NCT06492096

Brief Summary

The goal of this clinical trial is to learn if Mandibular Advancement Device( MAD) works to treat Obstructive sleep apnea in adults. It will also learn about the effect of the device on the Tempromandibular Joint Health . The main questions it aims to answer are: Does MAD lower the number of apnoea and hypopnea participants suffer from during sleep? Would it cause any effect on TMJ health? Researchers will compare between a group of TMD patients with OSA to a non\_TMD group of patients also with sleep apnea and both groups will receive a Bibloc MADplacebo (a look-alike substance that contains no drug) to see if it affect the TMJ health. Participants will: Wear MAD during sleep (at least 6 hours) every day for 6 months Visit the clinic once after the first week for checkups and adjustment of MAD If needed and then after 3 months and 6 months. Polysomnography, MRI, and tmd screening was done before the appliance insertion and after 6 months of its insertion.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
66

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jun 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

June 15, 2022

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 23, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2024

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

July 1, 2024

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 9, 2024

Completed
Last Updated

July 9, 2024

Status Verified

April 1, 2022

Enrollment Period

1.9 years

First QC Date

July 1, 2024

Last Update Submit

July 1, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Apnea/Hypopnea index

    Number of apnea and hypopnea per hour of sleep

    6 months

Secondary Outcomes (2)

  • Condylar disc position

    6 months

  • Joint space of TMJ

    6 months

Study Arms (2)

TMD Group

ACTIVE COMPARATOR
Device: Bibloc Mandibular Advancement device

Non_TMD Group

ACTIVE COMPARATOR
Device: Bibloc Mandibular Advancement device

Interventions

Each patient received a CAD/CAM designed Bibloc Mandibular Advancement device

Non_TMD GroupTMD Group

Eligibility Criteria

Age30 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • \- Patients having obstructive sleep apnea syndrome (OSAS) as determined by polysomnography with mild to moderate apnea/hypopnea index ranging from 5 to 30 events per hour of sleep. ( As 5-15 events per hour is considered mild condition, 16-30 is considered moderate).(1)
  • Adequate nasal air flow capacity as determined by qualified otolaryngologist.

You may not qualify if:

  • patients having Central sleep apnea events as determined by the polysomnography.
  • patients having cardiovascular disease. 3- History of alcohol, narcotic or psychoactive medications. 4- Serious nasal passage obstructions or allergies. 5- Previous history of treatment with any type of obstructive sleep apnea oral appliances.
  • Obese patients with BMI more than 30. 7- Missing more than five teeth (excluding third molar). 8- Allergy to acrylic resin.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of dentistry, Mansoura university

Al Manşūrah, Ad Dakahlia, 35511, Egypt

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 1, 2024

First Posted

July 9, 2024

Study Start

June 15, 2022

Primary Completion

April 23, 2024

Study Completion

May 30, 2024

Last Updated

July 9, 2024

Record last verified: 2022-04

Locations