ClinicalTrials.gg
CompletedNCT03445962SYNAPSOT21Updated Dec 29, 2025

19/5000 (SYNAPSOT21) Predictive Factors of Sleep Apnea Syndrome in Down Syndrome

An observational study in Down Syndrome, Sleep Apnea, Obstructive and Polysomnography, sponsored by University Hospital, Grenoble. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-29.

Sponsored by University Hospital, Grenoble · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
40
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 40 studies in Down Syndrome with a site in France — 12 open to participants now, 12 under way, none of them phase 3. Down Syndrome · France.

Enrollment
19th of 23
40 · median 100
Started
2017
with 1 other
Observational
23 of 40
6 open now
Registered
20th of 40
by date
Lead sponsor
3 of 40
University Hospital, Grenoble

Among the 40 studies in Down Syndrome with a site in France, this one is the 19th largest by enrollment of the 23 observational ones that give a count, is one of 2 that started in 2017, is one of 23 observational ones, and was the 20th registered.

Down Syndrome

438 studies on the registry are indexed under Down Syndrome; 99 are open to participants now.

Browse Down Syndrome studies →

Open to participants now

12 of the 40 studies in Down Syndrome with a site in France are open now. Recruiting first, the newest first:

7 more — sign in →

All 12 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 75 Down Syndrome studies recruiting now, 14 (19%) set no upper age limit and 58 (77%) stop at 75 or younger; 61 take children under 18; 19 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The obstructive sleep apnea syndrome (OSAS) is frequently reported in subjects with trisomy 21. The consequences of this syndrome are expressed in various disorders such as cognitive and cardiovascular alterations. It is also reported a premature exhaustion with the achievement of various professional or recreational activities, as well as an increase in the frequency of daytime sleepiness. In trisomy 21, there are factors that are systematically associated with obstructive apnea. The identification of these factors would make it possible to diagnose OSAS earlier, under-diagnosed in the population with trisomy 21 even though these OSAS are associated with increased cardiovascular risks.

The aim of this study is to identify the predictive factors associated with sleep apnea in the trisomy population in order to propose early detection.

OSAS treatment in a young adult with Down syndrome could reduce physical fatigue apparition during various activities, reduce daytime sleepiness, and have a positive impact on physical fitness, and therefore more broadly on health.

Read the detailed description

The predictive factors for OSA that will be studied are: physical activity level, dentofacial disharmonies, blood parameters, motor disabilities, heart rate variability parameters measured during sleep and during autonomic nervous stimulation by orthostatic test.

All these factors will be linked to the data obtained by:

  1. polysomnography
  2. by the joint use of seismocardiography

OSAS lead to many associated disorders, which identified early can be better supported to limit the deleterious effects of this OSAS:

(i) a sudden and repeated activation of the sympathetic nervous system triggered by sleep fragmentation (ii) intermittent hypoxia associated with OSAS may increase insulin resistance through the involvement of an inflammatory state and oxidative stress.

(iii) a significant level of diurnal fatigue limiting activities, thus promoting a sedentary lifestyle and increasing cardiovascular risk factors.

Several secondary objectives will therefore be studied:

  1. Can OSAS be predicted by the existence of autonomic dysfunction?
  2. Can OSAS be predicted by specific biological disturbances?
  3. Can OSAS be predicted by the presence of a specific cranial structure?
  4. Can OSAS be predicted by an insufficient level of physical activity?

Finally does the use seismocardiography make it possible to identify quickly and early these risk factors linked to OSAS?

03

Conditions studied

  • Down Syndrome
  • Sleep Apnea, Obstructive
  • Polysomnography

Keywords

  • Autonomic nervous system
  • Heart rate variability
  • Physical Activity
  • exercise
  • biological parameters
  • cephalometry
  • body composition
  • actigraphy
  • motor capacity
  • physical fitness
  • aerobic capacity
  • seismocardiography
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Adults with Down syndome voluntary to participated

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Subjects with Down syndrome, able to practice physical activity all participants have received information all have signed the consent form

Exclusion criteria

Exclusion Criteria:

  • pregnant women
  • Pharmacological treatment altering autonomic nervous system (ANS)
  • to physical exercise, such as atlanto-axial instability
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
40 participants (actual)
Patient registry
No

Groups and cohorts

  • Down Syndrome (DS)

    Assessment of OSAS predictive factors in Down Syndrome without or without OSAS

    Diagnostic Test: Assessment of OSAS predictive factors

Interventions

  • Diagnostic testAssessment of OSAS predictive factors

    All subjects of the two groups realized the same assessment: * Anthropometric evaluation * biological examination (hormonal, inflammatory and complete blood count, and lipidic profile) * rest electrocardiogram * motor assessment (strenght, flexibility and balance) * actigraphy * Autonomic nervous system assessment during sleep * Autonomic nervous system assessment during head up tilt test before and after physical exercise * maximal treadmill test (VO2 max measure) * polysomnography * seismocardiography * questionnaires :sleep and physical activity

06

What researchers measure

Primary outcomes

  1. Identification of predictive factors associated to obstructive sleep apnea syndrome in DS subjects

    OSAS will be diagnosed with polysomnography and seismocardiography. AHI threshold will be 15 to diagnose an OSAS (score).

    Time frame: 4 months

Secondary outcomes

  1. dysautonomia role on OSAS in DS

    Cardiac response during exercise (existence of chronotropic incompetence %HR(reserve)lower than 80%)

    Time frame: 1 day

  2. Investigation of autonomic nervous system

    spectral variations of blood pressure and heart rate variability during head-up tilt test : (spectral density in ms² and normalized units)

    Time frame: 1 day

  3. Oxygenation and dysautonomia

    Cerebral and peripheral oxygenation parameters measured with near-infrared spectroscopy during head-up tilt test (delta Hbtot between supine and head up tilt positions) \- Cardiac response during exercise (existence of chronotropic incompetence)

    Time frame: 1 day

  4. Investigation of dysautonomia during sleep

    spectral variations of heart rate variability (spectral density in ms² and normalized units)

    Time frame: 3 nignts

  5. Biological profile

    Disorders in blood parameters will be assessed by different inflammatory, corticotropic, thyroid and glycemic values in comparison with reference values.

    Time frame: 1 day

  6. anthropometric characteristics role on OSAS in DS

    Existence of morphologic specificities will be investigated: Craniofacial abnormalities with orthopantomogram (degree)

    Time frame: 1 day

  7. Metabolic syndrome

    Existence of morphologic specificities will be investigated: Neck, waist and hips circumferences (cm)

    Time frame: 1 day

  8. morphologic parameters

    Existence of morphologic specificities will be investigated: Body fat composition (%)

    Time frame: 1 day

  9. Quantification of physical activity

    Physical activity level will be assessed with actigraphy (min or h per day)

    Time frame: 15 days

  10. Motor skills

    motor capacities : strength (explosive leg power (cm) and handgrip measure), flexibility (cm), balance (cm)

    Time frame: 15 days

  11. questionnaire of physical activity

    G- PAQ and parental perceptions of physical activity (score)

    Time frame: 15 days

  12. Sleep questionnaire

    Epworth and Pittsburg questionnaire (score)

    Time frame: 15 days

07

Study locations

1 site
  • CHU Grenoble Alpes
    Échirolles, 38130, France
08

References and documents

Publications

  • Leti T, Guinot M, Favre-Juvin A, Bricout VA. Difference of catecholamine responses to exercise in men with trisomy 21, with or without chronotropic incompetence. Physiol Behav. 2015 Apr 1;142:97-103. doi: 10.1016/j.physbeh.2015.02.007. Epub 2015 Feb 4. PubMed 25660758 ↗
  • Bricout VA, Guinot M, Faure P, Flore P, Eberhard Y, Garnier P, Juvin AF. Are hormonal responses to exercise in young men with Down's syndrome related to reduced endurance performance? J Neuroendocrinol. 2008 May;20(5):558-65. doi: 10.1111/j.1365-2826.2008.01695.x. Epub 2008 Mar 15. PubMed 18363810 ↗
  • Flore P, Bricout VA, van Biesen D, Guinot M, Laporte F, Pepin JL, Eberhard Y, Favre-Juvin A, Wuyam B, van de Vliet P, Faure P. Oxidative stress and metabolism at rest and during exercise in persons with Down syndrome. Eur J Cardiovasc Prev Rehabil. 2008 Feb;15(1):35-42. doi: 10.1097/HJR.0b013e3282f2bff3. PubMed 18277183 ↗
  • Nguyen TD, Baillieul S, Guinot M, Doutreleau S, Bricout VA. Classification of Factors Effect on Sleep in Individuals with Down Syndrome. Brain Sci. 2021 Nov 12;11(11):1500. doi: 10.3390/brainsci11111500. PubMed 34827499 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Jul 2019, 19 months.

Of 40 non-industry observational studies under Down Syndrome, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 71. This study's 19 months is below that.

Counting every sponsor, half of 55 studies reached it within 34 months; a quarter within 19 and three quarters within 80.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 17, 2018
First posted
Feb 26, 2018
StartActual
Nov 15, 2017
Primary completionActual
Jul 11, 2019
CompletionActual
Jul 11, 2019
Last update
Dec 29, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03445962
Responsible party
Sponsor
First posted
Feb 26, 2018
Start date
Nov 15, 2017
Primary completion
Jul 11, 2019
Completion
Jul 11, 2019
Last update
Dec 29, 2025

Study contacts

Stéphane DOUTRELEAU, MD
principal investigator · CHU Grenoble Alpes

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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