ClinicalTrials.gg
RecruitingNCT05473689Updated Dec 11, 2024

Outcomes Post Treatment: Impact on Motor Impairment of Sleep Efficiency in SCI (OPTIMISE SCI Trial)

An interventional study of Continuous positive airway pressure (CPAP) therapy in Spinal Cord Injuries and Spine Disease, sponsored by University Health Network, Toronto. Recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-11.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 3 months ago, but the record still lists the study as recruiting.
  • Started Aug 2022; still recruiting 4 years 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized clinical trial will compare three groups of individuals with cervical/thoracic, complete or incomplete spinal cord injury (SCI) that will undergo: (i) early CPAP therapy in the management of moderate-to-severe sleep-related breathing disorders (SRBDs) among adults at 6 weeks after SCI; (ii) delayed CPAP therapy in the management of moderate-to-severe SRBDs among adults at 22 weeks after SCI; and (iii) no treatment as they either have mild or no SRBD.

02

Conditions studied

  • Spinal Cord Injuries
  • Spine Disease

Keywords

  • sleep apnea
  • sleep-related breathing disorders
03

In context

Spinal Cord Injuries

2,025 studies on the registry are indexed under Spinal Cord Injuries; 537 are open to participants now.

This study's planned enrollment of 66 is above the median of 24 across 1,633 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,438 studies on the registry; 297 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • English-speaking adults (18 years of age or older)
  • Acute (≤ 30 days after injury), cervical/thoracic (injury level at C2 to T12), complete or incomplete (AIS A to D) SCI
  • Not being treated for sleep apnea prior to the spinal cord impairment onset.

Exclusion criteria

Exclusion Criteria:

  • Non-traumatic spinal cord disease at risk for neurologic progression (e.g., demyelinating spine diseases such as neuromyelitis optica and multiple sclerosis, spinal cord )
  • Concomitant diseases of the central nervous system
  • Preinjury chronic pain
  • Other pre-existing diseases of the central nervous system
  • Significant psychiatric disorders with recent episode of exacerbation
  • Neuromuscular diseases
  • Current substance misuse
  • Known history of primary hypersomnia or secondary hypersomnia of any cause except for SRBDs (e.g., hypothyroidism, moderate or severe iron deficiency anemia, infections, depression, kidney failure, chronic fatigue syndrome, neurodegenerative diseases, and myotonic dystrophy)
  • Epilepsy
  • Vitamin B12 deficiency
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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    Early-CPAP therapy group

    Individuals diagnosed with moderate-to-severe sleep-related breathing disorders (SRBDs) who will start CPAP therapy within the first 6 weeks after SCI.

    Device: Continuous positive airway pressure (CPAP) therapy

  • Active comparator
    Delayed-CPAP therapy group

    Individuals diagnosed with moderate-to-severe SRBDs who will start on CPAP therapy at the 5th month after SCI.

    Device: Continuous positive airway pressure (CPAP) therapy

  • No intervention
    Non-CPAP therapy group

    Individuals who are diagnosed with no or mild SRBD.

Interventions

  • DeviceContinuous positive airway pressure (CPAP) therapy

    Continuous positive airway pressure (CPAP) therapy for moderate-to-severe sleep-related breathing disorders.

06

What researchers measure

Primary outcomes

  1. Change in International Standards for Neurological Classification of SCI (ISNCSCI) motor subscore from baseline to 6 months after recruitment

    Motor assessment of muscles in the upper and lower extremities (100: normal; 0: complete paresis)

    Time frame: From baseline to 6 months after recruitment

  2. Change in International from baseline to 6 months after recruitment Standards for Neurological Classification of SCI (ISNCSCI) sensory subscore

    Sensory assessment of dermatomes in the upper and lower extremities (224: normal; 0: no sensory function)

    Time frame: From baseline to 6 months after recruitment

  3. Change in Spinal Cord Independence Measure (SCIM) - version III - score from baseline to 6 months after recruitment

    The SCIM scores varies from 0 to 100 and includes the following subscores: self-care (0-20); respiration and sphincter management (0-40); mobility (0-40).

    Time frame: From baseline to 6 months after recruitment

Secondary outcomes

  1. Change in Fatigue Severity Scale (FSS) from baseline to 6 months after recruitment

    The FSS scores vary from 9 (normal) to 56 (the most severe degree of fatigue)

    Time frame: From baseline to 6 months after recruitment

  2. Change in Depression, Anxiety & Stress Scales- 21 (DASS-21) score from baseline to 6 months after recruitment

    The DASS-21 scores vary from 0 (normal) to 42 (most severe symptoms of depression, anxiety and stress).

    Time frame: From baseline to 6 months after recruitment

  3. Change in Patient Health Questionnaire (PHQ-9) score from baseline to 6 months after recruitment

    The PHQ-9 scores vary from 0 to 27, which means: 0-4 is the normal or minimal; 5-9 if the person is mildly depressed; 10-14 if the person is moderately depressed; 15-19 if the person has moderately severe depression; and 20-27 if the person is severely depressed.

    Time frame: From baseline to 6 months after recruitment

  4. Change in Medical Outcomes Study Sleep Scale (MOS-SS) from baseline to 6 months after recruitment

    Scores for the sleep disturbance, snoring, respiratory problems, sleep adequacy, and daytime somnolence dimensions range from 0 (normal) to 100.

    Time frame: From baseline to 6 months after recruitment

  5. Change in Montreal Cognitive Assessment (MoCA test) score from baseline to 6 months after recruitment

    The MoCA test scores vary from 0 to 30 (normal).

    Time frame: From baseline to 6 months after recruitment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — The UHN REB needs to approve any plan to share data from this RCT.

No publications or documents are linked to this record.

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

Started Aug 2022 (actual). Primary completion is estimated for Jul 2025, 35 months after the start.

Of 790 non-industry interventional studies with no phase under Spinal Cord Injuries, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 65. This study's planned 35 months is close to that.

Counting every sponsor, half of 839 studies reached it within 36 months; a quarter within 17 and three quarters within 64.

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

Registered
Jul 19, 2022
First posted
Jul 26, 2022
StartActual
Aug 15, 2022
Primary completionEst.
Jul 31, 2025
CompletionEst.
Jul 31, 2025
Last update
Dec 11, 2024
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 11, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05473689
Responsible party
Sponsor
First posted
Jul 26, 2022
Start date
Aug 15, 2022
Primary completion
Jul 31, 2025 (estimated)
Completion
Jul 31, 2025 (estimated)
Last update
Dec 11, 2024

Study contacts

Lamisa Etu, BSc
Contact
LamisaFaria.Etu@uhn.ca
4165973422 ext. 6285
Julio C Furlan, MD, FRCPC
principal investigator · KITE Research Institute, University Health Network

Oversight

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

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