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).
COMPLETED
NA
20 participants
1 night (446 minutes) for APAP A (AirSense), 1 night (436 minutes) for APAP B (Apex)
2020-04-20
Participant Flow
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
| 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
| 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
| 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 BNumber of obstructive apnoeas per hour of nights sleep, Events/hour
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 BNumber of central apnoeas during hours of sleep, events/hour
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 BNumber of obstructive and central apnoeas per hours of nights sleep, Events/hour
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 BNumber of Hypopnoeas per hour of nights sleep, Events/hour
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 BNumber of RERAs per hour of nights sleep, Events/hour
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 BPercent of flow-limited breaths in relation to the overall breaths at night.
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 BMean blood oxygen Saturation, %
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)
APAP B (Apex)
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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place