Endothelial Function Study Before Cardiovascular Surgery (COPD-OSAS)
Recruitment status was Recruiting
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Purpose
The aim of this clinical trial is to evaluate the effect of chronic obstructive pulmonary disease (COPD) and/or obstructive sleep apnea syndrome (OSAS) on the endothelial function, before cardiovascular surgery, compared to non COPD non OSAS patients undergoing also a cardiovascular surgery, by an observational physiological study.
| Condition |
|---|
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Chronic Obstructive Pulmonary Disease (COPD) Obstructive Sleep Apnea Syndrome (OSAS) |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Endothelial Function Study Before Cardiovascular Surgery in COPD and/or SAS Patients |
- The primary endpoint is the percent of peripheral arterial tone (PAT) in COPD and/or OSAS patients compared to non COPD non OSAS patients. [ Time Frame: one week before their cardiovascular surgery ] [ Designated as safety issue: Yes ]
- Evaluation of the systemic inflammation, insulin-resistance and oxidative stress occurring during COPD and/or OSAS patients compared to non COPD non OSAS patients. [ Time Frame: one week before their cardiovascular surgery ] [ Designated as safety issue: Yes ]
- Evaluation of adipose tissue inflammation and oxidative stress occurring during COPD and/or OSAS patients compared to non COPD non OSAS patients. [ Time Frame: one week before their cardiovascular surgery ] [ Designated as safety issue: Yes ]
- Polysomnography [ Time Frame: one week before their cardiovascular surgery ] [ Designated as safety issue: Yes ]
- Functional respiratory exploration [ Time Frame: one week before their cardiovascular surgery ] [ Designated as safety issue: Yes ]
Biospecimen Retention: Samples With DNA
Urinary, blood and adipose tissue samples will be collected for measurement of different parameters of inflammation and oxidative stress.
| Estimated Enrollment: | 200 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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COPD+ OSAS- patients
Patients with chronic obstructive pulmonary disease (COPD) and without obstructive sleep apnea syndrome (OSAS), before planned cardiovascular surgery
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COPD- OSAS+ patients
Patients with obstructive sleep apnea syndrome (OSAS) and without chronic obstructive pulmonary disease (COPD), before planned cardiovascular surgery
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|
COPD+ OSAS+ patients
Patients with chronic obstructive pulmonary disease (COPD) and with obstructive sleep apnea syndrome (OSAS), with planned cardiovascular surgery
|
|
COPD- OSAS- patients
Patients without chronic obstructive pulmonary disease (COPD) and without obstructive sleep apnea syndrome (OSAS), before planned cardiovascular surgery
|
Detailed Description:
Secondary objectives of this clinical trial :
- To evaluate the effect of COPD and/or OSAS on the systemic inflammation, insulin-resistance and oxydative stress, in comparison with non COPD non OSAS patients.
- To evaluate the effect of COPD and/or OSAS on the inflammation and oxydative stress of the adipose tissue, in comparison with non COPD non OSAS patients.
- To validate the STOP-BANG questionnaire in patients undergoing a cardiovascular surgery
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients presenting with chronic obstructive pulmonary disease (COPD) and/or obstructive sleep apnea syndrome (OSAS) or control patients without these pathologies, before planned cardiovascular surgery.
Inclusion Criteria:
- Men or women between 18 and 80 years old
- Patient with planned coronary artery bypass graft surgery
- Patient with planned peripheral vascular surgery
Exclusion Criteria:
- Patient with aortic or mitral valvular replacement
- Patient with aortic surgery
- Patient with emergency peripheral valvular surgery
- Patient with emergency coronary artery bypass graft surgery
- Patient with evolutive malignancy disease
- Pregnant or lactating women
- Patient with inadvisable bronchodilator (used for functional respiratory) exploration
Contacts and Locations| Contact: Jean-Louis Pépin, MD, PhD | 33-476-765-516 | JPepin@chu-grenoble.fr |
| France | |
| University Hospital of Grenoble | Recruiting |
| Grenoble, France, 38043 | |
| Contact: Jean-Louis PEPIN, MD, PhD 33-476-765-516 JPepin@chu-grenoble.fr | |
| Principal Investigator: Jean-Louis PEPIN, MD, PhD | |
| Sub-Investigator: Patrick LEVY, MD, PhD | |
| Sub-Investigator: Sandrine LAUNOIS-ROLLINAT, MD, PhD | |
| Sub-Investigator: Renaud TAMISIER, MD, PhD | |
| Sub-Investigator: Pascal INCAGNOLI, MD | |
| Sub-Investigator: Pierre ALBALADEJO, MD, PhD | |
| Sub-Investigator: Guy BARJHOUX, MD | |
| Sub-Investigator: Damien BEDAGUE, MD | |
| Sub-Investigator: Bruno CHICHIGNOUD, MD | |
| Sub-Investigator: Michel DURAND, MD | |
| Sub-Investigator: Daniel PROTAR, MD | |
| Sub-Investigator: Delphine RHEM, MD | |
| Sub-Investigator: Vincent BACH, MD | |
| Sub-Investigator: Dominique BLIN, MD, PhD | |
| Sub-Investigator: Olivier CHAVANON, MD, PhD | |
| Sub-Investigator: Rachid HACINI, MD, PhD | |
| Sub-Investigator: Jean-Luc MAGNE, MD, PhD | |
| Sub-Investigator: Carmine SESSA, MD, PhD | |
| Sub-Investigator: Patrice FAURE, MD, PhD | |
| Sub-Investigator: Jean-Charles RENVERSEZ, MD, PhD | |
| Principal Investigator: | Jean-Louis PEPIN, MD, PhD | University Hospital of Grenoble, France |
More Information
Publications:
| Responsible Party: | Pépin Jean-Louis, Professor, University Hospital, Grenoble |
| ClinicalTrials.gov Identifier: | NCT01195064 History of Changes |
| Other Study ID Numbers: | RCB 2009-A00916-51, CHU 0921 |
| Study First Received: | June 1, 2010 |
| Last Updated: | September 2, 2010 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by University Hospital, Grenoble:
|
COPD patients OSAS patients cardiovascular surgery Endothelial function |
Additional relevant MeSH terms:
|
Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Sleep Apnea Syndromes Sleep Apnea, Obstructive Lung Diseases, Obstructive |
Respiratory Tract Diseases Apnea Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013