Status:

RECRUITING

Impact of Early Ventilation in Stroke Outcomes in Patients With Sleep Apnea After First Ever Stroke

Lead Sponsor:

Philips Portuguesa S.A.

Conditions:

Stroke

Sleep Apnea

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

To evaluate the impact of early ventilation in stroke outcomes in patients with sleep apnea and first ever stroke, 1 month after stroke.

Detailed Description

Single-center, randomized, open label, parallel arm, prospective study in patients with sleep apnea after first-ever stroke. The study will consist of screening, baseline assessment, interventional p...

Eligibility Criteria

Inclusion

  • Written informed consent obtained from the participant or the legally acceptable representative, prior to any study-related procedure.
  • Male or female between 18 and 80 years, inclusive, at the time of signing the informed consent.
  • Admission to the hospital within 48 h of stroke symptoms onset.
  • Ischemic first stroke diagnosis.
  • NIHSS ≥2 at screening.
  • Sleep apnea with AHI ≥15.

Exclusion

  • CSA with Left Ventricular Ejection Fraction ⩽45%.
  • Ventilation treatment for sleep apnea diagnosis, prior to stroke.
  • Risk of aspiration.
  • Nasogastric feeding tube.
  • Transient ischemic attack, hemorrhagic stroke or subarachnoid hemorrhage.
  • Stroke due to a secondary cause (e.g. vascular malformation, vasculitis, brain tumor, head trauma, or predisposition to bleeding).
  • Cardiorespiratory distress.
  • Advanced chronic lung disease requiring supplemental oxygen.
  • Concomitant central nervous system diseases such as dementia or multiple sclerosis.
  • Uncontrolled psychosis or agitation.
  • Glasgow Coma Scale (GCS) score \<10 at screening.
  • Anosognosia, global or Wernicke aphasia.
  • Insufficient upper limbs function to use a mask and no overnight caregiver to help.
  • Inability to attend to the rehabilitation program of the hospital.
  • Pregnant and breast-feeding women.
  • Participation in another clinical study (except a standard-of-care registry).
  • Any other condition that, according to the Investigator, renders the subject unsuitable for ventilation.

Key Trial Info

Start Date :

February 27 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2025

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT04903951

Start Date

February 27 2024

End Date

August 1 2025

Last Update

August 12 2024

Active Locations (1)

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Unidade Local de Saúde de Matosinhos

Matosinhos Municipality, Portugal