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Obstructive Sleep ApneaNCT01889472

Impact of Interface With/Without Oral Appliance of Sleep Apnea Treatment

A study testing Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapy in people with Obstructive Sleep Apnea, run by Laval University at 3 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

CPAP is the most effective treatment of obstructive sleep apnea. Oro-nasal masks may be used in case of mouth leaks but these are associated with higher positive pressure needs and lower compliance to treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obstructive Sleep Apnea
What is being tested?
Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
3 sitesin 2 countries
Study dates
Jun 2013to 18 Jan 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • normal nasal breathing
  • dentition allowing for use of an oral appliance
  • absence of mandibular joint pathology
  • Patients requiring the use of a facial mask during CAPP titration due to presence of mouth leaks with a nasal/prong interface
  • Patients using CPAP less than 3 hours/day as prescribed following CPAP titration

Who cannot join

  • Clinical instability
  • smoking cessation
  • current weight loss strategy
  • Marked anatomic abnormalities of upper airway (i.e. macroglossia, tonsils hypertrophy)
  • severe cardio-metabolic co-morbidity

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

Canada2 sites
  • CHUM

    Montreal, Quebec

  • IUCPQ

    Québec, G1V 4G5

Other trials in Canada

France1 site
  • AGIRADOM

    Grenoble

Other trials in France

About this study

Official title: Impact of Nasal Mask/Oronasal Mask on Compliance to Treatment With Continuous Positive Airway Pressure (CPAP) in Patients With Obstructive Sleep Apnea

CPAP is the most effective treatment of obstructive sleep apnea. Oro-nasal masks may be used in case of mouth leaks but these are associated with higher positive pressure needs and lower compliance to treatment. The present investigation evaluates if CPAP compliance would increase when an oral appliance is used in combination with a nasal mask compared to the use of an oro-nasal mask. Eligible patients are those demonstrating a low compliance when using an oro-nasal mask during CPAP therapy. Patients will be treated with automatic CPAP with one of the above-detailed interfaces for 4 weeks and data will be extracted from the machine report in each condition.

Read the detailed description

Participating subjects will be currently treated by CPAP and low compliance will be assessed according to machine report download demonstrating 3h or less of CPAP usage per night.

Being tested
Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapy
Keywords
CPAP compliance, leaks, Respiratory disturbances index, quality of life
Medical subject headings
Sleep Apnea, Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapyDevice

Study groups in NCT01889472
Study groupRoleWhat they receive
oro-nasal maskActive comparatorOro-nasal mask during 1 month of auto CPAP
Receives: Device: Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapy
Nasal mask and oral applianceExperimentalNasal mask and oral appliance during 1 month of auto CPAP
Receives: Device: Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. CPAP compliance

    CPAP compliance will be assessed according to machine report download for the 4 weeks of treatment in each study condition.

    Measured: After 4 weeks of CPAP trial

Secondary outcomes (1)
  1. diurnal somnolence

    Epworth Sleepiness Score

    Measured: After 4 weeks of CPAP trial

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2013 (estimated)
  2. Study startJun 2013
  3. Primary completion18 Jan 2017
  4. Study completion18 Jan 2017

Why it stopped: Inability to further include additional patients

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01889472
Sponsor's protocol ID
MNB-003
Other IDs
JDBF-2012
Status last verified
May 2017
First submitted
19 Jun 2013
Last updated
5 May 2017
Results posted
No
Data monitoring committee
No

Publications

  • Borel JC, Tamisier R, Dias-Domingos S, Sapene M, Martin F, Stach B, Grillet Y, Muir JF, Levy P, Series F, Pepin JL; Scientific Council of The Sleep Registry of the French Federation of Pneumology (OSFP). Type of mask may impact on continuous positive airway pressure adherence in apneic patients. PLoS One. 2013 May 15;8(5):e64382. doi: 10.1371/journal.pone.0064382. Print 2013.

    PubMed 23691209
  • Leotard A, Lesgoirres M, Daabek N, Lebret M, Bailly S, Verain A, Series F, Pepin JL, Borel JC. Adherence to CPAP with a nasal mask combined with mandibular advancement device versus an oronasal mask: a randomized crossover trial. Sleep Breath. 2019 Sep;23(3):885-888. doi: 10.1007/s11325-018-01772-5. Epub 2019 Jan 28.

    PubMed 30689098

Questions about this trial

What is this clinical trial studying?

A study testing Nasal mask and oral appliance vs oro-nasal mask during autoCPAP therapy in people with Obstructive Sleep Apnea, run by Laval University at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 5 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada, France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Inability to further include additional patients). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CPAP compliance (time frame: After 4 weeks of CPAP trial). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01889472, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 May 2017.

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