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临床试验/NCT00773591
NCT00773591撤回2 期

Effect of NT 201 (Botulinum Neurotoxin Type A Free of Complexing Proteins) on Sleep-related Breathing Disorders (Snoring Study)

Merz Pharmaceuticals GmbH0 个研究点开始时间: 2010年3月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
撤回
主要终点
Comparison of the ratio of snoring time over sleeping time (Snoring Index)

研究概览

简要总结

This proof-of-concept study is to assess the potential benefit of botulinum toxin for patients with sleep-related breathing disorders.

详细描述

Mono-center, double-blind, 1:1 randomized, placebo-controlled trial 18 treated patients, 9 patients per group.

Patients will be randomly assigned to treatment with NT 201 or placebo in a ratio of 1:1. In addition, within each treatment group patients will be randomly assigned to injection into the left or right soft palate.

Primary variable:

Comparison of the ratio of snoring time over sleeping time (Snoring Index). Other secondary variables will be analysed.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male and female outpatients of at least 18 years of age.
  • Patient who understand the nature of the study and provide written informed consent prior to protocol-specific procedures.
  • Patients suffering from sleep-related breathing disorders for at least 3 months prior to study start and seeking help for their snoring.
  • Non-REM RDI ≤ 25/h (according to Medicare Criteria) at baseline PSG.
  • AHI ≤ 10/h at baseline PSG.
  • Snoring Index ≥ 15 at baseline PSG.

排除标准

  • Patients with known hypersensitivity to:
  • botulinum neurotoxin type;
  • any of the excipients (human albumin, sucrose).
  • Patients with upper respiratory tract pathology as assessed by an ear, nose, and throat [ENT] specialist.
  • Patients with generalized disorders of muscle activity (e.g. myasthenia gravis, Lambert-Eaton syndrome).
  • Patients with bleeding disorders of any type and/or receiving anticoagulant therapy.
  • Patients with a profound sleep disorder (pathological number and duration of episodes of hypopnea and apnea), upper airway resistance syndrome [UARS], or obstructive sleep apnea syndrome [OSAS].
  • Obese patients (BMI ≥ 30).
  • Presence of concomitant diseases:
  • severe or unstable cardiovascular (e.g. severe angina pectoris, post myocardial infarction and ventricular extra systoles), pulmonary, or endocrine disease; clinically relevant renal or hepatic disease or dysfunction; hematological disorder; any other clinically relevant medical condition that could increase the risk to the study participant;
  • malignant disease of any kind during the previous 5 years except for successfully treated skin (basal or squamous cell) cancer;
  • amyotrophic lateral sclerosis or other diseases which result in peripheral neuromuscular dysfunction;
  • risk of developing an angle closure glaucoma;
  • alcohol, drug, or medication abuse within the past year;
  • severe psychiatric or neurological disorders;
  • acute infections of the pharynx.
  • Patients likely to need concomitant medication as follows:
  • 4-aminochinolines;
  • aminoglycosides or spectinomycin, or other medical products interfering with neuromuscular transmission, e.g. tubocurarine-type muscle relaxants;
  • daily psychotropic medication;
  • regular intake or onset of hypnotics, e.g. benzodiazepines, chloralhydrate and combinations, barbiturates (except of mild phytotherapeutics, e.g. valerian, hop and combinations);
  • anti-snoring products during the course of the study such as foams, dental devices.
  • Pregnant or nursing women, or women of childbearing potential who are not using and not willing to continue using a medically reliable method of contraception for the entire study duration, such as oral, injectable, or implantable contraceptives, or intrauterine contraceptive devices, unless they are surgically sterilized/ hysterectomized.
  • Participation in a clinical study within the last 30 days prior to the start of the study.
  • Patients who are employees, relative or spouse of the investigator, of other staff of the investigational site or the sponsor or the CRO.
  • Any donation of germ cells, blood, organs, or bone marrow during the course of the study.
  • Patients who are expected to be non-compliant and/or not cooperative.
  • Patients who are not contractually capable.

研究组 & 干预措施

Botulinum Toxin Typ A

Active Comparator

干预措施: NT 201, a Botulinum neurotoxin type A, free of complexing proteins (Drug)

Placebo

Placebo Comparator

干预措施: NT 201, a Botulinum neurotoxin type A, free of complexing proteins (Drug)

结局指标

主要结局

Comparison of the ratio of snoring time over sleeping time (Snoring Index)

时间窗: Snoring Index measured from baseline to follow-up visit and to V3.

次要结局

  • Change in ventilation (oral/nasal flow) from V0 to V2 and from V0 to V3 including: → Peakflow Vmax → Tidal volume (Vt)(Change in several Secondary variables from baseline over time)

研究者

申办方类型
Industry

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