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出境医 / 临床实验 / Retinal Vascular Network and Obstructive Sleep Apnea (ORNET)

Retinal Vascular Network and Obstructive Sleep Apnea (ORNET)

Study Description
Brief Summary:
Obstructive sleep apnea syndrome (OSA) is thought to lead to systemic vascular lesions that may be preceded by early microvascular lesions in the eyes and in particular in the retina. The improvement of ophthalmological imaging techniques by OCTangiography allows a precise non-invasive study of the retinal microvascular network. This new rapid and non-invasive retinal imaging tool could reveal micro-vascular lesions related to OSA. To the investigator's knowledge, this would be the first OCT-angiography description of a cohort of patients with OSA. If these results are confirmed, it would be interesting to study the correlation between these micro-vascular lesions and the cardiovascular risk of his patients.

Condition or disease Intervention/treatment
Obstructive Sleep Apnea Syndrome Other: complete ophthalmological examination

Study Design
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Study Type : Observational
Estimated Enrollment : 180 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Pilot Study: Retinal Vascular Network and Obstructive Sleep Apnea
Actual Study Start Date : January 6, 2020
Estimated Primary Completion Date : September 2023
Estimated Study Completion Date : September 2023
Arms and Interventions
Group/Cohort Intervention/treatment
Patients
Patients referred for polysomnography diagnosis of obstructive sleep apnea syndrome
Other: complete ophthalmological examination

collection:

  • ophthalmological history and current treatments
  • occular tension measurement
  • measurement of visual acuity (Snellen chart)
  • Axial length measurement
  • Photograph of the posterior segment of the eye
  • 3x3 and 6x6 macular and papillary OCT angiography

Controls
Person without obstructive sleep apnea syndrome
Outcome Measures
Primary Outcome Measures :
  1. Measurement of macular and peri-papillary retinal vascular density of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 24 months ]
  2. Measurement of macular and peri-papillary retinal infusion density of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 24 months ]
  3. Measurement of the surface of the macular avascular zone of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 24 months ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Patients seen for sleep apnea screening by a pulmonologist and referred for polysomnography diagnosis of obstructive sleep apnea syndrome
Criteria

Inclusion Criteria:

  • person who has given oral consent
  • person who can be followed throughout the study
  • adult

Patient group:

- Patient seen in sleep apnea screening consultation by a pulmonologist and referred for polysomnography diagnosis of OSA

Control Group:

- Person initially without obstructive sleep apnea syndrome

Exclusion Criteria:

  • a person who is not affiliated to or not a beneficiary of the national health insurance system
  • person subject to a measure of legal protection (curatorship, guardianship)
  • person subject to a safeguard of justice
  • pregnant, parturient or breastfeeding woman
  • adult incapable or unable to consent
  • person with a contraindication to Tropicamide or Neosynephrine
  • person with a history of eye disease affecting ocular circulation (examples: acute anterior ischemic optic neuropathy, retinal central artery occlusion, retinal central vein occlusion, diabetic retinopathy, glaucoma, uncontrolled hypertonia, AMD, severe myopia...)

Control Group:

  • person with a history of chronic lung problems (e.g. COPD, chronic respiratory failure, etc.)
  • person with at least one of the following risk factors for obstructive sleep apnea syndrome:

    • Obesity with IMC≥30
    • Alcohol consumption > 3 glasses per day

Exclusion criteria: positive result in one of the 3 self-questionnaires

Contacts and Locations

Contacts
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Contact: Pierre-Henry GABRIELLE 03.80.29.37.56 phgabrielle@gmail.com

Locations
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France
Chu Dijon Bourogne Recruiting
Dijon, France, 21000
Contact: Pierre-Henry Gabrielle    03.80.29.37.56    phgabrielle@gmail.com   
Sponsors and Collaborators
Centre Hospitalier Universitaire Dijon
Tracking Information
First Submitted Date June 5, 2019
First Posted Date June 7, 2019
Last Update Posted Date January 20, 2021
Actual Study Start Date January 6, 2020
Estimated Primary Completion Date September 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 16, 2019)
  • Measurement of macular and peri-papillary retinal vascular density of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 24 months ]
  • Measurement of macular and peri-papillary retinal infusion density of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 24 months ]
  • Measurement of the surface of the macular avascular zone of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 24 months ]
Original Primary Outcome Measures
 (submitted: June 6, 2019)
  • Measurement of macular and peri-papillary retinal vascular density of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 12 months ]
  • Measurement of macular and peri-papillary retinal infusion density of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 12 months ]
  • Measurement of the surface of the macular avascular zone of the superficial and deep capillary plexuses [ Time Frame: Change from baseline at 12 months ]
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Retinal Vascular Network and Obstructive Sleep Apnea
Official Title Pilot Study: Retinal Vascular Network and Obstructive Sleep Apnea
Brief Summary Obstructive sleep apnea syndrome (OSA) is thought to lead to systemic vascular lesions that may be preceded by early microvascular lesions in the eyes and in particular in the retina. The improvement of ophthalmological imaging techniques by OCTangiography allows a precise non-invasive study of the retinal microvascular network. This new rapid and non-invasive retinal imaging tool could reveal micro-vascular lesions related to OSA. To the investigator's knowledge, this would be the first OCT-angiography description of a cohort of patients with OSA. If these results are confirmed, it would be interesting to study the correlation between these micro-vascular lesions and the cardiovascular risk of his patients.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Patients seen for sleep apnea screening by a pulmonologist and referred for polysomnography diagnosis of obstructive sleep apnea syndrome
Condition Obstructive Sleep Apnea Syndrome
Intervention Other: complete ophthalmological examination

collection:

  • ophthalmological history and current treatments
  • occular tension measurement
  • measurement of visual acuity (Snellen chart)
  • Axial length measurement
  • Photograph of the posterior segment of the eye
  • 3x3 and 6x6 macular and papillary OCT angiography
Study Groups/Cohorts
  • Patients
    Patients referred for polysomnography diagnosis of obstructive sleep apnea syndrome
    Intervention: Other: complete ophthalmological examination
  • Controls
    Person without obstructive sleep apnea syndrome
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: June 6, 2019)
180
Original Estimated Enrollment Same as current
Estimated Study Completion Date September 2023
Estimated Primary Completion Date September 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • person who has given oral consent
  • person who can be followed throughout the study
  • adult

Patient group:

- Patient seen in sleep apnea screening consultation by a pulmonologist and referred for polysomnography diagnosis of OSA

Control Group:

- Person initially without obstructive sleep apnea syndrome

Exclusion Criteria:

  • a person who is not affiliated to or not a beneficiary of the national health insurance system
  • person subject to a measure of legal protection (curatorship, guardianship)
  • person subject to a safeguard of justice
  • pregnant, parturient or breastfeeding woman
  • adult incapable or unable to consent
  • person with a contraindication to Tropicamide or Neosynephrine
  • person with a history of eye disease affecting ocular circulation (examples: acute anterior ischemic optic neuropathy, retinal central artery occlusion, retinal central vein occlusion, diabetic retinopathy, glaucoma, uncontrolled hypertonia, AMD, severe myopia...)

Control Group:

  • person with a history of chronic lung problems (e.g. COPD, chronic respiratory failure, etc.)
  • person with at least one of the following risk factors for obstructive sleep apnea syndrome:

    • Obesity with IMC≥30
    • Alcohol consumption > 3 glasses per day

Exclusion criteria: positive result in one of the 3 self-questionnaires

Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Pierre-Henry GABRIELLE 03.80.29.37.56 phgabrielle@gmail.com
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03979001
Other Study ID Numbers GABRIELLE 2018
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party Centre Hospitalier Universitaire Dijon
Study Sponsor Centre Hospitalier Universitaire Dijon
Collaborators Not Provided
Investigators Not Provided
PRS Account Centre Hospitalier Universitaire Dijon
Verification Date January 2021