RecruitingNot ApplicableNCT07087587

Sleep Apnea Triggers of Atrial Fibrillation: N-of-1 Randomized Control Trial (SPARTA):


Sponsor

The Cleveland Clinic

Enrollment

20 participants

Start Date

Aug 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A pilot N-of-1 randomized controlled trial evaluating the effectiveness of a personalized CPAP intervention in reducing atrial fibrillation (AF) burden and improving AF-related quality of life in patients with moderate to severe obstructive sleep apnea (OSA).


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Inclusion Criteria6

  • Informed consent
  • Age 18-85 years
  • High burden paroxysmal AF (≥1%)
  • Moderate-severe OSA (AHI ≥ 15)
  • Implanted device with atrial diagnostics
  • Enrolled in remote monitoring

Exclusion Criteria7

  • AF ablation \<6 months
  • Valvular abnormalities
  • Excessive daytime sleepiness in safety-critical jobs
  • Plans for ablation during study
  • Non-CPAP OSA treatment
  • Recent device implantation (\<6 months)
  • Central sleep apnea

Interventions

DEVICECPAP

CPAP will be randomized 2 weeks on 2 weeks off for 12 weeks total


Locations(2)

Cleveland Clinic

Cleveland, Ohio, United States

University of Washington

Seattle, Washington, United States

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NCT07087587


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