Effect of Montelukast Therapy in Obstructive Sleep Apnea(OSA) Children

Overview[ - collapse ][ - ]

Purpose The investigators leading hypotheses are: - Oral therapy with montelukast may lead to improved sleep study findings in children with mild to moderate Obstructive Sleep Apnea Syndrome (OSAS) who require surgical removal of adenoids and tonsils for OSAS. - A significant proportion of the children with OSAS treated with montelukast will show reduced severity of OSAS, and this will remove the need for surgical intervention.
ConditionObstructive Sleep Apnea
InterventionDrug: Montelukast
PhasePhase 4
SponsorUniversity of Chicago
Responsible PartyUniversity of Chicago
ClinicalTrials.gov IdentifierNCT01027806
First ReceivedDecember 7, 2009
Last UpdatedSeptember 17, 2011
Last verifiedSeptember 2011

Tracking Information[ + expand ][ + ]

First Received DateDecember 7, 2009
Last Updated DateSeptember 17, 2011
Start DateJuly 2010
Estimated Primary Completion DateMarch 2013
Current Primary Outcome MeasuresThe percentage of children converting from needing their tonsils and adenoids removed before treatment with montelukast to not needing surgery after treatment. [Time Frame: 4 months] [Designated as safety issue: No]
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleEffect of Montelukast Therapy in Obstructive Sleep Apnea(OSA) Children
Official TitleA Randomized Double Blind Controlled Trial on the Effect of Montelukast Treatment in Children With Obstructive Sleep Apnea Syndrome
Brief Summary
The investigators leading hypotheses are:

- Oral therapy with montelukast may lead to improved sleep study findings in children
with mild to moderate Obstructive Sleep Apnea Syndrome (OSAS) who require surgical
removal of adenoids and tonsils for OSAS.

- A significant proportion of the children with OSAS treated with montelukast will show
reduced severity of OSAS, and this will remove the need for surgical intervention.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
ConditionObstructive Sleep Apnea
InterventionDrug: Montelukast
1 pill per day for 4 months
Study Arm (s)
  • Active Comparator: Montelukast
  • Placebo Comparator: Placebo

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment83
Estimated Completion DateMarch 2013
Estimated Primary Completion DateMarch 2013
Eligibility Criteria
Inclusion Criteria:

- Eligible for inclusion in the study will be symptomatic snoring children >2 years of
age and < 10 years of age, who snore and have an apnea hypopnea index (AHI) >2/hrTST
(hour total sleep time), and in whom T&A is therefore contemplated. Also among these,
we will include children referred for evaluation for snoring who have a history of
allergic rhinitis.

Exclusion Criteria:

- Exclusion criteria will include: Hypersensitivity to montelukast, immunodeficiency or
immunosuppressant therapy, craniofacial, neuromuscular, syndromic or defined genetic
abnormalities, acute upper respiratory tract infection, systemic corticosteroid
therapy or antibiotic therapy in the 2 weeks previous to the study, and children who
already had adenotonsillectomy. In addition, children chronically receiving oral
antihistamine preparations or nasal decongestants will be required to continue using
these medications throughout the duration of the study. Patients receiving
immunotherapy will continue on the same regimen without escalation of dose and
frequency throughout the duration of the study. In addition, patients with severe OSA
who in the opinion of their treating physicians require early surgical intervention
for their OSA will be excluded from eligibility to the study.
GenderBoth
Ages2 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT01027806
Other Study ID Numbers09-008A
Has Data Monitoring CommitteeNo
Information Provided ByUniversity of Chicago
Study SponsorUniversity of Chicago
CollaboratorsMerck Sharp & Dohme Corp.
Investigators Principal Investigator: Leila Gozal, MD University of Chicago
Verification DateSeptember 2011

Locations[ + expand ][ + ]

University of Chicago
Chicago, Illinois, United States, 60637
Contact: Leila K Gozal, MD | 773-834-3815 | lgozal@peds.bsd.uchicago.edu
Principal Investigator: Leila K Gozal, MD
Recruiting