CompletedPhase 3ACTRN12608000409370

Sleep Apnea CardioVascular Endpoints study – An investigation of continuous positive airway pressure for the treatment of obstructive sleep apnea to prevent cardiovascular disease.

SAVE (Sleep Apnea cardioVascular Endpoints) study An international, multi-centre, open, parallel group, prospective, randomised, controlled trial to determine the effectiveness of treatment with continuous positive airways pressure (CPAP) in addition to standard care in reducing cardiovascular (CV) morbidity and mortality in patients with co-existing CV disease and moderate-severe obstructive sleep apnea (OSA).


Sponsor

Respironics Sleep and Respiratory Research Foundation

Enrollment

2,500 participants

Start Date

Dec 28, 2008

Study Type

Interventional

Conditions

Summary

OSA is a condition in which a person stops breathing for several seconds at a time due to relaxation of the throat muscles. This can occur many times over during sleep. It is known to cause sleepiness and poor concentration during the day. Research indicates that OSA may be a modifiable risk factor for cardiovascular disease due to its association with hypertension, stroke, heart attack and sudden death. The standard therapy for symptomatic OSA is CPAP. CPAP has been shown to effectively reduce snoring, obstructive episodes and daytime sleepiness and to modestly reduce blood pressure and other risk factors for cardiovascular disease. The overall aim of SAVE is to determine if CPAP can reduce the risk of heart attack, stroke or heart failure for people with OSA.


Eligibility

Sex: Both males and femalesMin Age: 45 YearssMax Age: 75 Yearss

Plain Language Summary

Simplified for easier understanding

This large study is testing whether using a CPAP (continuous positive airway pressure) breathing machine during sleep can prevent heart attacks and strokes in people who have both obstructive sleep apnea and existing heart or blood vessel disease. Sleep apnea causes repeated breathing pauses during sleep and may worsen cardiovascular health. It is for adults aged 45 to 75 with moderate to severe sleep apnea and a history of heart disease or stroke.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Patients allocated to the CPAP group will be commenced on fixed level CPAP (90th centile of pressures determined during a 1 week treatment period using auto CPAP). Adherence will be monitored using t

Patients allocated to the CPAP group will be commenced on fixed level CPAP (90th centile of pressures determined during a 1 week treatment period using auto CPAP). Adherence will be monitored using the in-built monitor in each CPAP device. Treatment with CPAP involves a mask placed over the nose, or both the nose and mouth during sleep. The mask is attached via a hose to a CPAP machine, which gently pushes air into the lungs opening the obstructed airways. Treatment will continue for 2-7 years post randomisation depending on the patient’s date of enrolment. In addition, patients will receive standard care of their CV co-morbidities as directed by their regular doctor(s). Patients who continue to use CPAP (even on an intermittent basis) will have the treatment continued indefinitely.


Locations(25)

Auckland, New Zealand

Canterbury, New Zealand

Wellington, New Zealand

Bay of plenty, New Zealand

Andhra Pradesh, India

Tamil Nadu, India

Punjab, India

Haryana, India

Karnataka, India

Shanghai, China

Guangdong, China

Beijing, China

Jiangsu, China

Tianjin, China

Inner Mongolia, China

Sao Paulo, Brazil

Porto Alegre, Brazil

Maringá, Brazil

Pernambuco, Brazil

Rio de Janeiro, Brazil

Álava, Spain

Barcelona, Spain

Madrid, Spain

Asturias, Spain

Guadalajara, Spain

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