Narval CC Mandibular Repositioning Device in the Second-line Treatment of Severe Obstructive Sleep Apnea Hypopnea (OSAH)

NCT ID: NCT01326143

Last Updated: 2020-04-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

360 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-05-31

Study Completion Date

2019-02-27

Brief Summary

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The purpose of this study is to evaluate the long-term efficacy, tolerance and compliance of ORM Narval Mandibular Repositioning Device (MRD) as a second-line treatment for patients with severe Obstructive Sleep Apnea Hypopnea (OSAH) syndrome who refuse or are intolerant to Continuous Positive Airway Pressure (CPAP) treatment.

Detailed Description

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OSAH is a common condition which occurs in between 1 and 4% of the adult population. Respiratory obstruction may be complete (apnea) or incomplete (hypopnea). This disorder disturbs the architecture and quality of sleep, and is a known risk factor in the development of cardiovascular and metabolic diseases. CPAP is the standard treatment, however in some cases patients are unable to use it (rejection, intolerance, etc.). In such circumstances, treatment using a MRD may result in an improvement of symptoms.

Very few long-term clinical data are available on treatment of OSAH by MRD. This study should allow to have a precise and representative vision of 5 years results of ORM Narval MRD treatment in conditions of good practices (titration, controls of efficacy).

Conditions

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Obstructive Sleep Apnea Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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ORM Narval MRD

ORM Narval MRD

Intervention Type DEVICE

Interventions

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ORM Narval MRD

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adult patient with severe OSAH (AHI \> 30 or AHI of between 5 and 30 along with severe daytime sleepiness),
* intolerant to or having refused CPAP therapy,
* no dental, parodontal or articulatory contraindications,
* no experience of any mandibular advancement device therapy,
* medical insurance.

Exclusion Criteria

* severe psychiatric disorders or severe neuromuscular disorders
* \> 20% of central apneas during the baseline assessment,
* severe OSAH with an AHI \> 30 associated with another sleep pathology (narcolepsy with or without cataplexy, idiopathic hypersomnia, severe restless legs syndrome),
* pregnant or breastfeeding woman,
* Informed consent not signed,
* patient requiring special protection such as patients with appointed guardians and patients without legal or administrative rights,
* patient who is completely or partially edentulous
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ResMed

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie-Françoise VECCHIERINI-BLINEAU, Dr

Role: PRINCIPAL_INVESTIGATOR

Hôtel Dieu, Paris

Locations

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Fondation Bon Sauveur / cabinet médical / cabinet dentaire

Albi, , France

Site Status

CH Antibes / cabinet dentaire

Antibes, , France

Site Status

CH Béziers

Béziers, , France

Site Status

CHU Avicennes

Bobigny, , France

Site Status

Polyclinique du Tondu / cabinet dentaire

Bordeaux, , France

Site Status

CHG Chalon en Champagne

Châlons-en-Champagne, , France

Site Status

CH Compiègne Senlis / cabinets dentaires

Compiègne, , France

Site Status

CHU Grenoble

Grenoble, , France

Site Status

Cabinet médical / cabinet dentaire

Lagny, , France

Site Status

CHRU Lille

Lille, , France

Site Status

Cabinet médical Lyon

Lyon, , France

Site Status

CHU La Timone / cabinet médical

Marseille, , France

Site Status

CHRU Montpellier / Clinique Beau Soleil / Faculté d'Odontologie / cabinet dentaire

Montpellier, , France

Site Status

CH Montreuil

Montreuil, , France

Site Status

Centre Médical Plateau de Haye / cabinet médical / cabinet dentaire

Nancy, , France

Site Status

Maison de la Mutualité / polyclinique de l'Atlantique

Nantes, , France

Site Status

Cabinet médical / cabinet dentaire

Nice, , France

Site Status

Hôpital Bichat Claude Bernard

Paris, , France

Site Status

Hôpital Pitié Salpetriere

Paris, , France

Site Status

Hôtel Dieu

Paris, , France

Site Status

CHU Poitiers

Poitiers, , France

Site Status

CHRU Rennes / polyclinique St Laurent / cabinet dentaire

Rennes, , France

Site Status

CHRU Rouen

Rouen, , France

Site Status

CHU Toulouse

Toulouse, , France

Site Status

Clinique de l'Union

Toulouse, , France

Site Status

CH Valence

Valence, , France

Site Status

Countries

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France

References

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Vecchierini MF, Attali V, Collet JM, d'Ortho MP, El Chater P, Kerbrat JB, Leger D, Monaca C, Monteyrol PJ, Morin L, Mullens E, Pigearias B, Meurice JC; ORCADES investigators. A custom-made mandibular repositioning device for obstructive sleep apnoea-hypopnoea syndrome: the ORCADES study. Sleep Med. 2016 Mar;19:131-40. doi: 10.1016/j.sleep.2015.05.020. Epub 2015 Jun 29.

Reference Type RESULT
PMID: 26364869 (View on PubMed)

Attali V, Vecchierini MF, Collet JM, d'Ortho MP, Goutorbe F, Kerbrat JB, Leger D, Lavergne F, Monaca C, Monteyrol PJ, Morin L, Mullens E, Pigearias B, Martin F, Tordjman F, Khemliche H, Lerousseau L, Meurice JC; ORCADES investigators. Efficacy and tolerability of a custom-made Narval mandibular repositioning device for the treatment of obstructive sleep apnea: ORCADES study 2-year follow-up data. Sleep Med. 2019 Nov;63:64-74. doi: 10.1016/j.sleep.2019.04.021. Epub 2019 Jun 12.

Reference Type RESULT
PMID: 31606651 (View on PubMed)

Vecchierini MF, Attali V, Collet JM, d'Ortho MP, Goutorbe F, Kerbrat JB, Leger D, Lavergne F, Monaca C, Monteyrol PJ, Morin L, Mullens E, Pigearias B, Martin F, Khemliche H, Lerousseau L, Meurice JC; ORCADES investigators; Abedipour D, Allard-Redon A, Aranda A, Attali V, Bavozet F, Becu M, Beruben W, Bessard J, Bonafe I, Boukhana M, Chabrol B, Chatte G, Lebret C, Collet JM, Coste O, Dumont N, Durand-Amat S, D'ortho MP, Elbaum JM, De Santerre OG, Goutorbes F, Grandjean T, Guyot W, Hammer D, Havasi C, Huet P, Kerbrat JB, Khemliche H, Koltes C, Leger D, Lacassagne L, Laur X, Lerousseau L, Liard O, Loisel C, Longuet M, Mallart A, Martin F, Merle Beral F, Meurice JC, Mokhtari Z, Monaca C, Monteyrol PJ, Muir JF, Mullens E, Muller D, Paoli C, Petit FX, Pigearias B, Pradines M, Prigent A, Putterman G, Rey M, Samama M, Tamisier R, Tiberge M, Tison C, Tordjman F, Triolet B, Vacher C, Vecchierini MF, Verain A. Sex differences in mandibular repositioning device therapy effectiveness in patients with obstructive sleep apnea syndrome. Sleep Breath. 2019 Sep;23(3):837-848. doi: 10.1007/s11325-018-1766-8. Epub 2018 Dec 22.

Reference Type DERIVED
PMID: 30580418 (View on PubMed)

Other Identifiers

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2010-A01121-38

Identifier Type: REGISTRY

Identifier Source: secondary_id

RESMED Narval ORM 001

Identifier Type: -

Identifier Source: org_study_id

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