- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03043716
Long-term Observation of PAP-therapy With Telemonitoring: Telemedicine Registry TelePAP (TelePAP)
Long-term Observation of Adherence and Efficacy of Patients With a Positive Airway Pressure (PAP) Therapy With Use of Telemonitoring
Study Overview
Status
Intervention / Treatment
Detailed Description
Airway obstructions, airflow resistance by partial occlusion of the airways or central sleep-breathing disorders, where the respiratory effort is reduced or stops, cause a reduction in airflow and lead to arousals from sleep and disturbances in gas exchange during sleep. The negative consequences manifest in increases of blood pressure, higher workload for the heart and daytime sleepiness. PAP (positive airway pressure) treats sleep-related breathing disorders. It applies pressure to nose and mouth to keep the airway from collapsing and provides pressure support to assist the respiratory muscles. The efficacy of the therapy is measured with apnoea- and hypopnoea-indices that count the total number of apnoeic events at night. To ensure an efficacious and efficient therapy, pressures have to be adjusted correctly and the patient needs to use PAP regularly.
Telemonitoring is information and communication technology to exchange sleep data and to provide clinical guidance over distances. There is no defined spectrum of technology. It can comprise phone calls, video support or interaction programs via the internet. Some studies point to advantages of telemonitoring in keeping compliance upright, increase usage hours and some also point to economic advantages. However, we do not have conclusive data from large trials with telemonitoring on the long-term that would show conclusive effects, be it from the side of a patient or from a cost and labour perspective of providers or the healthcare sector. Still, there are uncertainties regarding data safety, reimbursement or connectivity of different systems.
No long-term data of PAP therapy under telemonitoring and its effect on compliance and therapy outcomes is available by now.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Oliver Munt, Dr
- Phone Number: +49(0)1629056360
- Email: oliver.munt@resmed.de
Study Locations
-
-
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Berlin, Germany, 12683
- Recruiting
- Zentrum für Schlafmedizin Dr. Warmuth
-
Contact:
- Ralf Warmuth, Dr
- Phone Number: 03023254320
- Email: info@schlafdoktor.de
-
-
Baden-Württemberg
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Blaubeuren, Baden-Württemberg, Germany, 89143
- Recruiting
- Schlaf- und Beatmungszentrum Blaubeuren
-
Contact:
- Holger Wöhrle
-
-
Bavaria
-
Fürth, Bavaria, Germany, 90762
- Recruiting
- Ambulante Schlafmedizin Herold/Kaa
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Contact:
- Jürgen Herold, Dr
- Phone Number: 09171825880
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Nürnberg, Bavaria, Germany, 90419
- Recruiting
- Klinikum Nürnberg-Med Klinik 3
-
Contact:
- Dora Trichè, Dr
- Phone Number: 09113980
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Nordrhein-Westfalen
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Dusseldorf, Nordrhein-Westfalen, Germany, 40235
- Recruiting
- Klinik für Schlafmedizin Düsseldorf Grand Arc
-
Contact:
- Hartmut Grüger, Dr
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Northrhine-Westphalia
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Essen, Northrhine-Westphalia, Germany, 45239
- Recruiting
- Ruhrlandklinik Essen
-
Contact:
- Christoph Schöbel, Prof
- Phone Number: 020143301
-
Contact:
- Sarah Terjung
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients older than 18 years
- New indication for a prescription of a Telemonitoring (AirViewTM)-capable ResMed PAP-device
- Consent to use the telemonitoring System AirViewTM (ResMed GmbH & Co KG)
- Signed Informed Consent
Exclusion Criteria:
- Pregnant and breastfeeding persons
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Usage Patterns of PAP therapy with telemonitoring, assessed by data continuously recorded by the device and transferred via telemonitoring
Time Frame: 24 months
|
Usage Patterns are hours/night and nights/month that therapy has been used.
Telemonitoring enables the physician to remotely supervise device usage.
Usage will be assessed through data recordings of the device: Days of usage >3hours; Days of usage <3 hours; total recorded days; mean daily usage (minutes); total usage hours (h)
|
24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sleep disorders, assessed by personally questioning the Patient at baseline and at 24 months follow-up
Time Frame: 24 months
|
Sleep disorders are snoring, insomnia, hypersomnia, depression, restless legs syndrome as assessed by anamnesis.
|
24 months
|
Therapy efficacy, assessed through changes in AHI and HI comparing baseline with 24 months follow-up
Time Frame: 24 months
|
Efficacy is measured through changes in Apnea-Hypopnea-Index AHI (numbers of apneas - reduction of airflow by >90% for at least 10 seconds - and hypopneas - reduction of airflow by >30% for at least 10 seconds with a 4% decrease of Oxygen Saturation - divided by hours of sleep), AI - apnea index (apneas per hour), HI hypopnea index (hypopneas per hour).
|
24 months
|
Quality of Life, assessed with the Functional Outcomes of Sleep Questionnaire (FOSQ) comparing the score at baseline with the 24 months follow-up
Time Frame: 24 months
|
The Functional Outcomes of Sleep Questionnaire had been developed to comprehensively capture the impact of sleeping disorders in relevant daily activities as for instance general activity, vigilance, intimacy, fitness and social life.
|
24 months
|
Factors leading to therapy Termination, assessed by personally questioning a Patient or Consulting a physician at time of follow-up
Time Frame: 24 months
|
Possible causes for therapy Termination are assessed: Lost-to-follow-up, no interest in therapy, changed physician, no therapy benefits, Hospital stay, death
|
24 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Hartmut Grüger, Dr, Grand Arc Düsseldorf
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- TelePAP_Protokoll_V02_17072017
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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