A Phase 1 Feasibility Study of the SuperPatch REM Patch for Post-Night-Shift Sleep Recovery in NHS Doctors
Night-shift work is associated with disrupted sleep timing, reduced sleep quality, and impaired recovery. The SuperPatch REM Patch is a drug-free, non-invasive vibrotactile technology intended to support recovery signals around sleep, including sleep staging and autonomic metrics. This Phase 1 study is designed to determine feasibility and acceptability in a high-need population (post-night shift NHS doctors), and to estimate preliminary effect sizes on objective wearable sleep metrics and validated subjective recovery outcomes to inform a future double-blind RCT.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
A drug-free, non-invasive vibrotactile (haptic) patch applied to the skin immediately prior to post-night-shift sleep and removed upon waking, intended to support recovery signals around sleep including sleep staging and autonomic metrics. Applied across 3-4 post-night-shift sleep episodes.
A visually identical sham patch without vibrotactile technology, applied using the same timing, wear duration, and procedure as the active patch.
Vichag Ltd
Birmingham, West Midlands, United Kingdom
Feasibility of study procedures (recruitment)
Number of participants enrolled per week during the recruitment period. Unit of Measure: Participants/week
Time frame: Time Frame: Throughout the recruitment period, up to 8 weeks
Feasibility of Study Procedures (Retention Rate)
Percentage of enrolled participants who complete the study. Unit of Measure: Percentage of participants
Time frame: Time Frame: Throughout the recruitment period, up to 8 weeks
Feasibility of Study Procedures (Wearable Compliance Rate)
Percentage of expected post-night-shift sleep episodes with a valid wearable sleep record, out of 3-4 expected post-night-shift sleep episodes with a valid wearable sleep record, out of 3-4 expected episodes per participant.
Time frame: Time Frame: Throughout the recruitment period, up to 8 weeks
Feasibility of Study Procedures (Survey Completion Rate)
Percentage of expected episode surveys (PROMIS Sleep Disturbance and Karolinska Sleepiness Scale) completed, out of 3-4 expected episodes per participant.
Time frame: Time Frame: Throughout the recruitment period, up to 8 weeks
Feasibility of Study Procedures (Patch Adherence Rate)
Percentage of post-night-shift sleep episodes in which the patch was worn for the full designated wear time. Unit of Measure: Percentage of episodes
Time frame: Time Frame: Throughout the recruitment period, up to 8 weeks
Total Sleep Time (TST)
Wearable-derived total sleep time per post-night-shift sleep episode, compared between Active and Sham REM Patch groups. Unit of Measure: Minutes
Time frame: Each post-night-shift sleep episode, up to 4 episodes per participant
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Sleep Efficiency
Wearable-derived sleep efficiency (percentage of time in bed spent asleep) per episode, compared between groups. Unit of Measure: Percentage
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
REM Sleep Duration
Wearable-derived REM sleep duration per episode, compared between Active and Sham REM Patch groups. Unit of Measure: Minutes
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Deep Sleep Duration
Wearable-derived deep (slow-wave) sleep duration per episode, compared between groups. Unit of Measure: Minutes
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Average Sleeping Heart Rate
Wearable-derived average heart rate during the sleep episode, compared between Active and Sham REM Patch groups. Unit of Measure: Beats per minute
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Heart Rate Variability (HRV)
Wearable-derived heart rate variability during the sleep episode, compared between groups. Unit of Measure: Milliseconds
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
PROMIS Sleep Disturbance score
Patient-reported sleep quality/disturbance, collected via the PROMIS Sleep Disturbance questionnaire (episode-adapted wording), completed upon waking after each post-night-shift sleep episode. Unit of Measure: T-score on a scale of \[confirm min-max for the specific short form used, e.g., 30.7 to 76.5 for the standard 8-item PROMIS Sleep Disturbance short form\]
Time frame: Upon waking, at each of 3-4 post-night-shift sleep episodes per participant
Karolinska Sleepiness Scale (KSS) score
Self-rated state sleepiness at waking, measured using the Karolinska Sleepiness Scale, a brief single-item scale validated in shift-work populations. Unit of Measure: Score on a scale of 1 (extremely alert) to 9 (extremely sleepy, fighting sleep); higher scores indicate greater sleepiness (worse outcome)
Time frame: Upon waking, at each of 3-4 post-night-shift sleep episodes per participant
Sleep Onset Latency
Wearable-derived time from lights-out to sleep onset, where supported by the participant's device. Unit of Measure: Minutes
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Incidence of Skin Irritation and Adverse Events Associated with Patch Use
Frequency and severity of skin irritation and other adverse events (e.g., headache, dizziness) associated with wear of either the Active or Sham REM Patch, captured via daily/episode adherence checks and adverse event reporting. Unit of Measure: Number of adverse events
Time frame: Time Frame: From first patch application through study completion, up to 8 weeks
Wake After Sleep Onset (WASO)
Wearable-derived total wake time after initial sleep onset, where supported by the participant's device. Unit of Measure: Minutes
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Respiratory Rate During Sleep
Wearable-derived average respiratory rate during the sleep episode, where supported by the participant's device. Unit of Measure: Breaths per minute
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Peripheral Oxygen Saturation (SpO₂) During Sleep
Wearable-derived average SpO₂ during the sleep episode, where supported by the participant's device. Unit of Measure: Percentage
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant
Device-Reported Stress Score
Proprietary wearable-derived stress index, where supported by the participant's device; scoring scale is device-specific. Unit of Measure: Score on device-specific scale
Time frame: Time Frame: Each post-night-shift sleep episode, up to 4 episodes per participant