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This is a research study of asthma and sleep apnea. Our hypothesis is that untreated sleep apnea causes inflammation in the lung, which can worsen asthma. We believe treatment of sleep apnea will reduce this inflammation, and improve asthma control. This study will help us better understand what happens to the lung and bronchial tubes before and after treatment of sleep apnea, which could benefit all patients with sleep apnea. This study involves 2 bronchoscopies.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CPAP machine as a result of sleep study | Device |
| Measure | Description | Time Frame |
|---|---|---|
| Systemic inflammatory markers will include IL-6, IL-8, CRP, and TNF-α. | ||
| Exhaled breath condensate levels of IL-6 and 8-isporostane will be measured. | ||
| BAL (bronchial lavage) fluid cell count and differential, IL-6, IL-8, and TNF- α will be measured. | ||
| Endobronchial biopsies to analyze extent and type of inflammatory cell. |
| Measure | Description | Time Frame |
|---|---|---|
| Symptoms, albuterol use and daily morning and evening peak expiratory flows from diary cards. | ||
| Spirometry measured at three time points: before, during, and after CPAP therapy. | ||
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Richard Martin, MD | National Jewish Medical and Research Center faculty | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Jewish Medical and Research Center | Denver | Colorado | 80206 | United States |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| D012891 | Sleep Apnea Syndromes |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| Post-CPAP methacholine for bronchial hyperreactivity |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |