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A Prospective, Self-controlled, First-night Order Cross-over and Evaluator-blind Pivotal Study to Evaluate the Efficacy and Safety of iNAP® Sleep Therapy System in Adults with Obstructive Sleep Apnea (OSA)
Obstructive sleep apnea (OSA) impacts sleep quality of patients, which contributes significantly to hypertension, stroke, myocardial infarction and other health problems. Intraoral devices, such as tongue retaining devices, palatal lifting devices and mandibular repositioning devices designed to increase the patency of the airway and to decrease airway obstruction, are used to treat OSA. To this end, the investigators are conducting a prospective, self-controlled, first-night order cross-over and evaluator-blind pivotal study to evaluate the efficacy and safety of iNAP® Sleep Therapy System (iNAP®), a tongue and soft palate retaining intraoral device, in adults with OSA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treated | Experimental | iNAP® Sleep Therapy System Treatment Intervention |
|
| Baseline/Control | No Intervention | Self-controlled, pre-treatment baseline condition |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iNAP® Sleep Therapy System | Device | The iNAP® provides a pressure gradient within the oral cavity, which pulls the tongue toward the upper palate and pulls the soft palate forward in a way that enhances the patency of the upper airway near the pharynx so that upper airway patency can be maintained to prevent sleep-disordered breathing. |
| Measure | Description | Time Frame |
|---|---|---|
| iNAP®-treated response rate over the apnea-hypopnea index (AHI)* | *AHI is the number of apnea/hypopnea events divided by total sleep time (TST), i.e., the number of hours of sleep. The reduction rate of AHI is calculated by dividing the AHI reduction on the Tx PSG Study when compared to the Baseline PSG Study with individual baseline AHI. An AHI reduction rate of 50% is considered responsive, namely, responder. Therefore, an overall ratio of responder to the primary endpoint cohort is the response rate. | first treatment night |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Global Impression of Change (CGI-C) | Global impression changes as rated by the physicians | first treatment night |
| Negative pressure maintenance time (hr) | The time period of iNAP® in providing effective negative pressure within the oral cavity |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with abnormal laboratory values and/or adverse events in this entire study. | All safety events will be listed and tabulated for their occurrence rate | through study completion, up to 8 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chia-Mo Lin | Shin Kong Wu Ho-Su Memorial Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shin Kong Wu Ho-Su Memorial Hospital | Taipei | 111 | Taiwan |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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|
| first treatment night |
| Change of Oxygen Desaturation Index (ODI)** from the Baseline PSG Study compared to the Tx PSG Study | **ODI is the event number of oxygen level drops by 3 percent or more from baseline divided by total sleep time (TST), i.e., the number of hours of sleep. | first treatment night |
| D020919 |
| Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |