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Obstructive Sleep ApneaNCT06008678

Study of the Resvent RXiBreeze™ PAP System to Treat Obstructive Sleep Apnea

A study testing RXiBreeze PAP System, Model RXiBreeze 20A in people with Obstructive Sleep Apnea, run by Resvent Holding USA LTD at 9 sites in United States.

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 goal of this clinical trial is to test the automatic positive airway pressure (APAP) function of the RXiBreeze PAP System in adult subjects with obstructive sleep apnea (OSA). The main questions the study aims to answer are: 1. Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Obstructive Sleep Apnea
What is being tested?
RXiBreeze PAP System, Model RXiBreeze 20A
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
146 participants
Where
9 sitesUnited States
Study dates
22 Aug 2023to 29 Nov 2023
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 22 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is ≥ 22 years old
  • Subject has been diagnosed with OSA (as scored per AASM scoring guidelines) and has an AHI ≥ 10, based on the results of a sleep study conducted at an accredited sleep lab, within 30 days prior to enrollment
  • Subject weighs >30 kg
  • Subject has been prescribed the use of an Auto CPAP system
  • Subject agrees to fulfill all study-required tests, sleep lab session attendance, and assessments
  • Subject agrees to use the RXiBreeze PAP System as prescribed
  • Subject is willing and able to provide informed consent

Who cannot join

  • Subject has been diagnosed with a sleep disorder other than OSA
  • Subject's Central Apnea Index from the baseline PSG is > 20% of AHI
  • Subject has been diagnosed with severe (stage 3) coronary artery disease
  • Subject has been diagnosed with bullous lung disease
  • subject has been diagnosed with hypotension
  • subject has been diagnosed with bypassed upper airway pneumothorax
  • Subject is pregnant, breastfeeding, or planning on becoming pregnant during trial participation
  • Subject, in the opinion of the investigator, is not suitable for trial participation

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • NeuroTrials Research

    Atlanta, Georgia, 30328

  • Peninsula Sleep Center

    Burlingame, California, 94010

  • Exalt Clinical Research

    Chula Vista, California, 91910

  • Intrepid Research

    Cincinnati, Ohio, 45240

  • Somnos Clinical Research

    Lincoln, Nebraska, 68510

  • Bay Sleep Clinic

    Mountain View, California, 94040

  • Innovative Sleep Centers, Inc.

    Redding, California, 96003

  • TriValley Sleep Center

    San Ramon, California, 94583

  • Innovative Sleep Centers, PLLC

    Tumwater, Washington, 98510

Other trials in United States

About this study

Official title: A Multicenter, Single-Arm, Safety and Efficacy Study of the Resvent RXiBreeze™ PAP System to Treat Obstructive Sleep Apnea

The goal of this clinical trial is to test the automatic positive airway pressure (APAP) function of the RXiBreeze PAP System in adult subjects with obstructive sleep apnea (OSA). The main questions the study aims to answer are:

  1. Is apnea-hypopnea index (AHI) detection using the RXiBreeze PAP System equivalent to apnea-hypopnea index (AHI) detection using PSG?
  2. What is the responder rate using the RXiBreeze PAP System?
Read more

Participants will use the APAP function of the RXiBreeze PAP System while undergoing polysomnography (PSG) for two separate nights in a sleep center. During each visit, participants will also complete two patient reported outcome questionnaires:

  • Epworth Sleepiness Score (ESS); and
  • Functional Outcomes of Sleep Questionnaire (FOSQ) short form.
Read the detailed description

This is a prospective, multicenter, single-arm trial designed to evaluate the safety and effectiveness of the RXiBreeze PAP System to treat obstructive sleep apnea and detect breathing events. Eligible subjects who meet all inclusion criteria and none of the exclusion criteria will be consented for study participation. The study will enroll up to 68 subjects. Baseline PSG will be obtained. Subjects will return to the sleep lab and use the RXiBreeze PAP System while undergoing a PSG. The data from both the RXiBreeze PAP System and PSG from both nights will be sent to an independent core lab for blinded AHI scoring. Data will be evaluated in accordance with current American Academy of Sleep Medicine (AASM) scoring guidelines. In addition to the device/PSG data scoring, subjects will complete the Epworth Sleepiness Score (ESS) and the Functional Outcomes of Sleep Questionnaire (FOSQ) short form (10 questions) and be assessed for device- and/or therapy-related adverse events (AEs) at the end of each visit.

Being tested
RXiBreeze PAP System, Model RXiBreeze 20A
Keywords
obstructive sleep apnea, sleep apnea, CPAP, PAP, APAP
Medical subject headings
Sleep Apnea, Obstructive, Sleep Apnea Syndromes

What participants receive

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

  • RXiBreeze PAP System, Model RXiBreeze 20ADevice

    The RXiBreeze PAP System is a prescription-only positive airway pressure (PAP) ventilator used to treat obstructive sleep apnea (OSA). It is a microprocessor-controlled device that provides mechanical ventilation to a subject.

Study groups in NCT06008678
Study groupRoleWhat they receive
TreatmentOtherRXiBreeze PAP System, Model RXiBreeze 20A
Receives: Device: RXiBreeze PAP System, Model RXiBreeze 20A

What is being measured

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

  1. AHI Event Detection

    Apnea-Hypopnea Index (AHI) as measured by the test device (RXiBreeze PAP System) will be compared to the AHI as measured by polysomnography (PSG) to determine equivalence at night 1. Equivalence will be considered if the mean difference in detected AHI is greater than the lower equivalence limit (EL) of -5 and less than the upper equivalence limit (EU) of 5.

    Measured: Night 1

  2. Responder Rate

    RXiBreeze PAP System Night 1 responder rate as compared to a performance goal of 50. Responder rate is based on Sher's Criteria, which are defined as having both a ≥ 50% reduction in AHI and a final AHI of < 20 events per hour.

    Measured: Night 1

Secondary outcomes (11)
  1. Night 7 responder rate

    . Responder rate is based on Sher's Criteria, which are defined as having both a ≥ 50% reduction in AHI and a final AHI of < 20 events per hour.

    Measured: Night 7

  2. Night 1 responder rate by baseline disease severity

    Responder rate presented by disease severity in accordance with AASM scoring guidelines. Responder rate is based on Sher's Criteria, which are defined as having both a ≥ 50% reduction in AHI and a final AHI of < 20 events per hour.

    Measured: Night 1

  3. Night 7 RXiBreeze PAP System compliance rate

    Compliance rate is measure of subject use of the RXiBreeze PAP System presented by descriptive statistics.

    Measured: Night 7

  4. Nights 1 and 7 Oxygen Desaturation Index (ODI)

    ODI is average number of desaturation episodes per hour. ODI will be presented by descriptive statistics.

    Measured: Nights 1 and 7

  5. Nights 1 and 7 percentage of time oxygen saturation is < 90% (T90)

    Oxygen saturation is a measure of the amount of oxygen that is circulating in the blood. T90 oxygen saturation will be presented by descriptive statistics.

    Measured: Nights 1 and 7

  6. Event Detection Validation - Obstructive Apnea Index (OAI) on Night 1 and Night 7

    Obstructive Apnea Index (OAI) as measured by the test device (RXiBreeze PAP System) will be compared to the OAI as measured by polysomnography (PSG) to validate accuracy of the test device at nights 1 and 7. Frequency and percentages will be presented.

    Measured: Nights 1 and 7

  7. Event Detection Validation: Hypopnea Index (HI) on Night 1 and Night 7

    Event Detection Validation: Hypopnea Index (HI) as measured by the test device (RXiBreeze PAP System) will be compared to the HI as measured by polysomnography (PSG) to validate accuracy of the test device at nights 1 and 7. Frequency and percentages will be presented.

    Measured: Nights 1 and 7

  8. Event Detection Validation: Central Apnea Index (CAI) on Night 1 and Night 7

    Event Detection Validation: Central Apnea Index (CAI) as measured by the test device (RXiBreeze PAP System) will be compared to the CAI as measured by polysomnography (PSG) to validate accuracy of the test device at nights 1 and 7. Frequency and percentages will be presented.

    Measured: Nights 1 and 7

  9. Event Detection Validation: Apnea Index (AI) on Night 1 and Night 7

    Event Detection Validation: Apnea Index (AI) as measured by the test device (RXiBreeze PAP System) will be compared to the AI as measured by polysomnography (PSG) to validate accuracy of the test device at nights 1 and 7. Frequency and percentages will be presented.

    Measured: Nights 1 and 7

  10. Epworth Sleepiness Scale (ESS) on Night 1 and Night 7

    Epworth Sleepiness Scale (ESS) is a validated patient reported outcome (PRO) questionnaire consisting of 8 questions related to daytime sleepiness. The ESS results in a score from 0 to 24 (0 - 10 reflect normal levels of daytime sleepiness, scores over 10 reflect excessive daytime sleepiness (EDS), scores of 16 or more suggest a high level of EDS. The ESS will be self-administered by subjects at the Night 1 and Night 7 visits. Results will be presented by frequency and percentages.

    Measured: Nights 1 and 7

  11. Functional Outcomes of Sleep Questionnaire short form (FOSQ-10) on Night 1 and Night 7

    Functional Outcomes of Sleep Questionnaire (FOSQ) short form is a validated patient reported outcome (PRO) questionnaire consisting of 10 questions related to the impact of sleepiness on the ability to conduct daily activities. The FOSQ-10 questions are rates on a scale of 1 to 4 (1=extreme difficulty and 4=no difficulty). A total score and 5 subscale scores (vigilance, general productivity, social outcome, intimacy, and activity level) are calculated. Subscale scores range from 1 (maximum difficulty) to 4 (no difficulty).

    Measured: Nights 1 and 7

Timeline

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

  1. First posted23 Aug 2023
  2. Study start22 Aug 2023
  3. Primary completion22 Nov 2023
  4. Study completion29 Nov 2023

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
Not applicable
Intervention model
Single group
Model description
single-arm trial
Masking
None (open label)
Enrolment
146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06008678
Sponsor's protocol ID
KF-0611-6-0599
Status last verified
Nov 2024
First submitted
11 Aug 2023
Last updated
2 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Kapur VK, Auckley DH, Chowdhuri S, Kuhlmann DC, Mehra R, Ramar K, Harrod CG. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med. 2017 Mar 15;13(3):479-504. doi: 10.5664/jcsm.6506.

    PubMed 28162150
  • Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep. 1996 Feb;19(2):156-77. doi: 10.1093/sleep/19.2.156.

    PubMed 8855039
  • Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, Nunez CM, Patel SR, Penzel T, Pepin JL, Peppard PE, Sinha S, Tufik S, Valentine K, Malhotra A. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019 Aug;7(8):687-698. doi: 10.1016/S2213-2600(19)30198-5. Epub 2019 Jul 9.

    PubMed 31300334
  • Kushida CA, Chediak A, Berry RB, Brown LK, Gozal D, Iber C, Parthasarathy S, Quan SF, Rowley JA; Positive Airway Pressure Titration Task Force; American Academy of Sleep Medicine. Clinical guidelines for the manual titration of positive airway pressure in patients with obstructive sleep apnea. J Clin Sleep Med. 2008 Apr 15;4(2):157-71.

    PubMed 18468315

Questions about this trial

What is this clinical trial studying?

A study testing RXiBreeze PAP System, Model RXiBreeze 20A in people with Obstructive Sleep Apnea, run by Resvent Holding USA LTD at 9 sites in United States.

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 7 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 2 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. 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?

AHI Event Detection (time frame: Night 1). 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?

On the ClinicalTrials.gov record for NCT06008678, which also lists 4 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 2 Dec 2024.

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