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Adherence to Electrical Glossal In Situ Stimulation for Sleep Apnea (AEGIS Study) (AEGIS)

Primary Purpose

Obstructive Sleep Apnea

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
eXciteOSA
Sponsored by
University of Miami
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Obstructive Sleep Apnea

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age greater than 18 years
  2. Ability to consent
  3. Home sleep apnea test demonstrating mild obstructive sleep apnea.
  4. Smartphone or tablet

Exclusion Criteria:

  1. Current pacemaker, defibrillator, or neuro-stimulation device
  2. No prior oropharyngeal surgery for sleep apnea
  3. No implants, metal prostheses, dental braces, or soft tissue/bony ulcerations in the oral cavity
  4. No prior use of mandibular advancement device (MAD) or continuous positive airway pressure (CPAP)
  5. Heart failure (New York Heart Association Class 3 or 4; or ejection fraction < 45%)
  6. Active coronary disease defined as an intervention (e.g., angioplasty, coronary artery bypass surgery) in the prior 6 months
  7. Uncontrolled hypertension (BP > 160/100)
  8. Clinician diagnosis of any chronic lung disease except asthma
  9. Chronic fatigue syndrome or fibromyalgia
  10. Self-reported current illicit drug use in the past 30 days
  11. Self-reported use of marijuana or opiates in the past 30 days
  12. Use of supplemental oxygen
  13. Self-reported use of prescribed or over the counter sleeping medications in the past 30 days
  14. Current pregnancy or intention of becoming pregnant
  15. Oropharyngeal abnormalities (class 2 or class 3 malocclusion)
  16. Periodic breathing (Cheyne Stoke respiration)
  17. Central sleep apnea (central apnea index (CAI) > 5/h)
  18. Investigator discretion
  19. Prisoners

Sites / Locations

  • University of Miami

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Low intensity application of eXciteOSA

High intensity application of eXciteOSA

Arm Description

Participants will receive the eXciteOSA device intervention at low intensity application for 20 minutes per day for 6 consecutive weeks.

Participants will receive the eXciteOSA device intervention at high intensity application for 20 minutes per day for 6 consecutive weeks.

Outcomes

Primary Outcome Measures

Mean Number of Days Device Was Used
Adherence level will be reported as the mean number of days the eXciteOSA device was used.

Secondary Outcome Measures

Mean Respiratory Event Index (REI)
The mean respiratory event index (events/hr) will be evaluated using a home sleep apnea test. A higher respiratory event index (REI) indicates greater frequency of abnormal breathing during sleep.
Epworth Sleepiness Scale (ESS) Scores
Self-reported ESS questionnaire has a total score ranging from 0-24 with the higher score indicating greater daytime sleepiness.
Pittsburgh Sleep Quality Index (PSQI)
Self-reported PSQI has a total score ranging from (0) to (21) with the higher score indicating worse sleep quality.
Short Form-20 (SF-20) Scores
Self reported SF-20 has a total score ranging from 0-100 with the higher score indicating better quality of life.
Quality of Life as Measured by EuroQol Score
Self-reported quality of life based on the EuroQoL has a total score ranging from 0 to 100 with the higher score indicating better quality of life
Work Productivity and Activity Impairment (WPAI) Questionnaire Scores
Self-reported WPAI questionnaire has a total score ranging from 0-20 the higher score indicating greater impairment daily activities.
Snoring Visual Analog Scores
Partner reported Snoring visual analog has a total score ranging from 0-100 with the higher score indicating greater degree of snoring.
Number of Participants Accepting Long Term Treatment
Number of participants reporting acceptance of long term treatment will be reported

Full Information

First Posted
July 13, 2021
Last Updated
October 13, 2023
Sponsor
University of Miami
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1. Study Identification

Unique Protocol Identification Number
NCT04974515
Brief Title
Adherence to Electrical Glossal In Situ Stimulation for Sleep Apnea (AEGIS Study)
Acronym
AEGIS
Official Title
Adherence to Electrical Glossal In Situ Stimulation for Sleep Apnea
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
August 17, 2021 (Actual)
Primary Completion Date
October 31, 2022 (Actual)
Study Completion Date
October 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Miami

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this research is to assess how well people with mild obstructive sleep apnea (OSA) adhere to the eXciteOSA device and specifically examine whether adherence of the device is different with low versus high electrical stimulation. In addition, this research study will assess how well the device affects mild sleep apnea and if it improves sleepiness and quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obstructive Sleep Apnea

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low intensity application of eXciteOSA
Arm Type
Experimental
Arm Description
Participants will receive the eXciteOSA device intervention at low intensity application for 20 minutes per day for 6 consecutive weeks.
Arm Title
High intensity application of eXciteOSA
Arm Type
Active Comparator
Arm Description
Participants will receive the eXciteOSA device intervention at high intensity application for 20 minutes per day for 6 consecutive weeks.
Intervention Type
Device
Intervention Name(s)
eXciteOSA
Intervention Description
eXciteOSA is a device for improving genioglossus endurance through electrical stimulation
Primary Outcome Measure Information:
Title
Mean Number of Days Device Was Used
Description
Adherence level will be reported as the mean number of days the eXciteOSA device was used.
Time Frame
Up to 6 weeks
Secondary Outcome Measure Information:
Title
Mean Respiratory Event Index (REI)
Description
The mean respiratory event index (events/hr) will be evaluated using a home sleep apnea test. A higher respiratory event index (REI) indicates greater frequency of abnormal breathing during sleep.
Time Frame
Up to 6 weeks
Title
Epworth Sleepiness Scale (ESS) Scores
Description
Self-reported ESS questionnaire has a total score ranging from 0-24 with the higher score indicating greater daytime sleepiness.
Time Frame
Up to 6 weeks
Title
Pittsburgh Sleep Quality Index (PSQI)
Description
Self-reported PSQI has a total score ranging from (0) to (21) with the higher score indicating worse sleep quality.
Time Frame
Up to 6 weeks
Title
Short Form-20 (SF-20) Scores
Description
Self reported SF-20 has a total score ranging from 0-100 with the higher score indicating better quality of life.
Time Frame
Up to 6 weeks
Title
Quality of Life as Measured by EuroQol Score
Description
Self-reported quality of life based on the EuroQoL has a total score ranging from 0 to 100 with the higher score indicating better quality of life
Time Frame
Up to 6 weeks
Title
Work Productivity and Activity Impairment (WPAI) Questionnaire Scores
Description
Self-reported WPAI questionnaire has a total score ranging from 0-20 the higher score indicating greater impairment daily activities.
Time Frame
Up to 6 weeks
Title
Snoring Visual Analog Scores
Description
Partner reported Snoring visual analog has a total score ranging from 0-100 with the higher score indicating greater degree of snoring.
Time Frame
Up to 6 weeks
Title
Number of Participants Accepting Long Term Treatment
Description
Number of participants reporting acceptance of long term treatment will be reported
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age greater than 18 years Ability to consent Home sleep apnea test demonstrating mild obstructive sleep apnea. Smartphone or tablet Exclusion Criteria: Current pacemaker, defibrillator, or neuro-stimulation device No prior oropharyngeal surgery for sleep apnea No implants, metal prostheses, dental braces, or soft tissue/bony ulcerations in the oral cavity No prior use of mandibular advancement device (MAD) or continuous positive airway pressure (CPAP) Heart failure (New York Heart Association Class 3 or 4; or ejection fraction < 45%) Active coronary disease defined as an intervention (e.g., angioplasty, coronary artery bypass surgery) in the prior 6 months Uncontrolled hypertension (BP > 160/100) Clinician diagnosis of any chronic lung disease except asthma Chronic fatigue syndrome or fibromyalgia Self-reported current illicit drug use in the past 30 days Self-reported use of marijuana or opiates in the past 30 days Use of supplemental oxygen Self-reported use of prescribed or over the counter sleeping medications in the past 30 days Current pregnancy or intention of becoming pregnant Oropharyngeal abnormalities (class 2 or class 3 malocclusion) Periodic breathing (Cheyne Stoke respiration) Central sleep apnea (central apnea index (CAI) > 5/h) Investigator discretion Prisoners
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Naresh Punjabi, MD
Organizational Affiliation
University of Miami
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Adherence to Electrical Glossal In Situ Stimulation for Sleep Apnea (AEGIS Study)

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