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临床试验/TCTR20260715008
TCTR20260715008招募中1/2 期

The Optimal One-Month Dosing of Lemborexant for Moderate Obstructive Sleep Apnea (OSA) Patients with Low Arousal Threshold, a Randomized, Double-blind, Crossover, Placebo-Controlled Trial

The Royal College of Physicians of Thailand0 个研究点目标入组 36 人开始时间: 2026年7月2日最近更新:
适应症

试验速览

阶段
1/2 期
状态
招募中
入组人数
36

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 Years 至 65 Years(—)
性别
All

入选标准

  • Patient, aged 18 - 65 years at the time of informed consent,
  • Voluntary agreement and capable for giving written informed consent,
  • Diagnosis with OSA according to the criteria of the International Classification of Sleep Disorders, version 3 Text Revision,
  • Baseline screening polysomnography (PSG) demonstrated apnea-hypopnea index 15 - 30 events/h of sleep (moderate severity),
  • Patients identified as low arousal threshold using previously recommended criteria which allocated a score of 1 to each criterion: apnea-hypopnea index less than 30 events per hour, nadir oxygen saturation as measured by pulse oximetry more than 82.5 %, and fraction of hypopneas more than 58.3%. A score of 2 or above defined a low arousal threshold,
  • Peripheral capillary oxygen saturation (SpO2) more than or equal to 94% measured during screening visit,
  • Habitually sleeping more than or equal to 5.5 hours/night with usual bedtime falls within the range of 9:00 PM to 1:00 AM,
  • Body mass index 18 - 40 kg/m2

排除标准

  • Previous allergy or adverse effects with Lemborexant or other sedatives,
  • Pregnant or breastfeeding,
  • Significant medical comorbidities that could affect individual safety and study assessment results, regarding investigators opinion,
  • Uncontrolled cardiovascular or cerebrovascular diseases,
  • Neuromuscular diseases,
  • Nasal anatomical defect,
  • Significant psychiatric comorbidities that could affect individual safety and study assessment results, regarding investigators opinion,
  • Active respiratory disorders other than OSA
  • 9 Central respiratory events (CAHI) more than 25% of the total AHI,
  • Diagnosis/symptoms of sleep-related disease other than OSA including narcolepsy, restless legs syndrome, periodic limb movement disorder, or circadian rhythm sleep-wake disorder,
  • Severe hypersomnolence (ESS more than or equal to 16),
  • Peripheral capillary oxygen saturation (SpO2) less than 80% for more than or equal to 5% of total sleep time measured during screening visit,
  • Driving-related sleepiness accident or near misses in the past 12 months,
  • Safety-critical occupation,
  • Using CPAP or other dental devices within 2 weeks of screening polysomnography until the end of the study,
  • Unable to tolerate equipment in this study,
  • Taking any medication that affects sleep or other variable measured in this study,
  • Taking any medication with cytochrome P450 Family 3A (CYP3A) inhibitors and all CYP3A inducers,
  • Drug or alcohol use disorder within 2 years before the study initiation or current excessive alcohol intake,
  • Excessive caffeine intake

研究者

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