Outcomes Post Treatment: Impact on Motor Impairment of Sleep Efficiency in SCI (OPTIMISE SCI Trial)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Health Network, Toronto

About this trial

This randomized clinical trial will compare three groups of individuals with cervical/thoracic, complete or incomplete spinal cord injury (SCI) that will undergo: (i) early CPAP therapy in the management of moderate-to-severe sleep-related breathing disorders (SRBDs) among adults at 6 weeks after SCI; (ii) delayed CPAP therapy in the management of moderate-to-severe SRBDs among adults at 22 weeks after SCI; and (iii) no treatment as they either have mild or no SRBD.

Eligibility criteria

Qualifiers

English-speaking adults (18 years of age or older)

Acute (≤ 30 days after injury), cervical/thoracic (injury level at C2 to T12), complete or incomplete (AIS A to D) SCI

Not being treated for sleep apnea prior to the spinal cord impairment onset.

Disqualifiers

Non-traumatic spinal cord disease at risk for neurologic progression (e.g., demyelinating spine diseases such as neuromyelitis optica and multiple sclerosis, spinal cord malignancy)

Concomitant diseases of the central nervous system

Preinjury chronic pain

Other pre-existing diseases of the central nervous system

Trial design

Treatments tested in this trial

  • Continuous positive airway pressure (CPAP) therapy

Treatment groups

66 Participants
are divided into 3 treatment groups

Sponsors and collaborators

University Health Network, Toronto

Lead sponsor

Sunnybrook Health Sciences Centre

Collaborator