UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045835
Receipt number R000051862
Scientific Title The study to understand and overcome psychiatric and neurological disorders from an investigation of rapid eye movement (REM) sleep. -The significance of decrease in REM sleep by an analysis of metabolomes in patients with obstructive sleep apnea before and following the treatment-
Date of disclosure of the study information 2021/10/26
Last modified on 2025/05/02 15:34:47

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Basic information

Public title

The study to understand and overcome psychiatric and neurological disorders from an investigation of rapid eye movement (REM) sleep. -The significance of decrease in REM sleep by an analysis of metabolomes in patients with obstructive sleep apnea before and following the treatment-

Acronym

Understanding and overcoming psychiatric and neurological diseases with approaches from REM sleep

Scientific Title

The study to understand and overcome psychiatric and neurological disorders from an investigation of rapid eye movement (REM) sleep. -The significance of decrease in REM sleep by an analysis of metabolomes in patients with obstructive sleep apnea before and following the treatment-

Scientific Title:Acronym

Understanding and overcoming psychiatric and neurological diseases with approaches from REM sleep

Region

Japan


Condition

Condition

OSAS patients whose REM sleep duration is less than 12% of their total sleep duration measured by PSG

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

It has become clear that there is a significant relationship between REM sleep and various kinds of psychiatric and neurological diseases. In addition, it is well known that REM sleep duration significantly decreases in patients with severe obstructive sleep apnea syndrome(OSAS), and substantial rebound in REM sleep duration is noted following the start of CPAP treatment. The aim of this study is to determine the effect of changes in REM sleep duration on brain homeostasis by analysis of blood metabolomes in patients with severe OSAS before and following CPAP treatment.

Basic objectives2

Others

Basic objectives -Others

To evaluate the total duration and the proportion of REM sleep, and sleep latency before and after CPAP treatment.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Investigation of specific metabolomes and their concentrations which would appear according to changes in REM sleep duration in patients with OSAS before and following CPAP treatment

Key secondary outcomes

Changes in REM sleep duration and ratio to total sleep duration in the patients with OSAS before and following CPAP treatment


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

Although tests are permitted under the health insurance system, to perform PSG several times for the participants (OSAS patients whose REM sleep duration is less than 12% to their total sleep duration)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

The patients with less than 10% of REM sleep identified by PSG

Key exclusion criteria

1. Patients who were already diagnosed with sleep apnea syndrome and treated.
2. Patients with hemodialysis
3. Patients with cancer
4. Patients on oxygen therapy
5. Patients with a cardiac pacemaker
6. Physically disabled patients
7. Patients who refuse to participate in this trial
8. Patients who are judged as inappropriate candidates by doctors

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Kazuo
Middle name
Last name Chin

Organization

Nihon University of Medicine

Division name

Department of Sleep Medicine and Respiratory Care Division of Sleep Medicine Department of Internal Medicine

Zip code

173-8610

Address

30-1 Oyaguchi kami-cho, Itabashi-ku Tokyo

TEL

03-3972-8111

Email

chin.kazuo@nihon-u.ac.jp


Public contact

Name of contact person

1st name Mamiko
Middle name
Last name Hoshi

Organization

Graduate school of medicine, Nihon university

Division name

Respitory medicine

Zip code

173-8610

Address

30-1 Oyaguchi kami-cho, Itabashi-ku Tokyo

TEL

03-3972-8111

Homepage URL


Email

mema21005@g.nihon-u.ac.jp


Sponsor or person

Institute

Nihon University of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Shinjuku Sleep and Respiratory Medicine Clinic

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nihon University of Medicine

Address

30-1 Oyaguchi kami-cho, Itabashi-ku Tokyo

Tel

03-3972-8111

Email

med.itabashi.chiken@nihon-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 10 Month 26 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events

No significant side effect at April 24, 2024

Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2021 Year 10 Month 18 Day

Date of IRB

2022 Year 01 Month 12 Day

Anticipated trial start date

2022 Year 01 Month 20 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete

2026 Year 03 Month 31 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 10 Month 22 Day

Last modified on

2025 Year 05 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051862