Evaluating CPAP treatment for severe asthma patients with sleep apnea
Official title: Effect of CPAP Treatment on Asthma Control in Patients With Severe Uncontrolled Asthma and Obstructive Sleep Apnea: The ASTHMA-SLEEP Study
Run by Hospital Clinic of Barcelona · NCT06314477 · Data updated 2026-11-12
This study is testing if using a CPAP machine can help adults with severe asthma and sleep apnea breathe better and manage their asthma more effectively.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 138 (estimated) |
| Sponsor | Hospital Clinic of Barcelona Academic / other |
| Locations | 1 site (Barcelona, Spain) |
| Status | Recruiting |
| Started | February 29, 2024 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | September 21, 2026 |
| Trial ID | NCT06314477 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 with severe uncontrolled asthma and an apnea-hypopnea index of 15 or higher.
✕Probably not a fit
Patients with central sleep apnea, other significant sleep disorders, or unstable comorbidities may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to assess the effects of Continuous Positive Airway Pressure (CPAP) treatment on asthma control in patients suffering from severe uncontrolled asthma and obstructive sleep apnea (OSA). It is a multicenter, prospective, randomized, controlled clinical trial involving adults over 18 years old who meet specific criteria for asthma severity and sleepiness levels. Participants will undergo polysomnography to confirm OSA and will be randomized to receive either standard treatment or standard treatment plus CPAP for a duration of 12 months, with evaluations at multiple time points.
Why it matters
Potential benefit: If successful, this study could significantly improve asthma control in patients with severe uncontrolled asthma and OSA.
How similar studies have gone: Previous observational studies have shown promise for CPAP treatment in patients with mild to moderate asthma, but this approach in severe uncontrolled asthma is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \>18 years * Diagnosis of severe uncontrolled asthma according to the criteria of the Spanish Asthma Management Guide (GEMA) or the Global Initiative for Asthma (GINA) and no hospitalizations the month prior to inclusion in the study. * Apnea hypopnea rate greater than or equal to 15/hour * Punctuation in the Epworth Sleepiness Scale ≤10 * Obtaining informed consent. Exclusion Criteria: * Previous treatment with CPAP * Patient with central sleep apnea or Cheyne-Stokes respiration * Other sleep disorders: narcolepsy, restless leg syndrome, chronic insomnia, * Resistant hypertension * Active Smoking * Unstable comorbidities or medications may interfere with asthma control * Pregnancy * Any process that reduces life expectancy to \<1 year, * Any medical or social factor that may limit CPAP compliance
Where it's running
-
Hospital Clinic Barcelona
Barcelona, Spain, Spain Recruiting
Study contacts
- Principal investigator: Mireia Dalmases, MD — Hospital Clinic
- Study coordinator: Mireia Dalmases, MD
- Email: mdalmase@clinic.cat
- Phone: +34932275746
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.