Trial Outcomes & Findings for TPAP for Comfort in OSA (NCT NCT06264128)

NCT ID: NCT06264128

Last Updated: 2024-12-11

Results Overview

Compare the comfort level of CPAP at 9 cmH2O against TPAP dropped by 2+2 cmH2O

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

150 participants

Primary outcome timeframe

All tests conducted in a 20 minute time frame on awake supine patients.

Results posted on

2024-12-11

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence 1
Period 1: CPAP Period 2: TPAP This was a trial in which the same participant underwent multiple testing in sequence and on the same session after being randomized only once (to CPAP or TPAP first). As such, only two sequences are present. CPAP was initially administered at 9 cmH2O TPAP was initially reduced by 2+2 cmH2O If the participant chose TPAP, the test was repeated as follows (see also below): CPAP was administered at 13 cmH2O TPAP was reduced by 2+3 cmH2O If the participant chose TPAP, testing ended. If the participant, instead, had chosen CPAP at 9 cmH2O, the test was repeated as follows: CPAP was administered at 9 cmH2O TPAP was reduced by 1+2 cmH2O If the participant chose TPAP, testing ended. If the participant chose CPAP at 9 cmH2O, the test was repeated as follows: CPAP was administered at 9 cmH2O TPAP was reduced by 1+1 cmH2O Regardless, of the choice, the testing was repeated as follows: CPAP was administered at 13 cmH2O TPAP was reduced by 2+3 cmH2O If the participant chose TPAP, testing ended. If the participant chose CPAP at 13 cmH2O, testing was repeated as follows: CPAP was administered at 13 cmH2O TPAP was reduced by 2+2 cmH2O If the participant chose TPAP, testing ended. If the participant chose CPAP at 13 cmH2O, testing was repeated as follows: CPAP was administered at 13 cmH2O TPAP was reduced by 1+2 cmH2O Regardless of choices, testing ended after this.
Sequence 2
Period 1: TPAP Period 2: CPAP This was a trial in which the same participant underwent multiple testing in sequence and on the same session after being randomized only once (to CPAP or TPAP first). As such, only two sequences are present. TPAP was initially reduced by 2+2 cmH2O CPAP was initially administered at 9 cmH2O If the participant chose TPAP, the test was repeated as follows (see also below): TPAP was reduced by 2+3 cmH2O CPAP was administered at 13 cmH2O If the participant chose TPAP, testing ended. If the participant, instead, had chosen CPAP at 9 cmH2O, the test was repeated as follows: TPAP was reduced by 1+2 cmH2O CPAP was administered at 9 cmH2O If the participant chose TPAP, testing ended. If the participant chose CPAP at 9 cmH2O, the test was repeated as follows: TPAP was reduced by 1+1 cmH2O CPAP was administered at 9 cmH2O Regardless, of the choice, the testing was repeated as follows: TPAP was reduced by 2+3 cmH2O CPAP was administered at 13 cmH2O If the participant chose TPAP, testing ended. If the participant chose CPAP at 13 cmH2O, testing was repeated as follows: TPAP was reduced by 2+2 cmH2O CPAP was administered at 13 cmH2O If the participant chose TPAP, testing ended. If the participant chose CPAP at 13 cmH2O, testing was repeated as follows: TPAP was reduced by 1+2 cmH2O CPAP was administered at 13 cmH2O Regardless of choices, testing ended after this.
Overall Study
STARTED
74
76
Overall Study
COMPLETED
74
76
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

TPAP for Comfort in OSA

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Group
n=150 Participants
All participants in the study (who crossovered from one treatment arm to the other)
Age, Continuous
43 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
85 Participants
n=5 Participants
Sex: Female, Male
Male
65 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 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
17 Participants
n=5 Participants
Race (NIH/OMB)
White
123 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: All tests conducted in a 20 minute time frame on awake supine patients.

Population: The outcome refers to % of participants who preferred TPAP over CPAP

Compare the comfort level of CPAP at 9 cmH2O against TPAP dropped by 2+2 cmH2O

Outcome measures

Outcome measures
Measure
CPAP vs. TPAP (Baseline Pressure: 9 cmH2O )
n=150 Participants
CPAP at 9 cmH2O TPAP at 9 cmH2O with sequential comfort drops of 2+2 cmH2O
CPAP v TPAP Patient Preference at 9 cmH2O Baseline Pressure, TPAP Drop 2+2 cmH2O
69.3 percentage of total participants
Interval 61.0 to 77.0

PRIMARY outcome

Timeframe: All tests conducted in a 20 minute time frame on awake supine patients.

Population: The outcome refers to % of participants who preferred TPAP over CPAP

Compare the comfort level of CPAP at 13 cmH2O against TPAP dropped by 2+3 cmH2O

Outcome measures

Outcome measures
Measure
CPAP vs. TPAP (Baseline Pressure: 9 cmH2O )
n=150 Participants
CPAP at 9 cmH2O TPAP at 9 cmH2O with sequential comfort drops of 2+2 cmH2O
CPAP v TPAP Patient Preference at 13 cmH2O Baseline Pressure, TPAP Drop 2+3 cmH2O
84 percentage of total participants
Interval 77.0 to 89.0

SECONDARY outcome

Timeframe: All tests conducted in a 20 minute time frame on awake supine patients.

Population: The outcome data refers to participants (N=21) who preferred TPAP (with a 1+2 cmH2O drop) over CPAP at 9 cmH2O. Notably, this was a repeated test among participants who initially did not prefer TPAP in the comparison between CPAP at 9 cmH2O and TPAP with a 2+2 cmH2O, independent of sequence. I.e., 46 participants found CPAP more comfortable than TPAP with 2+2 cmH2O drop, so testing continued with those individuals, of whom, eventually, 21 chose TPAP with 1+2 cmH2O drop.

Outcome measures

Outcome measures
Measure
CPAP vs. TPAP (Baseline Pressure: 9 cmH2O )
n=46 Participants
CPAP at 9 cmH2O TPAP at 9 cmH2O with sequential comfort drops of 2+2 cmH2O
CPAP v TPAP Patient Preference at 9 cmH2O Baseline Pressure, TPAP Drop 1+2 cmH2O
45.6 percentage of total participants

SECONDARY outcome

Timeframe: All tests conducted in a 20 minute time frame on awake supine patients.

Population: The outcome data refers to participants (N=14) who preferred TPAP (with a 1+1 cmH2O drop) over CPAP at 9 cmH2O. Notably, this was a repeated test among participants who initially did not prefer TPAP in the comparison between CPAP at 9 cmH2O and TPAP with a 2+2 cmH2O or with at 1+2 cmH2O drop, independent of sequence. I.e., only 25 participants found CPAP more comfortable than TPAP at any drop, so testing continued with those individuals, of whom, eventually, 14 chose TPAP with 1+1 cmH2O drop.

Outcome measures

Outcome measures
Measure
CPAP vs. TPAP (Baseline Pressure: 9 cmH2O )
n=25 Participants
CPAP at 9 cmH2O TPAP at 9 cmH2O with sequential comfort drops of 2+2 cmH2O
CPAP v TPAP Patient Preference at 9 cmH2O Baseline Pressure, TPAP Drop 1+1 cmH2O
56 percentage of total participants

SECONDARY outcome

Timeframe: All tests conducted in a 20 minute time frame on awake supine patients.

Population: The outcome data refers to participants (N=11) who preferred TPAP (with a 2+2 cmH2O drop) over CPAP at 13 cmH2O. Notably, this was a repeated test among participants who initially did not prefer TPAP in the comparison between CPAP at 13 cmH2O and TPAP with a 2+3 cmH2O, independent of sequence. I.e., only 24 participants found CPAP more comfortable than TPAP with 2+3 cmH2O drop, so testing continued with those individuals, of whom, eventually, 11 chose TPAP with 2+2 cmH2O drop.

Outcome measures

Outcome measures
Measure
CPAP vs. TPAP (Baseline Pressure: 9 cmH2O )
n=24 Participants
CPAP at 9 cmH2O TPAP at 9 cmH2O with sequential comfort drops of 2+2 cmH2O
CPAP v TPAP Patient Preference at 13 cmH2O Baseline Pressure, TPAP Drop 2+2 cmH2O
45.8 percentage of total participants

SECONDARY outcome

Timeframe: All tests conducted in a 20 minute time frame on awake supine patients.

Population: The outcome data refers to participants (N=5) who preferred TPAP (with a 1+2 cmH2O drop) over CPAP at 13 cmH2O.Notably, this was a repeated test among participants who initially did not prefer TPAP in the comparison between CPAP at 13 cmH2O and TPAP with a 2+3 cmH2O or with at 2+2 cmH2O drop, independent of sequence. I.e., only 13 participants found CPAP more comfortable than TPAP at any drop, so testing continued with those individuals, of whom, eventually, 5 chose TPAP with 1+2 cmH2O drop

Outcome measures

Outcome measures
Measure
CPAP vs. TPAP (Baseline Pressure: 9 cmH2O )
n=13 Participants
CPAP at 9 cmH2O TPAP at 9 cmH2O with sequential comfort drops of 2+2 cmH2O
CPAP v TPAP Patient Preference at 13 cmH2O Baseline Pressure, TPAP Drop 1+2 cmH2O
38.5 percentage of total participants

Adverse Events

TPAP

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

CPAP

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

Bernie Hete

SleepRes

Phone: +1 615-921-2406

Results disclosure agreements

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