Adults 18 to 70, any sex, with Obesity Hypoventilation Syndrome. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Daytime Partial Pressure of Carbon Dioxide in Arterial Blood (PaCO2)Primary· Screening & 6 weeks
Daytime PaCO2 measurements will be assessed for all randomized patients to each mode of ventilation therapy (AVAPS-AE, bilevel PSV, CPAP) after 6 weeks.
Screening
Group
Value
95% CI
AVAPS-AE
47.1
± 2.5
Respironics OmniLab Advanced BiPAP S Mode
51.8
± 8.0
Respironics OmniLab Advanced CPAP Mode
50.7
± 4.7
Week 6
Group
Value
95% CI
AVAPS-AE
40.7
± 3.7
Respironics OmniLab Advanced BiPAP S Mode
47.4
± 8.9
Respironics OmniLab Advanced CPAP Mode
40.8
± 5.8
Daytime Partial Pressure of Oxygen in Arterial Blood(Pa02)Secondary· Screening & 6 weeks
Daytime Pa02 measurements will be assessed for all randomized patients to each mode of ventilation therapy (AVAPS-AE, bilevel PSV, CPAP) after 6 weeks.
Screening
Group
Value
95% CI
AVAPS-AE
62.8
± 5.8
Respironics OmniLab Advanced BiPAP S Mode
56.9
± 10.7
Respironics OmniLab Advanced CPAP Mode
62.6
± 9.8
Week 6
Group
Value
95% CI
AVAPS-AE
65.0
± 4.5
Respironics OmniLab Advanced BiPAP S Mode
58.7
± 14.7
Respironics OmniLab Advanced CPAP Mode
66.2
± 5.9
Apnea Hypopnea Index (AHI)Secondary· Screening & 6 weeks
The AHI is the number of apneas and hypopneas per hour of sleep. It will be evaluated during the screening sleep study and the 6 week follow up sleep study. AHI less than 5 is considered normal. For an Apnea-Hypopnea Index (or AHI) from 5 to 15 denotes mild sleep apnea. Fifteen to 30 is moderate, while a greater than 30 AHI is considered severe.
Epworth Sleepiness scale is a measure of daytime sleepiness. It is a series of 8 questions answered on a scale of 0 to 3, 0 being no chance of dozing and 3 being a high chance of dozing. The range of the scale is 0 to 24. The higher the total score, the higher the chance of falling asleep.
Screening
Group
Value
95% CI
AVAPS-AE
14.9
± 4.8
Respironics OmniLab Advanced BiPAP S Mode
12.0
± 5.2
Respironics OmniLab Advanced CPAP Mode
11.5
± 6.1
Week 6
Group
Value
95% CI
AVAPS-AE
9.8
± 5.8
Respironics OmniLab Advanced BiPAP S Mode
8.1
± 6.1
Respironics OmniLab Advanced CPAP Mode
5.9
± 5.0
Severe Respiratory Insufficiency Questionnaire (SRIQ)Secondary· Screening & 6 weeks
The SRIQ is a 49 question survey. This survey asks questions about the past week. It is answered on a scale of -2 to 2 and converted to 1 to 5, 1 is completely untrue and 5 is always true. The questionnaire is broken down into 7 sections when scoring: respiratory complaints, physical functioning, attendant systems and sleep, social relationships, anxiety, psychological well-being and social functioning. Once each scale score is calculated. The average score can be calculated by taking the mean of the subscales. This process of transformation produces a score between 0 and 100 with higher value
Screening
Group
Value
95% CI
AVAPS-AE
52.0
± 14.5
Respironics OmniLab Advanced BiPAP S Mode
53.4
± 14.5
Respironics OmniLab Advanced CPAP Mode
60.0
± 16.1
Week 6
Group
Value
95% CI
AVAPS-AE
61.0
± 13.5
Respironics OmniLab Advanced BiPAP S Mode
64.8
± 18.4
Respironics OmniLab Advanced CPAP Mode
69.7
± 13.4
Ventilator Adherence - Average HoursSecondary· 6 weeks
The average number of hours ventilator was used per each day used.
Group
Value
95% CI
AVAPS-AE
4.8
± 0.9
Respironics OmniLab Advanced BiPAP S Mode
5.2
± 1.7
Respironics OmniLab Advanced CPAP Mode
6.6
± 0.4
Ventilator Adherence - Days UsedSecondary· 6 weeks
Average number of days used per week
Group
Value
95% CI
AVAPS-AE
5.3
± 0.9
Respironics OmniLab Advanced BiPAP S Mode
5.3
± 1.5
Respironics OmniLab Advanced CPAP Mode
6.9
± 0.5
Room Air Sp02 Assessment Via Pulse OximetrySecondary· Screening & 6 weeks
Oxygen saturation measurements as determined by pulse oximetry
Screening
Group
Value
95% CI
AVAPS-AE
92.5
± 3.4
Respironics OmniLab Advanced BiPAP S Mode
90.6
± 4.1
Respironics OmniLab Advanced CPAP Mode
92.9
± 2.5
Week 6
Group
Value
95% CI
AVAPS-AE
94.6
± 2.0
Respironics OmniLab Advanced BiPAP S Mode
90.1
± 7.2
Respironics OmniLab Advanced CPAP Mode
94.1
± 2.5
Duration, Efficiency and Quality of Sleep and Sleepiness (Derived From Sleep Study) - DurationSecondary· Screening & 6 weeks
Duration, efficiency and quality of sleepiness are measured by a number of different parameters. Total sleep time in each stage provides the average amount of time a participant was in that stage of sleep. This includes Stage 1, Stage 2, Stage 3/4, and Rapid Eye Movement (REM) sleep.
Total Sleep Time Stage 1- Screening
Group
Value
95% CI
AVAPS-AE
28.4
± 19.5
Respironics OmniLab Advanced BiPAP S Mode
24.6
± 26.6
Respironics OmniLab Advanced CPAP Mode
18.9
± 15.6
Total Sleep Time Stage 1- 6 weeks
Group
Value
95% CI
AVAPS-AE
10.0
± 6.8
Respironics OmniLab Advanced BiPAP S Mode
13.1
± 10.3
Respironics OmniLab Advanced CPAP Mode
10.1
± 7.3
Total Sleep Time Stage 2- Screening
Group
Value
95% CI
AVAPS-AE
50.8
± 15.8
Respironics OmniLab Advanced BiPAP S Mode
59.1
± 22.4
Respironics OmniLab Advanced CPAP Mode
64.8
± 15.8
Total Sleep Time Stage 2-6 weeks
Group
Value
95% CI
AVAPS-AE
59.2
± 15.1
Respironics OmniLab Advanced BiPAP S Mode
52.4
± 14.3
Respironics OmniLab Advanced CPAP Mode
53.2
± 15.4
Total Sleep Time Stage 3/4 - Screening
Group
Value
95% CI
AVAPS-AE
8.5
± 13.7
Respironics OmniLab Advanced BiPAP S Mode
8.1
± 11.7
Respironics OmniLab Advanced CPAP Mode
7.8
± 8.4
Total Sleep Time Stagev3/4-6 weeks
Group
Value
95% CI
AVAPS-AE
12.5
± 13.2
Respironics OmniLab Advanced BiPAP S Mode
14.0
± 10.9
Respironics OmniLab Advanced CPAP Mode
16.6
± 15.8
Total Sleep Time Stage REM- Screening
Group
Value
95% CI
AVAPS-AE
13.5
± 7.4
Respironics OmniLab Advanced BiPAP S Mode
8.2
± 10.1
Respironics OmniLab Advanced CPAP Mode
8.5
± 5.1
Total Sleep Time Stage REM-6 weeks
Group
Value
95% CI
AVAPS-AE
18.3
± 8.9
Respironics OmniLab Advanced BiPAP S Mode
20.4
± 9.1
Respironics OmniLab Advanced CPAP Mode
20.1
± 7.5
Duration and Quality of Sleep and Sleepiness (Derived From Sleep Study) - Sleep EfficiencySecondary· Screening & 6 weeks
Duration, efficiency and quality of sleepiness are measured by a number of different parameters. Sleep efficiency is measured by the total time a participant is spent asleep.
Sleep Efficiency - Screening
Group
Value
95% CI
AVAPS-AE
74.4
± 14.9
Respironics OmniLab Advanced BiPAP S Mode
64.5
± 14.9
Respironics OmniLab Advanced CPAP Mode
74.6
± 18.9
Sleep Efficiency - 6 weeks
Group
Value
95% CI
AVAPS-AE
86.8
± 8.4
Respironics OmniLab Advanced BiPAP S Mode
71.4
± 17.1
Respironics OmniLab Advanced CPAP Mode
74.4
± 23.8
Duration, Efficiency and Quality of Sleep and Sleepiness (Derived From Sleep Study)- Arousal and Awakening IndicesSecondary· Screening & 6 weeks
The arousal index is measured by the average number of arousals or awakenings a participant has over an hour of sleep.
Screening
Group
Value
95% CI
AVAPS-AE
68.2
± 31.2
Respironics OmniLab Advanced BiPAP S Mode
66.0
± 20.9
Respironics OmniLab Advanced CPAP Mode
71.4
± 27.1
6 weeks
Group
Value
95% CI
AVAPS-AE
19.4
± 9.3
Respironics OmniLab Advanced BiPAP S Mode
23.0
± 10.9
Respironics OmniLab Advanced CPAP Mode
21.3
± 10.1
Duration, Efficiency and Quality of Sleep and Sleepiness (Derived From Sleep Study)- Nocturnal O2 SaturationSecondary· Screening & 6 weeks
Measurement of overnight oxygen saturation as measured by percentage of oxygen saturation (SpO2)
Screening
Group
Value
95% CI
AVAPS-AE
84.2
± 6.0
Respironics OmniLab Advanced BiPAP S Mode
81.6
± 7.5
Respironics OmniLab Advanced CPAP Mode
81.1
± 8.5
6 weeks
Group
Value
95% CI
AVAPS-AE
92.7
± 2.5
Respironics OmniLab Advanced BiPAP S Mode
93.3
± 2.9
Respironics OmniLab Advanced CPAP Mode
94.5
± 1.4
Adverse events — posted to ClinicalTrials.gov
Time frame: All Adverse Events experienced over 6 weeks were collected..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The purpose of this study is to evaluate the feasibility of using of the Average Volume Assured Pressure Support (AVAPS-AE) mode versus Continuous Positive Airway Pressure (CPAP) and bilevel pressure support ventilation (PSV) modes of ventilation in patients diagnosed with Obesity Hypoventilation syndrome (OHS).
The investigators believe the use of the AVAPS-AE mode of ventilation after 6 weeks will yield daytime gas exchange values which are equivalent or no worse when compared to using CPAP and bilevel PSV modes of ventilation in the OHS population.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Philips Respironics
Last refreshed: 26 April 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01368614.