The purpose of this study is to evaluate the benefits and risks of hypoglossal nerve stimulation with the Apnex Medical Hypoglossal Nerve Stimulation (HGNS) System as a potential therapeutic option for individuals with moderate to severe Obstructive Sleep Apnea (OSA) that have failed or do not tolerate positive airway pressure (PAP) therapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
132
The HGNS System in an investigational device that includes three implantable components: a neurostimulator, a stimulation lead, and a respiration sensing lead. The HGNS System is designed to activate the muscles in the upper airway to help keep the airway open during sleep. The HGNS System is intended for the treatment of moderate to severe OSA in individuals that have failed or do not tolerate positive airway pressure (PAP) therapy.
MidAmerica Neuroscience Research Institute
Lenexa, Kansas, United States
Veritas Clinical Specialties
Topeka, Kansas, United States
Kentucky Research Group
Louisville, Kentucky, United States
Reduction in OSA Severity
The proportion of subjects that experience clinically meaningful improvement in AH1 (reduction \>50% and AHI \<20) and ODI 4% (reduction \>= 25% or ODI 4% \<5)from Baseline to 6 Months will be significantly greater in the Treatment Group compared to the Control Group
Time frame: from Baseline to 6 Months
Long-term Reduction in OSA Severity
The proportion of subjects in the Treatment Group that experience clinically relevant improvement in AHI (reduction \>50% and AHI \<20) and ODI 4% (reduction \>=25% or ODI 4% \<5 at 12 months compared to Baseline.
Time frame: 12 months
Safety Analysis
Description of all adverse events
Time frame: 12 months
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The Center for Sleep and Wake Disorders
Chevy Chase, Maryland, United States
Henry Ford Hospital
Detroit, Michigan, United States
University of Minnesota
Minneapolis, Minnesota, United States
St. Lukes Hospital
St Louis, Missouri, United States
Clinilabs
New York, New York, United States
Wilmington Medical Research
Wilmington, North Carolina, United States
Community Research
Cincinnati, Ohio, United States
...and 4 more locations