NCT04457154

Brief Summary

This registry is a prospective, multi-center, single-arm study of pediatric subjects (ages 18-21 years) who are undergoing implant of the Inspire Upper Airway Stimulation (UAS) System for the treatment of moderate or severe obstructive sleep apnea (OSA). Implanted subjects will be followed for 5 years post-implant.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
22mo left

Started Nov 2021

Longer than P75 for all trials

Geographic Reach
1 country

8 active sites

Status
recruiting

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 Progress71%
Nov 2021Apr 2028

First Submitted

Initial submission to the registry

June 30, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 7, 2020

Completed
1.4 years until next milestone

Study Start

First participant enrolled

November 30, 2021

Completed
6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2028

Last Updated

February 25, 2025

Status Verified

August 1, 2024

Enrollment Period

6 years

First QC Date

June 30, 2020

Last Update Submit

February 24, 2025

Conditions

Keywords

PediatricApnea-hypopnea IndexSleep Breathing Disorders

Outcome Measures

Primary Outcomes (2)

  • Evaluation of device and/or procedure related adverse events over time

    relevant adverse events will be collected and reported

    Implant through 5 years post-implant

  • Evaluation of the improvement of Apnea Hypopnea Index (AHI) over time

    Baseline (pre-implant) AHI compared to AHI after implant (collected and reported at annual study visits). The Apnea Hypopnea Index (AHI) is the number of apnea and hypopnea events per hour of sleep. A lower AHI indicates less severe sleep apnea.

    through 5 years post-implant

Secondary Outcomes (3)

  • Evaluation of improvement in Oxygen Desaturation Index (ODI) over time

    through 5 years post-implant

  • Evaluation of improvement in T90 (defined as total sleep time spent with arterial oxygen saturation (SaO2) < 90%) over time

    through 5 years post-implant

  • Evaluation of improvement of Epworth Sleepiness Scale (ESS) over time

    through 5 years post-implant

Study Arms (1)

Registry Population

Pediatric subjects (age 18-21 years) who are undergoing implant of the Inspire Upper Airway Stimulation System for the treatment of moderate to severe obstructive sleep apnea (OSA)

Device: Inspire Upper Airway Stimulation System

Interventions

Implant of the Inspire Upper Airway Stimulation System

Registry Population

Eligibility Criteria

Age18 Years - 21 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Pediatric subjects (ages 18-21 years) who are undergoing implant of the Inspire Upper Airway Stimulation (UAS) System for the treatment of moderate or severe obstructive sleep apnea (OSA).

You may qualify if:

  • Subject is between 18 and 21 years of age;
  • Subject has a diagnosis of moderate to severe OSA (15 ≤ AHI ≤ 65) based on a recent sleep study;
  • Subject has documented failure of, or intolerance to, positive airway pressure treatments, despite attempts to improve compliance;
  • Subject is contraindicated for, or not effectively treated by, adenotonsillectomy;
  • Subject has followed standard of care in considering all other alternative/adjunct therapies;
  • Subject is willing and able to have stimulation hardware permanently implanted and to use the patient remote to activate the stimulation;
  • Subject is willing and able to return for follow-up visits, undergo sleep studies (including in-lab and at-home), and complete questionnaires related to the registry;
  • Subject is willing and able to provide informed consent.

You may not qualify if:

  • Subject has a combination of central + mixed apneas \> 25% of the total apnea-hypopnea index (AHI);
  • Subject has any anatomical finding that would compromise the performance of upper airway stimulation, such as the presence of complete concentric collapse of the soft palate;
  • Subject has any condition or procedure that has compromised neurological control of the upper airway;
  • Subject is unable, or does not have the necessary assistance, to operate the patient remote;
  • Subject is pregnant or plans to become pregnant;
  • Subject has an implantable device that may be susceptible to unintended interaction with the Inspire System;
  • Subject has a terminal illness with life expectancy \< 12 months;
  • Any other reason the investigator deems the subject is unfit for participation in the registry.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Childrens Hospital of Colorado

Aurora, Colorado, 80045, United States

RECRUITING

Children's Healthcare of Atlanta

Atlanta, Georgia, 30329, United States

TERMINATED

Duke University

Durham, North Carolina, 27705, United States

RECRUITING

Cincinnati Childrens Hospital

Cincinnati, Ohio, 45229, United States

RECRUITING

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19406, United States

RECRUITING

Children's Hospital of Pittsburgh

Sewickley, Pennsylvania, 15143, United States

RECRUITING

University of Texas Southwestern/Children's Hospital of Dallas

Dallas, Texas, 75207, United States

RECRUITING

Children's Hospital of the King's Daughters/East Virginia Medical School

Norfolk, Virginia, 23507, United States

RECRUITING

MeSH Terms

Conditions

Sleep Apnea, Obstructive

Condition Hierarchy (Ancestors)

Sleep Apnea SyndromesApneaRespiration DisordersRespiratory Tract DiseasesSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System Diseases

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Post-Marketing Study
Yes

Study Record Dates

First Submitted

June 30, 2020

First Posted

July 7, 2020

Study Start

November 30, 2021

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

April 1, 2028

Last Updated

February 25, 2025

Record last verified: 2024-08

Locations