Role of Mirtazapine in Ameliorating Sleep Disordered Breathing
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 18
- 主要终点
- CO2 Reserve (Delta-PETCO2-AT)
研究概览
简要总结
The purpose of this study is to look at the effect of using Mirtazapine to target a specific pathway in the body, that relies on a natural chemical the body produces called 'serotonin', in patients with spinal cord injury (SCI) and non-injured persons during sleep. During this part of the study participants will be asked to take Mirtazapine (15mg per day) and a placebo in a random fashion, each for a one week period (drug period) of time followed by one week without drugs (washout period). The drugs will not be taken all at the same time, but each will be taken separately for one weeks followed by a night study to look at the effect the Mirtazapine/placebo pill has on the way the body responds during sleep.
详细描述
Randomized placebo controlled cross-over study. Each subject will be studied on two separate occasions: (1) Mirtazapine vs. placebo for one week; the participants will be blinded to whether they are taking Mirtazapine or placebo. After the one week treatment a sleep study will be repeated. Mirtazapine will be given at 15 mg dose before bed-time. (2) Cross over medication for one week will be followed by a second sleep study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Other
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults with SCI (>6months after spinal cord injury) at the T6 level/above
- •Non-injured adults
排除标准
- •Pregnant and lactating females
- •Heart failure, vascular disease, or stroke
- •Advanced chronic obstructive pulmonary disease (COPD), liver disease, and chronic kidney disease
- •BMI >38 kg/m2
- •Mechanical ventilation dependence
研究组 & 干预措施
Mirtazapine
The drug will be taken for a one week peroid.
干预措施: Mirtazapine (Drug)
Placebo
The drug will be taken for a one week peroid.
干预措施: Placebo (Drug)
结局指标
主要结局
CO2 Reserve (Delta-PETCO2-AT)
时间窗: One Week
Randomized placebo-controlled cross-over study. Each subject was studied on two separate occasions: (1) Mirtazapine vs. placebo for one week; After the one-week treatment a physiological sleep study was performed to determine the CO2 reserve (Delta-PETCO2-AT) and hypocapnic apneic threshold. (2) Cross over medication for one week was followed by a second physiological sleep study to determine the CO2 reserve (Delta-PETCO2-AT) and hypocapnic apneic threshold.
次要结局
- AHI (Apnea/Hypopnea Index)(One Week)
研究者
Dr. Abdulghani Sankari, MD PhD
Professor, Clinical Educator, Pulmonary/Critical Care Fellowship Program Director
Wayne State University