Assessment of Desogestrel in Ondine Syndrome (RESPIRONDINE)
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Purpose
The congenital central hypoventilation syndrome (CCHS), also known as the Ondine syndrome, is a very rare genetic disorder. In contrast with healthy people, patients do not increase breathing in response to an excess of carbon dioxide (CO2). As a consequence, they do not breath sufficiently, or even stop breathing, during sleep. Their survival depends only on mechanical respiratory assistance, all life long.
We have recently published two cases of recovery of a response to CO2 in patients taking desogestrel as a contraceptive pill. The goal of the study is therefore to assess the hypothesis that desogestrel will restore a respiratory response to CO2 in CCHS patients and allow them to breath sufficiently during sleep without mechanical assistance.
| Condition | Intervention | Phase |
|---|---|---|
|
Ondine Syndrome |
Drug: desogestrel |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Assessment of Desogestrel for a Pharmacological Recovery of Ventilatory Activity in Congenital Central Hypoventilation Syndrome - Ondine Syndrome |
- Increase in the ventilatory response to hypercapnia [ Time Frame: 112 days ] [ Designated as safety issue: No ]
- Ventilatory response to hypoxia [ Time Frame: 112 days ] [ Designated as safety issue: No ]
- Activation of new cerebral regions in fMRI [ Time Frame: 112 days ] [ Designated as safety issue: No ]
- Weaning from mechanical ventilation during sleep [ Time Frame: 112 days ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 12 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: desogestrel
Tablets of 75 µg, once daily during 112 days
|
Drug: desogestrel
Tablets of 75 µg, once daily during 112 days
Other Name: desogestrel
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 10 Years to 60 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion criteria :
- Ondine syndrome
- Pubescent female
Exclusion criteria :
- Contra-indications to a treatment with desogestrel.
- Other treatment with estrogens or progestin that cannot be stopped.
Contacts and Locations| France | |
| Pitie salpetriere hospital | Recruiting |
| Paris, France, 75013 | |
| Contact: STRAUS Christian, MD, PhD +33 1 42 17 85 78 christian.straus@psl.aphp.fr | |
| Principal Investigator: STRAUS Christian, MD, PhD | |
| Principal Investigator: | STRAUS Christian, MD, PhD | Pitie Salpetriere Hospital (APHP) |
More Information
No publications provided by Assistance Publique - Hôpitaux de Paris
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01243697 History of Changes |
| Other Study ID Numbers: | P101001 |
| Study First Received: | November 17, 2010 |
| Last Updated: | October 30, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Desogestrel Chemosensitivity |
Additional relevant MeSH terms:
|
Sleep Apnea, Central Sleep Apnea Syndromes Apnea Respiration Disorders Respiratory Tract Diseases Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases Desogestrel Progestins |
Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Contraceptives, Oral, Synthetic Contraceptives, Oral Contraceptive Agents, Female Contraceptive Agents Reproductive Control Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013