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TerminatedNCT01027078Updated Jun 28, 2022

Mechanism of Endothelial Dysfunction in Obstructive Sleep Apnea (OSA)

An observational study in Obstructive Sleep Apnea, sponsored by Ohio State University. Terminated at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-06-28.

Sponsored by Ohio State University · Observational

Why this study was terminated
Due to insufficient grant funding
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
90
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The investigators hypothesized that patients with Obstructive Sleep Apnea (OSA) who are free of any cardiovascular disease will have early microcirculatory changes that are unique to OSA, and therefore would resolve with treatment of OSA.

Read the detailed description

Impaired vascular regulation of the microcirculation is a consequence of Obstructive Sleep Apnea (OSA). Nitric Oxide (NO) related endothelial dysfunction occurs in OSA as the earliest vascular abnormality prior to the manifestation of vascular disease and it results in impaired vasodilatory response to hypoxia. These abnormalities have already been described in OSA patients. The role of oxidative stress in endothelial dysfunction is present in vascular disorders. The presence of oxidative stress in OSA patients is also well established. The effect of increased superoxide on endothelial function has also been described in the literature. The mechanism of this effect is unknown and is the focus of this research.

We hypothesized that patients with Obstructive Sleep Apnea (OSA) who are free of any cardiovascular disease will have early microcirculatory changes that are unique to OSA, and therefore would resolve with treatment of OSA.

02

Conditions studied

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 90 is below the median of 106 across 386 observational studies indexed under Apnea.

Browse Apnea studies →

Lead sponsor

Ohio State University is the lead sponsor of 640 studies on the registry; 144 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 45 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants: will be 36 patients with newly diagnosed OSA and 36 age and BMI matched controls.

Patients with OSA will be enrolled from the sleep disorders center at OSU among patients who underwent a recent (past 4 weeks) polysomnography that is positive for OSA, and never were treated with CPAP.

Inclusion criteria will be AHI > 15 events per hours.

Inclusion criteria

  1. Apnea-Hypopnea Index (AHI) > 15 events per hours.

Exclusion criteria

Exclusion criteria:

  1. Hypertension defined by existing treatment with antihypertensives or any measurement of systolic pressure above 130 mmHg, or diastolic pressure above 85 mmHg;
  2. Dyslipidemia defined by fasting cholesterol above 200; or fasting LDL over 150 mg/dl;
  3. Diabetes defined as existing diagnosis, hemoglobin A1C >7 or fasting glucose >110 on two separate measurements (standard fasting glucose or HbA1C criteria);
  4. CAD defined by history of angina, coronary event or abnormal stress test;
  5. Peripheral Vascular Disease (PVD) defined by history of stroke, claudication or abnormal Ankle brachial index;
  6. Concurrent smoking;
  7. Pregnancy;
  8. Use of erectile dysfunction drugs, or any medications for chronic conditions; 9)Chronic liver or renal disease. Fasting blood test for glucose, cholesterol, on all participants who have not had these tests in the 6 month prior to enrollment, will be obtained at the time of screening. The remaining criteria will be evaluated by reviewing the medical records and history taking on the day of first visit.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
90 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • OSA

    patients diagnosed with obstructive sleep apnea who do not have existing cardiovascular disease

  • control

    patients without obstructive sleep apnea who are matched in weight and age to the OSA patients

06

What researchers measure

Primary outcomes

  1. eNOS Expression

    All measurements will be obtained upon diagnosis of OSA and 12 weeks after effective treatment with continuous positive airway pressure (CPAP). Controls will receive all measurements at baseline.

    Time frame: Measured at basline and 3-months post-treatment (CPAP) initiation

Secondary outcomes

  1. Peroxynitrite Formation

    All measurements will be obtained upon diagnosis of OSA and 12 weeks after effective treatment with continuous positive airway pressure (CPAP). Controls will receive all measurements at baseline.

    Time frame: Measured at basline and 3-months post-treatment (CPAP) initiation

Other outcomes

  1. Superoxide Production

    All measurements will be obtained upon diagnosis of OSA and 12 weeks after effective treatment with continuous positive airway pressure (CPAP). Controls will receive all measurements at baseline.

    Time frame: Measured at basline and 3-months post-treatment (CPAP) initiation

  2. Plasma BH2 and BH4 Levels

    All measurements will be obtained upon diagnosis of OSA and 12 weeks after effective treatment with continuous positive airway pressure (CPAP). Controls will receive all measurements at baseline. The BH2/BH4 ratio will be measured using high pressure liquid chromatography (HPLC).

    Time frame: Measured at basline and 3-months post-treatment (CPAP) initiation

  3. Plasma ADMA Levels

    All measurements will be obtained upon diagnosis of OSA and 12 weeks after effective treatment with continuous positive airway pressure (CPAP). Controls will receive all measurements at baseline. Plasma ADMA levels will be measured using high pressure liquid chromatography (HPLC).

    Time frame: Measured at basline and 3-months post-treatment (CPAP) initiation

07

Study locations

1 site
  • The Davis Heart and Lung Research Institute
    Columbus, Ohio 43210, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01027078
Lead sponsor
Ohio State University
Responsible party
Sponsor
First posted
Dec 7, 2009
Start date
Nov 2009
Primary completion
Feb 4, 2022
Completion
Feb 4, 2022
Last update
Jun 28, 2022

Study contacts

Rami Khayat, MD
principal investigator · Ohio State University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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