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Trial registered on ANZCTR
Registration number
ACTRN12611001250921
Ethics application status
Approved
Date submitted
1/12/2011
Date registered
6/12/2011
Date last updated
2/06/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Assessment of auto-titrating positive airways pressure in the management of treatment-related aerophagia.
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Scientific title
Assessment of auto-titrating positive airways pressure in the management of treatment-related aerophagia and its impact on usage and quality of life measures.
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Secondary ID [1]
273346
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None
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Universal Trial Number (UTN)
U1111-1125-6987
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
obstructive sleep apnea
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Condition category
Condition code
Respiratory
279306
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients will be assigned to using an auto-titrating positive airways pressure device overnight for 2 weeks. Auto-titrating positive airways pressure devices treat obstructive sleep apnea by delivering pressurised air via a hose to a mask interface. It delivers the pressure by sensing when the airway closes and only increasing the pressure if necessary. This is a crossover study and there is no washout period between treatments.
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Intervention code [1]
283688
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Treatment: Devices
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Comparator / control treatment
Patients will be assigned to using a continuous positive airways pressure device worn overnight for 2 weeks.
Continuous positive airway pressure is the recognised gold standard treatment for obstructive sleep apnea. It treats obstructive sleep apnea by delivering a fixed amount of pressurised air via a hose to a mask interface; splinting the airway which prevents its closure during sleep. The fixed amount of air will vary according to each participant and remain fixed on a certain dose for each of those participants during this period.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary outcome measure is usage. Usage is the amount of time participants use the treatment device.
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Assessment method [1]
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Timepoint [1]
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Usage is measured after 2 weeks of each treatment.
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Secondary outcome [1]
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Visual Analogue Scale data to measure the presence and severity of bloating.
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Assessment method [1]
294774
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Timepoint [1]
294774
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Measured at at the start of the trial and after 2 weeks of each treatment.
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Secondary outcome [2]
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Visual Analogue Scale data to measure the presence and severity of abdominal pain/ discomfort
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Assessment method [2]
294775
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Timepoint [2]
294775
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Measured at at the start of the trial and after 2 weeks of each treatment.
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Secondary outcome [3]
294776
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Visual Analogue Scale data to measure the presence and severity of flatulence
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Assessment method [3]
294776
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Timepoint [3]
294776
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Measured at at the start of the trial and after 2 weeks of each treatment.
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Eligibility
Key inclusion criteria
Patients who have reported symptoms of aerophagia whilst on continuous positive airways pressure therapy for obstructive sleep apnea.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnant women and patients with intellectual or mental impairment.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients who are seen in the Sleep Disorders Centre who are on CPAP therapy and have aerophagia as a side-effect of this therapy will be asked to participate. Patients will have the study explained to them and given a Participant Information Sheet. If agreeable, they will then be asked to sign the Consent Form which will be kept in the Sleep Disorders Centre. Patients will be assigned to the two treatment options in random order. The randomisation was carried out in the Microsoft Excel software package using the Random number function. One researcher will remain unblinded and will carry out the randomisation process. This researcher will not have any interaction with participants for the duration of the trial. Two of the researchers will remain blinded to which treatment arm the participant has been assigned to.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be computer generated with allocation concealment.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
Random order crossover design.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
22/06/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
56
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Queensland Health - Health Practitioner Research Scheme 2009-2010
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Address [1]
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Allied Health and Oral Health Clinical Education and Training Unit
3rd Floor, Forestry House, 130 Mary Street
GPO Box 48, Brisbane Queensland 4001
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Princess Alexandra Hospital
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Address
199 Ipswich Road
Woolloongabba
Queensland
4102
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
269137
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Country [1]
269137
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286142
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Princess Alexandra Human Research Ethics Committee
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Ethics committee address [1]
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Human Research Ethics Committee Centres for Health Research Princess Alexandra Hospital 199 Ipswich Road Woolloongabba Queensland 4102
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
286142
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Approval date [1]
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23/04/2009
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Ethics approval number [1]
286142
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2009/088
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Summary
Brief summary
Patients who suffer from Obstructive Sleep Apnoea, a disorder where the airway closes during sleep, are often prescribed treatment with CPAP (Continuous Positive Airways Pressure). This is a device that blows air down the airway via a face mask. Some patients experience stomach bloating as a result of this therapy. This research aims to try an alternative treatment, APAP (Automatic Positive Airways Pressure), to assess if this is better tolerated in these patients. APAP delivers the pressure by sensing when the airway closes and only increasing if necessary. Patients will use CPAP for two weeks and APAP for two weeks (in random order) to see which treatment is best tolerated. We propose that treatment with APAP will result in more effective and comfortable therapy. Patients who currently discontinue or struggle with CPAP due to these side-effects will have a reasonable alternative.
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Trial website
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Trial related presentations / publications
22nd Annual Scientific Meeting of the Australasian Sleep Association and Australasian Sleep Technologists Association, Christchurch, New Zealand, 21-23 October 2010: Poster presentation with oral component. Queensland Branch of the Australasian Sleep Technologists Association November 2009: Oral presentation
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Moses Chikazaza
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Address
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Sleep Disorders Centre
Princess Alexandra Hospital
Ipswich road
Woolloongabba Queensland 4102
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Country
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Australia
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Phone
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+61 7 3176 5751
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Fax
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+61 7 3176 7096
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Email
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[email protected]
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Contact person for scientific queries
Name
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Moses Chikazaza
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Address
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Sleep Disorders Centre
Princess Alexandra Hospital
Ipswich road
Woolloongabba Queensland 4102
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Country
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Australia
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Phone
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+61 7 3176 5751
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Fax
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+61 7 3176 7096
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Plain language summary
No
Aerophagia is a known side effect of continuous po...
[
More Details
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Study results article
Yes
J Clin Sleep Med. 2017 Jul 15; 13(7): 881–888. Pu...
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347683-(Uploaded-07-05-2019-11-49-55)-Journal results publication.pdf
Conference poster
No
22nd Annual Scientific Meeting of the Australasian...
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Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A randomized crossover trial comparing autotitrating and continuous positive airway pressure in subjects with symptoms of aerophagia: Effects on compliance and subjective symptoms.
2017
https://dx.doi.org/10.5664/jcsm.6658
N.B. These documents automatically identified may not have been verified by the study sponsor.
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