RECRUITING

Acetazolamide in Central Sleep Apnea Patients Using Medication for Opioid Use Disorder

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Patients with opioid use disorder treated with either methadone or buprenorphine are at risk of developing central sleep apnea (CSA) from these medications. Investigators will conduct a mechanistic trial using acetazolamide, a medicine known to improve CSA in other settings, to determine if acetazolamide can improve CSA due to medication for opioid use disorder and whether this leads to physiologic changes that might lead to reduced drug craving. Patients treated with medication for opioid use disorder and who have central sleep apnea will be randomized to treatment with acetazolamide or matching placebo for 7 days. At the end of the 7 days, they will undergo an overnight sleep study to assess the impact on breathing during sleep as well as sleep quality. In addition, measures of sympathetic tone, anxiety, arousal, cognition, and drug craving will be measured to determine if treatment of CSA with acetazolamide can produce physiologic changes that might contribute to improved health.

Official Title

Impact of Acetazolamide on Central Sleep Apnea Patients Receiving Medication for Opioid Use Disorder

Quick Facts

Study Start:2025-03
Study Completion:2028-02
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06521476

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 100 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Patients on Medication for Opioid Use Disorder (MOUD) with central sleep apnea.
  1. * Sleep-related Hypoventilation.
  2. * Other causes of Central Sleep Apnea besides Opioid Use.
  3. * Pregnancy.
  4. * Contraindications for Acetazolamide.

Contacts and Locations

Study Contact

Elizabeth Stempkowski
CONTACT
412-648-9507
stempkowskiem@upmc.edu
Julia Sherman
CONTACT
412-383-9469
shermanj2@upmc.edu

Principal Investigator

Sanjay R Patel, MD
PRINCIPAL_INVESTIGATOR
University of Pittsburgh

Study Locations (Sites)

University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
United States

Collaborators and Investigators

Sponsor: Sanjay R Patel

  • Sanjay R Patel, MD, PRINCIPAL_INVESTIGATOR, University of Pittsburgh

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-03
Study Completion Date2028-02

Study Record Updates

Study Start Date2025-03
Study Completion Date2028-02

Terms related to this study

Keywords Provided by Researchers

  • Acetazolamide
  • Opioid Use Disorder
  • Medication for opioid use disorder (MOUD)
  • Methadone
  • Buprenorphine

Additional Relevant MeSH Terms

  • Central Sleep Apnea Comorbid With Opioid Use