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| Name | Class |
|---|---|
| University of Calgary | OTHER |
| Interior Health | INDUSTRY |
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The primary objective of the PLUTO study is to evaluate the safety and tolerability of the ZENS transcutaneous nerve stimulator device in primary snorers and those with mild obstructive sleep apnea. The study will assess the impact of ZENS on snoring frequency, duration, and other relevant sleep parameters. The intended purpose of the investigational device is to deliver a transcutaneous electrical stimulation signal to the hypoglossal nerve in the "ON" phase in order to alter the apnea hypopnea index (AHI), as well as mean snoring burden (intensity, duration), and to deliver no signal in the "OFF" phase of the study as a means for comparison. Subjects utilizing the ZENS Device will experience a reduction in snoring during the "ON" versus "OFF" phase, as quantified by a reduction in the percentage of time per hour of snoring (≥40 dB) in the active ZENS Device ("ON" phase) versus the inactive ZENS Device ("OFF" phase).
After indicating their consent to contact and signing an Informed Consent Form, potential participants will undergo a screening assessment that includes a review of their medical history, a focused physical exam, and a level 3 at-home sleep test (Sagatech SnoreSat Sleep Recorder, Philips Alice OneNight or equivalent), if not already available in the medical records). At the screening visit potential participants' eligibility for the study will be evaluated against the study inclusion and exclusion criteria.
Following confirmation of eligibility, up to 45 (n=45) participants will be scheduled for their overnight in-laboratory PSG, which must occur no more than 12 weeks after screening has taken place. A final determination of eligibility and "enrollment" is completed when inclusion and exclusion criteria are verified on the day of the study visit. Those who do not meet inclusion and exclusion criteria on the day of the study will be deemed "screening failures".
Participants will wear the ZENS Device for the 8 to 12-hour overnight in-laboratory polysomnography assessment. Participants will be monitored for and asked about any adverse events and device effects that they experience during the overnight sleep study.
Participants will be contacted by the site via telephone 24 to 96 hours after the overnight sleep study to determine if any adverse events and device effects were experienced late after the overnight polysomnography. After the telephone follow-up, participation in the study is complete.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence 1 | Experimental | Participants allocated to Sequence 1 will complete the overnight sleep study with the ZENS device "ON" for the first half and "OFF" for the second half. |
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| Sequence 2 | Experimental | Participants allocated to Sequence 1 will complete the overnight sleep study with the ZENS device "OFF" for the first half and "ON" for the second half |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZENS | Device | ZENS transcutaneous nerve stimulator (ZENS Device), a wearable and non-invasive device which stimulates nerves in the neck to reduce airway obstruction and maintain muscular tension while sleeping to reduce snoring severity. |
| Measure | Description | Time Frame |
|---|---|---|
| Percent change in loud snoring time | The percentage change in snoring time in the "ON" versus "OFF" period | up to 5 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Change in AHI | Change in AHI in the "ON" versus "OFF" period | up to 5 hours |
| Percentage difference of time (minutes) per hour of sleep with loud snoring | Percentage difference of time (minutes) per hour of sleep with loud snoring (≥40) in the "ON" versus "OFF" phase |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events, serious adverse events, device deficiencies and unanticipated adverse device effects | Safety and tolerability of intervention | up to 96 hours |
| Percent of the time the ZENS Device was adhered to the participant |
Inclusion:
Exclusion:
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| Name | Affiliation | Role |
|---|---|---|
| Marcus Povitz, MD | University of Calgary | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Calgary, FMC Sleep Centre | Calgary | Alberta | T2N 4N1 | Canada | ||
| Tranq Sleep Centre |
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| Label | URL |
|---|---|
| Zennea Technologies website | View source |
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| ID | Term |
|---|---|
| D012913 | Snoring |
| D020181 | Sleep Apnea, Obstructive |
| D012891 | Sleep Apnea Syndromes |
| ID | Term |
|---|---|
| D012135 | Respiratory Sounds |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Multi-center, open label randomized 2x2 cross-over sleep study of the ZENS transcutaneous hypoglossal nerve stimulator in the "ON" (active) versus "OFF" (passive) setting during a single over-night sleep study.
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| up to 5 hours |
| Change in the number of arousals and awakenings in the "ON" versus "OFF" phase | Change in the number of arousals and awakenings in the "ON" versus "OFF" phase | up to 5 hours |
| Difference in the mean oxygen saturation levels | Difference in the mean oxygen saturation levels in the "ON" versus "OFF" phase | up to 5 hours |
| Number of patients with successful snoring reduction | ≥ 25% reduction in snoring intensity in the "OFF" versus the "ON" period. | up to 5 hours |
% time worn during entire study (awake and asleep)
| up to 12 hours |
| Tolerability of the ZENS Device | % of time worn during sleep | up to 12 hours |
| Cranbrook |
| British Columbia |
| V1C 3W3 |
| Canada |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |