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Moderate Obstructive Sleep Apnea SyndromePhase 3SAOSGENIONCT05911971

Upper Airway Reeducation in Moderate Obstructive Sleep Apnea Syndrome

A Phase 3 study testing Experimental in people with Moderate Obstructive Sleep Apnea Syndrome, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of this study is to evaluate the effectiveness of a specific reeducation performed by speech therapists in moderate obstructive sleep apnea syndrome, as an alternative to the continuous Positive Anyway Pressure (CPAP) and the mandibular advancement device. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Experimental
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
54 participants
Where
1 siteFrance
Study dates
Jul 2023to Oct 2026
Phase
Phase 3
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

  • Male or female, 18 years old minimum
  • Diagnosis of moderate OSAS: AHI ≥ 15 events/h and < 30 events/h at PSG M0
  • BMI < 35 kg/m2

Who cannot join

  • MoCA < 26 (Montreal Cognitive Assessment)
  • Craniofacial malformations
  • Regular use of hypnotic medications
  • Untreated hypothyroidism
  • Stroke history
  • Cardiac insufficiency
Show all 15Show fewer
  • Severe uncontrolled coronary heart disease
  • Severe obstructive nasal disease
  • Patients with indication for CPAP in first intention
  • Pregnant or breastfeeding woman
  • Current participation in another interventional research in OSA
  • No affiliation to a social security system or legal beneficiary (except AME,Aide médicale d'état)
  • Absence of free, informed, written consent
  • Contraindications for TMS: intracranial metallic implant, pacemaker and/or recent or severe cardiac disease, epilepsy, vascular, traumatic, tumor, infectious or metabolic brain lesions, severe alcoholism
  • Protected adult under guardianship or curatorship

Trial locations and contacts

1 site in 1 country.

Diane PICARD-DUBOIS contact

0142163157

diane.picard@aphp.fr

France1 site
  • Service des pathologies du sommeil, Pitié-Salpêtrière hospital

    Paris, 75013

    Diane PICARD-DUBOIS, 0142163157, diane.picard@aphp.fr

    Diane PICARD-DUBOIS

Other trials in France

About this study

Official title: Specific Upper Airway Reeducation in Moderate Obstructive Sleep Apnea Syndrome: a Randomized Controlled Trial

The aim of this study is to evaluate the effectiveness of a specific reeducation performed by speech therapists in moderate obstructive sleep apnea syndrome, as an alternative to the continuous Positive Anyway Pressure (CPAP) and the mandibular advancement device.

Read the detailed description

Patients will be recruited in the sleep pathology department, following a sleep consultation and/or a polysomnography. They will be randomized between 2 reeducation groups (specific reeducation or sham reeducation) and will have to perform their respective exercises during 3 months. Only one of the 2 reeducations is expected to be effective. To limit performance and measure bias, patients will not be aware of the content of the reeducation in the other group (participants partially blinded of study hypothesis) and therefore these are not described in detail here. The initial clinical assessment will be repeated at 3 and 6 months, by assessors blinded to the reeducation arm, in order to evaluate the short and medium term effectiveness on the the Apnea-Hypopnea Index (AHI) and other outcomes.

Being tested
Experimental, Sham comparator

What participants receive

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

  • ExperimentalOther

    specific reeducation (not detailed to maintain blinding of participants)

  • Sham comparatorOther

    sham reeducation (not detailed to maintain blinding of participants)

Study groups in NCT05911971
Study groupRoleWhat they receive
Specific reeducationExperimentalSpecific reeducation
Receives: Other: Experimental
Sham comparatorSham comparatorSham reeducation
Receives: Other: Sham comparator

What is being measured

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

  1. Change in apnea-hypopnea index (AHI)

    Apnea-hypopnea index (AHI) is the number of apnoeas or hypopnoeas per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep. Polysomnograms will be interpreted by a blinded somnologist.

    Measured: between 0 and 3 months after randomization

Secondary outcomes (32)
  1. Change of the Apnea-Hypopnea Index (AHI)

    Apnea-hypopnea index (AHI) is the number of apnoeas or hypopnoeas per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep. Polysomnograms will be interpreted by a blinded somnologist.

    Measured: between 0 and 6 months after randomization

  2. Change of the MBLF(Bucco-Linguo-Facial Motor Function) score

    Quantitative evaluation of the patient's lingual mobility by the speech therapist. The test consists of the execution of 13 lingual praxias rated from 0 (no contraction) to 3 (normal contraction), with a total score from 0 to 39

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  3. Change of the lingual strength

    measured by collecting the maximum pressure in kPa with an tongueometer.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  4. Change of lingual endurance

    Following the same principle as lingual strength, lingual endurance (inversely proportional to fatigability) is measured with a tongueometer by quantifying the duration during which the patient can maintain 50% of his maximum pressure. The target value is then set to 50% of the patient's maximum pressure and the duration (in seconds)

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  5. Change of the size of the genioglossus representation in cm² within the motor cortex

    by collecting motor evoked potentials of the genioglossus in response to transcranial magnetic stimulation (TMS) applied to the anterolateral region of the right vertex between 0 and 3 months.

    Measured: between 0 and 3 months after randomization

  6. Change of quality of life on the SF-36

    Quality of life will be studied by the SF-36 generalist questionnaire completed by the patient. 36 items divided into 9 dimensions: physical activity, limitations due to physical condition, physical pain, perceived health, vitality, life and relationships with others, psychological health, limitations due to psychological condition, evolution of perceived health. Score from 0 (minimum subjective health) to 100 (maximum subjective health).

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  7. Change of sleep quality on the Pittsburgh Sleep Quality Index

    Sleep quality will be studied by the Pittsburgh Sleep Quality Index completed by the patient.19 questions are divided into 7 composite scores (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, medication use, daytime dysfunctions) ranging from 0 (no difficulty) to 3 (severe difficulty). The global score is calculated by adding the 7 composite scores, the score obtained ranging from 0 to 21. The quality of sleep is investigated over the previous month.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  8. Change of daytime drowsiness on the Epworth Drowsiness Scale

    Daytime drowsiness will be studied by the Epworth Drowsiness Scale completed by the patient. 8 items rated from 0 (no chance of drowsiness) to 3 (systematic drowsiness), total score from 0 to 24. A score greater than or equal to 11 corresponds to daytime sleepiness.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  9. Presence of subjective symptoms , each taken independently

    subjective evaluation by the patient following questions:snoring every night or so (yes/no), high intensity of snoring (heard through a door or complaint from the entourage (yes/no),nocturia (yes/no) if yes frequency of episodes, morning headaches (yes/no),dry mouth at night or upon waking (yes/no),impression of non-restorative sleep (yes/no),bad sleep (yes/no), if yes, number of awakenings per nigh, fatigue (yes/no), daytime sleepiness (yes/no),impatience in the legs (yes/no),nightmares (yes/no), other symptoms (yes/no)

    Measured: At 3 months and 6 months after randomization

  10. Change of the cervical circumference measurement (at the level of the cricoid)

    in cm, using a tape measure

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  11. Change of the respiratory sensation sitting at rest

    Using a visual analogue scale, consisting of a 10 cm plastic ruler graduated in mm presented horizontally. The side presented to the patient has a straight non graduated line, the left end of which corresponds to "no respiratory discomfort" and the right end to "intolerable respiratory discomfort".On the other side, there are millimetre graduations only visible to speech therapist. The position of the cursor chosen by the patient allows to read the intensity of the respiratory discomfort, which is measured in mm

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  12. Change of change in respiratory sensation between sitting and full decubitus

    after the measurement of the respiratory sensation while sitting at rest, the patient is put in complete decubitus and the change of his respiratory discomfort between these 2 positions is measured. This change is collected using a visual analog scale, consisting of a 10 cm plastic ruler graduated in mm presented horizontally. The side presented to the patient has a straight, non-scaled line with "maximum aggravation" at the left end to "maximum improvement" at the right end, with a central marker to indicate "no change". On the other side, there are millimeter graduations only visible to speech therapist. The position of the cursor chosen by the patient allows to read the intensity of the respiratory discomfort, the results are expressed as a percentage of the full scale, the latter being defined as the distance between the central marker and one of the extremities, with a "+" sign for improvement and a "-" sign for worsening which is measured in mm.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  13. Change of sleep latency

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  14. Change of N3 latency

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  15. Change of the paradoxical sleep latency

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  16. change of sleep efficiency

    calculated as total sleep time (TST) versus time from sleep to wakefulness (TWA), during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  17. Change of the total sleep time (TST)

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  18. Change of the length of the N1

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  19. Change of the percentage (related to the TST) of the N1

    measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  20. Change of the length of the N2

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  21. Change of the percentage (related to the TST) of the N2

    measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  22. Change of the length of the N3

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  23. Change of the percentage (related to the TST) of the N3

    measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  24. Change of the length of paradoxical sleep

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  25. Change of the percentage (related to the TST) of paradoxical sleep

    measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  26. Change of the length of intrasleep vigil

    measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  27. Change of the percentage (related to the TST) of intrasleep vigil

    measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  28. Change of the index of micro-awakenings

    Is the number of micro-awakenings per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  29. Change of the index of micro-awakenings of respiratory origin

    Is the number of micro-awakenings of respiratory origin per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  30. Change of the number of periodic leg movements

    Is the number of periodic leg movements per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  31. Change of number of sleep cycles

    Is the number of sleep cycle, measured by polysomnography during a minimum 6-hour night of inpatient sleep.

    Measured: between 0 and 3 months and between 0 and 6 months after randomization

  32. Compliance with treatment

    declared by the patient via the logbook given to the patient at the initial assessment. After each exercises session, the patient will have to complete the day, indicate the time spent and any difficulties encountered. Telephone follow-up of compliance will be carried out by the speech therapist or the clinical study technician every month. Compliance will be evaluated by the percentage of days when the patient will have declared to have carried out exercises for a duration higher than 50% of the theoretical duration of the exercises session

    Measured: at 3 months

Timeline

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

  1. First posted22 Jun 2023
  2. Study startJul 2023 (estimated)
  3. Primary completionApr 2026 (estimated)
  4. Study completionOct 2026 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
54 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05911971
Sponsor's protocol ID
APHP210997
Other IDs
2021-A02688-33
Acronym
SAOSGENIO
Status last verified
Jun 2023
First submitted
12 Jun 2023
Last updated
22 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data are available upon reasonable request The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Experimental in people with Moderate Obstructive Sleep Apnea Syndrome, run by Assistance Publique - Hôpitaux de Paris 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 3 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: status not confirmed, as of the sponsor's last update on 22 Jun 2023. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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

Contact Diane PICARD-DUBOIS (0142163157, diane.picard@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in apnea-hypopnea index (AHI) (time frame: between 0 and 3 months after randomization). 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 22 Jun 2023.

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