Breathing brief Low-Oxygen bursts may boost sleep apnea treatment
NCT ID NCT03736382
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Researchers are testing whether short, repeated sessions of mild low oxygen (mild intermittent hypoxia) can strengthen upper airway muscles and improve sleep apnea treatment. Adults with newly diagnosed obstructive sleep apnea and prehypertension or stage 1 hypertension, including some with spinal cord injuries, receive either the mild hypoxia or a sham (room air) protocol five days a week for three weeks, while all use CPAP every night. The study measures changes in blood pressure over 24 hours and during sleep, along with metabolic and cognitive outcomes, to see if this combined approach helps.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mild intermittent hypoxia (brief, controlled low-oxygen breathing sessions)
- What this could lead to
- If it works, this approach could reduce how much CPAP pressure people need and might improve blood pressure and other health measures tied to sleep apnea.
- What could go wrong
- The trial is small and early, so results may not hold up in larger groups. Mild intermittent hypoxia can cause temporary discomfort, and its effects on blood pressure and sleep are still uncertain.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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47 people
The number who actually took part.
- Started
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Nov 2018
- Finished
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Jun 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Body mass index \< 40 kg/m\^2. * 18 to 60 years old. * Newly diagnosed sleep apnea (i.e. apnea/hypopnea index \< 100 events per hour - average nocturnal oxygen saturation \> 85 %) that has not been treated. * Diagnosed with prehypertension or Stage 1 hypertension as categorized by the American Heart Association * Not pregnant. * Normal lung function. * Minimal alcohol consumption (i.e. no more than the equivalent of a glass of wine/day) * A typical sleep/wake schedule (i.e. participants will not be night shift workers or have recently travelled across time zones). * For spinal cord injured participants (Aim-2): incomplete spinal cord lesions at C3 or below and above T12 (greater than 36 mos. post-SCI) without joint contractures but with signs of voluntary ankle, knee and hip movements and the ability to ambulate at least one step without human assistance. Exclusion Criteria: * Any disease other than high blood pressure and sleep apnea. * Medications for high blood pressure and sleep promoting supplements including melatonin * Current effective CPAP usage (greater than 4 hours per night). * Night Shift workers or recently traveled across time zones.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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John D Dingell VA Medical Center
Detroit, Michigan, 48201, United States
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Wayne State University
Detroit, Michigan, 48201, United States
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