Metabolism and Sleep Apnea Treatment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUniversity of Miami

About this trial

The purpose of this research study is to see if obstructive sleep apnea (OSA) is associated with abnormalities in fat metabolism. Through this research study, the Investigator will evaluate how fat is metabolized in people with and without sleep apnea, what substances the fat tissue releases, and how these substances might change the way the body uses energy and sugar.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age between 18-70 years

Ability to provide consent

Disqualifiers

Body Mass Index (BMI) > 40 kg/m2

Prevalent myocardial infarction, coronary revascularization, heart failure, and stroke

Type 1 or Type 2 diabetes mellitus

Current or prior use of PAP or oral appliance therapy for OSA

Trial design

Design model

Parallel

Treatments tested in this trial

  • PAP Therapy

    Device

    Auto-PAP device (ResMed AirsenseTM Autoset) with a heated humidifier will be provided along with an appropriate mask and connecting hose for nightly use

  • Lifestyle Counseling Intervention

    Behavioral

    Lifestyle intervention will include counseling on (a) education on nutrition and exercise; and (b) behavioral support for identifying lifestyle change strategies and problem-solving barriers to improve the regularity and duration of sleep. This will be conducted using brochures on weight loss and sleep hygiene

Treatment groups

100 Participants
are divided into 3 treatment groups
Group A: No Intervention (Aim 1) GroupNo intervention 0 interventions
Group B: PAP Therapy and Lifestyle Intervention (Aim 2) GroupExperimental treatment 2 interventions
Group C: Lifestyle Intervention Only (Aim 2) GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Whole body lipolysis rate

Measured using the Intravenous Glucose Tolerance Test (IVGTT) in micromoles/L/min assessed at baseline and again at 3 months

Time frame
Up to 3 months

Secondary outcomes

1

Free Fatty Acids (FFA) Oxidation Rate

Measured using the IVGTT in micromoles/L/min assessed at baseline and again at 3 months

Time frame
Up to 3 months
2

Adipocyte insulin resistance

Measured using the IVGTT in micromoles-microunits/L-ml assessed at baseline and again at 3 months

Time frame
Up to 3 months
3

Lipolysis suppression slope

Measured using the IVGTT in micromoles/L-min assessed at baseline and again at 3 months

Time frame
Up to 3 months
4

Free fatty acid rebound slope

Measured using the IVGTT in micromoles/L-min assessed at baseline and again at 3 months

Time frame
Up to 3 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Miami

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator