Low-flow nighttime oxygen for children and teens with Down syndrome and sleep apnea

Randomized Control Trial of oxygen therapy in Children and Adolescents with Down Syndrome and Obstructive Sleep Apnea

NIH-funded research Cincinnati Childrens Hosp Med Ctr · NIH-11193933

This project tests whether nightly low-flow oxygen helps children and adolescents with Down syndrome who have moderate to severe obstructive sleep apnea.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionCincinnati Childrens Hosp Med Ctr NIH-funded
Lab location1 site (Cincinnati, United States)
Project IDNIH-11193933 on NIH RePORTER

What this research studies

Researchers will screen about 328 children and adolescents with Down syndrome (ages 5–17) who still have moderate to severe obstructive sleep apnea after adenotonsillectomy. In the initial R61 phase families will help refine the protocol and recruitment methods and pilot the intervention. Those who show an initial response to oxygen will be included in the R33 phase, where about 230 participants will be randomized to receive nightly low-flow oxygen or usual care. The team will measure sleep breathing events, cognition, heart function, and quality of life to see if oxygen reduces nightly low oxygen and related problems.

Who could benefit from this research

Good fit: Children and adolescents aged 5 to 17 with Down syndrome and moderate to severe obstructive sleep apnea that persists after adenotonsillectomy are the ideal candidates.

Not a fit: Infants, adults, people without Down syndrome, or those with mild or well-controlled OSA are unlikely to benefit from this specific trial.

Why it matters

Potential benefit: If successful, nightly low-flow oxygen could reduce low-oxygen episodes during sleep and improve thinking, heart function, sleep quality, and daily life for children with Down syndrome and OSA.

How similar studies have performed: Oxygen has been used in some individual cases when other OSA treatments fail, but it has not been systematically studied in children with Down syndrome, so evidence is limited.

Where this research is happening

Cincinnati, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.