About this trial
The aim of the study is to evaluate the impact of CPAP treatment on asthma control in patients with severe uncontrolled asthma and obstructive sleep apnea (OSA)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >18 years
Diagnosis of severe uncontrolled asthma according to the criteria of the Spanish Asthma Management Guide (GEMA) or the Global Initiative for Asthma (GINA) and no hospitalizations the month prior to inclusion in the study.
Apnea hypopnea rate greater than or equal to 15/hour
Punctuation in the Epworth Sleepiness Scale ≤10
Disqualifiers
Previous treatment with CPAP
Patient with central sleep apnea or Cheyne-Stokes respiration
Other sleep disorders: narcolepsy, restless leg syndrome, chronic insomnia,
Resistant hypertension
Trial design
Parallel
Treatments tested in this trial
CPAP treatment
DeviceSubjects allocated to this arm will receive continuous positive airway pressure (CPAP)
Hygienic and dietary advice
Other interventionSubjects allocated to this arm will receive hygienic and dietary counselling
Treatment groups
Trial outcomes
Primary outcomes
Asthma control questionnaire
To evaluate the impact of CPAP treatment on asthma control based on the Asthma control questionnaire (ACQ)
Asthma control test
To evaluate the impact of CPAP treatment on asthma control based on the Asthma control test (ACT)
Secondary outcomes
Lung function- forced expiratory volume in the first second (FEV1) in spirometry
To evaluate the impact of CPAP treatment on FEV1 (ml) on spirometry
Lung function-forced vital capacity (FVC) in spriometry
To evaluate the impact of CPAP treatment on FVC (ml) on spirometry
Prevalence of OSA in severe uncontrolled asthma
Determine the prevalence of OSA in patients with severe uncontrolled asthma
Inflammatory profile
Plasma proteins from peripheral blood samples will be used to analyze an inflammatory panel using a high-throughput, multiplex immunoassay technology based on Proximity Extension Assays (PEA) at baseline and after CPAP treatment
Sponsors and contacts
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