ClinicalTrials.gg
Active, not recruitingNCT03884660rēSTUpdated Sep 2, 2026

remedē System Therapy Study

An observational study in Central Sleep Apnea, sponsored by Respicardia, Inc.. Active, not recruiting at 32 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Respicardia, Inc. (part of Zoll Medical Corporation) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
225
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 36 studies in Sleep Apnea, Central with a site in United States — 4 open to participants now, 6 under way, none of them phase 3. Sleep Apnea, Central · United States.

Started
2019
with 2 others
Observational
7 of 36
1 open now
Registered
24th of 36
by date
Lead sponsor
5 of 36
Respicardia, Inc.

Among the 36 studies in Sleep Apnea, Central with a site in United States, this one is one of 3 that started in 2019, is one of 7 observational ones, and was the 24th registered.

Sleep Apnea, Central

96 studies on the registry are indexed under Sleep Apnea, Central; 18 are open to participants now.

This study's planned enrollment of 225 is above the median of 148 across 36 observational studies indexed under Sleep Apnea, Central.

Browse Sleep Apnea, Central studies →

Open to participants now

4 of the 36 studies in Sleep Apnea, Central with a site in United States are open now.

All 4 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 13 Sleep Apnea, Central studies recruiting now, 8 (62%) set no upper age limit and 3 (23%) stop at 75 or younger; 4 take children under 18; 5 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 36 studies in Sleep Apnea, Central with a site in United States, or all of them as a file.
02

Study summary

The purpose of this non-randomized post market study is to collect clinical data on the safety and effectiveness of the remedē System in a real-world setting.

Read the detailed description

This is a multi-center, prospective, open label, non-randomized study to collect safety and effectiveness data in subjects with central sleep apnea implanted with the remedē System. Approximately 225 subjects will be enrolled and implanted at approximately 50 sites in the United States and Europe. A sub-study involving the WatchPAT device will be performed in a subset of sites.

03

Conditions studied

  • Central Sleep Apnea

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects who are determined to be candidates, independent of this research study, to receive a de novo commercial implant of the remedē System are eligible for inclusion in this trial, subject to the entry criteria.

Eligibility criteria

  1. Moderate to severe central sleep apnea (AHI ≥ 15 events per hour) based on a sleep study scored by a local sleep laboratory. It is strongly recommended that a patient have a diagnostic PSG within 12 months of the expected implant date documenting moderate to severe CSA.
  2. Age 18 years or older
  3. Signed Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved
  4. In the opinion of the investigator, subject is willing and able to comply with the protocol.
  5. Not currently enrolled in another study or registry that would directly interfere with the current study, except if the subject is participating in a mandatory government registry, or a purely observational registry with no associated treatments. Each instance should be brought to the attention of the sponsor to determine eligibility.
  6. In the opinion of the Investigator, exceeds one year.
  7. The subject is not pregnant or planning to become pregnant.
Terms in these criteria, in plain language(3)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
225 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • Deviceremede System

    Patients undergoing a remede System implant attempt. Study devices will be used per approved indications for use for each geography.

06

What researchers measure

Primary outcomes

  1. Evaluate safety of the remedē System at implant and protocol required follow up by assessment of serious adverse events (SAEs) related to procedure, device, or delivered therapy

    Proportion of subjects with peri-operative and long-term serious adverse events (SAEs) related to the remedē System implant procedure, device or delivered therapy

    Time frame: 5 years

  2. Evaluate changes in sleep disordered breathing metrics after 12 months of therapy

    Change from baseline to 12-month visit for the following sleep metrics measured during in-lab polysomnogram (PSG): apnea hypopnea index (AHI), central apnea index (CAI), oxygen desaturation index 4% (ODI4) and percent of sleep with oxygen saturation \<90%

    Time frame: 12 months

Secondary outcomes

  1. Evaluate safety of the remedē System by assessment of non-serious AE related to procedure, device or delivered therapy

    Proportion of subjects with non-serious AEs related to the remedē System implant procedure, device or delivered therapy

    Time frame: 5 years

  2. Evaluate changes in sleep disordered breathing metrics after 36 and 60 months of therapy

    Change from baseline to 36- and 60-month visits for the following sleep metrics during an at home sleep apnea test (HSAT): apnea hypopnea index (AHI), central apnea index (CAI), oxygen desaturation index 4% (ODI4), percent of sleep with oxygen saturation \<90%

    Time frame: 36 and 60 months

Other outcomes

  1. Evaluate changes in daytime sleepiness through 12 months

    Epworth Sleepiness Scale (ESS) change from baseline to 12-month visit

    Time frame: 12 months

  2. Evaluate changed in quality of life (QOL) through 12 months

    Quality of life assessment including the following: * Kansas City Cardiomyopathy Questionnaire (KCCQ) change from baseline at 12 months (HF subgroup only) * PROMIS-29 questionnaire change from baseline at 12, months * Patient Global Assessment (PGA) at 12 months

    Time frame: 12 months

  3. Evaluate changes in left ventricular ejection fraction in the HF subgroup after 12 months of therapy

    Change in left ventricular ejection fraction based on echocardiographic assessment in the HF subgroup from baseline to 12 months.

    Time frame: 12 months

07

Study locations

32 sites
08

References and documents

Publications

  • Goldberg LR, Fox H, Stellbrink C, Bozkurt B, Boehmer JP, Mora JI, Doshi R, Morgenthaler TI, Levy WC, Meyer TE, McKane SW, Germany R; remede System Therapy Study Group. Design of the remede System Therapy (reST) study: A prospective non-randomized post-market study collecting clinical data on safety and effectiveness of the remede system for the treatment of central sleep apnea. Sleep Med. 2022 Dec;100:238-243. doi: 10.1016/j.sleep.2022.08.026. Epub 2022 Sep 6. PubMed 36116293 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2019 to primary completion in Aug 2026, 86 months.

Of 18 observational studies under Sleep Apnea, Central, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 107. This study's 86 months is above that.

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

Registered
Mar 19, 2019
First posted
Mar 21, 2019
StartActual
Jun 18, 2019
Primary completionActual
Aug 31, 2026
CompletionEst.
Dec 30, 2030
Last update
Sep 2, 2026
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 Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03884660
Lead sponsor
Respicardia, Inc.
Responsible party
Sponsor
First posted
Mar 21, 2019
Start date
Jun 18, 2019
Primary completion
Aug 31, 2026
Completion
Dec 30, 2030 (estimated)
Last update
Sep 2, 2026

Study contacts

Kathy McPherson
study director · ZOLL Respicardia, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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