High Altitude Residents With High Altitude Pulmonary Hypertension (HAPH), SDB Assessed at HA (3200 m) vs LA (760 m)
Comparative Study of Sleep Disordered Breathing (SDB) in Patients With High Altitude Pulmonary Hypertension Permanently Residing Above 2500 Meters When Assessed Near Resident High Altitude (HA) at 3200 m vs. at Low Altitude (LA) 760 m
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 Contact
Study Contact
- Name: Silvia Ulrich, Prof. Dr.
- Phone Number: +41442552220
- Email: silvia.ulrich@usz.ch
Study Contact Backup
- Name: Michael Furian, Prof. Dr.
- Phone Number: +41442552220
- Email: michael.furian@usz.ch
Study Locations
-
-
-
Aksay Plateau, Naryn, Kyrgyzstan, Kyrgyzstan
- Aksay Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Permanently living >2500 m
- HAPH diagnosed with a minimum RV/RA of 30 mmHg assessed by echocardiography at an altitude of 3200 m
- Written informed consent
Exclusion Criteria:
- Highlanders who cannot follow the study investigations,
- Patients with moderate to severe concomitant lung disease (FEV1<70% or forced vital capacity <70%), severe parenchymal lung disease, heavy smoking >20 cigarettes/day or >20 pack-years.
- Coexistent unstable systemic hypertension or coronary artery disease that required adjustment of medication within the last 2 months
- Regular use of medication that affects control of breathing (benzodiazepines, opioids, acetazolamide)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Assessments at 3200 m and 760 m, respectively
Participants will have a SDB assessment near their resident altitude at 3200 m and after relocation to 760 m after 1 and 7 days
|
SDB will be assessed by respiratory polygraphy according to clinical standards
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean nocturnal SpO2 during the first night at LA vs HA
Time Frame: night 1 at 760 m compared to 3200 m.
|
Change in mean nocturnal SpO2 (%) between LA (760 m) vs HA (3200 m)
|
night 1 at 760 m compared to 3200 m.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean nocturnal SpO2 during the sixth night at LA vs HA
Time Frame: night 6 at 760 m compared to 3200 m.
|
Change in mean nocturnal SpO2 (%) between LA (760 m) vs HA (3200 m)
|
night 6 at 760 m compared to 3200 m.
|
|
Time spent with SpO2<90% at LA vs HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in time spent with SpO2<90% between LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
|
AHI at LA vs HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in apnea-hypopnea index (AHI) between LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
|
ODI at LA vs. HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in oxygen desaturation index (ODI) between LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
|
Time spent with periodic breathing at LA vs. HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in time spent with periodic breathingbetween LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
|
Heart rate variability at LA vs. HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in heart rate variability between LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
|
ECG markers of repolarization at LA vs. HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in electrocardiogram (ECG) markers of repolarization (QT time) between LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
|
pulse transit time drops at LA vs. HA
Time Frame: night 1 and night 6 at 760 m compared to 3200 m.
|
Change in pulse transit time drops between LA (760 m) vs HA (3200 m)
|
night 1 and night 6 at 760 m compared to 3200 m.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Silvia Ulrich, Prof. Dr., University Hospital Zurich, Department of Pulmonology
- Principal Investigator: Talant M Sooronbaev, Prof. Dr., National Center of Cardiology and Internal Medicine named after academician M.Mirrakhimov
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Respiration Disorders
- Sleep Wake Disorders
- Signs and Symptoms, Respiratory
- Apnea
- Sleep Disorders, Intrinsic
- Dyssomnias
- Hypertension
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Hypoxia
- Sleep Apnea Syndromes
- Hypertension, Pulmonary
- Altitude Sickness
- Pulmonary edema of mountaineers
Other Study ID Numbers
Other Study ID Numbers
- HAPH_HAvsLA_SDB
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.