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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1259-4797 | Registry Identifier | WHO Universal trial number |
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Extremely slow recruitment
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Noninvasive ventilation (NIV) is an established therapy that delivers positive pressure to the upper airways to provide respiratory support. Two types of NIV can be delivered; continuous positive airway pressure (CPAP) at one continuous pressure and bilevel NIV at two pressures for inhalation and exhalation.
This investigation is designed to physiologically evaluate the performance of a NIV mask, Mask A, compared to a standard NIV mask, Mask B on CPAP therapy.
People with sleep disordered breathing who have chronic hypercapnia, and are already receiving nocturnal CPAP will be recruited. They will receive one night's CPAP therapy on Mask A and 1 night on Mask B in random order. Physiological parameters will be recorded.
Parameters will be recorded during three baselines at the beginning of each evening and throughout the night when participants are asleep. The three baselines are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mask A | Experimental | Overnight CPAP using the participant's usual pressure settings and using Mask A. One night only. |
|
| Mask B | Active Comparator | Overnight CPAP using the participant's usual pressure settings and using Mask B. One night only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CPAP with Mask A | Device | CPAP mask |
| |
| CPAP with Mask B |
| Measure | Description | Time Frame |
|---|---|---|
| Transcutaneous carbon dioxide | The change in transcutaneous carbon dioxide from the 3 different baselines to the transcutaneous carbon dioxide during non-REM sleep on CPAP on the same study night. Three different values will be determined for each mask. | 1 day (From baseline to the end of the study night) |
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Inclusion Criteria:
Exclusion Criteria:
Presence of sleep apnea on CPAP:
Forced expiratory volume in 1 second (FEV1) of less than 40 percent of predicted.
Forced expiratory volume in 1 second divided by forced vital capacity (FEV1/FVC) less than fifty percent of predicted, at the screening visit.
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| Name | Affiliation | Role |
|---|---|---|
| Andy Veale, Dr | New Zealand Respiratory and Sleep Insitute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New Zealand Respiratory and Sleep Institute | Auckland | 1051 | New Zealand |
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| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D006935 | Hypercapnia |
| ID | Term |
|---|---|
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
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| ID | Term |
|---|---|
| D045422 | Continuous Positive Airway Pressure |
| ID | Term |
|---|---|
| D011175 | Positive-Pressure Respiration |
| D012121 | Respiration, Artificial |
| D058109 | Airway Management |
| D013812 | Therapeutics |
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| Device |
CPAP mask |
|
| D020920 |
| Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012138 |
| Respiratory Therapy |