Atrial Fibrosis in Obstructive Sleep Apnea Patients: A Pilot Study
Part of paid clinical trials in New Orleans, Louisiana.
- Sponsor
- Tulane University
- Study ID
- NCT04814420
- Status
- Recruiting
Conditions
- Atrial Fibrillation
- Obstructive Sleep Apnea
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 75 Years
- Healthy Volunteers
- Accepted
Interventions
- Delayed enhancement magnetic resonance imaging (DE-MRI) — DEVICEThe patient will be injected with late gadolinium enhancement (0.01 mmol/kg standard dosage), which is a contrast agent used in clinical practice in MRI imaging studies. The contrast agent is used to enhance specific regions/tissues on MRI and, in this study, will allow the investigators to identify fibrotic tissue within the heart. The patient then undergoes the MRI sequence, which lasts approximately 20-25 minutes. Images will be reviewed for quality by trained technicians. This will be repeated after 6 months.
Study Details
The investigators hypothesize that Obstructive Sleep Apnea (OSA) is an independent risk factor for atrial fibrosis development. The investigators aim to prove the presence of atrial fibrosis on Delayed Enhancement Magnetic Resonance Imaging (DE-MRI) in OSA patients without atrial fibrillation (AF).
Key Dates
- Start date
- Jul 12, 2021
- Status verified
- Mar 2026
- Primary completion
- Jul 31, 2026
- Completion
- Jul 31, 2026
Study Design
- Enrollment
- 60 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- PREVENTION
Arms
- Experimental: Group AMild OSA * 10 patients diagnosed with mild OSA (5\<AHI\<15) with no atrial fibrillation. * Diagnosis confirmed through polysomnography\* before enrollment.
- Experimental: Group BModerate OSA * 10 patients diagnosed with moderate OSA (15\<AHI\<30) with no atrial fibrillation. * Diagnosis confirmed through polysomnography\* before enrollment.
- Experimental: Group CSevere OSA * 10 patients diagnosed with severe OSA (AHI\>30) with no atrial fibrillation. * Diagnosis confirmed through polysomnography\* before enrollment.
- Experimental: Group DMild OSA and AF * At least 10 patients diagnosed with mild OSA (5\<AHI\<15). * Diagnosis confirmed through polysomnography\* before enrollment. * Diagnosed with AF.
- Experimental: Group ESevere OSA and AF * At least 10 patients diagnosed with severe OSA (AHI\>30). * Diagnosis confirmed through polysomnography\* before enrollment. * Diagnosed with AF.
- Other: Group FControl - No OSA 10 control patients without OSA and without AF.
Primary Outcome Measure
Percentage of atrial fibrosis in the left atrium measured by DE-MRI [ Time Frame: Baseline visit ]
Central Contacts
- Christian Massad, MD504-988-3072
- Kunal Sameer, MD, MHA504-988-3072
Locations (3)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| East Jefferson General Hospital | New Orleans | Louisiana | 70006 | Amitabh Pandey, MD (PRINCIPAL_INVESTIGATOR) |
| Tulane Doctors - Speciality Care - Napoleon | New Orleans | Louisiana | 70115 | Siddharth Bhansali, MD (PRINCIPAL_INVESTIGATOR) |
| University Medical Center | New Orleans | Louisiana | 70112 | Amitabh Pandey, MD (PRINCIPAL_INVESTIGATOR) |
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