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.