Title

Montelukast and Inhaled Nasal Steroid Tx in Adult Obstructive Sleep Apnea (OSA)
Montelukast and Nasa ICS for Treatment of Mild Obstructive Sleep Apnea in Adults
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Study Participants

    34
In children with mild apnea combined therapy with an inhaled nasal steroid and a medication that decreased nasal congestion (montelukast) was shown to be effective. We are testing to see if this combination works in adults with mild apnea as well.
40 adults with mild OSA (< 5 apneas/hypopneas per hour of sleep) will receive either a combination of two medicines that decrease nasal congestion-montelukast and nasal budesonide-or a placebo pill and nasal spray. After 3 months of therapy, a repeat sleep study will be done to determine the differences, if any, in the frequency of sleep disordered breathing in the two groups.
Study Started
Sep 30
2010
Primary Completion
Jun 30
2014
Study Completion
Jun 30
2014
Results Posted
Dec 03
2018
Last Update
Dec 03
2018

Drug budesonide and montelukast

budesonide aqua nasal spray 1 spray each nostril bid for 12 weeks Montelukast pill 10 mg po daily for 12 weeks

Drug Placebo

sugar pill po daily for 12 weeks salt water nasal spray 1 spray each nostril bid for 12 weeks

budesonide and montelukast Active Comparator

treatment arm

placebo Placebo Comparator

sugar pill, salt water nasal spray

Criteria

Inclusion Criteria:

age 18 - 100 years
RDI between 5 - 15
all races
both sexes

Exclusion Criteria:

craniofacial, syndromic, neurological abnormalities
current or previous use of Singular, Rhinocort within last 6 months
acute upper respiratory infections
recent nasal trauma, nasal surgery, nasal septum perforation
known immunodeficiency or under going immunosuppressant therapy
current therapy with drugs that interact with Montelukast or Budesonide

Summary

Budesonide and Montelukast

Placebo

All Events

Event Type Organ System Event Term Budesonide and Montelukast Placebo

Number of Participants With a Decrease in the Number of Apnea and/or Hypopnea Events to <5 Per Hour of Sleep

by decreasing nasal congestion, we hope to decrease the number of respiratory events per hour of sleep back to the normal range

Budesonide and Montelukast

Placebo

Total

34
Participants

Race and Ethnicity Not Collected

0
Participants

Age, Categorical

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Budesonide and Montelukast

Placebo

Drop/Withdrawal Reasons

Budesonide and Montelukast

Placebo