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French Cohort Study of Chronic Heart Failure Patients With Central Sleep Apnoea Eligible for Adaptive Servo-Ventilation (PaceWave, AutoSet CS)

Completed
Conditions
Central Sleep Apnea
Chronic Heart Failure
Interventions
Device: ASV Treatment
Registration Number
NCT01831128
Lead Sponsor
ResMed
Brief Summary

The purpose of FACE study is to provide in routine practice complementary long-term data on the mortality and morbidity of Chronic Heart Failure (CHF) patients with Central Sleep Apnea eligible for Adaptative Servo-Ventilation (ASV) treatment (PaceWave, AutoSet CS; ResMed).

Detailed Description

The prevalence of Central Sleep Apnea (CSA) and/or Cheyne-Stokes Respiration (CSR) in patients with Chronic Heart Failure (HF) is 15-46% and it is associated with worse prognosis. Adaptative Servo-Ventilation (ASV) suppresses sleep apnoea and reduces hyperventilation, and is more effective than continuous positive airway pressure (CPAP) for treating CSA/CSR. Short-term studies show that ASV improves cardiac function and quality of life in CHF patients.

The SERVE HF multinational randomized trial is assessing the effects of addition of ASV (PaceWave, AutoSet CS; ResMed) to optimal medical management compared with medical management alone in symptomatic CHF patients with altered Left Ventricular Ejection Fraction and predominant CSA/CSR. The FACE study is a French prospective, multicentre, observational cohort that will provide complementary data to SERVE HF trial by characterizing CHF population eligible for ASV indications and evaluating the treatment management on long term follow-up of CHF patients with CSA/CSR in routine practice.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
509
Inclusion Criteria
  • Adult Patient with Chronic Heart Failure
  • Central Sleep Apnea requiring ASV therapy
Exclusion Criteria
  • Contra-indications to ASV therapy
  • Respiratory Failure or Hypercapnia inconsistent with ASV therapy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
ASV TreatmentASV TreatmentAutoSet CS, PaceWave
Primary Outcome Measures
NameTimeMethod
Time to first event of all cause mortality or all cause hospitalization2 years
Time to first event of all cause mortality or unplanned hospitalization for worsening heart failure2 years
Time to first event of cardiovascular mortality or unplanned hospitalization for worsening heart failure2 years
Secondary Outcome Measures
NameTimeMethod
Changes in LVEF (Left Ventricular Ejection Fraction) as compared to baseline2 years
ASV Compliance2 years
Changes in CHF stage by evaluating NYHA (New York Heart Association) class as compared to baseline2 years
Changes in Quality Of Life by measuring Minnesota score as compared to baseline2 years
Changes in BNP (B-type Natriuretic Peptide) rates as compared to baseline2 years
Time to hospitalization due to deterioration of heart failure or cardiovascular death2 years
Time to hospitalization for other reasons or death2 years
Changes in Systolic and diastolic Blood Pressure2 years
Changes in AHI (Apnea Hypopnea Index) as compared to baseline2 years
Time until death2 years
Time to non cardiovascular death2 years
Time to cardiovascular death2 years
Time to hospitalization for cardiovascular cause or cardiovascular death2 years
Changes in Heart Rhythm as compared to baseline2 years
Changes in renal function as compared to baseline2 years

Estimated GFR (eGFR) will be calculated using the CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) formula

Changes in Daytime Sleepiness by measuring Epworth scale as compared to baseline2 years
Changes in medical treatment as compared to baseline2 years

Medication consumption and use of cardiac implant will be reported

Trial Locations

Locations (18)

Angers University Hospital

🇫🇷

Angers, France

Antibes Hospital

🇫🇷

Antibes, France

Cannes Hospital

🇫🇷

Cannes, France

Henri-Mondor University Hospital

🇫🇷

Creteil, France

Arnaud de Villeneuve University Hospital

🇫🇷

Montpellier, France

Bordeaux University Hospital

🇫🇷

Pessac, France

Saint Laurent Polyclinic

🇫🇷

Rennes, France

Poitiers University Hospital

🇫🇷

Poitiers, France

Le Mans Hospital

🇫🇷

Le Mans, France

APHP - Bichat-Claude Bernard Hospital

🇫🇷

Paris, France

Toulouse University Hospital

🇫🇷

Toulouse, France

Medical practice of cardiology

🇫🇷

Amnéville, France

Nevers Hospital

🇫🇷

Nevers, France

Béziers Hospital

🇫🇷

Beziers, France

Jacques Cartier Hospital

🇫🇷

Massy, France

Grenoble University Hospital

🇫🇷

Grenoble, France

HCL - Croix-Rousse Hospital

🇫🇷

Lyon, France

APHP - Pitié-Salpêtrière University Hospital

🇫🇷

Paris, France

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