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Trial registered on ANZCTR
Registration number
ACTRN12615000135516
Ethics application status
Approved
Date submitted
21/01/2015
Date registered
12/02/2015
Date last updated
17/01/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Benefits to early identification of Obesity Hypoventilation Syndrome (too shallow or too slow breathing) in obese patients by measuring blood carbon dioxide levels while lying flat and sitting upright.
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Scientific title
A cross-sectional study to identify obese patients who are at risk of developing obesity hypoventilation syndrome (OHS) by investigating the relationship between daytime measures (including supine hypercapnia, distribution of body fat, and lung volumes) with the presence of hypoventilation during sleep.
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Secondary ID [1]
285727
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Nil
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Universal Trial Number (UTN)
U1111-1164-4509
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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:
Obesity Hypoventilation Syndrome
293609
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Obstructive Sleep Apnoea
293610
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Condition category
Condition code
Respiratory
293896
293896
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0
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Sleep apnoea
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Diet and Nutrition
294484
294484
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0
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Obesity
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
In a single 1 hour session, upright and supine arterialised capillary blood gases and simple bedside spirometry will be performed for each participant. In addition, neck, waist and hip measurements will also be obtained. Transcutaneous carbon dioxide levels and severity of oxygen desaturation will also be recorded throughout the duration of the single overnight sleep study.
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Intervention code [1]
290682
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Not applicable
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
293673
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Erect to supine difference in blood pCO2
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Assessment method [1]
293673
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Timepoint [1]
293673
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Blood samples will be obtained after 5 minutes of standing and again after 20 minutes of lying supine during the assessment period.
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Secondary outcome [1]
311559
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Sleep transcutaneous pCO2 monitoring and severity of oxygen desaturation
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Assessment method [1]
311559
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Timepoint [1]
311559
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Measured throughout sleep during the sleep study using skin and finger probes.
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Secondary outcome [2]
312709
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Lung volume measurements
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Assessment method [2]
312709
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Timepoint [2]
312709
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Spirometry will be performed after 5 minutes of sitting upright and again after 5 minutes of lying flat during the daytime assessment period. The forced expiratory time (FEV1) and forced and slow vital capacities will be assessed using a spirometer.
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Secondary outcome [3]
312710
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Anthropomorphic measurements
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Assessment method [3]
312710
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Timepoint [3]
312710
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Measured while lying flat and standing upright during the daytime assessment period. These measurements will require less than 10 minutes to complete using a flexible tape measure.
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Eligibility
Key inclusion criteria
1. Age 18 – 75 years old
2. Written informed consent
3. BMI>40kg/m2
4. Able to lie flat
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Minimum age
18
Years
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Maximum age
75
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
1. Major psychiatric, neurological disorder or head injury
2. Neuromuscular disease or lung disease
3. Uncontrolled medical conditions including cardiac failure
4. Not proficient in English
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
23/02/2015
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Actual
5/03/2015
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Date of last participant enrolment
Anticipated
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Actual
8/06/2017
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Date of last data collection
Anticipated
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Actual
8/06/2017
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Sample size
Target
100
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Accrual to date
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Final
94
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
3203
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
8984
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2050 - Camperdown
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Funding & Sponsors
Funding source category [1]
290301
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Self funded/Unfunded
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Name [1]
290301
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N/A
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Address [1]
290301
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N/A
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Country [1]
290301
0
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Primary sponsor type
Individual
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Name
Sheila Sivam
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Address
Department of Respiratory and Sleep Medicine
Royal Prince Alfred Hospital
Missenden Road
Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
289011
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None
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Name [1]
289011
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Address [1]
289011
0
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Country [1]
289011
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292006
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SLHD Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
292006
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Mailing Address: c/- Research Development Office Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
292006
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Australia
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Date submitted for ethics approval [1]
292006
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25/11/2014
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Approval date [1]
292006
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20/02/2015
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Ethics approval number [1]
292006
0
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Summary
Brief summary
The aim of this study is to identify obese patients who are at risk of developing Obesity Hypoventilation Syndrome (OHS) by investigating the relationship between daytime measures (including supine hypercapnia (elevated carbon dioxide levels when lying flat), distribution of body fat, and lung volumes) with the presence of hypoventilation during sleep. Hypothesis: Supine hypercapnia is a useful marker for identifying sleep hypoventilation, an early sign of the development of OHS.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
53030
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Dr Sheila Sivam
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Address
53030
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DEPT OF RESPIRATORY AND SLEEP MEDICINE
LEVEL 11, BUILDING 75
ROYAL PRINCE ALFRED HOSPITAL
MISSENDEN ROAD
CAMPERDOWN NSW 2050
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Country
53030
0
Australia
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Phone
53030
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+61 2 9515 8708
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Fax
53030
0
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Email
53030
0
[email protected]
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Contact person for public queries
Name
53031
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Sheila Sivam
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Address
53031
0
DEPT OF RESPIRATORY AND
SLEEP MEDICINE
LEVEL 11, BUILDING 75
ROYAL PRINCE ALFRED HOSPITAL
MISSENDEN ROAD
CAMPERDOWN NSW 2050
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Country
53031
0
Australia
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Phone
53031
0
+61 2 9515 8708
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Fax
53031
0
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Email
53031
0
[email protected]
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Contact person for scientific queries
Name
53032
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Sheila Sivam
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Address
53032
0
DEPT OF RESPIRATORY AND SLEEP MEDICINE
LEVEL 11, BUILDING 75
ROYAL PRINCE ALFRED HOSPITAL
MISSENDEN ROAD
CAMPERDOWN NSW 2050
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Country
53032
0
Australia
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Phone
53032
0
+61 2 9515 8708
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Fax
53032
0
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Email
53032
0
[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
Obesity hypoventilation syndrome: Early detection of nocturnal-only hypercapnia in an obese population.
2018
https://dx.doi.org/10.5664/jcsm.7318
N.B. These documents automatically identified may not have been verified by the study sponsor.
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