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Comparing Two Types of Breathing Support in People With COPD, High Carbon Dioxide Levels, and Sleep Apnea
Sponsor: University of British Columbia
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
Conditions
Interventions
high-intensity ventilation strategy
Higher pressure support targeting increased tidal volume
OSA-targeted ventilation strategy
Device settings are optimized to target upper airway obstruction