Inflammation and Oxidative Stress of Adipose Tissue in Sleep Apnea Syndrome (ADISAS)
Inflammation and Oxidative Stress of Adipose Tissue in Obese and Non-obese Patients Having Sleep Apnea Syndrome
The main objective of this study is to evaluate the decrease of inflammation of adipose tissue in obese and non-obese patients having a sleep apnea syndrome and treated or not by continuous positive airway pressure (cPAP).
An interim analysis will be performed when 40 patients will be included.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Grenoble, France, 38000
- University Hospital Grenoble
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male between 18 and 70 years old
- Apnea Hypopnea Index > 30/h and > 5% TST with SaO2 < 90%
- patients obese (BMI > 33kg/m2) or non obese (BMI < 27kg/m2)
Exclusion Criteria:
- Female
- coronary ischemic disease, past history of CVA
- chronic pulmonary disease measured by arterial gasometry (PaO2 < 60mmHg and/or PaCO2 > 45mmHg)
- known hepatic disease
- alcohol consumption > 3 units/day
- sleepiness considered to be dangerous by the investigator
- patient having an hazardous work regarding to awareness
- patient being under anticoagulant, antiplatelet drug or having an active stent or bleeding disorder
- patient having an inflammatory syndrome (C-reactive Protein > 10)
- any allergy to local anaesthetics
- chronic muscle pain
- contraindication to MRI
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: obese + cPAP
Patients with sleep apnea syndrome will be first randomised in 2 arms according to their obesity.
They will be secondly randomised in 2 arms receiving either cPAP treatment or Sham cPAP.
|
Patients are randomised in 2 arms : cPAP or sham cPAP
Patients are randomised in 2 arms : cPAP or Sham cPAP
|
|
Other: obese + Sham cPAP
Patients with sleep apnea syndrome will be first randomised in 2 arms according to their obesity.
They will be secondly randomised in 2 arms receiving either cPAP treatment or Sham cPAP.
|
Patients are randomised in 2 arms : cPAP or sham cPAP
Patients are randomised in 2 arms : cPAP or Sham cPAP
|
|
Other: non-obese + cPAP
Patients with sleep apnea syndrome will be first randomised in 2 arms according to their obesity.
They will be secondly randomised in 2 arms receiving either cPAP treatment or Sham cPAP.
|
Patients are randomised in 2 arms : cPAP or sham cPAP
Patients are randomised in 2 arms : cPAP or Sham cPAP
|
|
Other: non-obese + Sham cPAP
Patients with sleep apnea syndrome will be first randomised in 2 arms according to their obesity.
They will be secondly randomised in 2 arms receiving either cPAP treatment or Sham cPAP.
|
Patients are randomised in 2 arms : cPAP or sham cPAP
Patients are randomised in 2 arms : cPAP or Sham cPAP
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Decrease of inflammation in adipose tissue
Time Frame: 2 months
|
Obese and non-obese patients having a sleep apnea syndrome will be treated by cPAP or not (placebo arm).
Decrease of inflammation in adipose tissue is expected to be observed in patients treated by cPAP.
|
2 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Decrease of oxidative stress
Time Frame: 2 months
|
Measures of oxidative stress will be done in obese and non-obese patients treated either by cPAP or "Placebo cPAP"
|
2 months
|
|
measure of insulin sensitivity
Time Frame: 2 months
|
Insulin sensitivity will be measured in obese and non-obese patients treated either by cPAP or "placebo cPAP"
|
2 months
|
|
Decrease of systemic inflammation
Time Frame: 2 months
|
This measure will be done in obese and non-obese patients treated either by cPAP or "placebo cPAP"
|
2 months
|
|
Measure of local hypoxemia of adipose tissue
Time Frame: 2 months
|
This measure will be done in obese and non-obese patients treated either by cPAP or "placebo cPAP"
|
2 months
|
|
Measure of structural and functional changes in skeletal muscle
Time Frame: 2 months
|
This measure will be done in obese and non-obese patients treated either by cPAP or "placebo cPAP"
|
2 months
|
|
Measure of vascular adhesion factors modifications and protein synthesis signals modifications
Time Frame: 2 months
|
This measure will be done in musculus skeletal of obese and non-obese patients treated either by cPAP or "placebo cPAP"
|
2 months
|
|
Decrease in endothelial dysfunction
Time Frame: 2 months
|
This measure will be done in obese and non-obese patients treated either by cPAP or "placebo cPAP" and correlated to decrease of inflammation and oxidative stress
|
2 months
|
|
Decrease in arterial rigidity
Time Frame: 2 months
|
This measure will be done in obese and non-obese patients treated either by cPAP or "placebo cPAP" and correlated to decrease of inflammation and oxidative stress
|
2 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jean Louis PEPIN, ProfessorPhD, University Hospital, Grenoble
Publications and helpful links
General Publications
- Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005 Mar 19-25;365(9464):1046-53. doi: 10.1016/S0140-6736(05)71141-7.
- Shamsuzzaman AS, Gersh BJ, Somers VK. Obstructive sleep apnea: implications for cardiac and vascular disease. JAMA. 2003 Oct 8;290(14):1906-14. doi: 10.1001/jama.290.14.1906.
- Baguet JP, Hammer L, Levy P, Pierre H, Launois S, Mallion JM, Pepin JL. The severity of oxygen desaturation is predictive of carotid wall thickening and plaque occurrence. Chest. 2005 Nov;128(5):3407-12. doi: 10.1378/chest.128.5.3407.
- Hosogai N, Fukuhara A, Oshima K, Miyata Y, Tanaka S, Segawa K, Furukawa S, Tochino Y, Komuro R, Matsuda M, Shimomura I. Adipose tissue hypoxia in obesity and its impact on adipocytokine dysregulation. Diabetes. 2007 Apr;56(4):901-11. doi: 10.2337/db06-0911.
- Coughlin SR, Mawdsley L, Mugarza JA, Wilding JP, Calverley PM. Cardiovascular and metabolic effects of CPAP in obese males with OSA. Eur Respir J. 2007 Apr;29(4):720-7. doi: 10.1183/09031936.00043306. Epub 2007 Jan 24.
- Lavie L. Obstructive sleep apnoea syndrome--an oxidative stress disorder. Sleep Med Rev. 2003 Feb;7(1):35-51. doi: 10.1053/smrv.2002.0261.
- Jullian-Desayes I, Tamisier R, Zarski JP, Aron-Wisnewsky J, Launois-Rollinat SH, Trocme C, Levy P, Joyeux-Faure M, Pepin JL. Impact of effective versus sham continuous positive airway pressure on liver injury in obstructive sleep apnoea: Data from randomized trials. Respirology. 2016 Feb;21(2):378-85. doi: 10.1111/resp.12672. Epub 2015 Nov 16.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 09-CHUG-25
- 2009-A00826-51 (Registry Identifier: ID RCB)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Sleep Apnea Syndrome
-
NCT07399782Not yet recruitingSleep Apnea/Hypopnea Syndrome | Sleep Apnea Syndrome, Obstructive | Sleep Apnea Syndrome (OSAS) | Sleep Apnea - Obstructive
-
NCT06915077Enrolling by invitationSleep Apnea | Sleep Apnea Syndrome | Sleep Apnea/Hypopnea Syndrome | Sleep Apnea Syndrome, Obstructive | Sleep Apnea Syndrome (OSAS)
-
NCT06970171Enrolling by invitationObstructive Sleep Apnea Syndrome (OSAS)
-
NCT05491967CompletedObstructive Sleep Apnea/Hypopnea Syndrome
-
NCT00603044CompletedChildhood Obstructive Sleep Apnea Syndrome (OSAS)
-
NCT06586268RecruitingSleep Apnea Syndrome, Obstructive | Sleep Apnea Syndrome (OSAS)
-
NCT02429986CompletedComplex Sleep Apnea Syndrome | Chronic Heart Failure and | Obstructive Sleep Apnea Syndrome and | Idiopathic Central Sleep Apnea Syndrome | Idiopathic Induced Periodic Breathing | Central Sleep Apnea Syndrome
-
NCT05147649RecruitingObstructive Sleep Apnea Syndrome
-
NCT05049928Completed
-
NCT05911971Not yet recruitingModerate Obstructive Sleep Apnea Syndrome
Clinical Trials on cPAP
-
NCT07513051Not yet recruitingNeonatal Respiratory Distress
-
NCT03782844CompletedSleep Apnea, Obstructive | Continuous Positive Airway Pressure | Polysomnography
-
NCT02403492CompletedObesity | Cardiovascular Disease | Obstructive Sleep Apnea | Sleep Disorders
-
NCT03200769CompletedSleep Apnea Syndromes | Epilepsies, Partial
-
NCT00679549CompletedHeart Failure | Obstructive Sleep Apnea | Heart Failure, Congestive
-
NCT01312168UnknownSleep Apnea, Obstructive | Inflammation | Vascular Function | Continuous Positive Airway Pressure | Endothelium
-
NCT07464262RecruitingObstructive Sleep Apnea (OSA)