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CompletedNCT00487929OSCAMSAUpdated Apr 2, 2013

Oxidative Stress and Cardiovascular Morbidity in Sleep Apnea-Hypopnea Syndrome (SAHS)

A Phase 4 interventional study of nasal CPAP and Sham CPAP in Sleep Apnea and Cardiovascular Diseases, sponsored by Hospital Universitario La Paz. Completed at 1 site in Spain. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-04-02.

Sponsored by Hospital Universitario La Paz · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to compare the levels of 8-isoprostane and other oxidative stress biomarkers in plasma and condensed exhaled air between patients with SAHS and cardiovascular complications, patients with SAHS without cardiovascular complications and control subjects. To evaluate the effect of three months of treatment with CPAP on the oxidative stress biomarkers.

Read the detailed description

Aim: To compare the levels of 8-isoprostane and other oxidative stress biomarkers in plasma and condensed exhaled air between patients with SAHS and cardiovascular complications, patients with SAHS without cardiovascular complications and control subjects. To evaluate the effect of three months of treatment with CPAP on the oxidative stress biomarkers.

Design: randomized, double blind, of parallel groups and controlled with placebo study.

Study subjects: 53 patients with SAHS (23 with cardiovascular complications and 30 without cardiovascular complications), 23 patients with cardiovascular diseases without SAHS and 23 control subjects.

Interventions: Three months of treatment with therapeutic CPAP or with sham CPAP (placebo).

Determinations: clinical (cardiovascular morbidity) and anthropometric data. Fat free corporal mass, echocardiography, spirometry, ambulatory monitoring of the arterial pressure, endothelial reactivity. Oxidative stress biomarkers (8-isoprostane, homocysteine, HIF-1, NFkB, AP-1, VEGF, ET-1, TNF-alpha, IL-1, IL-6, ICAM-1, VCAM-1, nitrates and nitrites) in plasma and condensed exhaled air.Peripheral sensitivity to hypoxia. Urinary excretion of catecholamines.

02

Conditions studied

  • Sleep Apnea
  • Cardiovascular Diseases

Keywords

  • sleep apnea
  • morbidity
  • cardiovascular
  • cpap
  • oxidative stress
03

In context

Apnea

1,422 studies on the registry are indexed under Apnea; 159 are open to participants now.

This study's enrollment of 100 is above the median of 50 across 965 interventional studies indexed under Apnea.

Browse Apnea studies →

Lead sponsor

Hospital Universitario La Paz is the lead sponsor of 51 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Sleep apnea-hypopnea syndrome (AHI > 5)
  • Excessive sleepiness (ESS > 11)
  • No previous CPAP treatment

Exclusion criteria

Exclusion Criteria:

  • Blood pressure > 180/120 mmHg.
  • Secondary hypertension
  • Professional driver
  • COPD, asthma, bronchiectasis, lung cancer, restrictive lung disorder, chest wall disease
  • Neuromuscular disease or thyroid function abnormalities
  • Morbid obesity (BMI > 40 Kg/m2).
  • Respiratory infection in the 2 last months.
  • Anemia (Hb \< 10 g/dl) or polyglobulia (Hct > 55%).
  • Diurnal hypercapnia (PaCO2 > 45 mmHg) or moderate hypoxemia (PaO2 \< 70 mmHg).
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    CPAP

    Continuous positive airway pressure

    Device: nasal CPAP

  • Sham comparator
    Sham CPAP

    Sham nasal continuous positive airway pressure

    Device: Sham CPAP

Interventions

  • Devicenasal CPAP

    Nocturnal

  • DeviceSham CPAP

    Nocturnal

06

What researchers measure

Primary outcomes

  1. Plasmatic 8-isoprostane concentration

    Time frame: three months

Secondary outcomes

  1. Plasmatic and condensed exhaled air concentrations of homocysteine, HIF-1, NFkB, AP-1, VEGF, ET-1, TNF-alpha, IL-1, IL-6, ICAM-1, VCAM-1, nitrates and nitrites.

    Time frame: three months

07

Study locations

1 site
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00487929
Lead sponsor
Hospital Universitario La Paz
First posted
Jun 19, 2007
Start date
Jun 2007
Primary completion
Apr 2012
Completion
Oct 2012
Last update
Apr 2, 2013

Study contacts

Francisco García-Rio, PhD
study chair · Servicio de Neumología. Hospital Universitario La Paz

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2008. You cannot join it, but the record below documents what was studied.

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