CClinicalTrials.gg
Status unknownNCT03070756Updated Dec 29, 2017

Extended Evaluation of the Efficacy of a Proactive FOT-based Auto-CPAP Algorithm

An interventional study of Minimal-Intervention - Specification of device settings in Obstructive Sleep Apnea, sponsored by Heinen und Löwenstein GmbH & Co. KG. Status unknown at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-12-29.

Sponsored by Heinen und Löwenstein GmbH & Co. KG · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2017), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study implements an extended (post marked) examination of the efficacy of a proactive auto-CPAP algorithm, which is based on the forced oscillation technique (FOT) in a sample of patients with predominantly obstructive sleep apnea. The auto-CPAP algorithm examined in this study is implemented in the medical devices prisma20A and prismaLAB (Löwenstein Medical Technology).

Read the detailed description

Patients diagnosed with obstructive sleep apnea and who comply with inclusion criteria of the study will be informed about the possibility of participation. Following informed and written consent, participants will undergo a PSG-diagnostic night according to clinical routine, followed by an auto-CPAP treatment night with a prismaLINE device (prismaLAB or prisma20A). The device settings applied in the treatment night are defined by the study protocol (see interventions). Following the auto-CPAP treatment night, study participation is completed. Any following treatment and patient care is administered according to clinical routine.

Primary and secondary outcome measures of sleep stage and respiratory event indices are evaluated at diagnostic night and auto-CPAP treatment night.

The enrollment consists of two phases. During phase 1 (training phase) 10 participants are enrolled and complete the study protocol. Phase 1 serves as a training phase to establish a common standard of data quality and acquisition. Data of the training phase are not included in the statistical analysis. Following the training phase the efficacy of the auto-CPAP algorithm is evaluated in a sample of 70 participants.

02

Conditions studied

  • Obstructive Sleep Apnea

Keywords

  • auto-CPAP
  • forced oscillation technique
  • obstructive sleep apnea
03

In context

Apnea

1,423 studies on the registry are indexed under Apnea; 160 are open to participants now.

This study's planned enrollment of 80 is above the median of 51 across 966 interventional studies indexed under Apnea.

Browse Apnea studies →

Lead sponsor

Heinen und Löwenstein GmbH & Co. KG is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Eligibility criteria

Inclusion Criteria:

  • Apnea-Hypopnea Index (AHI) > 15,0 (n/h Total Sleep Time)
  • Initial diagnosis of predominant obstructive sleep apnea (percentage of central respiratory events \< 20 %)
  • informed written consent

Exclusion Criteria:

  • missing informed written consent
  • Participation in another clinical trial that influences the initiation of auto-CPAP treatment by specifications of device settings or titration procedure
  • acute cardiac decompensation
  • severe arrhythmia
  • severe hypotension, particularly in combination with intravascular volume depletion
  • severe epistaxis
  • high risk of barotrauma
  • decompensated pulmonary conditions
  • pneumothorax or pneumomediastinum
  • pneumocephalus
  • cranial trauma
  • status following brain surgery or surgical intervention on the pituitary gland or the middle/inner ear
  • acute sinus infection (sinusitis), middle ear infection (otitis media) or perforated eardrum
  • dehydration

Exclusion Criteria Statistical Evaluation:

Data of patients who completed the study protocol will be excluded from statistical analysis if one of the following criteria applies:

  • non adherence to in-/exclusion criteria
  • AHI \<= 15,0 (n/h TST) or percentage of central respiratory events >= 20% in the second, study specific PSG-diagnostic night
  • application of incorrect device settings
  • insufficient data quality of PSG-acquisition
  • the device was applied outside range of indication
  • data of diagnostic night are not acquired as a PSG
  • total time of softSTART duration exceeded 60 min
  • the auto-CPAP device was restarted >= 3 times during the treatment night. Recurrent reductions of device therapy pressure to start level (device restarts) which are applied within a time frame of \<= 5 minutes after another restart will be assigned to previous restart und therefore numbered as one. Restarts which take place before initial falling asleep will not be numbered.
  • the application time of the auto-CPAP device was \<6h during treatment night
05

Study design

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

Study arms

  • Other
    treatment group (auto-CPAP)

    Participants of this study undergo an diagnostic PSG night. The diagnostic night is followed by an auto-CPAP treatment night. Interventions: The treatment night is in line with the routine procedure of the laboratory except the following intervention: the device settings for the treatment night are applied according to the study protocol (minimal intervention).

    Device: Minimal-Intervention - Specification of device settings

Interventions

  • DeviceMinimal-Intervention - Specification of device settings

    - device settings for auto-CPAP treatment night: therapy mode=APAP, Pmin=5hPa,Pmax=20 hPa, Soft-Start duration \<=15 min, softPAP Level is selected based on patient comfort

    Also known as: Specification of device settings

06

What researchers measure

Primary outcomes

  1. Apnea-Hypopnea Index (AHI /h TST)

    number of apneas and hypopneas per hour of sleep time (TST)

    Time frame: 2 days: change from recorded AHI in diagnostic PSG-acquistion to recorded AHI in treatment PSG-acquistion

Secondary outcomes

  1. Obstructive Apnea-Hypopnea Index (oAHI /h TST)

    number of obstructive apneas and hypopneas per hour of sleep time (TST)

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  2. Obstructive Apnea Index (oAI /h TST)

    number of obstructive apneas per hour of sleep time (TST)

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  3. Central Apnea-Hypopnea Index (cAHI /h TST)

    number of central apneas and hypopneas per hour of sleep time (TST)

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  4. Oxygen Desaturation Index (ODI /h TST)

    number of oxygen desaturations per hour of sleep time (TST)

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  5. Arousal Index (ArI /h TST)

    number of arousals per hour of sleep time (TST)

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  6. Respiratory Arousal Index (ArI_resp /h TST)

    number of respiratory arousals per hour of sleep time (TST)

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  7. Snore (Snore /% TST)

    Percentage of total sleep time with snoring

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  8. Slow-wave sleep (N3 /% TST)

    Percentage of total sleep time with slow wave sleep

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

  9. therapy pressure /hPa

    P95, P90 and median treatment pressure (hPa) in auto-CPAP night with prismaLINE

    Time frame: 1 day: treatment night (auto-CPAP)

  10. leakage / l/min

    P95, percentage of therapy time with leakage \> 50 l/min and median leakage during auto-CPAP treatment night.

    Time frame: 1 day: treatment night (auto-CPAP)

  11. Time in Bed with oxygen saturation < 90% (SpO2 < 90 % / %TIB)

    Percentage of time in Bed with an oxygen sturation \< 90 %

    Time frame: 2 days: diagnostic and treatment PSG-acquistion

07

Study locations

1 of 1 sites recruiting
  • Wissenschaftliches Institut Bethanien e.V.
    Solingen, 42699, Germany
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 29, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03070756
Lead sponsor
Heinen und Löwenstein GmbH & Co. KG
Responsible party
Sponsor
First posted
Mar 6, 2017
Start date
Oct 2016
Primary completion
Jan 2018 (estimated)
Completion
Mar 2018 (estimated)
Last update
Dec 29, 2017

Study contacts

Regina Schäfer
Contact
regina.schaefer@loewensteinmedical.de
004972182830 ext. 23
Alexander Grimm
Contact
alexander.grimm@loewensteinmedical.de
004972182830 ext. 28
Winfried J. Randerath, Professor
study director · Wissenschaftliches Institut Bethanien e.V

Oversight

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

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