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Trial registered on ANZCTR
Registration number
ACTRN12609000087257
Ethics application status
Not yet submitted
Date submitted
10/12/2008
Date registered
9/02/2009
Date last updated
9/02/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Determining which throat muscles are important in obstructive sleep apnoea
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Scientific title
Upper airway muscle function during wakefulness and sleep in individuals with and without obstructive sleep apnoea
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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:
Obstructive sleep apnoea
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Condition category
Condition code
Respiratory
4310
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0
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Sleep apnoea
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Intervention/exposure
Study type
Observational
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Patient registry
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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
Each participant will have two small catheters inserted into the upper airway (throat) and oesophagus via the nose. Fine wire electrodes will be inserted into the genioglossus, geniohyoid, tensor palatini and levator palatini muscles. The catheters and wires will be inserted in the late afternoon and remain in place until the following morning (approximately 15 hours total). These wires and catheters will allow measurement of the activity of the upper airway muscles during wakefulness and sleep to determine which muscles are important in maintaining an open airway and how they may be failing to allow upper airway collapse in patients with sleep apnoea.
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Intervention code [1]
3826
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Comparisons of the activity of the upper airway muscles between individuals with and without obstructive sleep apnoea. Upper airway muscle activity will be measured using intramuscular electromyography ( fine wires will be inserted into each muscle). The amount of activity recorded will be compared between groups.
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Assessment method [1]
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Timepoint [1]
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Overall, the study will run for 12 months. Comparisons of upper airway activity will be made between groups as soon as data collection in all subjects is complete, which is likely to be at approximately 12 months, although may occur sooner.
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Secondary outcome [1]
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Comparisons of catheter-based measurements of upper airway muscle activity with fine-wire measurements of upper airway muscle activity
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Assessment method [1]
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Timepoint [1]
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Overall, the study will run for 12 months. Comparisons of upper airway activity will be made between the fine wires and the catheter measurements of muscle activity as soon as data collection in all subjects is complete, which is likely to be at approximately 12 months, although may occur sooner.
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Eligibility
Key inclusion criteria
Age >18yrs
Without uncontrolled hypertension, without type 1 diabetes or uncontrolled type II diabetes, without cardiovascular disease.
Healthy individual or diagnosis of obstructive sleep apnoea
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Age <18 years
Uncontrolled hypertension
type 1 diabetes
uncontrolled type II diabetes
cardiovascular disease
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2009
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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
30
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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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National Health and Medical Research Council Project Grant No. 572647
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Address [1]
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GPO Box 1421, Canberra, ACT 2001
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Sir Charles Gairdner Hospital
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Address
Hospital Avenue Nedlands
Perth 6009
Western Australia
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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]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Sir Charles Gairdner Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Human Research Ethics Committee Level 1 E-Block Sir Charles Gairdner Hospital Hospital Avenue Nedlands Perth 6009 Western Australia
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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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25/11/2008
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Approval date [1]
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08/01/2009
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Ethics approval number [1]
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2008-175
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Summary
Brief summary
Obstructive sleep apnoea is a common and treatable condition characterised by upper airway (throat) collapse which results in the repeated cessation of breathing during sleep. It is associated with disrupted sleep and excessive daytime tiredness and lethargy, which have major consequences for social well-being and productivity in our community. It is association with hypertension and is an independent risk factor for cardiovascular disease. Upper airway muscle activity is important in the pathogenesis of obstructive sleep apnoea, both in the development of upper airway collapse and in the restoration of an open airway. The gold standard method of measuring muscle activity by the use of intramuscular electrodes. This technique while relatively painless is invasive as the skin must be punctured. A catheter based technique may allow non-invasive measurement of muscle activity without puncturing the skin. The purpose of this study is to (i) compare the effectiveness of intramuscular recordings of muscle activity with catheter-based recordings of muscle activity and (ii)to determine the role of the upper airway muscles (specifically the genioglossus, geniohyoid, tensor palatini and levator palatini) in maintaining an open airway with inspiratory loading (i.e. increased effort to breathe) during wakefulness and sleep in normal, healthy individuals and individuals with sleep apnoea.
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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
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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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Associate Professor Peter Eastwood
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Address
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Department of Pulmonary Physiology
Level 5-G Block
Sir Charles Gairdner Hospital
Perth WA
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Country
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Australia
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Phone
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+61 8 9346 2888
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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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Associate Professor Peter Eastwood
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Address
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Department of Pulmonary Physiology
Level 5-G Block
Sir Charles Gairdner Hospital
Perth WA
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Country
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Australia
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Phone
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+61 8 9346 2888
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Fax
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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
No additional documents have been identified.
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