Targeted Hypoglossal Neurostimulation Study #3

NCT ID: NCT02263859

Last Updated: 2024-02-07

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

Clinical Phase

NA

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2023-09-01

Brief Summary

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The purpose of this study is to evaluate the benefits and risks of hypoglossal nerve stimulation with the ImThera Medical aura6000 System as a potential therapeutic option for individuals with moderate to severe OSA that have failed or do not tolerate PAP.

Detailed Description

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The objectives of this study are to evaluate the safety and effectiveness of the aura6000 System for the treatment of moderate to severe obstructive sleep apnea (OSA) in individuals who have failed or do not tolerate positive airway pressure (PAP) therapy or have failed or are intolerant of or refuse indicated alternative OSA treatments (such as oral appliances, positional devices and conventional sleep surgeries). PAP failure is defined as an inability to eliminate OSA (AHI \> 20 despite PAP usage) and PAP intolerance is defined as: 1) inability to use PAP (greater than 5 nights per week of usage; usage defined as greater than 4 hours of use per night); or 2) unwillingness to use PAP (for example, a patient returns the PAP system after attempting to use it). The results of this study are anticipated to provide reasonable assurance of the safety and effectiveness of the aura6000 System when used as intended and to support the application for FDA Premarket Approval of the system.

Conditions

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Obstructive Sleep Apnea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment

The Treatment Group will be implanted with the aura6000 System and have therapy turned ON at the Month 1 follow-up visit.

Group Type EXPERIMENTAL

aura6000 System

Intervention Type DEVICE

The aura6000 System is intended to unilaterally stimulate the hypoglossal nerve which innervates the muscles of the tongue. The aura6000 System stimulates the hypoglossal nerve cyclically and continuously during sleep to maintain muscle tone of the tongue and upper airway during sleep. Stimulation is generated by a programmable, multi-current source, implantable neurostimulator (IPG) and delivered to the hypoglossal nerve by a lead with multi-contact cuff electrode (lead).

Control

The Control Group will be implanted with the aura6000 System and receive treatment as-usual, (i.e. any non-PAP, non-surgical OSA treatment including oral appliances and positional devices being used prior to enrollment in the study) until 14 days (washout period) prior to the Month 4 visit. At the Month 4 + 1 day follow-up visit, subjects in the Control Group will have therapy turned ON for the duration of the study.

Group Type OTHER

aura6000 System

Intervention Type DEVICE

The aura6000 System is intended to unilaterally stimulate the hypoglossal nerve which innervates the muscles of the tongue. The aura6000 System stimulates the hypoglossal nerve cyclically and continuously during sleep to maintain muscle tone of the tongue and upper airway during sleep. Stimulation is generated by a programmable, multi-current source, implantable neurostimulator (IPG) and delivered to the hypoglossal nerve by a lead with multi-contact cuff electrode (lead).

Interventions

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aura6000 System

The aura6000 System is intended to unilaterally stimulate the hypoglossal nerve which innervates the muscles of the tongue. The aura6000 System stimulates the hypoglossal nerve cyclically and continuously during sleep to maintain muscle tone of the tongue and upper airway during sleep. Stimulation is generated by a programmable, multi-current source, implantable neurostimulator (IPG) and delivered to the hypoglossal nerve by a lead with multi-contact cuff electrode (lead).

Intervention Type DEVICE

Other Intervention Names

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THN Therapy ImThera Medical

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years
* Individual has failed or does not tolerate PAP therapy
* Has failed or refuses alternative OSA treatments (e.g.surgery, oral appliances, and behavioral treatments)
* AHI ≥ 20 (Moderate to severe OSA)

Exclusion Critera:

* Implanted with another active implantable device
* Body mass index (BMI) ≥ 35 kg/m²
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LivaNova

INDUSTRY

Sponsor Role collaborator

ImThera Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alan R Schwartz, MD

Role: PRINCIPAL_INVESTIGATOR

Professor (ret.), Johns Hopkins University

Locations

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ENT Associates of San Diego

Chula Vista, California, United States

Site Status

Tower ENT

Los Angeles, California, United States

Site Status

SENTA Clinic

San Diego, California, United States

Site Status

Ear, Nose, and Throat Associates of South Florida

Boca Raton, Florida, United States

Site Status

Morton Plant Mease Healthcare

Safety Harbor, Florida, United States

Site Status

Advanced ENT Asociates

Atlanta, Georgia, United States

Site Status

Center for ENT and Allergy

Carmel, Indiana, United States

Site Status

Kentucky Research Group

Louisville, Kentucky, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

ENT and Allergy Associates

New York, New York, United States

Site Status

Intrepid Research

Cincinnati, Ohio, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

UT Methodist Physicians

Memphis, Tennessee, United States

Site Status

FutureSearch Trials

Austin, Texas, United States

Site Status

Clinique Univ. Saint-Luc

Brussels, , Belgium

Site Status

Pitie Salpetriere

Paris, , France

Site Status

Foch Hospital

Suresnes, , France

Site Status

Ruprechts-Karls University

Mannheim, , Germany

Site Status

Bnai Zion Medical Center

Haifa, , Israel

Site Status

Hospital CUF Porto

Porto, , Portugal

Site Status

Countries

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United States Belgium France Germany Israel Portugal

References

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Schwartz AR, Jacobowitz O, Eisele DW, Mickelson SA, Miller MB, Oliven A, Certal V, Hopp ML, Winslow DH, Huntley TC, Nachlas NE, Pham LV, Gillespie MB, Weeks BH, Lovett EG, Shen J, Malhotra A, Maurer JT. Targeted Hypoglossal Nerve Stimulation for Patients With Obstructive Sleep Apnea: A Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2023 Jun 1;149(6):512-520. doi: 10.1001/jamaoto.2023.0161.

Reference Type DERIVED
PMID: 37022679 (View on PubMed)

Other Identifiers

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IMT 2014-01

Identifier Type: -

Identifier Source: org_study_id

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