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NOT YET RECRUITING
NCT07891962
NA

Comparing Two Types of Breathing Support in People With COPD, High Carbon Dioxide Levels, and Sleep Apnea

Sponsor: University of British Columbia

View on ClinicalTrials.gov

Summary

This pilot study compares two positive airway pressure strategies for patients with both COPD and obstructive sleep apnea (overlap syndrome) who retain excess carbon dioxide. Thirty-two patients will be randomly assigned to either CPAP or high-intensity bilevel ventilation (BiPAP) for 12 months. The primary outcome is change in carbon dioxide levels. Secondary outcomes will be to evaluate the feasibility of conducting a larger multi-centre trial to guide treatment for this underserved population and other measures including sleep quality, respiratory symptoms, quality of life, treatment adherence, side effects, and safety.

Official title: Comparing Continuous Positive Airway Pressure and Bilevel Ventilation Strategy Effectiveness in Hypercapnic Overlap Syndrome (PAVE-OVS): A Pilot Randomized Controlled Trial

Key Details

Gender

All

Age Range

41 Years - Any

Study Type

INTERVENTIONAL

Enrollment

32

Start Date

2026-11

Completion Date

2028-11

Last Updated

2026-10-27

Healthy Volunteers

No

Interventions

DEVICE

high-intensity ventilation strategy

Higher pressure support targeting increased tidal volume

DEVICE

OSA-targeted ventilation strategy

Device settings are optimized to target upper airway obstruction