- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05911971
Upper Airway Reeducation in Moderate Obstructive Sleep Apnea Syndrome (SAOSGENIO)
Specific Upper Airway Reeducation in Moderate Obstructive Sleep Apnea Syndrome: a Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Diane PICARD-DUBOIS
- Phone Number: 0142163157
- Email: diane.picard@aphp.fr
Study Locations
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-
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Paris, France, 75013
- Service des pathologies du sommeil, Pitié-Salpêtrière hospital
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Contact:
- Diane PICARD-DUBOIS
- Phone Number: 0142163157
- Email: diane.picard@aphp.fr
-
Principal Investigator:
- Diane PICARD-DUBOIS
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female, 18 years old minimum
- Diagnosis of moderate OSAS: AHI ≥ 15 events/h and < 30 events/h at PSG M0
- BMI < 35 kg/m2
Exclusion Criteria:
- MoCA < 26 (Montreal Cognitive Assessment)
- Craniofacial malformations
- Regular use of hypnotic medications
- Untreated hypothyroidism
- Stroke history
- Cardiac insufficiency
- Severe uncontrolled coronary heart disease
- Severe obstructive nasal disease
- Patients with indication for CPAP in first intention
- Pregnant or breastfeeding woman
- Current participation in another interventional research in OSA
- No affiliation to a social security system or legal beneficiary (except AME,Aide médicale d'état)
- Absence of free, informed, written consent
- Contraindications for TMS: intracranial metallic implant, pacemaker and/or recent or severe cardiac disease, epilepsy, vascular, traumatic, tumor, infectious or metabolic brain lesions, severe alcoholism
- Protected adult under guardianship or curatorship
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Specific reeducation
|
specific reeducation (not detailed to maintain blinding of participants)
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Sham Comparator: Sham comparator
Sham reeducation
|
sham reeducation (not detailed to maintain blinding of participants)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in apnea-hypopnea index (AHI)
Time Frame: between 0 and 3 months after randomization
|
Apnea-hypopnea index (AHI) is the number of apnoeas or hypopnoeas per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.
Polysomnograms will be interpreted by a blinded somnologist.
|
between 0 and 3 months after randomization
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of the Apnea-Hypopnea Index (AHI)
Time Frame: between 0 and 6 months after randomization
|
Apnea-hypopnea index (AHI) is the number of apnoeas or hypopnoeas per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.
Polysomnograms will be interpreted by a blinded somnologist.
|
between 0 and 6 months after randomization
|
Change of the MBLF(Bucco-Linguo-Facial Motor Function) score
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Quantitative evaluation of the patient's lingual mobility by the speech therapist.
The test consists of the execution of 13 lingual praxias rated from 0 (no contraction) to 3 (normal contraction), with a total score from 0 to 39
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the lingual strength
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured by collecting the maximum pressure in kPa with an tongueometer.
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of lingual endurance
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Following the same principle as lingual strength, lingual endurance (inversely proportional to fatigability) is measured with a tongueometer by quantifying the duration during which the patient can maintain 50% of his maximum pressure.
The target value is then set to 50% of the patient's maximum pressure and the duration (in seconds)
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the size of the genioglossus representation in cm² within the motor cortex
Time Frame: between 0 and 3 months after randomization
|
by collecting motor evoked potentials of the genioglossus in response to transcranial magnetic stimulation (TMS) applied to the anterolateral region of the right vertex between 0 and 3 months.
|
between 0 and 3 months after randomization
|
Change of quality of life on the SF-36
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Quality of life will be studied by the SF-36 generalist questionnaire completed by the patient.
36 items divided into 9 dimensions: physical activity, limitations due to physical condition, physical pain, perceived health, vitality, life and relationships with others, psychological health, limitations due to psychological condition, evolution of perceived health.
Score from 0 (minimum subjective health) to 100 (maximum subjective health).
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of sleep quality on the Pittsburgh Sleep Quality Index
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Sleep quality will be studied by the Pittsburgh Sleep Quality Index completed by the patient.19
questions are divided into 7 composite scores (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, medication use, daytime dysfunctions) ranging from 0 (no difficulty) to 3 (severe difficulty).
The global score is calculated by adding the 7 composite scores, the score obtained ranging from 0 to 21.
The quality of sleep is investigated over the previous month.
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of daytime drowsiness on the Epworth Drowsiness Scale
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Daytime drowsiness will be studied by the Epworth Drowsiness Scale completed by the patient.
8 items rated from 0 (no chance of drowsiness) to 3 (systematic drowsiness), total score from 0 to 24.
A score greater than or equal to 11 corresponds to daytime sleepiness.
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between 0 and 3 months and between 0 and 6 months after randomization
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Presence of subjective symptoms , each taken independently
Time Frame: At 3 months and 6 months after randomization
|
subjective evaluation by the patient following questions:snoring every night or so (yes/no), high intensity of snoring (heard through a door or complaint from the entourage (yes/no),nocturia (yes/no) if yes frequency of episodes, morning headaches (yes/no),dry mouth at night or upon waking (yes/no),impression of non-restorative sleep (yes/no),bad sleep (yes/no), if yes, number of awakenings per nigh, fatigue (yes/no), daytime sleepiness (yes/no),impatience in the legs (yes/no),nightmares (yes/no), other symptoms (yes/no)
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At 3 months and 6 months after randomization
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Change of the cervical circumference measurement (at the level of the cricoid)
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
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in cm, using a tape measure
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the respiratory sensation sitting at rest
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Using a visual analogue scale, consisting of a 10 cm plastic ruler graduated in mm presented horizontally.
The side presented to the patient has a straight non graduated line, the left end of which corresponds to "no respiratory discomfort" and the right end to "intolerable respiratory discomfort".On the other side, there are millimetre graduations only visible to speech therapist.
The position of the cursor chosen by the patient allows to read the intensity of the respiratory discomfort, which is measured in mm
|
between 0 and 3 months and between 0 and 6 months after randomization
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Change of change in respiratory sensation between sitting and full decubitus
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
after the measurement of the respiratory sensation while sitting at rest, the patient is put in complete decubitus and the change of his respiratory discomfort between these 2 positions is measured.
This change is collected using a visual analog scale, consisting of a 10 cm plastic ruler graduated in mm presented horizontally.
The side presented to the patient has a straight, non-scaled line with "maximum aggravation" at the left end to "maximum improvement" at the right end, with a central marker to indicate "no change".
On the other side, there are millimeter graduations only visible to speech therapist.
The position of the cursor chosen by the patient allows to read the intensity of the respiratory discomfort, the results are expressed as a percentage of the full scale, the latter being defined as the distance between the central marker and one of the extremities, with a "+" sign for improvement and a "-" sign for worsening which is measured in mm.
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between 0 and 3 months and between 0 and 6 months after randomization
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Change of sleep latency
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of N3 latency
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the paradoxical sleep latency
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
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measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
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change of sleep efficiency
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
calculated as total sleep time (TST) versus time from sleep to wakefulness (TWA), during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the total sleep time (TST)
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
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Change of the length of the N1
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
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Change of the percentage (related to the TST) of the N1
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the length of the N2
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
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measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the percentage (related to the TST) of the N2
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the length of the N3
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the percentage (related to the TST) of the N3
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the length of paradoxical sleep
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the percentage (related to the TST) of paradoxical sleep
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the length of intrasleep vigil
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in minutes, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the percentage (related to the TST) of intrasleep vigil
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
measured in percentage of TST, during polysomnography in a minimum 6-hour night of inpatient sleep
|
between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the index of micro-awakenings
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Is the number of micro-awakenings per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the index of micro-awakenings of respiratory origin
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Is the number of micro-awakenings of respiratory origin per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of the number of periodic leg movements
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Is the number of periodic leg movements per hour of sleep, measured by polysomnography during a minimum 6-hour night of inpatient sleep.
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between 0 and 3 months and between 0 and 6 months after randomization
|
Change of number of sleep cycles
Time Frame: between 0 and 3 months and between 0 and 6 months after randomization
|
Is the number of sleep cycle, measured by polysomnography during a minimum 6-hour night of inpatient sleep.
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between 0 and 3 months and between 0 and 6 months after randomization
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Compliance with treatment
Time Frame: at 3 months
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declared by the patient via the logbook given to the patient at the initial assessment.
After each exercises session, the patient will have to complete the day, indicate the time spent and any difficulties encountered.
Telephone follow-up of compliance will be carried out by the speech therapist or the clinical study technician every month.
Compliance will be evaluated by the percentage of days when the patient will have declared to have carried out exercises for a duration higher than 50% of the theoretical duration of the exercises session
|
at 3 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Diane PICARD-DUBOIS, APHP
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- APHP210997
- 2021-A02688-33 (Other Identifier: IDRCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Data are available upon reasonable request The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients.
Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
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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