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Drug-Induced Sleep Endoscopy for Upper Airway Evaluation in Obstructive Sleep Apnea
This study is currently recruiting participants.
Verified by University of California, San Francisco, May 2008
Sponsored by: University of California, San Francisco
Information provided by: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT00695214
  Purpose

Prospective, interventional cohort study of drug-induced sleep endoscopy (DISE) to evaluate the upper airway in a cohort of obstructive sleep apnea (OSA) surgical patients. This study is designed to investigate the feasibility and reliability of this technique, obtain additional information about upper airway behavior during sleep, and compare the DISE findings with other evaluation methods. We will consider the association between DISE findings and those of other popular techniques that aid in determining the pattern of airway obstruction in OSA: physical exam, polysomnogram results, awake fiberoptic laryngoscopy with Mueller maneuver and lateral cephalometry. Finally, we will evaluate the association between DISE findings and surgical outcomes. This study is designed to enhance the understanding of this technique of upper airway assessment in OSA patients.


Condition Intervention Phase
Sleep Apnea, Obstructive
Drug: Propofol sedation
Phase II

MedlinePlus related topics: Endoscopy Sleep Apnea
Drug Information available for: Propofol
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Single Blind (Investigator), Uncontrolled, Single Group Assignment, Efficacy Study
Official Title: Drug-Induced Sleep Endoscopy for Upper Airway Evaluation in Obstructive Sleep Apnea

Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Association between DISE and physical examination; between DISE and polysomnogram results; between DISE and awake Mueller maneuver; between DISE and lateral cephalometry; and between DISE findings and surgical outcomes [ Time Frame: Preoperative and postoperative ] [ Designated as safety issue: No ]

Estimated Enrollment: 300
Study Start Date: February 2004
Estimated Study Completion Date: June 2012
Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1
OSA Patients considering surgical treatment
Drug: Propofol sedation
Patients receive an intravenous propofol infusion titrated to reach a target level of sedation, sleep with arousability to verbal stimuli.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult patients with OSA considering surgical treatment

Exclusion Criteria:

  • Minors
  • Pregnant women
  • Patients unable to provide informed consent in English themselves
  • Prisoners
  • Allergy to propofol, soybean oil, egg lecithin or glycerol
  • Other contraindication to use of propofol (decision of anesthesiologist or otolaryngologist.)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00695214

Contacts
Contact: Eric Kezirian, MD, MPH 415-353-2757 ekezirian@ohns.ucsf.edu
Contact: Wendy Ma 415-353-2870 wma@ohns.ucsf.edu

Locations
United States, California
University of California, San Francisco, Dept of Otolaryngology-HNS Recruiting
San Francisco, California, United States, 94143
Contact: Eric Kezirian, MD, MPH     415-353-2757     ekezirian@ohns.ucsf.edu    
Contact: Wendy Ma     415-353-2870     wma@ohns.ucsf.edu    
Principal Investigator: Eric Kezirian, MD, MPH            
Sponsors and Collaborators
University of California, San Francisco
Investigators
Principal Investigator: Eric Kezirian, MD, MPH University of California, San Francisco
  More Information

Responsible Party: University of California, San Francisco, Department of Otolaryngology-HNS ( Eric Kezirian, MD, MPH )
Study ID Numbers: H46945-24476-05
Study First Received: June 4, 2008
Last Updated: June 10, 2008
ClinicalTrials.gov Identifier: NCT00695214  
Health Authority: United States: Institutional Review Board

Keywords provided by University of California, San Francisco:
Obstructive Sleep Apnea
Propofol
Sleep Endoscopy

Study placed in the following topic categories:
Signs and Symptoms
Sleep Apnea Syndromes
Respiratory Tract Diseases
Apnea
Respiration Disorders
Sleep Apnea, Obstructive
Dyssomnias
Sleep Disorders
Signs and Symptoms, Respiratory
Propofol
Sleep Disorders, Intrinsic

Additional relevant MeSH terms:
Anesthetics, Intravenous
Anesthetics, General
Therapeutic Uses
Hypnotics and Sedatives
Physiological Effects of Drugs
Nervous System Diseases
Central Nervous System Depressants
Anesthetics
Central Nervous System Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009