ClinicalTrials.gg
CompletedNCT00909259Updated Jan 6, 2014

Feasibility Study to Determine the Effects of Phrenic Nerve Stimulation in Patients With Periodic Breathing

A Phase 1 interventional study of Phrenic stimulation device in Sleep Disordered Breathing, Cheyne-Stokes Respiration and Sleep Apnea, sponsored by Respicardia, Inc.. Completed at 5 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-01-06.

Sponsored by Respicardia, Inc. (part of Zoll Medical Corporation) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 369 studies in Sleep Apnea Syndromes with a site in United States — 49 open to participants now, 60 under way, 3 of them phase 3. Sleep Apnea Syndromes · United States.

Planned enrollment
165th of 284
50 · median 62
Started
2007
with 16 others
Phase 1
15 of 369
2 open now
Registered
64th of 369
by date

Among the 369 studies in Sleep Apnea Syndromes with a site in United States, this one is the 165th largest by planned enrollment of the 284 interventional ones that give a count, is one of 17 that started in 2007, is one of 15 in phase 1, and was the 64th registered.

Sleep Apnea Syndromes

1,084 studies on the registry are indexed under Sleep Apnea Syndromes; 171 are open to participants now.

This study's planned enrollment of 50 is below the median of 60 across 673 interventional studies indexed under Sleep Apnea Syndromes.

Browse Sleep Apnea Syndromes studies →

Open to participants now

49 of the 369 studies in Sleep Apnea Syndromes with a site in United States are open now.

All 49 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 117 Sleep Apnea Syndromes studies recruiting now, 57 (49%) set no upper age limit and 36 (31%) stop at 75 or younger; 24 take children under 18; 27 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 369 studies in Sleep Apnea Syndromes with a site in United States, or all of them as a file.
02

Study summary

The purpose of this feasibility study is to determine the effect of stimulating the phrenic nerve to treat periodic breathing (a pattern of breathing characterized by hyperpneas followed by hypopneas or apneas). Clinically, these physiologic events translate into sleep fragmentation, excessive daytime sleepiness, reduced exercise capacity, and possibly ventricular arrhythmias.

Stage 1 of the study is acute in nature, such that subjects will undergo the placement of a stimulation lead, followed by assessment of stimulation of the phrenic nerve using the lead for up to 2 nights of sleep. A sensing lead may also be placed during the initial implant procedure. Observational data will be obtained and stimulation provided using an externalized system connected to the study leads. Following the study, all investigational components will be removed from the patient.

Stage 2 of the study is being conducted at one of the participating sites to determine the initial safety of chronic stimulation of the phrenic nerve in a limited number of patients with sleep disordered breathing. It is anticipated that data obtained in this feasibility study will show that the proposed intervention can modify respiration with a low incidence of adverse effects. The results of this trial are intended to be used to develop a subsequent protocol for a multi-center study of chronic phrenic nerve pacing.

03

Conditions studied

  • Sleep Disordered Breathing
  • Cheyne-Stokes Respiration
  • Sleep Apnea

Keywords

  • Sleep Disordered Breathing
  • Periodic Breathing
  • Cheyne-Stokes Respiration
  • Sleep Apnea
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient is 18 years of age or older
  • Patient has a demonstrated history of periodic breathing (symptoms may include sleep fragmentation, as reported by patient or as witnessed by another person, night arousal after apneic episodes, reduced exercise capacity, and daytime sleepiness)
  • Patient is expected to be able to tolerate the procedure and remain clinically stable for the duration of the study (e.g. the subject is able to lie down long enough to insert the lead(s) without shortness of breath and the subject is able to tolerate instrumentation during study).
  • Patient or their legal representative is willing and able to sign an IRB/MEC approved (and a privacy protection authorization in the United States)

Exclusion criteria

Exclusion Criteria:

  • Baseline oxygen saturation less than or equal to 90% on a stable FIO2
  • Evidence of phrenic nerve palsy
  • Temperature > 38.0 degrees Celsius
  • Inability to place catheter (e.g. previously known coagulopathy, distorted anatomy, etc.)
  • Patient is currently enrolled in another study that may confound the results of this study
  • Patient for whom cannot be obtained
  • Patient who is pregnant or of child bearing potential without a negative pregnancy test within 10 days of the study procedure
  • Patients implanted with a pacemaker, implantable defibrillator, or cardiac resynchronization device who are unable to tolerate turning off the device for the duration of the system testing procedure (based on medical judgment)
  • Patients with severe (per GOLD scale)
  • Patients with a history of myocardial infarction within 6 months prior to the study
  • Patients with unstable angina
  • Patients who are intolerant of or allergic to contrast dye
  • Patients who are for \<1mg of (on the stimulation lead).
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Phrenic Stimulation

    Device: Phrenic stimulation device

Interventions

  • DevicePhrenic stimulation device

    In Stage 1, a stimulation lead will be introduced via standard access methods and positioned to provide stimulation. A second lead may also be placed for sensing purposes. The proximal portions of the implanted lead(s) will remain externalized such that stimulation and observation can be made using external stimulation and recording equipment. Study subjects will be observed and stimulation will be performed for up to 2 nights of sleep in a clinically supported environment. In Stage 2, a stimulation device and lead will be permanently implanted.

06

What researchers measure

Primary outcomes

  1. The primary goal of this feasibility study is to show an acute improvement in respiration.

    Time frame: Acute (up to 2 nights of sleep)

  2. The primary safety endpoint of the study is the absence of adverse events related to stimulation that result in hospitalization, the prolongation of an existing hospitalization, or death of the patient.

    Time frame: Acute (up to 2 nights of sleep) plus post-operative assessment at one week (5-10 days) or until resolution of an observed adverse event.

Secondary outcomes

  1. Characterization of chronic safety of stimulating the phrenic nerve (Stage 2 of study).

    Time frame: 2 years

07

Study locations

5 sites
  • Hennepin County Medical Center
    Minneapolis, Minnesota, United States
  • Ohio Heart Hospital
    Cincinnati, Ohio, United States
  • The Ohio State University
    Columbus, Ohio, United States
  • Jiangsu Province Hospital
    Nanjing, China
  • Polish Military Hospital
    Wroclaw, Poland
08

References and documents

Publications

  • Zhang XL, Ding N, Wang H, Augostini R, Yang B, Xu D, Ju W, Hou X, Li X, Ni B, Cao K, George I, Wang J, Zhang SJ. Transvenous phrenic nerve stimulation in patients with Cheyne-Stokes respiration and congestive heart failure: a safety and proof-of-concept study. Chest. 2012 Oct;142(4):927-934. doi: 10.1378/chest.11-1899. PubMed 22302299 ↗
  • Ponikowski P, Javaheri S, Michalkiewicz D, Bart BA, Czarnecka D, Jastrzebski M, Kusiak A, Augostini R, Jagielski D, Witkowski T, Khayat RN, Oldenburg O, Gutleben KJ, Bitter T, Karim R, Iber C, Hasan A, Hibler K, Germany R, Abraham WT. Transvenous phrenic nerve stimulation for the treatment of central sleep apnoea in heart failure. Eur Heart J. 2012 Apr;33(7):889-94. doi: 10.1093/eurheartj/ehr298. Epub 2011 Aug 19. PubMed 21856678 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2007, a primary completion of Sep 2010 and a completion of Dec 2013. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
May 21, 2009
First posted
May 27, 2009
Start
Oct 2007
Primary completionActual
Sep 2010
CompletionActual
Dec 2013
Last update
Jan 6, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 6, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00909259
Lead sponsor
Respicardia, Inc.
Responsible party
Sponsor
First posted
May 27, 2009
Start date
Oct 2007
Primary completion
Sep 2010
Completion
Dec 2013
Last update
Jan 6, 2014

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

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