majority of events are hypopneas (fraction of hypopneas >50%) -Mean oxygen desaturation associated with respiratory events is <8% -Written informed consent provided *PSG will be performed before enrollment if data on PSG within 3 months of enrollment are not available.
Exclusion criteria
Exclusion criteria: -Any uncontrolled medical condition -Current use of the medications under investigation -Use of medications expected to stimulate or depress respiration including opioids, barbiturates, doxapram, almitrine, theophylline, 4-hydroxybutanoic acid -Conditions likely to affect obstructive sleep apnea physiology (neuromuscular disease or other major neurological disorder, heart failure, or any other unstable major medical condition) -Respiratory disorders other than sleep disordered breathing (chronic hypoventilation / hypoxemia (awake SaO2 <92% by oximetry) due to chronic obstructive pulmonary disease or other respiratory conditions) -Other sleep disorders (periodic limb movements, narcolepsy, or parasomnias) -Hypersensitivity to taltirelin -Dysthyroidism -History of renal disease -Pregnancy or nursing -Lack of written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| AHI scored using American Academy of Sleep Medicine(AASM) | — |
Secondary
| Measure | Time frame |
|---|---|
| -AHI using alternative definition of hypopneas (4% SaO2 desaturation and 30% reduction in flow) -Hypoxic Burden (desaturation area under curve * event frequency) -Arousal index (number of arousals / hours of sleep) -Sleep efficiency (total sleep time / time in bed) -Visual analog scale for sleep quality -Karolinska Sleepiness Scale -Epworth Sleepiness Scale | — |
Contacts
Juntendo University