The Advance Trial. Tongue Advancement for Obstructive Sleep Apnea: An Evaluation of the Aspire Medical Advance System
1 other identifier
interventional
42
1 country
4
Brief Summary
The objective of the study is to assess the effectiveness of the Aspire Medical Advance System in obstructive sleep apnea by demonstrating a statistically significant mean reduction in the apnea-hypopnea index (AHI) from baseline to 6 months, measured by polysomnography (PSG).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2007
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2007
CompletedFirst Submitted
Initial submission to the registry
April 26, 2007
CompletedFirst Posted
Study publicly available on registry
April 30, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedOctober 15, 2008
October 1, 2008
6 months
April 26, 2007
October 13, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Apnea hypopnea index measured with polysomnography 6 months after implantation of the Advance System
6 months
Secondary Outcomes (3)
Epworth Sleepiness Scale (ESS) measured at 6 months post-implantation
6 months
Functional Outcomes of Sleep Questionnaire (FOSQ) measured at 6 months post-implantation
6 months
Safety: assessment of all device-related and procedure related adverse events and their seriousness
6 months
Interventions
The treatment includes a device that is surgically implanted in the tongue and lower jaw. The purpose of the implant is to prevent obstruction of the upper airway thereby improving breathing during sleep.
Eligibility Criteria
You may qualify if:
- Previously diagnosed or screened with moderate to severe sleep apnea who have an AHI of between 15 and 60
- Age between 18 and 65
- Body mass index (BMI) \</= 32
- Patient has been offered CPAP and has refused or failed to continue CPAP treatment
- Identified evidence of airway collapse at the base of the tongue
- Signed informed consent
You may not qualify if:
- Prior OSA surgery except tonsillectomy, adenoidectomy, and nasal surgery
- Enlarged tonsils (3+ and 4+)
- Anatomy unable to accommodate the implant
- Severe mandibular deficiency/retrognathia
- Significant rhinitis/nasal obstruction
- Unable and/or not willing to comply with treatment follow-up requirements
- Pregnancy (female subjects of childbearing age mus have a negative pregnancy test prior to enrollment and should maintain adequate contraception during the study) or breastfeeding
- Active systemic infection
- Allergy to latex or any medication used during implantation
- Previous history of neck or upper respiratory tract cancer
- History of radiation therapy to neck or upper respiratory tract
- Dysphagia
- History of major cardiovascular disorders including MI, angina, uncontrolled hypertension, and CHF
- Major pulmonary disorders including COPD and uncontrolled asthma
- Patient is suffering from untreated/inadequately treated major depression, as determined by history
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Aspire Medicallead
Study Sites (4)
Northside Hospital/Advanced Ear Nose & Throat Associates PC
Atlanta, Georgia, 30342, United States
St. Vincent's Hospital
Indianapolis, Indiana, 46032, United States
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, 53051, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Tucker Woodson, MD
Department of OTO-HNS Medical College of Wisconsin
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
April 26, 2007
First Posted
April 30, 2007
Study Start
April 1, 2007
Primary Completion
October 1, 2007
Study Completion
December 1, 2008
Last Updated
October 15, 2008
Record last verified: 2008-10