The POSAtive Study: Study for the Treatment of Positional Obstructive Sleep Apnea

NCT ID: NCT03061071

Last Updated: 2018-08-21

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

117 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-01

Study Completion Date

2018-07-12

Brief Summary

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This study is a prospective, multi-center, randomized crossover of the NightBalance SPT compared to APAP for the treatment of Positional Obstructive Sleep Apnea (POSA).

Detailed Description

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This study is a prospective, multi-center, randomized crossover of the NightBalance SPT compared to APAP for the treatment of POSA.

The Primary Objective of the study is to demonstrate non-inferiority of treatment with the SPT as compared to APAP.

Conditions

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Sleep Apnea Syndromes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

6 week crossover study, randomized to order of treatment
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The technician scoring the polysomnograms will be unaware of previous PSG results from the patient to the best of their ability (ie: will not look back in their records for the purpose of reviewing their previous PSGs prior to scoring).

Study Groups

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Randomized to SPT First: APAP Second

Randomized to order of treatment (SPT first or APAP first) for a total of 6 weeks home use with each treatment.

Group Type EXPERIMENTAL

NightBalance Sleep Position Trainer (SPT)

Intervention Type DEVICE

Subject to sleep with the SPT for a 6 week home use period followed by in-lab PSG.

Automated Adjusting Positive Airway Pressure (APAP)

Intervention Type DEVICE

Subject to sleep with the APAP for a 6 week home use period followed by in-lab PSG.

Randomized to APAP First: SPT Second

Randomized to order of treatment (APAP first or SPT first) for a total of 6 weeks home use with each treatment.

Group Type EXPERIMENTAL

NightBalance Sleep Position Trainer (SPT)

Intervention Type DEVICE

Subject to sleep with the SPT for a 6 week home use period followed by in-lab PSG.

Automated Adjusting Positive Airway Pressure (APAP)

Intervention Type DEVICE

Subject to sleep with the APAP for a 6 week home use period followed by in-lab PSG.

Interventions

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NightBalance Sleep Position Trainer (SPT)

Subject to sleep with the SPT for a 6 week home use period followed by in-lab PSG.

Intervention Type DEVICE

Automated Adjusting Positive Airway Pressure (APAP)

Subject to sleep with the APAP for a 6 week home use period followed by in-lab PSG.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject is between the ages of 20 and 80.
2. Diagnosis of POSA meeting all the following criteria per in-lab control PSG (performed within 3 months of screening):

* Total AHI \>15, or AHI \>10 and \<15 with ESS \>10
* Supine AHI at least twice the non-supine AHI
* Non-supine AHI \<10 (\<5 in mild patients)
* Supine time \>40% and \<60%
3. Subject understands the study protocol and is willing and able to comply with study requirements and sign informed consent.

Exclusion Criteria

1. Prior surgery to treat OSA (such as UPPP), or prior or current therapy or treatment for OSA, with the exception of PAP being used for split night PSG only.
2. A female of child-bearing potential that is pregnant or intends to become pregnant.
3. Any unstable or severe medical condition of any organ system including congestive heart failure, COPD, renal failure, neuromuscular disease, or at the discretion of the site Principal Investigator (PI).
4. Taking medication that may affect sleep, sleepiness, or alertness including hypnotics, sedatives, alerting agents, stimulants, opiates, sedating antidepressants, and anticonvulsants.
5. Oxygen use.
6. The presence of any other sleep disorder (central sleep apnea (CSA \>5), periodic limb movement disorder (PLMAI \>15), clinical diagnosis of insomnia or narcolepsy).
7. Excessive alcohol consumption (\>21 drinks/week).
8. The use of any illegal drug(s).
9. Night or rotating shift work.
10. Severe claustrophobia.
11. Shoulder, neck, or back complaints that restrict sleeping position.
12. Subject requires use of more than 2 pillows under the head while sleeping or sleeps in a bed/chair with raised upper body position.
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NightBalance

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard B Berry, MD

Role: PRINCIPAL_INVESTIGATOR

UF Health Sleep Center

Locations

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Sleep Disorders Center of Alabama

Birmingham, Alabama, United States

Site Status

Sleep Med Inc., AZ

Glendale, Arizona, United States

Site Status

Sleep Disorders at Magnolia Park

Gainesville, Florida, United States

Site Status

Kentucky Research Group

Louisville, Kentucky, United States

Site Status

Center for Sleep and Wake Disorders

Chevy Chase, Maryland, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

St. Luke's Sleep Medicine and Research Center

Chesterfield, Missouri, United States

Site Status

Clayton Sleep Institute

Maplewood, Missouri, United States

Site Status

Med One Sleep

Fayetteville, North Carolina, United States

Site Status

Pearl Clinical Research

Paoli, Pennsylvania, United States

Site Status

SleepMed of South Carolina

Columbia, South Carolina, United States

Site Status

Countries

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United States

References

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Berry RB, Uhles ML, Abaluck BK, Winslow DH, Schweitzer PK, Gaskins RA Jr, Doekel RC Jr, Emsellem HA. NightBalance Sleep Position Treatment Device Versus Auto-Adjusting Positive Airway Pressure for Treatment of Positional Obstructive Sleep Apnea. J Clin Sleep Med. 2019 Jul 15;15(7):947-956. doi: 10.5664/jcsm.7868.

Reference Type DERIVED
PMID: 31383231 (View on PubMed)

Other Identifiers

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US-2017-001

Identifier Type: -

Identifier Source: org_study_id

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