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Australian Clinical Study of the Apnex Medical HGNS System to Treat Obstructive Sleep Apnea

Primary Purpose

Obstructive Sleep Apnea

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
HGNS Treatment
Sponsored by
Apnex Medical, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obstructive Sleep Apnea focused on measuring Obstructive sleep apnea, OSA, hypoglossal nerve stimulation, sleep apnea

Eligibility Criteria

21 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Eligibility Criteria

  1. Previously diagnosed with moderate to severe obstructive sleep apnea.
  2. Subject has failed or does not tolerate CPAP treatment.
  3. Age between 21 and 70 years.
  4. Body mass index (BMI) less than or equal to 40

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    HGNS Treatment

    Arm Description

    Outcomes

    Primary Outcome Measures

    Mean change in AHI measured with in-lab nighttime polysomnography (PSG) compared to baseline
    Adverse event profile interoperatively, perioperatively, and long term post implant

    Secondary Outcome Measures

    Mean change in functional outcomes measured with the Functional Outcomes of Sleep Questionnaire (FOSQ) compared to baseline

    Full Information

    First Posted
    August 20, 2010
    Last Updated
    April 14, 2015
    Sponsor
    Apnex Medical, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01186926
    Brief Title
    Australian Clinical Study of the Apnex Medical HGNS System to Treat Obstructive Sleep Apnea
    Official Title
    Australian Prospective Clinical Study of the Apnex Medical Hypoglossal Nerve Stimulation (HGNS) System to Treat Obstructive Sleep Apnea
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2011
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2009 (undefined)
    Primary Completion Date
    December 2010 (Actual)
    Study Completion Date
    May 2013 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Apnex Medical, Inc.

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The overall goal of the study is to evaluate the safety, efficacy and therapy settings of the HGNS System for stimulating the hypoglossal nerve to help maintain an open airway in subjects with obstructive sleep apnea (OSA).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Obstructive Sleep Apnea
    Keywords
    Obstructive sleep apnea, OSA, hypoglossal nerve stimulation, sleep apnea

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    HGNS Treatment
    Arm Type
    Experimental
    Intervention Type
    Device
    Intervention Name(s)
    HGNS Treatment
    Intervention Description
    The Apnex Hypoglossal Nerve Stimulation (HGNS) System is an implanted medical device that is designed to prevent the tongue from blocking the airway during sleep. It is fully automatic and can be implanted during a simple surgical procedure. After it is implanted, the device is programmed to meet the unique needs of each patient. The device is on when the patient is sleeping, and off when the patient is awake.
    Primary Outcome Measure Information:
    Title
    Mean change in AHI measured with in-lab nighttime polysomnography (PSG) compared to baseline
    Time Frame
    6 months post-implant
    Title
    Adverse event profile interoperatively, perioperatively, and long term post implant
    Time Frame
    1, 3, 6, 12, 24, and 36 months post implant
    Secondary Outcome Measure Information:
    Title
    Mean change in functional outcomes measured with the Functional Outcomes of Sleep Questionnaire (FOSQ) compared to baseline
    Time Frame
    6 months post-implant

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    21 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Eligibility Criteria Previously diagnosed with moderate to severe obstructive sleep apnea. Subject has failed or does not tolerate CPAP treatment. Age between 21 and 70 years. Body mass index (BMI) less than or equal to 40
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Maree Barnes, MD
    Organizational Affiliation
    Institute for Breathing and Sleep, Austin Health
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    David Hillman, MD
    Organizational Affiliation
    West Australian Sleep Disorders Research Institute, St. Charles Gardner Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Doug McEvoy, MD
    Organizational Affiliation
    Adelaide Institute for Sleep Health, Repatriation General Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    John Wheatley, MD
    Organizational Affiliation
    Westmead Hospital Dept of Respiratory Medicine
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    22043118
    Citation
    Eastwood PR, Barnes M, Walsh JH, Maddison KJ, Hee G, Schwartz AR, Smith PL, Malhotra A, McEvoy RD, Wheatley JR, O'Donoghue FJ, Rochford PD, Churchward T, Campbell MC, Palme CE, Robinson S, Goding GS, Eckert DJ, Jordan AS, Catcheside PG, Tyler L, Antic NA, Worsnop CJ, Kezirian EJ, Hillman DR. Treating obstructive sleep apnea with hypoglossal nerve stimulation. Sleep. 2011 Nov 1;34(11):1479-86. doi: 10.5665/sleep.1380.
    Results Reference
    result

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    Australian Clinical Study of the Apnex Medical HGNS System to Treat Obstructive Sleep Apnea

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