Treating Obstructive Sleep Apnea Using Targeted Hypoglossal Neurostimulation

NCT ID: NCT04950894

Last Updated: 2025-05-01

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-27

Study Completion Date

2025-10-30

Brief Summary

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Multi-center, open-label, prospective, randomized clinical trial of the aura6000(R) System for the reduction of apnea and hypopneas in adult patients with moderate to severe obstructive sleep apnea who have failed or are unwilling to use positive airway pressure treatment.

Detailed Description

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All qualifying subjects will be implanted. Subjects will be randomized 2:1 in favor of Stimulation therapy (Active Group). Randomization will occur following implant and prior to the Month 1 visit.

The Active group will start Stimulation therapy at Month 1. The Control group may continue with their current sleep apnea treatment until Month 7, and will receive Stimulation therapy beginning at Month 7 +1Day. (All subjects are excluded from use of PAP or surgical treatments after enrollment through Month 13)

Safety and efficacy will be evaluated at Month 7, and again at Month 13.

Conditions

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Obstructive Sleep Apnea OSA Apnea Apnea, Obstructive Apnea, Obstructive Sleep Apnea+Hypopnea Hypopnea, Sleep

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

All subjects are implanted and randomized. Stimulation treatment started at M1 for the Active group and M7 +1day for the Control group. Both groups followed through M13.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
PSG results are masked from the Investigator and Outcomes Assessor.

Study Groups

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Active

HGN therapy activation at Month 1 - compared at Month 7 to Control group, continued stimulation through Month 13

Group Type ACTIVE_COMPARATOR

Hypoglossal Nerve Stimulation

Intervention Type DEVICE

Hypoglossal Nerve Stimulation started at Month 1 compared to no Stimulation (Control group will start stimulation at M7+1Day)

Control

HGN therapy NOT activated at Month 1 - compared at Month 7 to Active group, stimulation will start at Month 7 + 1 Day and continue through Month 13

Group Type OTHER

Hypoglossal Nerve Stimulation

Intervention Type DEVICE

Hypoglossal Nerve Stimulation started at Month 1 compared to no Stimulation (Control group will start stimulation at M7+1Day)

Interventions

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Hypoglossal Nerve Stimulation

Hypoglossal Nerve Stimulation started at Month 1 compared to no Stimulation (Control group will start stimulation at M7+1Day)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of moderate to severe OSA
* Declines to use or does not tolerate PAP therapy

Exclusion Criteria

* Respiratory, cardiac, renal disease or other co-morbid conditions
* BMI \> 35 kg/m2
* Specific PSG criteria outlined in the protocol
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LivaNova

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Atul Malhotra, MD

Role: PRINCIPAL_INVESTIGATOR

UCSD Pulmonary and Critical Care Medicine

Locations

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University of Alabama At Birmingham

Birmingham, Alabama, United States

Site Status

Banner Health

Phoenix, Arizona, United States

Site Status

University of Arizona

Tucson, Arizona, United States

Site Status

Sacramento Ent

Roseville, California, United States

Site Status

Paul Schalch Lepe, Md/Silenso Clinic

San Diego, California, United States

Site Status

Sleep Medicine Specialists of South Florida

Miami, Florida, United States

Site Status

Morton Plant Mease Health Care

Safety Harbor, Florida, United States

Site Status

Advanced Ent Associates

Atlanta, Georgia, United States

Site Status

Norton Healthcare

Louisville, Kentucky, United States

Site Status

Alivation Research Llc

Lincoln, Nebraska, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

Raleigh Neurology Associates, Pa

Raleigh, North Carolina, United States

Site Status

Penn State Health

Hershey, Pennsylvania, United States

Site Status

Philadelphia Ear, Nose and Throat Associates

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Bogan Sleep Consultants, Llc

Columbia, South Carolina, United States

Site Status

Houston Methodist

Houston, Texas, United States

Site Status

Epic Medical Research

Red Oak, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Jacobowitz O, Schwartz AR, Lovett EG, Ranuzzi G, Malhotra A. Design and rationale for the treating Obstructive Sleep Apnea using Targeted Hypoglossal Nerve Stimulation (OSPREY) trial. Contemp Clin Trials. 2022 Aug;119:106804. doi: 10.1016/j.cct.2022.106804. Epub 2022 May 22.

Reference Type DERIVED
PMID: 35613672 (View on PubMed)

Other Identifiers

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LNS005

Identifier Type: -

Identifier Source: org_study_id

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