Non-Inferiority Study of the FRESCA Mask Versus Existing CPAP Mask for Treatment of Obstructive Sleep Apnea
1 other identifier
interventional
47
1 country
5
Brief Summary
This will be a prospective study in subjects with Obstructive Sleep Apnea (OSA) to characterize the clinical performance during a single night of therapy with a FRESCA mask compared with a single night of therapy with their existing nasal Continuous Positive Airway Pressure (CPAP) mask.
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 Oct 2014
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
Study Start
First participant enrolled
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 14, 2014
CompletedFirst Posted
Study publicly available on registry
March 13, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedResults Posted
Study results publicly available
March 23, 2018
CompletedApril 24, 2018
April 1, 2018
11 months
October 14, 2014
April 11, 2017
April 20, 2018
Conditions
Outcome Measures
Primary Outcomes (2)
Apnea Hypopnea Index (AHI)
The Apnea-Hypopnea Index or Apnoea-Hypopnoea Index (AHI) is an index used to indicate the severity of sleep apnea. It is represented by the number of apnea and hypopnea events per hour of sleep. Difference of AHI values between patients who used the FRESCA treatment first versus the CPAP treatment.
per hour
Oxygen Desaturation Index (ODI)
The Oxygen Desaturation Index (ODI) is the number of times per hour of sleep that the blood's oxygen level drop by a certain degree from baseline. The ODI is typically measured as part of standard sleep studies, such as a diagnostic polysomnogram, home sleep apnea testing, or with overnight oximetry.Difference of ODI values between patients who used the FRESCA treatment first versus the CPAP treatment.
per hour
Secondary Outcomes (9)
Arousal Index (AI)
per hour
Sleep Efficiency (SE%)
per night
Minimum Sleep SpO2 (%)
per night
Mean Sleep SpO2 -(%)
per night
Wakefulness (Min)
per night
- +4 more secondary outcomes
Study Arms (2)
FRESCA mask first night
EXPERIMENTALFRESCA mask first night (experimental device) \| CPAP second night (active comparator)
CPAP Mask first night
EXPERIMENTALCPAP Mask first night (active comparator)\| FRESCA mask second night (experimental device)
Interventions
FRESCA nasal mask first night
Eligibility Criteria
You may qualify if:
- Male or Female 18-70 years old;
- Qualifying diagnostic polysomnography (PSG): Resulting in AHI \> 5/hr of sleep (using conventional lab or home test);
- Qualifying titration PSG: In lab titration within the past 12 months and therapeutic pressure resulting in Apnea Hypopnea Index (AHI) \< 5/hr;
- Primary medical diagnosis of OSA/ Hypopnea syndrome and on CPAP treatment \> 1 month;
- Current user of nasal mask or nasal pillow mask;
- Have regular usage of their CPAP machine ( at least 4 hrs per night and at least 5 nights per week) confirmed by secure digital (SD) card download;
- No significant changes in the subject's general health and no change in weight greater than ±10 lbs since titration PSG was performed and CPAP therapy initiated (confirmed from medical records);
- BMI \< 35 kg/m2;
- Must be able to be fit properly with FRESCA mask;
- Must be able to comply with all study requirements as outlined in the protocol;
- Must be able to understand English and be willing to provide written informed consent.
You may not qualify if:
- Subjects with non OSA sleep disorders;
- Substantial central or mixed apneas (Central and Mixed apnea index ≥ 5/hr);
- Subjects actively using bi-level PAP or require oxygen therapy;
- Subjects using a full face mask or chin strap;
- History of severe cardiovascular disease, including New York Heart Association (NYHA) Class III or IV heart failure, coronary artery disease (CAD) with angina or myocardial infarction (MI)/stroke within past 6 months;
- Subjects who are medically complicated or who are medically unstable (i.e. cancer, dementia, unstable cardiac or respiratory disease, or unstable psychiatric illness);
- Potential sleep apnea complications that in the opinion of the investigator may affect the health and safety of the participant including: uncontrolled hypertension or hypotension, low blood oxygen (oxygen desaturations nadirs below 75% on their diagnostic PSG), or use of medication or other treatment which may pose additional risk to the subject;
- Subjects exhibiting any flu-like or any upper airway tract infection symptoms at time of assessment;
- Subjects with ongoing severe nasal allergies or sinusitis or difficulty breathing through the nose; persistent blockage or one or both nostrils; or any nasal or facial abnormalities that would not allow adequate placement of the device;
- Subjects with prior surgical intervention for obstructive sleep hypopnea/ apnea syndrome;
- Currently working nights, rotating night shifts, planned travel across two or more time zones required during study period, or within two weeks prior to study enrollment, or sleep schedule not compatible with sleep lab practices;
- Unstable use of medications or other agents that may affect sleep or PSG (sedatives or hypnotics);
- Pregnant (confirmed verbally);
- Consumption of \> 500mg caffeine per day (e.g. \> 8 cola-type beverages, \> 5 cups of coffee);
- Currently enrolled in any other research study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- FRESCA Medicallead
Study Sites (5)
Sequoia Sleep Diagnostics
Fresno, California, 93720, United States
Complete Sleep Solutions
Murrieta, California, 92563, United States
Broward Research Group
Hollywood, Florida, 33024, United States
CliniLabs, Inc
New York, New York, 10019, United States
SleepMed of South Carolina
Columbia, South Carolina, 29201, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Robert Lahaderne
- Organization
- FRESCA Medical
Study Officials
- PRINCIPAL INVESTIGATOR
Atul Malhotra, MD
FRESCA Medical
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2014
First Posted
March 13, 2015
Study Start
October 1, 2014
Primary Completion
September 1, 2015
Study Completion
October 1, 2015
Last Updated
April 24, 2018
Results First Posted
March 23, 2018
Record last verified: 2018-04
Data Sharing
- IPD Sharing
- Will not share