Trial Outcomes & Findings for Novel Myofunctional Water Bottle to Reduce OSA and Snoring Study (NCT NCT05371509)

NCT ID: NCT05371509

Last Updated: 2025-11-10

Results Overview

The was measured as the number of days subjects met their daily water consumption goal. Subjects were asked to hit their daily water consumption goal 5 days per week for 8 weeks.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

60 days

Results posted on

2025-11-10

Participant Flow

43 subjects were enrolled in the study and 1 subject withdrew prior to randomization.

Participant milestones

Participant milestones
Measure
Myofunctional therapy (MT) nozzle
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Overall Study
STARTED
21
21
Overall Study
COMPLETED
20
21
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Myofunctional therapy (MT) nozzle
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Overall Study
Physician Decision
1
0

Baseline Characteristics

Novel Myofunctional Water Bottle to Reduce OSA and Snoring Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Myofunctional Therapy (MT) Nozzle
n=21 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo Nozzle
n=21 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Total
n=42 Participants
Total of all reporting groups
Age, Continuous
58.6 years
STANDARD_DEVIATION 9.9 • n=5 Participants
51.38 years
STANDARD_DEVIATION 10.23 • n=20 Participants
55.0 years
STANDARD_DEVIATION 10.6 • n=40 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
6 Participants
n=20 Participants
19 Participants
n=40 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
15 Participants
n=20 Participants
23 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=20 Participants
2 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
20 Participants
n=20 Participants
40 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
3 Participants
n=20 Participants
3 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=20 Participants
1 Participants
n=40 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
18 Participants
n=20 Participants
37 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=20 Participants
1 Participants
n=40 Participants
Region of Enrollment
United States
21 participants
n=5 Participants
21 participants
n=20 Participants
42 participants
n=40 Participants

PRIMARY outcome

Timeframe: 60 days

The was measured as the number of days subjects met their daily water consumption goal. Subjects were asked to hit their daily water consumption goal 5 days per week for 8 weeks.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=20 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=21 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Adherence to Therapy
18.4 days
Standard Deviation 16.4
26.1 days
Standard Deviation 15.2

PRIMARY outcome

Timeframe: Baseline, Day 60

Population: Five subjects in the myofunctional therapy arm and 7 subjects in the placebo arm did not complete the SAQLI at both baseline and day 60, therefore the change in quality of life was unable to be reported for those subjects.

Measured using the Calgary Sleep Apnea Quality of Life Index (SAQLI) questionnaire which assesses the quality of life in individuals with obstructive sleep apnea. It has a score between 1 and 7 on five different domains with total scores ranging from 7 to 42, with higher scores indicating a worse quality of life.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=15 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=14 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Change in Quality of Life
-0.02 score on a scale
Standard Deviation 1.74
0.34 score on a scale
Standard Deviation 0.78

SECONDARY outcome

Timeframe: Baseline, Day 60

Population: There was an error in the WatchPAT device data in 2 subjects in the Myofunction therapy arm and 5 in the placebo arm causing there to be no data for change in AHI for those subjects.

The Apnea Hypopnea Index (AHI) assesses the severity of sleep apnea by measuring the number of apneas (complete cessation of breathing for at least 10 seconds) and hypopneas (partial reductions in airflow) that occur during an hour of sleep. For this study AHI was measured through use of the WatchPAT One device.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=18 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=16 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Change in Apnea Hypopnea Index (AHI)
-0.9 AHI
Standard Deviation 6.3
2.7 AHI
Standard Deviation 6.8

SECONDARY outcome

Timeframe: Baseline, Day 60

Population: 2 subjects in the placebo arm did not complete the myofunction assessment at both the baseline and day 60 visit therefore no data was available to calculate change in the myofunctional assessment for those subjects.

Myofunction assessment was done using the Iowa Oral Performance Instrument (IOPI) which involves measuring the strength and endurance of the tongue which aids in the diagnosis and treatment of obstructive sleep apnea. The assessment is done on both the anterior (front) and posterior (back) side of the tongue and measured in kilopascals (kPa). Normal values range from 40-80 kPa, with higher values indicating higher tongue strength and endurance.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=20 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=19 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Change in Myofunction Assessment
IOPI Anterior
0.6 kPa
Standard Deviation 6.2
-1.3 kPa
Standard Deviation 7.2
Change in Myofunction Assessment
IOPI Posterior
1.3 kPa
Standard Deviation 7.3
0.7 kPa
Standard Deviation 7.0

SECONDARY outcome

Timeframe: Baseline; 60 Days

Population: There was an error in the WatchPAT device data in 1 subject in the Myofunction therapy arm and 5 in the placebo arm causing there to be no data for change in SpO2 for those subjects.

SpO2 was measured using the WatchPat One device. SpO2 is a measurement of the percentage of oxygen-bound hemoglobin in the blood.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=19 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=16 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Change in Oxygen Saturation (SpO2)
0.37 percent of oxygen in blood
Standard Deviation 0.84
-0.07 percent of oxygen in blood
Standard Deviation 1.00

SECONDARY outcome

Timeframe: Baseline; Day 60

Population: 4 subjects in the Myofunctional Therapy arm and 13 subjects in the placebo arm did not complete the snoring intensity question at both the baseline and day 60 visit therefore no data was available to calculate change in the snoring intensity for those subjects.

Snoring intensity was measured through a questionnaire that was administered to the subject's bed partner that asked "Over the past few days, how would you describe your spouse/bed partner's snoring?" Scores ranged from -3 (worst) to +3 (best) with higher scores indicating lower snoring intensity.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=16 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=8 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Change in Snoring Intensity
0.38 score on a scale
Standard Deviation 0.81
0.25 score on a scale
Standard Deviation 1.04

SECONDARY outcome

Timeframe: Baseline; Day 60

Population: 3 subjects in the Myofunctional Therapy arm and 12 subjects in the placebo arm did not complete the snoring frequency question at both the baseline and day 60 visit therefore no data was available to calculate change in the snoring frequency for those subjects.

Snoring Frequency was measured through a questionnaire that was administered to the subject's bed partner that asked "Over the past few days, how often did you notice your bed partner's snoring?" Scores ranged from -4 (worst) to +4 (best) with higher scores indicating lower snoring frequency.

Outcome measures

Outcome measures
Measure
Myofunctional therapy (MT) nozzle
n=17 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea received a water bottle with a myofunctional therapy (MT) nozzle to use daily Myofunctional therapy (MT) nozzle: Water bottle nozzle designed to allow the user to repeatedly perform the tongue suction, tongue press, and swallow exercise movements while also providing targeted resistance to train and improve tongue, soft palate, and pharyngeal muscle strength and endurance.
Placebo nozzle
n=9 Participants
Subjects diagnosed with mild to moderate obstructive sleep apnea receivede a water bottle with a placebo nozzle to use daily Placebo nozzle: The placebo bottle nozzle looked similar to the MT nozzle; but is not expected to function the same as the MT nozzle.
Change in Snoring Frequency
0.65 score on a scale
Standard Deviation 1.00
0.89 score on a scale
Standard Deviation 1.90

Adverse Events

Myofunctional therapy (MT) nozzle

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

Placebo nozzle

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

Umesh Goswami, M.B.B.S., M.D.

Mayo Clinic

Phone: 480-342-1137

Results disclosure agreements

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