SLEEP ON Your SIDE (SOS) Study

NCT ID: NCT04211350

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

TERMINATED

Clinical Phase

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-04

Study Completion Date

2023-01-31

Brief Summary

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Comparison of the NightBalance Sleep Position Trainer (SPT) to Positive Airway Pressure (PAP) for the Treatment of Positional Obstructive Sleep Apnea (POSA). Primary Objective: Efficacy and Adherence of the SPT over 3 months of use compared to PAP for the treatment of POSA. The study is run from centers in France, the UK and Germany.

Detailed Description

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Participants are randomly allocated to receive one of two treatments, either Automatic Positive Airway Pressure (APAP) or NightBalance Sleep Position Therapy for a three month period. Participants are sent home with instructions to use that device nightly at home for three months. After three months of using the first device, they return to the doctor for assessment of the efficacy of the device using a sleep test and the compliance read from the device. Upon conclusion of the first three month treatment period, patients receive the alternative treatment for a further three months. At the end of the second three month period, participants return to their doctor again to assess the efficacy of the last device and read the compliance. Before any treatment and after each treatment, patients undergo a sleep test and complete some questionnaires. During each treatment period, patients complete a healthcare utilization diary and report any problems.

Conditions

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Obstructive Sleep Apnea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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NightBalance Sleep Position Therapy

NightBalance Sleep Position Trainer (SPT) avoids POSA patients from sleeping on their back by delivering a vibrational stimulus, via a small device which is worn in a chest strap during sleep, each time the patient rolls to their back. This prompts the patient to roll over onto their side.

Group Type EXPERIMENTAL

NightBalance Sleep Position Trainer (SPT)

Intervention Type DEVICE

NightBalance Sleep Position Trainer (SPT) avoids POSA patients from sleeping on their back by delivering a vibrational stimulus, via a small device which is worn in a chest strap during sleep, each time the patient rolls to their back. This prompts the patient to roll over onto their side.

Positive Airway Pressure (APAP)

Automatic Positive Airway Pressure (APAP) is a pump that provides a positive flow of air to keep the airway open.

Group Type EXPERIMENTAL

Automatic Positive Airway Pressure (APAP)

Intervention Type DEVICE

Automatic Positive Airway Pressure (APAP) is a pump that provides a positive flow of air to keep the airway open.

Interventions

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NightBalance Sleep Position Trainer (SPT)

NightBalance Sleep Position Trainer (SPT) avoids POSA patients from sleeping on their back by delivering a vibrational stimulus, via a small device which is worn in a chest strap during sleep, each time the patient rolls to their back. This prompts the patient to roll over onto their side.

Intervention Type DEVICE

Automatic Positive Airway Pressure (APAP)

Automatic Positive Airway Pressure (APAP) is a pump that provides a positive flow of air to keep the airway open.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject is adult
2. Either: Treatment naïve, or PAP non-complier (defined as current AAP user with \<3 hours per night in the last 3 months per compliance download), and willing to use the APAP device per protocol
3. Diagnosis of POSA meeting all the following criteria per control PSG within 6 months of screening: AHI of \>15 during PSG with symptoms of sleepiness per Investigator discretion, or AHI of \>15 during respiratory polygraphy with comorbidities (e.g. atrial fibrillation, resistant hypertension, etc.)
4. Supine AHI at least twice the lateral AHI
5. Lateral AHI \<10
6. Supine time \>30% and \<70%
7. Understands the study protocol and is willing and able to comply with study requirements and sign informed consent. APAP non-compliant subjects must be willing to use their APAP device per protocol.

Exclusion Criteria

1. Prior or current therapy or treatment for OSA (for Treatment naïve group); Greater than an average of 3 hours per night of APAP use (in the APAP non-complier group)
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 that at the discretion of the site Principal Investigator (PI) might affect the patient's participation in the study or generalization of treatment results
4. Taking medication that at the discretion of the site Principal Investigator (PI) might affect the patient's participation in the study or generalization of treatment results
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), per subject report
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

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Philips Clinical & Medical Affairs Global

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre Hospitalier Universitaire Angers

Angers, , France

Site Status

CHU Grenoble Alpes

Grenoble, , France

Site Status

Centre Hospitalier Universitaire Bordeaux

Paris, , France

Site Status

Hôpital Bichat - Claude-Bernard

Paris, , France

Site Status

Hôpital Universitaire Pitié - Salpêtrière (UPMC)

Paris, , France

Site Status

Hopital Foch, Suresnes

Suresnes, , France

Site Status

Zentrum für Schlafmedizin Berlin

Berlin, , Germany

Site Status

Klinikum Rechts der Isar

München, , Germany

Site Status

Schlafmedizinisches Zentrum Regensburg

Regensburg, , Germany

Site Status

Praxis Dr. Holger Hein

Reinbek, , Germany

Site Status

Helios Kliniken

Schwerin, , Germany

Site Status

Hospital Bethanien Solingen

Solingen, , Germany

Site Status

Royal Papworth Hospital

Cambridge, , United Kingdom

Site Status

Royal infirmary of Edinburgh

Edinburgh, , United Kingdom

Site Status

Prince Philip Hospital

Llanelli, , United Kingdom

Site Status

Guy's and St Thomas' NHS Foundation Trust (GSTT)

London, , United Kingdom

Site Status

Royal Preston Hospital

Preston, , United Kingdom

Site Status

North Tyneside General Hospital

Tyneside, , United Kingdom

Site Status

Countries

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France Germany United Kingdom

Other Identifiers

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2018-A02141-54

Identifier Type: OTHER

Identifier Source: secondary_id

ISRCTN16170657

Identifier Type: REGISTRY

Identifier Source: secondary_id

EU-2018-001

Identifier Type: -

Identifier Source: org_study_id

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