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A Single-center Pilot Study Evaluating the Immediate Effects of Low-dose Acetazolamide on Respiratory Control in Subjects With Treatment Emergent Sleep Disordered Breathing

Primary Purpose

Sleep Apnea

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Acetazolamide
Sponsored by
NYU Langone Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sleep Apnea focused on measuring acetazolamide, Treatment Emergent Sleep Disordered Breathing, Sleep Apnea

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥18 to 80 years
  • TE-CSA
  • Subjects are capable of giving informed consent

Exclusion Criteria:

  • Hypersensitivity to acetazolamide or other sulfonamides
  • Intake of carbonic anhydrase inhibitors within the last 72 hours
  • Intake of medication that influences breathing, sleep, arousal or muscle physiology
  • Cheyne-Stokes respiration
  • Heart failure
  • Renal failure
  • Liver failure
  • Chronic hypercapnea
  • Hyponatremia
  • Hypokalemia
  • Pregnancy
  • Breastfeeding mothers
  • Active drug/alcohol dependence or abuse history

Sites / Locations

  • New York University School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Reference therapy

Arm Description

Baseline evaluation of subjects without acetazolamide administration Follow up evaluation of subjects one hour after acetazolamide administration

Outcomes

Primary Outcome Measures

Severity of Obstructive Sleep Apnea before and after acetazolamide administration using Laboratory Nocturnal Polysomnography
Total lung capacity before and after acetazolamide administration

Secondary Outcome Measures

Gas composition with and without acetazolamide using Resting Ventilation Study (RVS)
Measure of ventilatory response to carbon dioxide (CO2) without and with acetazolamide
Measurement of Arterial Blood Gas (ABG)
Measurement of Venous Blood (VB) Analysis

Full Information

First Posted
January 21, 2016
Last Updated
January 23, 2017
Sponsor
NYU Langone Health
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1. Study Identification

Unique Protocol Identification Number
NCT02670096
Brief Title
A Single-center Pilot Study Evaluating the Immediate Effects of Low-dose Acetazolamide on Respiratory Control in Subjects With Treatment Emergent Sleep Disordered Breathing
Official Title
A Single-center Pilot Study Evaluating the Immediate Effects of Low-dose Acetazolamide on Respiratory Control in Subjects With Treatment Emergent Sleep Disordered Breathing
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Withdrawn
Study Start Date
January 2016 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
March 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NYU Langone Health

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single center pilot study evaluating the immediate effects of low-dose acetazolamide on respiratory control in subjects with treatment emergent sleep disordered breathing. The purpose of this study is to assess the immediate effect one-time low-dose acetazolamide on sleep breathing in (Treatment Emergent Sleep Disordered Breathing) TE-CSA subjects compared to subjects' baseline evaluation without acetazolamide. Investigators will also try to determine the immediate effect of one-time low-dose acetazolamide on subjects' resting ventilation and ventilatory response slope compared to subjects' baseline evaluation without acetazolamide.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sleep Apnea
Keywords
acetazolamide, Treatment Emergent Sleep Disordered Breathing, Sleep Apnea

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Reference therapy
Arm Type
Experimental
Arm Description
Baseline evaluation of subjects without acetazolamide administration Follow up evaluation of subjects one hour after acetazolamide administration
Intervention Type
Drug
Intervention Name(s)
Acetazolamide
Other Intervention Name(s)
Diamox
Intervention Description
Two single dose administrations of acetazolamide (once before daytime testing, and once before nighttime testing)
Primary Outcome Measure Information:
Title
Severity of Obstructive Sleep Apnea before and after acetazolamide administration using Laboratory Nocturnal Polysomnography
Time Frame
60 Days
Title
Total lung capacity before and after acetazolamide administration
Time Frame
60 Days
Secondary Outcome Measure Information:
Title
Gas composition with and without acetazolamide using Resting Ventilation Study (RVS)
Time Frame
20 Minutes
Title
Measure of ventilatory response to carbon dioxide (CO2) without and with acetazolamide
Time Frame
15 Minutes
Title
Measurement of Arterial Blood Gas (ABG)
Time Frame
60 Days
Title
Measurement of Venous Blood (VB) Analysis
Time Frame
60 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 to 80 years TE-CSA Subjects are capable of giving informed consent Exclusion Criteria: Hypersensitivity to acetazolamide or other sulfonamides Intake of carbonic anhydrase inhibitors within the last 72 hours Intake of medication that influences breathing, sleep, arousal or muscle physiology Cheyne-Stokes respiration Heart failure Renal failure Liver failure Chronic hypercapnea Hyponatremia Hypokalemia Pregnancy Breastfeeding mothers Active drug/alcohol dependence or abuse history
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Rapoport, MD
Organizational Affiliation
New York University Medical School
Official's Role
Principal Investigator
Facility Information:
Facility Name
New York University School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Single-center Pilot Study Evaluating the Immediate Effects of Low-dose Acetazolamide on Respiratory Control in Subjects With Treatment Emergent Sleep Disordered Breathing

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