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Disorders of Excessive SomnolenceREWINDNCT07120061

Test-retest Reliability of the Maintenance of Wakefulness Test in Participants With Hypersomnolence

A study testing First MWT, second MWT and actimetry in people with Disorders of Excessive Somnolence, run by University Hospital, Bordeaux at 4 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study will provide the first measurement of the test-retest reliability of the Maintenance of Wakefulness Test (MWT) with a prospective multicenter design. A high level of reliability will reinforce the place of the MWT as an essential tool to respond to the medical and legal worldwide issue of the driving risk… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Disorders of Excessive Somnolence
What is being tested?
First MWT, second MWT and actimetry
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
4 sitesFrance
Study dates
13 Nov 2025to Aug 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Being affiliated or beneficiaries of a social security system.
  • Having been informed of the study and having given their free and informed consent, written and signed consent to participate to the study
  • Plus one of the following inclusion criteria:
  • Participant with a suspicion of OSAS without any previous diagnosis or treatment and with Epworth Sleepiness Scale ≥ 11.
  • Participant with effective and stable treatment for OSAS (defined by apnea-hypopnea index ≥ 15 per hour) since at least 15 days and intended to be explored by a MWT. This group will be stratified on the age (half of patients of this group < 40 years old and the other half of patients of his group ≥ 40 years old).
  • Participant with effective and stable treatment for narcolepsy type 1 as defined by the ICSD-3 (cataplexy or lack of orexine) since at least 15 days and intended to be explored by a MWT.
  • Healthy volunteers with Epworth Sleepiness Scale < 11.

Who cannot join

  • Comorbid sleep disorders associated with excessive daytime sleepiness (e.g., OSAS and narcolepsy)
  • Severe conditions endangering life in the short term
  • Participant with cardiovascular, neurological, psychiatric, respiratory, infectious, endocrine, or systematic pathology, which is not stabilized and may require hospitalization or a modification of therapy during the duration of the study
  • Introduction or change in dosage of a psychotropic medication in the previous year which may modify the level of arousal in the previous year and modify the MWT results
  • Healthy volunteer with suspected SAOS (total score at STOP-BANG≥ 5) or suspected insomnia disorder (total score at ISI≥ 22)
  • Shift or night workers
  • Pregnant or breastfeeding woman
  • Participants under curatorship or guardianship

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

France4 sites, 4 recruiting
  • CHU de Bordeaux

    Bordeaux

    Julien COELHO, Dr, 05 57 82 08 95, julien.coelho@chu-bordeaux.fr

    Nathalie HEYVANG, nathalie.heyvang@chu-bordeaux.fr

    Recruiting
  • CHU de Montpellier

    Montpellier

    Lucie BARATEAU, Dr

    Lucie BARATEAU, Dr

    Recruiting
  • APHP - Hôtel-Dieu

    Paris

    Alexandre ROUEN, Dr

    Alexandre ROUEN

    Recruiting
  • APHP - la Pitié-Salpêtrière

    Paris

    Isabelle ARNULF, Pr

    Isabelle ARNULF, Pr

    Recruiting

Other trials in France

About this study

This study will provide the first measurement of the test-retest reliability of the Maintenance of Wakefulness Test (MWT) with a prospective multicenter design. A high level of reliability will reinforce the place of the MWT as an essential tool to respond to the medical and legal worldwide issue of the driving risk related to hypersomnolence. This would legitimize its place as a medico-legal examination in France and promote its diffusion in other countries. A low level of reliability will call into question the place of the MWT in the management of participants with hypersomnolence. Bordeaux University Hospital is the sponsor of this research. This research will be conducted with the support of Société Française de Recherche en Médecine du Sommeil.

Read the detailed description

Hypersomnolence is a frequent and disabling symptom that has an impact on an individual's daytime functioning and particularly on driving, increasing the risk of traffic accidents related to sleepiness. Objective markers for assessing hypersomnolence are particularly important to overcome reporting bias since it is listed as a factor of temporary medical incompatibility to obtain or maintain a driving license in several countries, including France. According to the American Academy of Sleep Medicine (AASM), the MWT is the most relevant test for medico-legal assessments of fitness to drive.

Several experimental and epidemiological studies have shown that mean sleep latency at the MWT is a valid biomarker for assessing driving risk. However, there is currently no data on the test-retest reliability of the MWT from one day to the next. This is all the more important given the implications on the driving ability, and the variability associated with good participant compliance (good sleep hygiene the night before the test, absence of stimulation during the test). This study will use a factorial design to allow for stratified analyses with strong power (50 participants with Obstructive sleep apnea syndrome (OSAS), including 25 before/without treatment and 25 after/under treatment, and 25 participants with narcolepsy type 1 ,(after/under treatment) and 25 healthy volunteers. All participants will undergo an inclusion visit (V0) and two MWT (V1 and V2) separated by less than 28 days. All MWT will be twice blinded analyzed by a single expert to minimize variability of interpretation.

Being tested
First MWT, second MWT, actimetry
Keywords
Hypersomnolence, Driving risk, Biomarker, Maintenance of Wakefulness, Test-retest reliability
Medical subject headings
Disorders of Excessive Somnolence

What participants receive

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

  • First MWTDiagnostic test

    MWT during the first visit of the protocol

  • second MWTDiagnostic test

    MWT during the second visit of the protocol

  • actimetryDevice

    In order to monitor compliance with the guidelines prior to each MWT, namely good sleep hygiene in the 14 days preceding the MWT, and in accordance with the recommendations of the AASM, an actimeter will be worn by the participant.

Study groups in NCT07120061
Study groupRoleWhat they receive
1aExperimentalPatient with obstructive sleep apnea (OSA) before/without treatment for OSA
Receives: Diagnostic Test: First MWT; Diagnostic Test: second MWT; Device: actimetry
1bExperimentalPatient with obstructive sleep apnea (OSA) treated for OSA
Receives: Diagnostic Test: First MWT; Diagnostic Test: second MWT; Device: actimetry
2ExperimentalParticipants with type 1 narcolepsy
Receives: Diagnostic Test: First MWT; Diagnostic Test: second MWT; Device: actimetry
3Active comparatorHealthy volunteers
Receives: Diagnostic Test: First MWT; Diagnostic Test: second MWT; Device: actimetry

What is being measured

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

  1. Mean sleep latency of the MWT

    Sleep latency value in the wakefulness maintenance test.

    Measured: v2 (up to 90 days after V0)

Secondary outcomes (17)
  1. Bordeaux Sleepiness Scale

    Self-reported traffic accidents or near-misses related to sleepiness and sleepiness at the wheel.

    4-items questionnaire. Total score of 8 points. If the score is 3 or higher, the prediction of the risk of a sleep-related accident or near miss is defined as positive.

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  2. Chronotype

    Self-reported chronotype (reduced Morningness-Eveningness Questionnaire) It consists of 5 questions, each with a scoring system ranging from 1 to 5 points (depending on the answers), giving a total score ranging from 4 to 25.

    The lower the score, the more "evening" the chronotype; the higher the score, the more "morning" the chronotype.

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  3. Sleepiness (1)

    Self-reported sleepiness using :

    • the Epworth Sleepiness Scale, 8-items, the total score ranges from 0 (normal sleepiness) to 24 (pathological sleepiness)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  4. Sleepiness (2)

    Self-reported sleepiness using :

    • the Hypersomnia Severity Index, 9-items, the total score ranges from 0 (no hypersomnia) to 36 (Very severe Hypersomnia)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  5. Sleepiness (3)

    Self-reported sleepiness using :

    • the Insomnia Severity Index, 7 items, the total score ranges from 0 (no insomnia) to 28 (Severe insomnia)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  6. Sleepiness (4)

    Self-reported sleepiness using :

    • Functional Outcomes of Sleep Questionnaire, 10 items. The total score ranges from 5 ( Significant alteration) to 20 (no alteration)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  7. Quality of life (1)

    Self reported quality of life with :

    • EQ-5D, total score from 0 (Worst possible health) to 100 ( Best possible health)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  8. Quality of life (2)

    Self reported quality of life with :

    • Fatigue Severity Scale, 9 items, total score from 1 (Absence or low fatigue) to 7( Severe fatigue, with marked repercussions)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  9. Quality of life (3)

    Self reported quality of life with :

    • Toronto Hospital Alertness Test, 10 items, total score from 0 (Impaired alertness (low alert)) to 50 (Good vigilance/sufficient alertness)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  10. Sleep behaviors

    Objective sleep behaviors (sleep duration, sleep regularity, sleep timing, using the 2-weeks actigraphy and sleep diary).

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  11. Appropriate disorder (1)

    Self-reported severity scale for appropriate disorder using :

    • The Patient Reported Apnea Questionnaire, 16 items (from 0 to 5), The higher the score, the greater the negative impact of Obstructive Sleep Apnea.
    • The Narcolepsy Severity Scale, 15 items, the higher the score, the more severe the symptoms.

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  12. Appropriate disorder (2)

    Self-reported severity scale for appropriate disorder using :

    • The Narcolepsy Severity Scale, 15 items, the higher the score, the more severe the symptoms.

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  13. Mental complaints (1)

    Mental complaints using :

    • The Generalized Anxiety Disorder-7, 7 items, total score from 0 (no anxiety) to 21(severe anxiety)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  14. Mental complaints (2)

    Mental complaints using :

    • The Perceived Stress Scale, 10 items, total score from 0 (Low stress) to 40 (High stress)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  15. Mental complaints (3)

    Mental complaints using :

    • The Psychological-Physical-Pain Visual Analogue Scale, 3 items from 0 (no pain) to 100 (maximal pain)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  16. Mental complaints (4)

    Mental complaints using :

    • The Adult Self-Report Scale, 18 items, total score from 0(no symptom) to 72 (very frequent/severe symptoms)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

  17. Mental complaints (5)

    Mental complaints using :

    • The Participant Health Questionnaire-9, 9 items, total score from 0(no depression) to 27 (severe depression)

    Measured: at Baseline (day 0), v1 (up to 88 days after day 0) and v2 (up to 90 days after day 0)

Timeline

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

  1. First posted13 Aug 2025
  2. Study start13 Nov 2025
  3. Primary completionAug 2027 (estimated)
  4. Study completionAug 2027 (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 N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07120061
Sponsor's protocol ID
CHUBX 2024/88
Acronym
REWIND
Status last verified
Mar 2026
First submitted
29 Jul 2025
Last updated
17 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing First MWT, second MWT and actimetry in people with Disorders of Excessive Somnolence, run by University Hospital, Bordeaux at 4 sites 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 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: looking for participants now, as of the sponsor's last update on 17 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Julien COELHO, Dr (05 57 82 08 95, julien.coelho@chu-bordeaux.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean sleep latency of the MWT (time frame: v2 (up to 90 days after V0)). 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 17 Mar 2026.

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