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. 2021 May 29;7(3):228–235. doi: 10.1016/j.wjorl.2021.03.005

Table 1.

Comprehensive summary of published studies on montelukast and/or nasal corticosteroids for mild OSA.

Study Design Patients number (age) PSG Treatment Dose Duration Control
Corticosteroids
Brouillette 2001 RCT 25 (1–10 y) AHI > 1/h Fluticasone 50 μg c/12 h,1 week; 50 μg/24 h, 5 weeks 6 weeks Placebo
Yilmaz 2003 RCT 28 (12–18 y) No PSG Mometasone 200 μg 6 weeks
Criscuoli 2003 RCT 53 (3.8 ± 1.3 y) No PSG Beclomethasone 400 ug 2 weeks, 24 weeks
Cengel 2006 RCT 122(3–15 y) No PSG Mometasone 100 μg 6 weeks
Berlucchi 2007 RCT 60 (3–7 y) No PSG Mometasone 100 μg 40 weeks
Kheirandish-Gozal 2008 RCT, crossover 62 (6–12 y) Mild OSA Budesonide 32 μg × nostril 6 weeks, washout, 6 weeks Placebo
Barghawa 2014 RCT 100 (2–12 y) No PSG Mometasone 200 μg 8 weeks
Barghawa 2014 RCT 60 (2–12 y) No PSG Mometasone 200 μg 8 weeks
Hassanzadel 2013 RCT 40 (4–12 y) No PSG Mometasone 400 μg 4 weeks
Rehman 2013 RCT 112 (3–8 y) No PSG Mometasone NR 8 weeks
Montelukast
Goldbart 2005 RCT 24 (2–10 y) AHI 1–8/h Montelukast 4/5 mg 12 weeks Placebo
Kheirandish-Gozal 2016 RCT 64 (2–14 y) PSG-Mild OSA (AHÍ < 7/h) Montelukast 4/5/10 mg 16 weeks Placebo
Montelukast and corticosteroids
Kheirandish-Gozal 2014 Retrospective 752 (2–14 y) PSG-Mild OSA (AHÍ<5/h) Montelukast and corticosteroids variable 12 weeks
Tuhaniouglu 2017 RCT 120 (4–10 y) Mometasone
Montelukast Both
None
100 μg
4/5 mg
12 weeks Corticosteroids

RCT: randomized controlled trial; OSA: obstructive sleep apnea; PSG: polysomnography.