NCT01446601

Brief Summary

The purpose of this study is to evaluate the benefits and risks of hypoglossal nerve stimulation with the Apnex Medical Hypoglossal Nerve Stimulation (HGNS) System as a potential therapeutic option for individuals with moderate to severe Obstructive Sleep Apnea (OSA) that have failed or do not tolerate positive airway pressure (PAP) therapy.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
132

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Aug 2011

Geographic Reach
2 countries

14 active sites

Status
terminated

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

August 1, 2011

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

September 2, 2011

Completed
1 month until next milestone

First Posted

Study publicly available on registry

October 5, 2011

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2013

Completed
Last Updated

April 15, 2015

Status Verified

December 1, 2011

Enrollment Period

2 years

First QC Date

September 2, 2011

Last Update Submit

April 14, 2015

Conditions

Keywords

ApneaOSASleep Apnea SyndromesSleep Apnea, ObstructiveHypoglossal Nerve StimulationSleep DisordersTongue

Outcome Measures

Primary Outcomes (3)

  • Reduction in OSA Severity

    The proportion of subjects that experience clinically meaningful improvement in AH1 (reduction \>50% and AHI \<20) and ODI 4% (reduction \>= 25% or ODI 4% \<5)from Baseline to 6 Months will be significantly greater in the Treatment Group compared to the Control Group

    from Baseline to 6 Months

  • Long-term Reduction in OSA Severity

    The proportion of subjects in the Treatment Group that experience clinically relevant improvement in AHI (reduction \>50% and AHI \<20) and ODI 4% (reduction \>=25% or ODI 4% \<5 at 12 months compared to Baseline.

    12 months

  • Safety Analysis

    Description of all adverse events

    12 months

Study Arms (2)

Treatment

EXPERIMENTAL

The Treatment Arm is implanted with the HGNS System and therapy is turned on at 1 month post-implant.

Device: Hypoglossal Nerve Stimulation (HGNS) System (Apnex Medical )

Control

OTHER

The Control Arm is implanted with the HGNS System and therapy is turned on at 7 months post-implant.

Device: Hypoglossal Nerve Stimulation (HGNS) System (Apnex Medical )

Interventions

The HGNS System in an investigational device that includes three implantable components: a neurostimulator, a stimulation lead, and a respiration sensing lead. The HGNS System is designed to activate the muscles in the upper airway to help keep the airway open during sleep. The HGNS System is intended for the treatment of moderate to severe OSA in individuals that have failed or do not tolerate positive airway pressure (PAP) therapy.

ControlTreatment

Eligibility Criteria

Age21 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 21 to 80 years
  • Body mass index (BMI) ≤ 35 kg/m²
  • Previously diagnosed with Moderate to severe OSA
  • Individual has failed or does not tolerate PAP therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

MidAmerica Neuroscience Research Institute

Lenexa, Kansas, 66214, United States

Location

Veritas Clinical Specialties

Topeka, Kansas, 66606, United States

Location

Kentucky Research Group

Louisville, Kentucky, 40217, United States

Location

The Center for Sleep and Wake Disorders

Chevy Chase, Maryland, 20815, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55454, United States

Location

St. Lukes Hospital

St Louis, Missouri, 63017, United States

Location

Clinilabs

New York, New York, 10019, United States

Location

Wilmington Medical Research

Wilmington, North Carolina, 28401, United States

Location

Community Research

Cincinnati, Ohio, 45230, United States

Location

Sleep Med of South Carolina

Columbia, South Carolina, 29201, United States

Location

Sleep Therapy and Research Center

San Antonio, Texas, 78229, United States

Location

Westmead Hospital

Sydney, New South Wales, 2145, Australia

Location

IBAS, The Austin Hospital

Melbourne, Victoria, 3084, Australia

Location

MeSH Terms

Conditions

Sleep Apnea, ObstructiveApneaSleep Apnea SyndromesSleep Wake Disorders

Interventions

Drug Delivery Systems

Condition Hierarchy (Ancestors)

Respiration DisordersRespiratory Tract DiseasesSleep Disorders, IntrinsicDyssomniasNervous System DiseasesSigns and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and SymptomsNeurologic ManifestationsMental Disorders

Intervention Hierarchy (Ancestors)

Drug TherapyTherapeutics

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 2, 2011

First Posted

October 5, 2011

Study Start

August 1, 2011

Primary Completion

August 1, 2013

Study Completion

August 1, 2013

Last Updated

April 15, 2015

Record last verified: 2011-12

Locations