Status:

TERMINATED

Sleep Apnea and Fetal Growth Restriction

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

ResMed Foundation

Hebrew University Hadassah Medical School

Conditions:

Obstructive Sleep Apnea

Fetal Growth Restriction

Eligibility:

FEMALE

18-50 years

Phase:

PHASE3

Brief Summary

This study aims to evaluate the association between obstructive sleep apnea (OSA) and fetal growth restriction (FGR) and to assess the role of auto-titrated positive airway pressure (aPAP) as antenata...

Detailed Description

Fetal growth restriction (FGR) affects 5-10% of pregnancies and is one of the leading causes of perinatal morbidity and mortality. Obstructive sleep apnea (OSA) is a common disorder in which a person...

Eligibility Criteria

Inclusion

  • Age ≥ 18 and ≤ 50
  • Fetal growth restriction (defined as fetal weight \<10th percentile based on at least one routine 2nd trimester ultrasound without a subsequent increase to \>15th percentile on any ultrasounds prior to enrollment)
  • Lower limit of gestational age at enrollment 22+0 weeks.
  • Upper limit of gestational age at enrollment: adequate time to complete Stages 1 and 2 and if appropriate to be randomized and receive intervention by no later than 32+0 weeks.
  • The absence of 2 minor or 1 major markers of aneuploidy.

Exclusion

  • Other known cause of fetal growth restriction (including congenital anomalies, intrauterine infection, or multiple gestation)
  • Reversed end-diastolic flow in the umbilical artery
  • Preexisting diagnosis of OSA being treated with aPAP
  • Chronic pulmonary disease (cystic fibrosis, moderate persistent asthma)
  • Hemoglobinopathies (sickle cell anemia, thalassemia)
  • Maternal craniofacial anomalies
  • Premature rupture of membranes

Key Trial Info

Start Date :

November 18 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 27 2021

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT04084990

Start Date

November 18 2019

End Date

July 27 2021

Last Update

March 9 2022

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Washington University in St. Louis

St Louis, Missouri, United States, 63110

2

Rochester University Medical Center

Rochester, New York, United States, 14620

3

Hadassah Hebrew University

West Jerusalem, Jerusalem, Israel, 9112001