Pharmacological Activation of HMN for OSA Aim 2
Purpose
Obstructive sleep apnea (OSA) is common and has major health implications but treatment options are limited. OSA patients show a marked reduction in upper airway (UA) dilator muscle activity at sleep onset and this phenomenon leads to increased collapsibility of UA compared to normal subjects. In this protocol the investigators will test the effect of LTM1201AZ, LTM1201AT, LTM1201AD, LTM1201AG administered before sleep on OSA phenotype traits and OSA severity during sleep.
Condition
- Obstructive Sleep Apnea
Eligibility
- Eligible Ages
- Between 18 Years and 70 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- AHI > 10 events/h during NREM supine sleep
Exclusion Criteria
- Any medical condition other than well controlled hypertension and mild diabetes. - Any medication known to influence breathing, sleep/arousal, or muscle physiology. - Claustrophobia. - Inability to sleep supine. - Allergy to any of the medications tested in the protocol. - History of kidney stones, hypercalcemia, primary hyperparathyroidism, sarcoidosis, hypervitaminosis D. - Individuals with underlying cardiac disease, such as arrhythmias. - Individuals taking psychiatric medications, such as an MAO-I, SSRI or SNRI, or any of the studied medications for medical care. - For women: Pregnancy. - Pulmonary hypertension - Severe OSA with a mean SaO2 lower than 88%
Study Design
- Phase
- Phase 1/Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Placebo Comparator Placebo |
Placebo capsule before bedtime |
|
Experimental LTM1201AZ |
LTM1201AZ capsule before bedtime |
|
Experimental LTM1201AT |
LTM1201AT capsule before bedtime |
|
Experimental LTM1201AG |
LTM1201AG capsule before bedtime |
|
Experimental LTM1201AD |
LTM1201AD capsule before bedtime |
|
Recruiting Locations
Brigham and Women's Hospital
Boston, Massachusetts 02115
Boston, Massachusetts 02115
More Details
- Status
- Recruiting
- Sponsor
- Brigham and Women's Hospital