Therapy efficacy, compliance and long-term outcome of Auto-bilevel therapy compared to continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA) patients

ISRCTN ISRCTN53816305
DOI https://doi.org/10.1186/ISRCTN53816305
Secondary identifying numbers EAME05AUTOBILEVEL01
Submission date
29/10/2008
Registration date
11/12/2008
Last edited
20/11/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ingo Fietze
Scientific

Center of Sleep Medicine
Department of Internal Medicine
Charité-Universitätsmedizin Berlin, CCM
Luisenstr. 13
Berlin
10117
Germany

Email ingo.fietze@charite.de

Study information

Study designControlled, double-blind randomised study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet.
Scientific title
Study acronymAUTOBILEVEL
Study objectivesWe hypothesised that auto-bilevel therapy would be equivalant to fixed continuous positive airway pressure (CPAP) therapy on parameters of objective and subjective compliance and therapeutic effectiveness in patients with moderate to severe obstructive sleep apnoea.
Ethics approval(s)Ethikkommission of Charite Campus-Mitte gave approval on the 1st March 2006 (ref: EA1/044/08)
Health condition(s) or problem(s) studiedObstructive sleep apnoea
InterventionAfter a CPAP titration night patients will be randomised to three months of either BiPAP auto with Biflex or fixed level CPAP. Patients will be followed up at 1, 4, 8 and 12 weeks.
Intervention typeOther
Primary outcome measureTreatment and therapeutic efficacy will be measured by polysomnography (PSG) at diagnosis, titration and 12 weeks (end of study).
Secondary outcome measures1. Objective compliance measured by device memory download at one week and the end of the study
2. Subjective compliance and parameters of wellbeing measured at baseline, 4, 8, 12 weeks
3. Epworth Sleepiness Scale measured at baseline (after diagnostic PSG and after titration PSG), 4, 8 and 12 weeks
4. Pittsburgh Sleep Quality Index measured at baseline (after diagnostic PSG only), 4, 8 and 12 weeks
5. Functional Outcomes of Sleep Questionnaire measured at baseline (after diagnostic PSG only), 4, 8 and 12 weeks
6. Calgary Sleep Apnoea Quality of Life Index measured at baseline (after diagnostic PSG only), 4, 8 and 12 weeks
7. 12-item Short Form (SF-12) measured at baseline (after diagnostic PSG only), 4, 8 and 12 weeks
8. Visual Analogue Scale measured in the morning and evening at baseline (after diagnostic PSG and after titration PSG), 4, 8 and 12 weeks
9. Treatment Satisfaction Visual Analogue Scale measured at baseline (after titration PSG only), 4, 8 and 12 weeks
10. Treatment Comfort Visual Analogue Scale measured at baseline (after titration PSG only), 4, 8 and 12 weeks
11. Mask/Interface Comfort Visual Analogue Scale measured at baseline (after titration PSG only), 4, 8 and 12 weeks
Overall study start date05/06/2006
Completion date09/06/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants32
Key inclusion criteria1. Apnoea/Hypopnoea Index (AHI) greater than 15/h
2. Aged greater than or equal to 21 years and less than or equal to 65 years, either sex
3. Body mass index (BMI) less than 40 kg/m^2
4. Able to follow the study protocol
5. Successful CPAP titration
Key exclusion criteria1. Drug abuse
2. Intake of central relevant drugs, sedatives, or other drugs with impairment of sleep
3. Alcohol abuse; consume more than 30 g/d
4. Participation in other clinical-pharmacological studies up to 4 weeks prior of study begin
5. Psychiatric or neurological diseases resulting in impairment of sleep, therapy or compliance
6. Thyroidal dysfunction
7. Chronic pain syndromes
8. Acute cardiac, pulmonary, and other internal diseases
9. Chronic cardiac, pulmonary and other internal diseases resulting in impairment of sleep
10. Central sleep-related breathing disorders or other disorders resulting in hypoventilation
11. Periodic leg movements (PLM)/restless legs syndrome (RLS)
12. Previous exposure to either CPAP or bilevel therapy
Date of first enrolment05/06/2006
Date of final enrolment09/06/2007

Locations

Countries of recruitment

  • Germany

Study participating centre

Center of Sleep Medicine
Berlin
10117
Germany

Sponsor information

Respironics International, Inc. (France)
Industry

20 Rue-Jacques Daguerre
Rueil-Malmaison
Paris
92500
France

Email steven.coughlin@respironics.com
Website http://www.respironics.com/
ROR logo "ROR" https://ror.org/05jz46060

Funders

Funder type

Industry

Respironics International, Inc. (France)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2012 Yes No