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CompletedNCT04760002DANAPNOUpdated Sep 22, 2026

DANish Patients With Atrial Fibrillation and Sleep Apnea Prevalence by Night Owl

An observational study in Obstructive Sleep Apnea, sponsored by Herlev and Gentofte Hospital. Completed at 1 site in Denmark. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Herlev and Gentofte Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
126
Ages
18 Years to 90 Years
Sex
All
01

Study summary

A project of the feasibility of using NightOwl to detect the prevalence of obstructive sleep apnea (OSA) in patients with atrial fibrillation (AF). The long-term aim is to use the device to screen for OSA in a randomized clinical trial in AF patients undergoing ablation and/or a randomized trial of AF patients undergoing cardioversion.

Read the detailed description

Patients diagnosed with any type of AF referred to anticoagulation initiation at a nurse-run ambulatory will beasked to participate. The ambulatory consists of four daily nurse-led tracks at Department ofCardiology, Herlev-Gentofte University Hospital. In a formal collaboration, Department ofPulmonology, Herlev-Gentofte University Hospital provides work-up with cardio-respiratory monitoring investigation and clinical evaluation of initiating treatment of sleep apnea in patients referred from the study. ParticipantsParticipants with AF, without known sleep apnea, and indication for anticoagulation will be recruited from the Thrombosis unit (Tromboseklinikken) at Herlev-GentofteHospital. Participants will be contacted and asked of participation in the research project by a local investigator or a project nurse as part of their standard check at the anticoagulation outpatient clinic at Herlev and Gentofte Hospital. The conversation will include verbal participant information about the research project and about the right of time to consider recruitment. The written participant information will be handed to the participants prior to the verbal information, and it will be handed to the participants by a researcher with thorough knowledge to the project or a project nurse. The information needed for finding qualified participants, before a written informed consent is obtained, will be passed on to the investigators. The written informed consent allows the researchers to obtain necessary information for the project in the participant's medical health records

Study Design:

The is a cross sectional study. In total two visits will be planned, with a third visit for the first 20 participants and participants with apnea-hypopnea index (AHI)>15 included in the study.

  1. Initial visit with time for clinical evaluation, questionnaire of OSA symptoms, theparticipant borrows a NightOwl and receive device instructions.
  2. Four night of recording with NightOwl™ in home environment.
  3. Follow-up visit for the home-monitoring results and soft node questionnaire.
  4. For the 20 first patients and for all patients where the home test is showing (AHI>15) a fourth visit at the sleep apnea clinic will be arranged.

The time plan for the study inclusion until last patient enrolled are estimated to be approximately 6months

02

Conditions studied

  • Obstructive Sleep Apnea
03

In context

Sleep Apnea, Obstructive

2,198 studies on the registry are indexed under Sleep Apnea, Obstructive; 470 are open to participants now.

This study's enrollment of 126 is above the median of 104 across 648 observational studies indexed under Sleep Apnea, Obstructive.

Browse Sleep Apnea, Obstructive studies →

Lead sponsor

Herlev and Gentofte Hospital is the lead sponsor of 72 studies on the registry; 24 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients diagnosed with AF referred to anticoagulation initiation at a nurse-run ambulatory will be asked to participate.

Participants will be recruited from the Thrombosis unit (Tromboseklinikken) at Herlev-Gentofte Hospital. Patient reporting of symptoms for sleep apnea is not included as inclusion or exclusion criteria.

Inclusion criteria

  1. Diagnosis of AF of any type
  2. Age \< 90 years
  3. Age >18 years

Exclusion criteria

Exclusion Criteria:

  1. Known sleep apnea
  2. Secondary AF (post-surgical, due to infection, thyroid-induced)
  3. Known or newly discovered severe ventricular ectopic beats (as defined by the NightOwl manual)
  4. Professional drivers
  5. Severe heart failure (New York Heart Association class III or IV)
  6. Severe chronic obstructive pulmonary disease (use of home oxygen)
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
126 participants (actual)
Target follow-up
1 Month
Patient registry
Yes

Groups and cohorts

  • Atrial Fibrillation Patients

    Atrial fibrillation patients are to be investigated for sleep apnea by the a home-monitoring device. Other inclusion criteria are: \>18 years \<90 years

    Device: NightOwl

Interventions

  • DeviceNightOwl

    The NightOwl consists of a small sensor device which is placed on the fingertip and a smartphone app that is connected to an encrypted cloud-based analytics platform within the European Union, the NightOwl software. It is self-applied by attaching the sensor to the fingertip by means of an adhesive patch. The NightOwl sensor acquires accelerometer data and reflectancebased photoplethysmography (PPG) from which it derives actigraphy (sleep/wake behavior), SpO2, peripheral artery tone (PAT) and pulse rate, among other features. A PAT analysis derives changes in caliber of arteries elicited by alterations in the contractile activity of vascular smooth muscle and are referred to as changes in arterial tone. The end state of the apnea-hypopnea events are associated with sympathetic activation.

06

What researchers measure

Primary outcomes

  1. Prevalence of obstructive sleep apnea in atrial fibrillation patients

    The primary outcome of the study is the prevalence with 95% confidence intervals of obstructive sleep apnea in atrial fibrillation patients detected by NightOwl.

    Time frame: 6 months

Secondary outcomes

  1. Correlation between NightOwl and cardio-respiratory monitoring

    The secondary outcome will be correlation between NightOwl and cardio-respiratory diagnostic testing for obstructive sleep apnea and correlation between obstructive sleep apnea screening questionnaire for cardio-respiratory and NightOwl.

    Time frame: 6 months

07

Study locations

1 site
  • Herlev-Gentofte Hospital
    Copenhagen, Denmark
08

References and documents

Publications

  • Jensen MH, Dalgaard F, Laub RR, Gottlieb V, Hansen ML, Vendelboe O, Hansen J, Lamberts M. Protocol for detecting unrecognized sleep apnea in patients with atrial fibrillation by a home-monitoring device: the DAN-APNO study. BMC Cardiovasc Disord. 2022 Jan 8;22(1):6. doi: 10.1186/s12872-021-02453-0. PubMed 34998370 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04760002
Lead sponsor
Herlev and Gentofte Hospital
Collaborators
Sygekassernes Helsefond
Responsible party
Morten Lamberts (MD, PhD, Associate professor, Consultant Cardiology,, Herlev and Gentofte Hospital) — Principal investigator
First posted
Feb 18, 2021
Start date
Jan 25, 2021
Primary completion
Jan 1, 2023
Completion
Jan 1, 2023
Last update
Sep 22, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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