About this trial
Although obstructive sleep apnea (OSA) is a common disorder, there are no blood biomarkers for identification and management of these patients. This project will study microRNAs in order to develop and validate blood biomarkers that are specific to OSA, useful for identification of cases with OSA, reflective of efficacy of therapy, and able to predict blood pressure response to treatment of OSA.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
age 18-75 years
moderate-severe OSA (defined as AHI ≥15 events/hour)
willing to accept PAP therapy
age 18-75 years
Disqualifiers
current use of PAP or other OSA treatments
home oxygen therapy
recent changes (within 3 months) to BP medications among those who are on these medications
presence of Cheyne-Stokes Respiration (CSR) in sleep study
Trial population
Participants who had a clinical sleep study who meet inclusion criteria for age and AHI and none of the exclusion criteria will be identified using the sleep center databases and electronic medical records. The investigators will also recruit participants from the community- these participants will undergo home sleep study with EEG. The investigators will make a conscious effort to recruit from all ethnic and social economic backgrounds.
Trial design
Case-control
Prospective
Treatments tested in this trial
Positive Airway Pressure
DeviceCase participants will use Positive Airway Pressure (PAP) treatment as part of routine clinical care.
Treatment groups
Trial outcomes
Primary outcomes
microRNA
Changes in circulating microRNA profile
Secondary outcomes
24-hour mean blood pressure (24hMBP)
Ambulatory blood pressure monitoring of systolic and diastolic blood pressure
Sponsors and contacts
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University of Pennsylvania
Lead sponsor
National Institutes of Health (NIH)
Collaborator
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator