Evaluation of Software Enhancements to the Respironics BiPAP Auto Servo Ventilation (AutoSV) Device
AUTOSV3
1 other identifier
interventional
44
1 country
5
Brief Summary
This study is being undertaken to collect data from Respironics Inc's BiPAP Auto Servo Ventilation 3 (autoSV3) and compare with data from Respironics, Inc's BiPAP autoSV2, to confirm that the algorithms in the BiPAP autoSV3 device can safely and effectively treat participants experiencing Complex Sleep Apneas (Comp SAS) no worse than its predecessor, the BiPAP auto Servo ventilation 2 (autoSV2) device. This will be determined using a comparative, randomized design with the participants blinded to the therapy. Additionally, attempts will be made to blind the central scorer(s) with respect to which device is in use.
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 Aug 2008
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 18, 2008
CompletedFirst Posted
Study publicly available on registry
July 22, 2008
CompletedStudy Start
First participant enrolled
August 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2009
CompletedResults Posted
Study results publicly available
January 29, 2019
CompletedJanuary 29, 2019
January 1, 2019
11 months
July 18, 2008
August 11, 2010
January 4, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Apnea Hypopnea Index
The number of apneas and hypopneas per hour of sleep. Apneas are the cessation of airflow at the nostrils and mouth for at least 10 seconds as determined using nasal-oral thermistor or device flow. Hypopneas is shallow breathing in which the air flow in and out of the airway is significantly reduced as detected by nasal pressure or device flow - often associated with oxygen desaturation of 4% or EEG arousal. A central sleep scorer was utilized to review of the overnight PSGs and count the number of apneas and hyopneas per hour. The index is the average number for apneas+hyopneas per hour.
2 nights
Secondary Outcomes (16)
Apnea Hypopnea Index- REM and NREM
2 nights
Central Apnea Index
2 nights
Obstructive Apnea Index
2 nights
Mixed Apnea Index
2 nights
Hypopnea Index
2 nights
- +11 more secondary outcomes
Study Arms (2)
Respironics BiPAP autoSV2, Then Respironics BiPAP autoSV3
ACTIVE COMPARATORParticipants will be randomized to receive Respironics BiPAP autoSV2 first and Respironics BiPAP autoSV3 second.
Respironics BiPAP autoSV3, then Respironics BiPAP autoSV2
EXPERIMENTALParticipants will be randomized to receive Respironics BiPAP autoSV3 first and Respironics BiPAP autoSV2.
Interventions
Respironics BiPAP autoSV2 is an Auto Servo Ventilation Device. This will be used on a randomized night.
Respironics BiPAP autoSV3 is an Auto Servo Ventilation Device. This will be used on a randomized night.
Eligibility Criteria
You may qualify if:
- Age 21-80
- Ability to provide consent
- Documentation of medical stability by investigator
- Participants who, during the ambulatory polysomnography (PSG) study (Stardust), or in lab Diagnostic PSG demonstrated an Apnea Hypopnea Index (AHI) ≥10 or Central Apnea Index (CAI) ≥5
- Participants who previously demonstrated Central sleep Apnea (CSA), with a CAI≥5 on Continuous Positive Airway Pressure (CPAP) titration.
You may not qualify if:
- Participants who are acutely ill, medically complicated or who are medically unstable.
- Pregnancy (will confirm absence of pregnancy with a urine or serum pregnancy test in women of child bearing potential).
- Participants in whom PAP therapy is otherwise medically contraindicated.
- Participants who are unwilling to wear CPAP
- Participants who are currently prescribed nocturnal oxygen use and are unable to forego oxygen during study nights.
- Participants with previously diagnosed respiratory failure or respiratory insufficiency and who are known to have chronically elevated arterial carbon dioxide levels while awake (PaCO2 ≥ 45mmHg).
- Participants who have had surgery of the upper airway, nose, sinus, or middle ear within the previous 90 days.
- Participants with untreated, non- Obstructive Sleep Apnea (OSA)/CSA sleep disorders, including but not limited to; insomnia, periodic limb movement syndrome, or restless legs syndrome (PLM Arousal Index \> 15).
- Participants who are unwilling to participate in the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
University of Arizona
Tucson, Arizona, 85724, United States
Arkansas Center for Sleep Medicine
Little Rock, Arkansas, 72205, United States
Mark G. Goetting
Portage, Michigan, 49024, United States
Ohio State University
Columbus, Ohio, 43210, United States
Sleepcare Diagnostics
Mason, Ohio, 45040, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Not all of the secondary analysis was completed as this study also captured engineering data which is not part of standard PSG scoring.
Results Point of Contact
- Title
- Shahrokh Javaheri, MD
- Organization
- Sleepcare Diagnostics
Study Officials
- PRINCIPAL INVESTIGATOR
Jamie Goodwin
University of Arizona
- PRINCIPAL INVESTIGATOR
Shahrokh Javaheri, MD
Sleepcare Diagnostics
- PRINCIPAL INVESTIGATOR
Rami Khayat, MD
Ohio State Univercity
- PRINCIPAL INVESTIGATOR
Mark Goetting, MD
Sleep Health
- PRINCIPAL INVESTIGATOR
Paul Wylie, MD
Arkansas Center for Sleep Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 18, 2008
First Posted
July 22, 2008
Study Start
August 1, 2008
Primary Completion
July 1, 2009
Study Completion
July 1, 2009
Last Updated
January 29, 2019
Results First Posted
January 29, 2019
Record last verified: 2019-01