Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| LivaNova | INDUSTRY |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to evaluate the benefits and risks of hypoglossal nerve stimulation with the ImThera Medical aura6000 System as a potential therapeutic option for individuals with moderate to severe OSA that have failed or do not tolerate PAP.
The objectives of this study are to evaluate the safety and effectiveness of the aura6000 System for the treatment of moderate to severe obstructive sleep apnea (OSA) in individuals who have failed or do not tolerate positive airway pressure (PAP) therapy or have failed or are intolerant of or refuse indicated alternative OSA treatments (such as oral appliances, positional devices and conventional sleep surgeries). PAP failure is defined as an inability to eliminate OSA (AHI > 20 despite PAP usage) and PAP intolerance is defined as: 1) inability to use PAP (greater than 5 nights per week of usage; usage defined as greater than 4 hours of use per night); or 2) unwillingness to use PAP (for example, a patient returns the PAP system after attempting to use it). The results of this study are anticipated to provide reasonable assurance of the safety and effectiveness of the aura6000 System when used as intended and to support the application for FDA Premarket Approval of the system.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental | The Treatment Group will be implanted with the aura6000 System and have therapy turned ON at the Month 1 follow-up visit. |
|
| Control | Other | The Control Group will be implanted with the aura6000 System and receive treatment as-usual, (i.e. any non-PAP, non-surgical OSA treatment including oral appliances and positional devices being used prior to enrollment in the study) until 14 days (washout period) prior to the Month 4 visit. At the Month 4 + 1 day follow-up visit, subjects in the Control Group will have therapy turned ON for the duration of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| aura6000 System | Device | The aura6000 System is intended to unilaterally stimulate the hypoglossal nerve which innervates the muscles of the tongue. The aura6000 System stimulates the hypoglossal nerve cyclically and continuously during sleep to maintain muscle tone of the tongue and upper airway during sleep. Stimulation is generated by a programmable, multi-current source, implantable neurostimulator (IPG) and delivered to the hypoglossal nerve by a lead with multi-contact cuff electrode (lead). |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in Apnea Hypopnea Index (AHI) | Proportion of subjects who experience improvement in the apnea-hypopnea index (AHI) at the Month 4 visit as defined above in the AHI Responder definition. It is hypothesized that the observed responder rate in the Treatment Group will be significantly greater than the responder rate in the Control Group at 4 months post-implant. | Baseline to 4 months post-implant |
| Improvement in Oxygen Desaturation Index (ODI) | Proportion of subjects who experience improvement in the oxygen desaturation index 4% (ODI 4%) at the Month 4 visit as defined above in the ODI Responder definition. It is hypothesized that the observed responder rate in the Treatment Group will be significantly greater than the responder rate in the Control Group at 4 months post-implant. | Baseline to 4 months post-implant |
| Safety Analysis | Estimate the incidence of serious adverse events (SAEs) related to the aura6000 device or procedure, including any unanticipated adverse device effects. | Baseline to 12 months post-implant |
| Measure | Description | Time Frame |
|---|---|---|
| Long-term Responder Rate | Baseline to 12 months post-implant | |
| Change in Epworth Sleepiness Scale (ESS) | Baseline to 4 months post-implant | |
| Change in Functional Outcomes of Sleep (FOSQ) |
Not provided
Inclusion Criteria:
Exclusion Critera:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Alan R Schwartz, MD | Professor (ret.), Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ENT Associates of San Diego | Chula Vista | California | 91911 | United States | ||
| Tower ENT |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41690459 | Derived | Schwartz AR, Jacobowitz O, Mickelson SA, Miller MB, Oliven A, Certal V, Hopp ML, Winslow DH, Huntley TC, Nachlas NE, Pham LV, Eisele DW, Gillespie MB, Weeks BH, Lovett EG, Shen J, Malhotra A, Maurer JT. Three-Year Outcomes of Proximal Hypoglossal Nerve Stimulation in OSA. Chest. 2026 May;169(5):1357-1370. doi: 10.1016/j.chest.2025.11.057. Epub 2026 Feb 12. | |
| 37022679 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
|
| Baseline to 4 months post-implant |
| Change in EuroQol 5 Dimensional (EQ-5D) | Baseline to 4 months post-implant |
| Los Angeles |
| California |
| 90048 |
| United States |
| SENTA Clinic | San Diego | California | 92108 | United States |
| Ear, Nose, and Throat Associates of South Florida | Boca Raton | Florida | 33487 | United States |
| Morton Plant Mease Healthcare | Safety Harbor | Florida | 34695 | United States |
| Advanced ENT Asociates | Atlanta | Georgia | 30342 | United States |
| Center for ENT and Allergy | Carmel | Indiana | 46032 | United States |
| Kentucky Research Group | Louisville | Kentucky | 40218 | United States |
| Johns Hopkins University | Baltimore | Maryland | 21224 | United States |
| ENT and Allergy Associates | New York | New York | 10016 | United States |
| Intrepid Research | Cincinnati | Ohio | 45245 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| UT Methodist Physicians | Memphis | Tennessee | 38104 | United States |
| FutureSearch Trials | Austin | Texas | 78731 | United States |
| Clinique Univ. Saint-Luc | Brussels | 1200 | Belgium |
| Pitie Salpetriere | Paris | 75013 | France |
| Foch Hospital | Suresnes | France |
| Ruprechts-Karls University | Mannheim | Germany |
| Bnai Zion Medical Center | Haifa | Israel |
| Hospital CUF Porto | Porto | Portugal |
| Schwartz AR, Jacobowitz O, Eisele DW, Mickelson SA, Miller MB, Oliven A, Certal V, Hopp ML, Winslow DH, Huntley TC, Nachlas NE, Pham LV, Gillespie MB, Weeks BH, Lovett EG, Shen J, Malhotra A, Maurer JT. Targeted Hypoglossal Nerve Stimulation for Patients With Obstructive Sleep Apnea: A Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2023 Jun 1;149(6):512-520. doi: 10.1001/jamaoto.2023.0161. |
| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
Not provided
Not provided