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Trial registered on ANZCTR
Registration number
ACTRN12614000364673
Ethics application status
Approved
Date submitted
1/04/2014
Date registered
7/04/2014
Date last updated
10/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of zopiclone on the respiratory arousal threshold in obstructive sleep apnoea
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Scientific title
The effect of zopiclone on the respiratory arousal threshold in obstructive sleep apnoea
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Secondary ID [1]
284379
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Nil
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Universal Trial Number (UTN)
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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:
Sleep apnoea
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Condition category
Condition code
Respiratory
291927
291927
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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
Zopiclone (7.5mg), once only immediately before going to bed, taken orally.
1 week washout
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Intervention code [1]
289108
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Treatment: Drugs
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Comparator / control treatment
Placebo (sugar pill), taken orally (participants will act as their own controls in a cross-over design)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Respiratory arousal threshold (negative pharyngeal pressure immediately prior to arousal from sleep using an epiglottic pressure catheter inserted via the nostril)
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Assessment method [1]
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Timepoint [1]
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Acute overnight studies on zopiclone vs. placebo
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Secondary outcome [1]
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Genioglossus muscle activity during sleep measured using fine-wire intramuscular electromyography
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Assessment method [1]
307639
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Timepoint [1]
307639
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Acute overnight studies on zopiclone vs. placebo
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Secondary outcome [2]
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Polysomnographic measures of sleep apnoea severity (e.g. AHI, sleep efficiency, arousal index, event duration, and nadir SaO2)
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Assessment method [2]
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Timepoint [2]
307640
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Acute overnight studies on zopiclone vs. placebo
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Eligibility
Key inclusion criteria
Men and women with obtructive sleep apnoea
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Minimum age
18
Years
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Maximum age
65
Years
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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
-Known allergy or previous adverse reaction to zopiclone
-Pregnant or nursing mothers
-Patients with any other medical condition which may interfere in the evaluation of the study
- Patients taking medications known to affect sleep or muscle activity
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
It is estimated that studying 12 participants will allow us to detect a 4cmH2O difference (SD=4.5) in the respiratory arousal threshold between placebo and zopiclone conditions (paired t-test) with >80% power. This calculation is based on a similar effect size for other common sedatives and a between night difference in the SD of the respiratory arousal threshold using similar methodology (e.g. Eckert el al, Clin Sci, 2011 and Eckert et al, Sleep 2014).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
9/04/2014
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Actual
15/04/2014
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Date of last participant enrolment
Anticipated
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Actual
30/09/2014
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Date of last data collection
Anticipated
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Actual
30/10/2014
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Sample size
Target
12
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Accrual to date
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Final
12
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of New South Wales
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Address [1]
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UNSW Medicine
University of New South Wales
SYDNEY NSW 2052
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Country [1]
289019
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Australia
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Funding source category [2]
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Government body
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Name [2]
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NHMRC (APP1042493)
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Address [2]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [2]
289020
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Australia
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Primary sponsor type
Other
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Name
Neuroscience Research Australia
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Address
Barker Street
Randwick
NSW 2031
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Country
Australia
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Secondary sponsor category [1]
287695
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None
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Name [1]
287695
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Address [1]
287695
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Country [1]
287695
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of New South Wales Human Research Ethics Committee
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Ethics committee address [1]
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UNSW Grants Management Office Rupert Myers Building, Level 3, South Wing The University of New South Wales SYDNEY NSW 2052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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13/03/2012
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Ethics approval number [1]
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HC12028
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Summary
Brief summary
The purpose of this physiology study is to determine the effects of zopiclone (sedative) on the awakening (arousal) response to respiratory stimuli during sleep and on upper airway muscle activity and breathing during sleep.
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Trial website
Nil
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Trial related presentations / publications
Carter SG, Berger MS, Carberry JC, Bilston LE, Butler JE, Tong BKY, Martins RT, Fisher LP, McKenzie DK, Grunstein RR, Eckert DJ. Zopiclone Increases the Arousal Threshold without Impairing Genioglossus Activity in Obstructive Sleep Apnea. Sleep 2016;39:757–766.
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Public notes
Nil
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Contacts
Principal investigator
Name
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Dr Danny Eckert
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Address
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Neuroscience Research Australia
Barker Street
Randwick, NSW 2031
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Country
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Australia
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Phone
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+61 2 9399 1814
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Danny Eckert
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Address
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Neuroscience Research Australia
Barker Street
Randwick, NSW 2031
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Country
47447
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Australia
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Phone
47447
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+61 2 9399 1814
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Fax
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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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Danny Eckert
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Address
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Neuroscience Research Australia
Barker Street
Randwick, NSW 2031
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Country
47448
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Australia
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Phone
47448
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+61 2 9399 1814
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Fax
47448
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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
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Zopiclone increases the arousal threshold without impairing genioglossus activity in obstructive sleep apnea.
2016
https://dx.doi.org/10.5665/sleep.5622
N.B. These documents automatically identified may not have been verified by the study sponsor.
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