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Obstructive Sleep Apnea SyndromemRehabOSANCT05049928

m-Rehab OSA : Impact of a Telerehabilitation Program Associated With CPAP on Severity Markers of Obstructive Sleep Apnea Syndrome

A study testing Telerehabilitation solution (m-Rehab) in people with Obstructive Sleep Apnea Syndrome, 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

Obstructive sleep apnea syndrome (OSA) is a common condition associated with major repercussions such as excessive daytime sleepiness and impaired quality of life as well as metabolic and cardiovascular complications. Read more about this study

Who is it for?
Ages 30 to 75 years
Conditions the study is for
Obstructive Sleep Apnea Syndrome
What is being tested?
Telerehabilitation solution (m-Rehab)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
1 siteFrance
Study dates
27 Sep 2021to 5 Jun 2024
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 30 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Severe obstructive sleep apnea (apnea-hypopnea index ≥30 / hour)
  • Body mass index ≥ 30 kg / m²
  • age between 30 and 75 years old
  • written consent

Who cannot join

  • Presence of contraindications to perform exercise training (neuromuscular disease, orthopedic cause, acute coronary syndrome or stroke in the previous three months)
  • Active infection, chronic inflammatory disease, cancer under treatment. Systemic treatment with immunosuppressants or corticosteroids
  • Obstructive Sleep Apnea treated by Continuous Positive Airway Pressure or mandibular advancement device in the 3 months preceding inclusion
  • Participation in a rehabilitation program scheduled within six months of inclusion
  • Predominantly central sleep apnea syndrome (AC> 50%)
  • Heart failure with Left Ventricular Ejection Fraction <40% known
Show all 15Show fewer
  • Bariatric surgery in the previous 6 months or bariatric surgery project in the 6 months
  • Alcohol> 14 drinks per week
  • Inability to understand and / or answer questionnaires.
  • Refusal to use a smartphone or digital device
  • Inability to access an internet connection at home.
  • Subject in a period of relative exclusion with respect to another protocol or for which the maximum annual amount of compensation of € 4,500 has been reached.
  • Subject not affiliated with a social security scheme, or not beneficiary of such a scheme.
  • Pregnant or breastfeeding woman, patient unable to give her protected adult consent, vulnerable people
  • Subject deprived of liberty by judicial or administrative decision

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU Montpellier

    Montpellier, 34080

Other trials in France

About this study

Official title: m-Rehab OSA : Impact of a Telerehabilitation Program Associated With CPAP on Severity Markers of Obstructive Sleep Apnea Syndrome. Prospective, Randomized, Controlled, Multicenter Study

Obstructive sleep apnea syndrome (OSA) is a common condition associated with major repercussions such as excessive daytime sleepiness and impaired quality of life as well as metabolic and cardiovascular complications. Continuous positive airway pressure (CPAP) remains the treatment of choice but its effectiveness remains limited, especially in reducing cardio-metabolic risk. Interventions to modify the lifestyle are therefore recommended in the management of OSA. The emergence of information and communication technologies is an opportunity for patients to have tools that promote self-management and behavioral changes. The recent development of telerehabilitation (TR) is a promising approach that has only been the subject of pilot studies. In a randomized, controlled and multicenter study, we propose to test the hypothesis according to which the use of a mobile TR solution, associated with continuous positive airway pressure (CPAP), will allow obese patients to adopt behavioral modifications to improve markers of severity of OSA. The analysis of big data (data-mining) will allow a better understanding of the motivational obstacles and levers.

Read the detailed description

Statistical analysis plan The number of patients solicited for the study and the number of subjects included and randomized in each group will be reported on the flow chart. Premature stops (lost to follow-up, death, study withdrawals) and their reasons will be reported as well as any deviations from the protocol.

An initial descriptive analysis of each of the groups will be carried out. For qualitative variables, this description will include the number as well as the frequency of the different modalities. Concerning the quantitative variables, the description will include the number, the mean, the standard deviation, the median as well as the extreme values according to the distribution.

The comparability of the 2 groups will be verified for all the initial characteristics likely to influence the results. In the event of non-comparability on one or more parameters, an adjustment will be made on this or these parameters for the comparisons between groups of judgment criteria.

Analysis of the primary judgment criterion The variation in the evolution of the various main criteria will be compared between the 2 groups using a nonparametric means comparison test (Mann-Whitney test) or if the distribution turns out to be Gaussian and the conditions application are verified, a parametric test (Student's T).

Analysis of secondary endpoints The qualitative variables will be compared by a Chi-square test. Otherwise, if the conditions for performing this test are not met, Fisher's exact test will be used.

The quantitative variables will be compared between the two groups:

  • in the case of Gaussian variables, by a student's t test or an analysis of variance
  • in the case of non-Gaussian variables, by a Wilcoxon-Mann-Withney test

Longitudinal data (quality of life scores, physical activities) will be modeled by a mixed regression with the patient effect as a random variable. A linear regression model modeling the variation of the longitudinal endpoints will be fitted to the covariates having at least one trend (p <0.15) to the difference between the two arms of the study. A forward type procedure will be implemented to obtain a final multivariate model.

Management of missing data:

The IPTW method will be used. The lost to follow-up will be considered using a weighting on the inverse of the probability of being censored

Being tested
Telerehabilitation solution (m-Rehab)
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.

  • Telerehabilitation solution (m-Rehab)Other

    The telerehabilitation program consists of the following elements:

    • Mobile applications and website usable on smartphone and tablet for the patient.
    • Teleconsultation solution for the patient and the doctors.
    • Video conferencing solution for professionals involved in patient follow-up: educators in adapted physical activity, physiotherapists, psychologists, dieticians, etc.
    • Web interface for health professionals allowing the collection and monitoring of various parameters in physical activity and nutrition as well as progress in therapeutic education activities.
    • Withings® connected objects
Study groups in NCT05049928
Study groupRoleWhat they receive
Experimental armExperimentalPatients in the experimental group will be treated with CPAP (PRISMA, LOWENSTEIN®) and will have access to the m-Rehab® telerehabilitation program.
Receives: Other: Telerehabilitation solution (m-Rehab)
Control armNo interventionPatients in the experimental group will be treated with CPAP (PRISMA, LOWENSTEIN) and will receive the usual advice on adapted physical activity and nutrition during the initial consultation.

What is being measured

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

  1. Change from baseline daytime sleepness at 6 months

    Epworth questionnaire

    Measured: Between baseline and 6 month visit

  2. Change from baseline quality of life at 6 months

    Functional Outcomes of Sleep Questionnaire (FOSQ)

    Measured: Between baseline and 6 month visit

  3. Change from baseline systolic blood pressure at 6 months

    Blood pressure : nocturnal systolic BP (ambulatory blood pressure measurement)

    Measured: Between baseline and 6 month visit

  4. Change from baseline inflammation at 6 months

    C-reactive protein in blood

    Measured: Between baseline and 6 month visit

Secondary outcomes (28)
  1. Evolution of fatigue in experimental and control group

    Pichot questionnaire

    Measured: Between inclusion and 6 month visit

  2. Evolution of quality of life in experimental and control group

    EQ5D (EuroQol) questionnaire

    Measured: Between inclusion and 6 month visit

  3. Evolution of sleep quality in experimental and control group

    Pittsburg questionnaire

    Measured: Between inclusion and 6 month visit

  4. Evolution of anxiety and depression in experimental and control group with Hospital Anxiety and Depression scale

    Anxiety and depression will be evaluated with the HAD (Hospital Anxiety and Depression) scale (values 0-21 with higher score meaning a worse outcome).

    Measured: Between inclusion and 6 month visit

  5. Evolution of sleepiness in experimental and control group (Epworth)

    Percentage of patients with Epworth fall> 2

    Measured: Between inclusion and 6 month visit

  6. Evolution of sleepiness in experimental and control group (IHSS)

    Assessed by the Idiopathic Hypersomnia Severity Scale. The total score is 0 to 50 with a higher score indicating more drowsiness.

    Measured: Between inclusion and 6 month visit

  7. Evolution of sleepiness in experimental and control group (iterative sleep latency tests)

    Evaluated by iterative sleep latency tests

    Measured: Between inclusion and 6 month visit

  8. Evolution of the architecture of sleep in experimental and control group

    Architecture of sleep will be evaluated with polysomnography : Stages of sleep (Stages N1 N2, N3 and REM in minutes and %), sleep efficiency (%), micro-arousal index (number of events/hour)

    Measured: Between inclusion and 6 month visit

  9. Evolution of polysomnographic markers in experimental and control group

    time spent under a SpO2 of 90%

    Measured: Between inclusion and 6 month visit

  10. Evolution of physical activity parameters in experimental and control group (IPAQ)

    evaluated by International Physical Activity Questionnaire (IPAQ)

    Measured: Between inclusion and 6 month visit

  11. Evolution of physical activity parameters in experimental and control group (actimetry)

    evaluated by actimetry (number of steps)

    Measured: Between inclusion and 6 month visit

  12. Evolution of nutritional parameters in experimental and control group

    assessed by dietary calendar

    Measured: Between inclusion and 6 month visit

  13. Evolution of exercise tolerance in experimental and control group

    assessed by exercise test on a cycloergometer

    Measured: Between inclusion and 6 month visit

  14. Evolution of anthropometric parameters in experimental and control group

    ratio of waist circumference to hip circumference

    Measured: Between inclusion and 6 month visit

  15. Evolution of biological parameters in experimental and control group (fasting blood sugar)

    Measured: Between inclusion and 6 month visit

  16. Evolution of biological parameters in experimental and control group (total cholesterol)

    Measured: Between inclusion and 6 month visit

  17. Evolution of biological parameters in experimental and control group (LDL cholesterol)

    Measured: Between inclusion and 6 month visit

  18. Evolution of biological parameters in experimental and control group (HDL cholesterol)

    Measured: Between inclusion and 6 month visit

  19. Evolution of biological parameters in experimental and control group (triglycerides)

    Measured: Between inclusion and 6 month visit

  20. Evolution of biological parameters in experimental and control group (glycated haemoglobin (HbA1c))

    Measured: Between inclusion and 6 month visit

  21. Evolution of endothelial function in experimental and control group

    assessed by endoPAT

    Measured: Between inclusion and 6 month visit

  22. Evolution of blood pressure profile parameters in experimental and control group

    evaluated by ambulatory blood pressure measurement over 24 hours

    Measured: Between inclusion and 6 month visit

  23. Evolution of adherence to Continuous positive airway pressure (CPAP) in experimental and control group

    Measured: Between inclusion and 6 month visit

  24. Evolution of adherence to Continuous positive airway pressure (CPAP) in experimental and control group

    Measured: Between inclusion and 3 month visit

  25. Evolution of adherence to Continuous positive airway pressure (CPAP) in experimental and control group

    Measured: Between inclusion and 1 month visit

  26. Assessment of individual factors influencing CPAP adherence in experimental and control group

    The individual factors studied are gender, body mass index and age.

    Measured: Between inclusion and 6 month visit

  27. Assessment of device-related factors influencing CPAP adherence in experimental and control group

    The device-related factors are are the type of mask, fixed or autopilot mode and whether or not a humidifier is used. The factors of the CPAP are: residual IAH (number/hour), the pressure P90 (cmH2O), the leaks (% and liter/minute), the duration of deep sleep (minutes and %) evaluated by the CPAP.

    Measured: Between inclusion and 6 month visit

  28. Assessment of the incremental cost-utility ratio in experimental and control group

    Measured: At 6 month visit

Timeline

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

  1. First posted20 Sep 2021
  2. Study start27 Sep 2021
  3. Primary completion5 Jan 2024
  4. Study completion5 Jun 2024

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
Parallel groups
Masking
None (open label)
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05049928
Sponsor's protocol ID
RECHMPL19_0062
Other IDs
2020-A02100-39
Acronym
mRehabOSA
Status last verified
Sep 2023
First submitted
20 Aug 2021
Last updated
12 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Bughin F, Mendelson M, Jaffuel D, Pepin JL, Gagnadoux F, Goutorbe F, Abril B, Ayoub B, Aranda A, Alagha K, Pomies P, Roubille F, Mercier J, Molinari N, Dauvilliers Y, Heraud N, Hayot M. Impact of a telerehabilitation programme combined with continuous positive airway pressure on symptoms and cardiometabolic risk factors in obstructive sleep apnea patients. Digit Health. 2023 Apr 6;9:20552076231167009. doi: 10.1177/20552076231167009. eCollection 2023 Jan-Dec.

    PubMed 37051564

Questions about this trial

What is this clinical trial studying?

A study testing Telerehabilitation solution (m-Rehab) in people with Obstructive Sleep Apnea Syndrome, 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 15 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 12 Jun 2026. 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?

Change from baseline daytime sleepness at 6 months (time frame: Between baseline and 6 month visit). The study lists 4 primary outcomes in all. 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 NCT05049928, which also lists 1 linked publication.

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 12 Jun 2026.

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