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RhinitisJawRhin1NCT04012216

Sleep Respiratory Disorders in Patients With Moderate to Severe Persistent Rhinitis

An observational study of Rhinitis, run by University Hospital, Montpellier at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The general aim of this study is to demonstrate that the measurement of respiratory effort assessed by mandibular movements during sleep is a useful measure for the screening of sleep disordered breathing (SDB) in patients with moderate to severe persistent rhinitis (R). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rhinitis
What is being tested?
Measure of mandibular movement using a mid-sagittal magnetic sensor (Brizzy, Jawac©) Nomics, Liege, Belgium) and Gold standard: polysomnography
Type of treatment
Medical device
How many people
55 participants
Where
1 siteFrance
Study dates
28 Jan 2020to 6 Nov 2024
Phase
Observational
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

Study population: Patients consulting for persistant, moderate-to-severe rhinitis.

Who may be able to join

  • Patient consulting for persistant, moderate-to-severe rhinitis
  • The patient has signed the informed consent
  • The patient is a beneficiary of a social security programme (national health insurance)
  • Patient living in the Montpellier region (< 30 kilometers).

Who cannot join

  • The patient is participating in another study that precludes participation in the present study
  • The patient is in an exclusion period determined by another study
  • It is impossible to correctly inform the patient
  • The patient cannot fluently read French
  • Vulnerable patient populations according to French Health Code article L1121-6
  • Adult under guardianship or incapable of giving consent according to French Health Code article L1121-8
  • Pregnancy, breastfeeding (French Health Code article L1121-5)
  • Any element that renders participation in the study problematic according to the investigator

Trial locations and contacts

1 site in 1 country.

France1 site
  • Chu Montpellier

    Montpellier, Hérault, 34295

Other trials in France

About this study

Official title: Sleep Respiratory Disorders in Patients With Moderate to Severe Persistent Rhinitis: a Prospective, Predictive Study

The general aim of this study is to demonstrate that the measurement of respiratory effort assessed by mandibular movements during sleep is a useful measure for the screening of sleep disordered breathing (SDB) in patients with moderate to severe persistent rhinitis (R). The primary objective is therefore to determine a mandibular movement respiratory disturbance index (MM-RDI) threshold associated with a polysomnography respiratory disturbance index (PSG-RDI) ≥ 15 / h in a population of patients with moderate-to-severe persistent R.

Read the detailed description

The secondary objectives of the study are to evaluate the concordance and correlation between:

  • MM-RDI,
  • the respiratory effort evaluated by MM,
  • polysomnography (PSG) results,
  • quality of life questionnaires,
  • clinical data,
  • treatments.
Conditions
Rhinitis
Being tested
Measure of mandibular movement using a mid-sagittal magnetic sensor (Brizzy, Jawac©) Nomics, Liege, Belgium), Gold standard: polysomnography
Medical subject headings
Rhinitis

What participants receive

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

  • Measure of mandibular movement using a mid-sagittal magnetic sensor (Brizzy, Jawac©) Nomics, Liege, Belgium)Device

    A mid-sagittal MM magnetic sensor (Brizzy, Jawac©) Nomics, Liege, Belgium) measures the distance in mm between two parallel, coupled, resonant circuits placed on the forehead and on the chin. Measurements last one night.

  • Gold standard: polysomnographyDevice

    Polysomnography will be performed according to the American Academy of Sleep Medicine Recommendations 2018

Study groups in NCT04012216
Study groupRoleWhat they receive
The study populationPatients consulting for persistant, moderate-to-severe rhinitis and meeting eligibility criteria.
Receives: Device: Measure of mandibular movement using a mid-sagittal magnetic sensor (Brizzy, Jawac©) Nomics, Liege, Belgium); Device: Gold standard: polysomnography

What is being measured

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

  1. The mandibular movement respiratory disturbance index

    Measured: Day 7

  2. The polysomnography respiratory disturbance index

    Measured: Day 7

Secondary outcomes (64)
  1. Epworth scale score

    This questionnaire describes sleepiness with a score that ranges from 0 to 24. Higher scores indicate more sleepiness.

    Measured: Day 1

  2. Epworth scale score

    This questionnaire describes sleepiness with a score that ranges from 0 to 24. Higher scores indicate more sleepiness.

    Measured: Day 7

  3. The Karolinska questionnaire

    The complete name of this questionnaire is the "Karolisnska questionnaire." This questionnaire describes sleepiness when the patient is driving. No total score reported. The minimum score is 1 and the maximal score is 9. The best outcome is 1 (patient is extremely vigilant), the worst outcome is 9 (very sleepy, takes great effort to stay awake, fights against sleep).

    Measured: Day 1

  4. The Karolinska questionnaire

    The complete name of this questionnaire is the "Karolisnska questionnaire." This questionnaire describes sleepiness when the patient is driving. No total score reported. The minimum score is 1 and the maximal score is 9. The best outcome is 1 (patient is extremely vigilant), the worst outcome is 9 (very sleepy, takes great effort to stay awake, fights against sleep).

    Measured: Day 7

  5. The Pittsburgh Sleep Quality Index (PSQI)

    The Pittsburg Sleep Quality Index (PSQI) measures the quality of sleep. It contains 19 self-rated questions and 5 questions by the bed partner or roommate (if one is available). Only self -rated questions are included in the scoring. The 19 self-rated items are combined in seven component scores each of which has a range of 0-3 points. In all the cases, a score of "0" indicates no difficulty, while a score of "3" indicates severe difficulty. The seven component scores are then added to yield one "global" score with a range of 0-21 points, "0" indicating no difficulty and "21" indicating severe difficulties in all areas. The 7 components are subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication and daytime dysfunction.

    Measured: Day 7

  6. The mobility dimension of the EQ-5D-3L Questionaire (the 3-level version of Euroqol EQ-5D)

    The Euro Quality Of Life-5 dimensions - 3 levels (EQ-5D-3L) scale is a descriptive system comprising the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The responses record three levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. This results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. In addition, there is a visual analogue scale (VAS) to indicate the general health status with "0" indicating the worse health and "100" indicating the best health.

    Measured: Day 1

  7. The autonomy dimension of the EQ-5D-3L Questionaire (the 3-level version of Euroqol EQ-5D)

    The Euro Quality Of Life-5 dimensions - 3 levels (EQ-5D-3L) scale is a descriptive system comprising the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The responses record three levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. This results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. In addition, there is a visual analogue scale (VAS) to indicate the general health status with "0" indicating the worse health and "100" indicating the best health.

    Measured: Day 1

  8. The daily activities dimension of the EQ-5D-3L Questionaire (the 3-level version of Euroqol EQ-5D)

    The Euro Quality Of Life-5 dimensions - 3 levels (EQ-5D-3L) scale is a descriptive system comprising the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The responses record three levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. This results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. In addition, there is a visual analogue scale (VAS) to indicate the general health status with "0" indicating the worse health and "100" indicating the best health.

    Measured: Day 1

  9. The pain dimension of the EQ-5D-3L Questionaire (the 3-level version of Euroqol EQ-5D)

    The Euro Quality Of Life-5 dimensions - 3 levels (EQ-5D-3L) scale is a descriptive system comprising the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The responses record three levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. This results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. In addition, there is a visual analogue scale (VAS) to indicate the general health status with "0" indicating the worse health and "100" indicating the best health.

    Measured: Day 1

  10. The anxiety-depression dimension of the EQ-5D-3L Questionaire (the 3-level version of Euroqol EQ-5D)

    The Euro Quality Of Life-5 dimensions - 3 levels (EQ-5D-3L) scale is a descriptive system comprising the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The responses record three levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. This results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. In addition, there is a visual analogue scale (VAS) to indicate the general health status with "0" indicating the worse health and "100" indicating the best health.

    Measured: Day 1

  11. The visual analog scale from the EQ-5D-3L Questionaire (the 3-level version of Euroqol EQ-5D)

    The Euro Quality Of Life-5 dimensions - 3 levels (EQ-5D-3L) scale is a descriptive system comprising the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The responses record three levels of severity (no problems/some or moderate problems/extreme problems) within a particular EQ-5D dimension. This results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. In addition, there is a visual analogue scale (VAS) to indicate the general health status with "0" indicating the worse health and "100" indicating the best health.

    "0" score is the minimum value, "100" score is the maximum value. There is no subscale. The better outcome is "100" (100 indicating the best health status)

    Measured: Day 1

  12. The Nasal Obstruction Symptom Evaluation (NOSE) questionnaire

    The NOSE questionnaire is composed of five subscales, namely: 1) nasal congestion or stuffiness; 2) nasal blockage or obstruction; 3) trouble breathing through my nose; 4) trouble sleeping; 5) unable to get enough air through my nose during exercise or exertion.

    All subscales are scored using a 5-point Likert scale ranging from 0 to 4 (0=not a problem, 1=very mild problem, 2=moderate problem, 3=fairly bad problem, 4=severe problem). Each definitive subscale score is obtained after multiplying the Likert score by five. All subscales are added to give a total score (total score range from 0 (no nasal obstruction) to 100 (the most severe nasal obstruction).

    Measured: Day 1

  13. The Nasal Obstruction Symptom Evaluation (NOSE) questionnaire

    The NOSE questionnaire is composed of five subscales, namely: 1) nasal congestion or stuffiness; 2) nasal blockage or obstruction; 3) trouble breathing through my nose; 4) trouble sleeping; 5) unable to get enough air through my nose during exercise or exertion.

    All subscales are scored using a 5-point Likert scale ranging from 0 to 4 (0=not a problem, 1=very mild problem, 2=moderate problem, 3=fairly bad problem, 4=severe problem). Each definitive subscale score is obtained after multiplying the Likert score by five. All subscales are added to give a total score (total score range from 0 (no nasal obstruction) to 100 (the most severe nasal obstruction).

    Measured: Day 7

  14. The Allergic Rhinitis Control Test (ARCT) rhinitis questionnaire

    The Allergic Rhinitis Control Test (ARCT is a self-completion questionnaire assessing the control of chronic rhinitis. It is made up of five questions scored from 1 to 5, and these individual scores are then added up to obtain a score ranging from 5 (worse score) to 25 (best score). The five questions are: during the last 2 weeks, has your allergic rhinitis had an effect on your professional/personal activities ; during the last 2 weeks, has your allergic rhinitis made you irritable ; during the last 2 weeks, has your allergic rhinitis disturbed your sleep (going to sleep, waking at night) ; during the last 2 weeks, have you needed to use an additional treatment not prescribed by your doctor to treat your allergic rhinitis ; during the last 2 weeks, how would you assess your allergic rhinitis.

    Measured: Day 1

  15. Total sleep time (TST)

    From polysomnography.

    Measured: Day 7

  16. Obstructive apnea index

    From polysomnography.

    Measured: Day 7

  17. Mixed apnea index

    From polysomnography.

    Measured: Day 7

  18. Apnea index

    From polysomnography.

    Measured: Day 7

  19. Hypopnea index

    From polysomnography.

    Measured: Day 7

  20. Apnea and Hypopnea index

    From polysomnography.

    Measured: Day 7

  21. Respiratory effort related arousal index

    From polysomnography.

    Measured: Day 7

  22. Respiratory Disturbance Index

    From polysomnography.

    Measured: Day 7

  23. Time spent snoring

    From polysomnography.

    Measured: Day 7

  24. Oxygen desaturation ≥ 3% index

    From polysomnography.

    Measured: Day 7

  25. Time below 90% SpO2

    From polysomnography.

    Measured: Day 7

  26. % of TST below 90% of SpO2

    From polysomnography.

    Measured: Day 7

  27. Mean SpO2

    From polysomnography.

    Measured: Day 7

  28. Minimal SpO2 during sleep

    From polysomnography.

    Measured: Day 7

  29. Time in bed

    From polysomnography.

    Measured: Day 7

  30. Sleep Onset Latency

    From polysomnography.

    Measured: Day 7

  31. Wake After Sleep Onset (WASO)

    From polysomnography.

    Measured: Day 7

  32. Wake During Sleep Period

    From polysomnography.

    Measured: Day 7

  33. Sleep Latency

    From polysomnography.

    Measured: Day 7

  34. Random eye movement (REM) stage latency

    From polysomnography.

    Measured: Day 7

  35. Percentage of sleep efficiency

    From polysomnography.

    Measured: Day 7

  36. Time in sleep stage

    From polysomnography.

    Measured: Day 7

  37. Percent of TST in sleep stage

    From polysomnography.

    Measured: Day 7

  38. Arousal index

    From polysomnography.

    Measured: Day 7

  39. Arousal index associated with respiratory events

    From polysomnography.

    Measured: Day 7

  40. The periodic limb movement (PLM) index

    From polysomnography.

    Measured: Day 7

  41. PLM arousal

    From polysomnography.

    Measured: Day 7

  42. Number of limb movements associated with respiratory events index

    From polysomnography.

    Measured: Day 7

  43. Photoplethysmography arousal index

    From polysomnography.

    Measured: Day 7

  44. Signal validity

    From mandibular movement recordings.

    Measured: Day 7

  45. TST

    From mandibular movement recordings.

    Measured: Day 7

  46. WASO

    From mandibular movement recordings.

    Measured: Day 7

  47. % of TST spent in respiratory effort

    From mandibular movement recordings.

    Measured: Day 7

  48. Respiratory fragmentation of sleep index

    From mandibular movement recordings.

    Measured: Day 7

  49. Fragmentation of sleep index

    From mandibular movement recordings.

    Measured: Day 7

  50. ARIA rhinitis classification

    ARIA = Allergic Rhinitis and its Impact on Asthma

    Measured: Day 1

  51. Presence/absence of asthma

    Does the patient have asthma? yes/no

    Measured: Day 1

  52. For asthma patients, the GINA control score

    GINA = Global Initiative for Asthma

    Measured: Day 1

  53. Forced expiratory volume in 1 second, % predicted

    From spirometry.

    Measured: Day 1

  54. Forced vital capacity, % predicted

    From spirometry.

    Measured: Day 1

  55. Forced expiratory volume in 1 second / Forced vital capacity (% litres/litres)predicted

    From spirometry.

    Measured: Day 1

  56. Forced expiratory volume 25-75, % predicted predicted

    From spirometry.

    Measured: Day 1

  57. Antecedent of public road or work accident (yes/no)

    Measured: Day 1

  58. Patient reports presence/absence of poor sleep

    Measured: Day 1

  59. Patient reports presence/absence of snoring

    Measured: Day 1

  60. Patient reports presence/absence of dry mouth

    Measured: Day 1

  61. Patient reports presence/absence of concentration difficulty

    Measured: Day 1

  62. Patient reports presence/absence of headaches

    Measured: Day 1

  63. Allergen prick test results

    Measured: Day 1

  64. List of concomitant medications

    Measured: Day 1

Timeline

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

  1. First posted9 Jul 2019
  2. Study start28 Jan 2020
  3. Primary completion25 Jun 2024
  4. Study completion6 Nov 2024

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04012216
Sponsor's protocol ID
RECHMPL18_0473
Acronym
JawRhin1
Status last verified
Nov 2024
First submitted
27 Jun 2019
Last updated
7 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The general goal is to make the study data available to interested researchers as well as to provide proof of transparency for the study. Data (and an accompanying data dictionary) will be de-identified and potentially further cleaned or aggregated as the investigators deem necessary to protect participant anonymity. Data will be made available to the public on a not-for-profit, free platform that allows access control (zenodo.org). Links on osf.io/clinicaltrials.gov will point towards the upload.

Questions about this trial

What is this clinical trial studying?

An observational study of Rhinitis, run by University Hospital, Montpellier at 1 site in France.

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 4 inclusion and 8 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: finished, as of the sponsor's last update on 7 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

The mandibular movement respiratory disturbance index (time frame: Day 7). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Nov 2024.

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