Serene Sleep Palatal Implant System Clinical Confirmatory Trial in Participants Who Snore or Are Diagnosed With Mild-to-moderate Obstructive Sleep Apnea (OSA).
A Prospective, Non-Randomized, Multi-Center, Two-Arm Study Evaluating the Serene Sleep Palatal Implant System
This clinical investigation is a prospective, non-randomized, parallel-group clinical investigation conducted at two (2) investigative sites. Study participants will be assigned to one of two study groups, snoring and obstructive sleep apnea, in a parallel manner based on predefined eligibility criteria.
The study aims to evaluate and compare outcomes between the two groups under investigation. The primary endpoint for this study is to evaluate the adverse event profile of the Serene Sleep Palatal Implants, in comparison to those observed with the previously marketed Pillar Palatal Implants, in subjects treated for snoring and/or mild-to-moderate OSA.
The design allows for the concurrent enrollment and follow-up of participants in both arms, enabling direct observation of differences in safety across the groups over time.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Chief Technology Officer
- Telefonnummer: 415-707-1107
- E-Mail: kelsey@serenesleep.com
Studienorte
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California
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San Francisco, California, Vereinigte Staaten, 94102
- Aesthetic Surgery Center
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Kontakt:
- Michael R Macdonald, MD
- Telefonnummer: 415-956-3223
- E-Mail: Contactus@drMMacdonald.com
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Hauptermittler:
- Michael R Macdonald, MD
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Georgia
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Evans, Georgia, Vereinigte Staaten, 30907
- Augusta ENT
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Kontakt:
- Jonathan P Lindman, MD
- Telefonnummer: 706-868-5676
- E-Mail: lindmanresearch@gmail.com
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Hauptermittler:
- Jonathan P Lindman, MD
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
INCLUSION CRITERIA
A potential participant must meet ALL the following criteria to be enrolled into this study:
- Participant is ≥18 years of age.
- Participant has Body Mass Index (BMI) less than or equal to 30 kg/m²
- Participant has a tonsil grade less than or equal to 2
- Participant has a Friedman Tongue Position (FTP) I or II
- Participant is able to provide voluntary written informed consent.
For a snoring participant to be selected for the study:
Confirmed identification of palatal snoring
- Investigators will utilize standard of care clinical assessment methods to confirm the presence of palatal snoring prior to enrollment. These methods may include patient-reported history, physical examination of the upper airway, and auscultation or audio recordings.
Confirmed elimination of potential sleep apnea diagnosis
- If the evaluating doctor suspects that the participant may be experiencing OSA, investigators will utilize standard of care clinical assessment methods to confirm OSA.
- A resulting AHI <5 would classify the participant as an eligible snoring subject
For an OSA participant to be selected for study:
Confirmed identification of apnea caused by palatal collapse
- Investigators should be able to make this identification through intraoral evaluation in accordance with their standard of care
Confirmed mild-to-moderate classification of OSA
- If the evaluating investigator knows or suspects that the participant may be experiencing OSA, standard of care diagnostic methods will be used as confirmation.
- A resulting AHI between 5 and 30 would classify the participant as an eligible OSA subject.
EXCLUSION CRITERIA
A potential participant will be excluded from enrollment if ANY of the following conditions apply:
- A record of allergic reaction to polyethylene terephthalate (PET) / polyester
- An overly sensitive gag reflex
- Septal deviation or nasal obstruction
- Nasal polyps
- Severe seasonal allergies
- Soft palate length insufficient to accommodate implants
- Prior Diagnosis of Lingual tonsil hypertrophy
- Hypopharyngeal obstruction
- Previous pharyngeal surgery
- Previous upper respiratory tract cancer or radiation therapy
- Active respiratory tract infection
- Dysphagia or speech disorder
- Neurologic disorder
- Unstable psychiatric disorder
- Pregnant or breastfeeding
- History of falling asleep driving or Motor Vehicle Accident (MVA) due to sleepiness
- Clinical Presentation that suggests Severe OSAHS (ESS >20, participant report of choking or gasping during sleep, etc.)
- Marfan's Syndrome, Ehler-Danlos syndromes or other disorders of connective tissue and/or muscular tissue
- Other sleep disorders
- Other significant craniofacial anomaly
Participant is participating in any of the following:
- A study with the same or similar primary endpoint
- Any study in which the investigator determines may interfere with the results of this study
- Participant is unwilling to complete all study related assessments and follow-up visits
- Participant is unwilling or unable to abstain from all alcohol consumption for 24 hours leading up to the intake sleep study
- Participant is unwilling or unable to abstain from all smoking, vaping, and/or oral tobacco products for 48 hours following the procedure
- Participant has any other medical condition which in the opinion of the Investigator will make participation medically unsafe or interfere with the study results
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Snoring Group
Implant with the Serene Sleep Palatal Implant System
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Serene Sleep Palatal Implant System
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Experimental: Mild to Moderate OSA Group
Implant with the Serene Sleep Palatal Implant System
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Serene Sleep Palatal Implant System
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Proportion of Participants with Implant Extrusion at 30 Days and Absence of Serious Adverse Device Effects (SADEs) [Hybrid Composite Safety Endpoint]
Zeitfenster: From baseline to 30 days post-procedure
|
The primary endpoint for this study is to evaluate the adverse event profile of the Serene Sleep Palatal Implants, in comparison to those observed with the previously marketed Pillar Palatal Implants, in subjects treated for snoring and/or mild-to-moderate OSA.
|
From baseline to 30 days post-procedure
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change is Visual Analogue Scale (VAS) Score
Zeitfenster: From baseline to 30 days post-procedure
|
The change in subjective snoring severity as measured by a 10 cm Visual Analogue Scale (VAS), scored 0-10, where 0 = no snoring and 10 = extremely annoying snoring (higher scores indicate worse outcome).
|
From baseline to 30 days post-procedure
|
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Change in Snoring Outcomes Survey (SOS)
Zeitfenster: From baseline to 30 days post-procedure
|
The change in subjective snoring as measured by the Snoring Outcomes Survey (SOS), an 8-item validated instrument assessing intensity, duration, frequency, and impact of snoring/sleep-disordered breathing symptoms.
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From baseline to 30 days post-procedure
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Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change in daytime Epworth Sleepiness Scale (ESS)
Zeitfenster: From baseline to 30 days post-procedure
|
The change in daytime sleepiness as measured by the Epworth Sleepiness Scale (ESS), a validated 8-item questionnaire scored 0-24, where 0 = no daytime sleepiness and 24 = severe daytime sleepiness (higher scores indicate worse outcome).
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From baseline to 30 days post-procedure
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Change in Apnea-Hypopnea Index (bAHI3) via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
|
AHI Score calculated using a 3% oxygen desaturation threshold (bAHI3), collected via the Belun Sleep System HSAT device.
Data will be anonymized; complete reports will be utilized as exploratory data.
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From baseline to 30 days post-procedure
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Change in Apnea-Hypopnea Index (bAHI4) via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
|
AHI Score calculated using a 4% oxygen desaturation threshold (bAHI4), collected via the Belun Sleep System HSAT device.
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From baseline to 30 days post-procedure
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Change in Minimum Oxygen Saturation (SpO₂) via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
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Minimum SpO₂ recorded during the sleep study period, collected via the Belun Sleep System HSAT device.
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From baseline to 30 days post-procedure
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Change in Time with Oxygen Saturation ≤90% via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
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Total cumulative duration during which SpO₂ was recorded at or below 90%, collected via the Belun Sleep System HSAT device.
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From baseline to 30 days post-procedure
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Change in Sleep Efficiency via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
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Sleep efficiency calculated as the proportion of time in bed spent asleep, collected via the Belun Sleep System HSAT device.
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From baseline to 30 days post-procedure
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Change in Total Sleep Time (TST) via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
|
Total duration of sleep recorded during the study period, collected via the Belun Sleep System HSAT device.
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From baseline to 30 days post-procedure
|
|
Change in Mean Pulse Rate via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
|
Mean pulse rate recorded during the sleep study period, collected via the Belun Sleep System HSAT device.
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From baseline to 30 days post-procedure
|
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Change in Arrhythmia Ratio via Home Sleep Apnea Test
Zeitfenster: From baseline to 30 days post-procedure
|
Ratio of arrhythmic heartbeats to total heartbeats recorded during the sleep study period, collected via the Belun Sleep System HSAT device
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From baseline to 30 days post-procedure
|
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Change in Auditory Evaluation of Snoring
Zeitfenster: From baseline to 30 days post-procedure
|
Outcome 6a: "Change in Objective Snoring Volume (decibels) via Audio Recording" - the change in mean snoring volume (dB) captured by at-home overnight audio recording. Outcome 6b: "Change in Objective Snoring Frequency (Hz) via Audio Recording" - the change in dominant snoring frequency captured by at-home overnight audio recording. |
From baseline to 30 days post-procedure
|
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Proportion of Participants with Implant Migration or Trend Toward Extrusion as Assessed by Oropharyngeal Examination at 30 Days
Zeitfenster: Date of procedure to 30 days post-implant
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At each post-procedure visit (Day 7 and Day 30), the physician will conduct a standardized oropharyngeal examination to evaluate and document whether implant location has changed from the original placement position or is trending toward extrusion.
Findings will be recorded as a binary outcome (yes/no change in location) and summarized descriptively.
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Date of procedure to 30 days post-implant
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Nervensystems
- Erkrankungen der Atemwege
- Atemstörungen
- Schlaf-Wach-Störungen
- Anzeichen und Symptome, Atmung
- Apnoe
- Schlafstörungen, intrinsisch
- Dyssomnien
- Atemgeräusche
- Pathologische Zustände, Anzeichen und Symptome
- Anzeichen und Symptome
- Schlafapnoe-Syndrome
- Schlafapnoe, obstruktiv
- Schnarchen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- TESTING-055
Plan für individuelle Teilnehmerdaten (IPD)
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
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