UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027645
Receipt number R000031669
Scientific Title Clinical study about the safety of Orexin receptor antagonist Suvorexant for severe sleep apnea syndrome
Date of disclosure of the study information 2017/06/05
Last modified on 2021/12/08 19:57:35

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Basic information

Public title

Clinical study about the safety of Orexin receptor antagonist Suvorexant for severe sleep apnea syndrome

Acronym

Clinical study about the safety of Orexin receptor antagonist Suvorexant for severe sleep apnea syndrome

Scientific Title

Clinical study about the safety of Orexin receptor antagonist Suvorexant for severe sleep apnea syndrome

Scientific Title:Acronym

Clinical study about the safety of Orexin receptor antagonist Suvorexant for severe sleep apnea syndrome

Region

Japan


Condition

Condition

Sleep Apnea Syndrome

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Suvorexant is a sleeping drug without sedation, it is expected to be safe for a case having respiratory illnesses safely. There is a report that Suvorexant doesn't have any influence to a sleeping apnea hypopnea index of OSAS and the COPD case of the medium grade symptom. However, there are few report about using Suvorexant for severe OSAS(more than AHI 30) and severe COPD.
The aim of this study is to examine influence on sleep and breathing, and to identify safety of using orexin receptor antagonist Suvorexant for severe OSAS case.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change on the PSG data before and after the single using of orexin receptor antagonist Suvorexant 15 mg

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Control group: first night of PSG result
Interventions group: second night of PSG result(using with Suvorexant 15mg)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The patient who received enough explanation about this study, and provides agreement in the document.

Key exclusion criteria

The patient 19 years or younger at the time of the agreement acquisition

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Kazuyoshi
Middle name
Last name Imaizumi

Organization

Fujita Health University

Division name

Respiratory medicine department

Zip code

470-1192

Address

1-98, Dengakugakubo, Kustukake Cho, Toyoake City, Aichi, Japan

TEL

+81-0562-93-9241

Email

mienon@fujita-hu.ac.jp


Public contact

Name of contact person

1st name Yuki
Middle name
Last name Mieno

Organization

Fujita Health University

Division name

Respiratory medicine department

Zip code

470-1192

Address

1-98, Dengakugakubo, Kustukake Cho, Toyoake City, Aichi, Japan

TEL

+81-0562-93-9241

Homepage URL


Email

mienon@fujita-hu.ac.jp


Sponsor or person

Institute

Fujita Health University respiratory medicine department

Institute

Department

Personal name



Funding Source

Organization

Fujita Health University respiratory medicine department

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fujita Health University Institutional review board

Address

1-98, Dengakugakubo, Kustukake Cho, Toyoake City, Aichi, Japan

Tel

+81-0562-93-2865

Email

f-irb@fujita-hu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

藤田医科大学(愛知県)


Other administrative information

Date of disclosure of the study information

2017 Year 06 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

30

Results

There is no significant difference in AHI (median: 48.3 times/hour on the first night, 50.2 times/hour on the second night p=0.58). Among the secondary endpoints, significant differences were found in sleep efficiency (median: 82.8% on first night, 87.8% on second night, p=0.004), REM sleep rate (median: 15.0% on first night, 21.2% on second night, p<0.001).
There was no significant difference in the AHI of patients with severe sleep apnea before and after taking Suvorexant.

Results date posted

2021 Year 06 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Of the adult patients who gave written consent to participate in the study, 30 patients (20 males and 5 females, median age 55 (50.8-60.8) years, median Body Mass Index 26.3 (24.8-29) kg/m2, median AHI 41.6-61.4)times/h) (37.1-61.4) times/hour) with AHI >30 times/hour on the first day of the study were included.

Participant flow

We enrolled 30 patients(20 males and 5 females, median age 55 years). The adult patients who were scheduled for a 2-nights polysomnography (PSG) examination at Fujita Medical University Hospital and gave written consent to participate in the study, patients with severe OSA on the first night of the examination were included. The primary endpoint was AHI.

Adverse events

There has been no outbreak of disease related to this clinical research.

Outcome measures

The primary endpoint was the AHI, and secondary endpoints were the lowest saturation of percutaneous oxygen (SpO2), SpO2 <90% time, sleep efficiency, sleep stages, arousal index, and sleep latency.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 09 Month 30 Day

Date of IRB

2016 Year 10 Month 28 Day

Anticipated trial start date

2016 Year 11 Month 15 Day

Last follow-up date

2021 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 06 Month 05 Day

Last modified on

2021 Year 12 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031669


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name