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Trial registered on ANZCTR
Registration number
ACTRN12612000454875
Ethics application status
Approved
Date submitted
18/04/2012
Date registered
23/04/2012
Date last updated
24/04/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Brain waves during ventilatory response tests
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Scientific title
A study in normal subjects and obstructive sleep apnea patients undergoing ventilatory response testing, to assess the effects of acute hypoxia and hypercapnia on the electroencephalogram
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Secondary ID [1]
280354
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
obstructive sleep apnea
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Condition category
Condition code
Respiratory
286558
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects will be tested ventilatory response to hypercapnia and hypoxia under two standard protocols: Duffin’s modified rebreathing protocol and Rebuck and Campbell protocol. Two channel EEG (C3-A2, C4-A1) will be recorded during the ventilatory response tests. In detail:
Duffin’s rebreathing protocol involves with a ~5-minute session of ventilatory response to hypercapnia under iso-oxia and hyperoxia (PO2=150mmHg), and a 5-minute session of ventilatory response to hypercapnia under iso-oxia and hypoxia (PO2=50mmHg). There will be a 5-minute of breathing room air and a 5-minute of hyperventilation (PCO2 controlled between 19-25 mmHg) prior to each of the two rebreathing sessions.
Rebuck and Campbell protocol tests ventilatory response to hypoxia, which involves with a ~ 5-minute session of rebreathing with a CO2 scrubber in the circuit. There is also a 5-minute of breathing room air prior to the session.
There is a half an hour resting break between the two Duffin's protocol sessions and before the Rebuck and Campbell protocol session.
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Intervention code [1]
284719
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Other interventions
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Comparator / control treatment
There is no control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary outcome of interest is the potential relationship between the change of end tidal PCO2 and the change of EEG spectral power. (End tidal PCO2 is a key parameter measured during the ventilatory response tests using a fast response CO2 analyser.)
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Assessment method [1]
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Timepoint [1]
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During the ventilatory response tests, baseline breathing room air phase compared with the hypercapnic phase of the single test session
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Secondary outcome [1]
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Potential relationship between the change of PO2/SpO2 and the change of EEG spectral power. (PO2 is measured by a fast response O2 analyser during the venbtilatory response tests, and SpO2 is measured by an oxymeter using ear-clip sensor.)
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Assessment method [1]
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Timepoint [1]
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During the ventilatory response tests, baseline breathing room air phase compared with the hypercapnic phase of the single test session
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Secondary outcome [2]
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Potential difference in the pattern of change of EEG spectral power between normal subjects and sleep apnea patients in responding to hypercapnia and hypoxia.
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Assessment method [2]
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Timepoint [2]
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The matching ventilatory response tests sessions
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Eligibility
Key inclusion criteria
Healthy normal subjects and obstructive sleep apnea patients with apnea/hypopnea index (AHI)>15.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Sleep apnea patients: waking hypoxemia (oxygen saturation < 95%), BMI > 38 kg/m^2, severe COPD or other lung disease, uncontrolled cardiac disease
Normal subjects: No concurrent medical complaint including sleep apnea
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Nil
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
23/04/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
24
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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New Staff Awards, Sydney University Medical School
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Address [1]
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Edward Ford Building, Sydney Medical School, Sydney University, NSW 2006 Australia
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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NHMRC Health Professional Research Fellowship
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Address [2]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [2]
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Australia
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Primary sponsor type
Hospital
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Name
Dept of Respiratory and Sleep Medicine, RPA Hospital
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Address
Missenden Rd, Camperdown, NSW 2050
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
283995
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney Local Health District, Ethic Review Committee, RPAH Zone
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Ethics committee address [1]
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Research development office, RPAH, Missenden Rd, Camperdown, NSW 2050 Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
287147
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Approval date [1]
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08/12/2011
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Ethics approval number [1]
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X11-0325 HREC/11/RPAH/505
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Summary
Brief summary
This is a physiological study to assess potential brain waves change during the ventilatory response to hypercapnia and hypoxia tests. We hypothesize that there is an intrinsic link between the change of blood CO2 level and the spectral power of brain waves.
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Trial website
Nil
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr David Wang
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Address
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Dept of Respiratory and Sleep Medicine, RPA Hospital, Missenden Rd, Camperdown, NSW 2050.
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Country
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Australia
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Phone
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61 2 9114 0446
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Fax
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61 2 9515 7196
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr David Wang
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Address
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Dept of Respiratory and Sleep Medicine, RPA Hospital, Missenden Rd, Camperdown, NSW 2050.
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Country
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Australia
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Phone
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61 2 9114 0446
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Fax
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61 2 9515 7196
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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