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Trial · NCT02436031

Effect of Desipramine on Upper Airway Collapsibility and Genioglossus Muscle Activity in Patients With Obstructive Sleep Apnea - Study B

NCT02436031, Phase 2, Completed, Brigham and Women's Hospital; results first posted 2017-03-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Effect of Desipramine on Upper Airway Collapsibility and Genioglossus Muscle Activity in Patients With Obstructive Sleep Apnea - Study B. Trials, record NCT02436031. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02436031

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Effect of Desipramine on Upper Airway Collapsibility and Genioglossus Muscle Activity in Patients With Obstructive Sleep Apnea - Study B
NCT number
NCT02436031
Status
Completed
Phases
Phase 2
Enrollment
16 participants, actual
Lead sponsor
Brigham and Women's Hospital
Conditions
Sleep Apnea, Obstructive
Interventions
Desipramine, Placebo
First posted
2015-05-06
Last updated
2017-03-30
Results first posted
2017-03-30

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in Pharyngeal Critical Collapsing Pressure (Pcrit) as a Measure of Upper Airway Collapsibility1 night
Participants were connected to a modified continuous positive airway pressure (CPAP) machine (Pcrit3000, Respironics) which provided a wide range of pressures between 20 and -20 cm H2O in order to modify upper airway pressure. Following a baseline recording period of 5 minutes, the CPAP level was reduced to varying suboptimal pressures. Change in Pcrit was used to determine the collapsibility of the upper airway under both passive and active conditions, and is expressed as Passive Pcrit: ventilation at a nasal pressure of 0 cm H2O when pharyngeal muscles are passive; Active Pcrit: ventilation at a nasal pressure of 0 cm H2O when pharyngeal muscles are active. Improved=more negative Pcrit.
SecondaryGenioglossus Muscle Responsiveness to Progressively Greater Epiglottic Pressure Swings1 night
Electromyography (EMG) was used to analyze genioglossus (GG) \[EMG GG\] muscle activity. EMG GG activity was recorded via standard needle electrodes inserted into the genioglossus muscle (tongue). Activity of EMG GG was measured during wakefulness and sleep as % of maximum activation obtained pushing the tongue against closed teeth during wakefulness (GG%max). Participants were connected to a modified continuous positive airway pressure (CPAP) machine (Pcrit3000, Respironics) which provided a wide range of pressures between 20 and -20 cm H2O in order to modify upper airway pressure and measure change in EMG GG as a function of epiglottic pressure (muscle responsiveness) (%max/cmH2O).
SecondaryNumber of Apnoea-Hypopnea Index (AHI) Events During Non-Random Eye Movement (NREM) Sleep1 night
The AHI is the number of apneas (pauses in breathing) or hypopneas (shallow breathing) recorded during the study per hour of sleep. Data for the calculation of the AHI was collected while the participant was in NREM sleep in the supine position and off CPAP (breathing spontaneously).

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Pharyngeal Critical Collapsing Pressure (Pcrit) as a Measure of Upper Airway Collapsibility1 nightAll participants who were randomized, completed both study nights, and were included in the analysis. 1 participant was excluded due to insufficient sleep time.cm H2OMEDIAN
SECONDARYGenioglossus Muscle Responsiveness to Progressively Greater Epiglottic Pressure Swings1 nightAll participants who were randomized, completed both study nights, and were included in the analysis. 1 participant was excluded due to insufficient sleep time.%max/cmH2OMEDIAN
SECONDARYNumber of Apnoea-Hypopnea Index (AHI) Events During Non-Random Eye Movement (NREM) Sleep1 nightAll participants who were randomized, completed both study nights, and were included in the analysis. 1 participant was excluded due to insufficient sleep time.events per hourMEDIAN

Results by group8

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in Pharyngeal Critical Collapsing Pressure (Pcrit) as a Measure of Upper Airway CollapsibilityDesipramineActive Pcrit-5.2Inter-Quartile Range -7 to -2.8cm H2O
Change in Pharyngeal Critical Collapsing Pressure (Pcrit) as a Measure of Upper Airway CollapsibilityPlaceboActive Pcrit-1.9Inter-Quartile Range -3.3 to -0.7cm H2O
Change in Pharyngeal Critical Collapsing Pressure (Pcrit) as a Measure of Upper Airway CollapsibilityDesipraminePassive Pcrit-2.2Inter-Quartile Range -3.2 to 0.2cm H2O
Change in Pharyngeal Critical Collapsing Pressure (Pcrit) as a Measure of Upper Airway CollapsibilityPlaceboPassive Pcrit-0.7Inter-Quartile Range -1.7 to -0.4cm H2O
Genioglossus Muscle Responsiveness to Progressively Greater Epiglottic Pressure SwingsDesipramine-0.24Inter-Quartile Range -0.5 to -0.2%max/cmH2O
Genioglossus Muscle Responsiveness to Progressively Greater Epiglottic Pressure SwingsPlacebo-0.25Inter-Quartile Range -0.4 to -0.1%max/cmH2O
Number of Apnoea-Hypopnea Index (AHI) Events During Non-Random Eye Movement (NREM) SleepDesipramine34.3Inter-Quartile Range 14.7 to 62events per hour
Number of Apnoea-Hypopnea Index (AHI) Events During Non-Random Eye Movement (NREM) SleepPlacebo42.0Inter-Quartile Range 20.5 to 53.3events per hour

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
First Study NightSTARTEDDesipramine First, Placebo Second8
First Study NightSTARTEDPlacebo First, Desipramine Second8
First Study NightCOMPLETEDDesipramine First, Placebo Second8
First Study NightCOMPLETEDPlacebo First, Desipramine Second8
First Study NightNOT COMPLETEDDesipramine First, Placebo Second0
First Study NightNOT COMPLETEDPlacebo First, Desipramine Second0
Second Study NightSTARTEDDesipramine First, Placebo Second7
Second Study NightSTARTEDPlacebo First, Desipramine Second8
Second Study NightCOMPLETEDDesipramine First, Placebo Second7
Second Study NightCOMPLETEDPlacebo First, Desipramine Second8

Adverse events2

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDizzinessNervous system disordersDesipramine116
otherDizzinessNervous system disordersPlacebo015

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDesipramine
Total, all-cause mortalityPlacebo
Total, other adverse eventsDesipramine116
Total, other adverse eventsPlacebo015
Total, serious adverse eventsDesipramine016
Total, serious adverse eventsPlacebo015

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Desipramine vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02436031

GET https://conductscience.org/api/trials/v1/NCT02436031/registered