Trial Outcomes & Findings for Comparison of Auto-Adjusting Positive Airway Pressure Devices (NCT NCT02357706)

NCT ID: NCT02357706

Last Updated: 2020-04-20

Results Overview

AHI measures the number of apnoeas + hypopnoeas per hours of night (events/hour).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

1 night (446 minutes) for APAP A (AirSense), 1 night (436 minutes) for APAP B (Apex)

Results posted on

2020-04-20

Participant Flow

Participant milestones

Participant milestones
Measure
APAP A, Then APAP B
Patients will be randomised to either Group 1 or Group 2. Patients in this group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B, Then APAP A
Patients will be randomised to either Group 1 or Group 2. Patients in this group (group 2) will use APAP B on the first night of the evaluation and APAP A on the second night. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparison of Auto-Adjusting Positive Airway Pressure Devices

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=20 Participants
Patients will be randomised to either "APAP A, then APAP B" or "APAP B, then APAP A". Patients in "APAP A, then APAP B" will use APAP A on the first night of the evaluation, and APAP B on the second night. Patients in "APAP B, then APAP A" will use APAP B on the first night of the evaluation and APAP A on the second night. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Age, Continuous
57.6 years
STANDARD_DEVIATION 12.5 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Body Mass Index (BMI)
31.1 kg/m2
STANDARD_DEVIATION 5.3 • n=5 Participants
Neck Size
41.1 cm
STANDARD_DEVIATION 3.6 • n=5 Participants
waist-to-hip ratio
1.01 ratio
STANDARD_DEVIATION 0.06 • n=5 Participants

PRIMARY outcome

Timeframe: 1 night (446 minutes) for APAP A (AirSense), 1 night (436 minutes) for APAP B (Apex)

Population: 20 patients have used APAP A, for which the primary outcome was calculated. The same 20 patients have used APAP B for which the Primary outcome was calculated.

AHI measures the number of apnoeas + hypopnoeas per hours of night (events/hour).

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Mean Apnoea-Hypopnoea-Index (AHI)
6.21 events/hour
Standard Deviation 6.73
7.45 events/hour
Standard Deviation 7.57

PRIMARY outcome

Timeframe: 1 night (446 minutes) for APAP A, 1 night (436 minutes) for APAP B.

Number of times that Oxygen Level Drops by 3% below baseline value, Events/hour

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Mean Oxygen Desaturation Index (ODI)
7.94 events/hour
Standard Deviation 8.10
10.63 events/hour
Standard Deviation 9.5

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Number of obstructive apnoeas per hour of nights sleep, Events/hour

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Obstructive Apnoea Index (OAI)
0.580 events/hour
Standard Deviation 1.525
0.885 events/hour
Standard Deviation 1.668

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Number of central apnoeas during hours of sleep, events/hour

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Central Apnoea Index (CAI)
2.36 events/hour
Standard Deviation 4.08
2.51 events/hour
Standard Deviation 5.14

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Number of obstructive and central apnoeas per hours of nights sleep, Events/hour

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Mixed Apnoea Index (MAI)
0.115 events/hour
Standard Deviation 0.514
0.220 events/hour
Standard Deviation 0.744

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Number of Hypopnoeas per hour of nights sleep, Events/hour

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Hypopnoea-Index HI
3.17 events/hour
Standard Deviation 3.80
5.49 events/hour
Standard Deviation 5.51

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Number of RERAs per hour of nights sleep, Events/hour

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Respiratory Effort Related Arousals RERAs
0.0 events/hour
Standard Deviation 0.0
2.81 events/hour
Standard Deviation 12.81

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Percent of flow-limited breaths in relation to the overall breaths at night.

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Flow Limitation (%)
49.25 % overall breaths
Standard Deviation 27.61
43.16 % overall breaths
Standard Deviation 22.59

SECONDARY outcome

Timeframe: 1 night (446 minutes) for APAP A; 1 night (436 minutes) for APAP B

Mean blood oxygen Saturation, %

Outcome measures

Outcome measures
Measure
APAP A (AirSense Auto Set)
n=20 Participants
Patients in the "APAP A, then APAP B" group (group 1) will use APAP A on the first night of the evaluation, and APAP B on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
APAP B (Apex iCH Auto)
n=20 Participants
Patients in the "APAP B, then APAP A" group will use APAP B on the first night of the evaluation and APAP A on the second night. Afterwards the outcome will be calculated for all 20 patients having used treatment APAP A. APAP A (ResMed AirSense AutoSet): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events APAP B (Apex iCH Auto): Commercially available device used to treat obstructive sleep apnea. The device automatically senses breathing and adjusts delivered pressure based on obstructive events
Mean O2 Saturation
94.210 % total hemoglobin
Standard Deviation 2.414
93.680 % total hemoglobin
Standard Deviation 2.192

Adverse Events

APAP A (AirSense)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

APAP B (Apex)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof Dr med Ingo Fietze

Charite Department of Sleepmedizin

Phone: +49 30 450 513 122

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place