ClinicalTrials.gg
Status unknownNCT04900285Updated Apr 6, 2022

Pilot Study for Feasibility of Using an Oral Appliance for Decreasing Snoring

An interventional study of Delta Dental Oral Device in Snoring, sponsored by Norton Healthcare. Status unknown at 1 site in United States. Open to participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-06.

Sponsored by Norton Healthcare · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This research study proposes to determine how well tolerated and effective lower and upper oral dental devices are at reducing snoring. The device is designed to move the genioglossus muscle forward, with interior attachment to maintain forward placement of of he tongue on the bottom of the mouth.

Read the detailed description

This study proposed to determine if the use of an oral device which causes forward positioning of the tongue will decrease the intensity and frequency of snoring as measured by the SnoreLab phone app, evaluate the level of snoring as measured by the bed partner, evaluate tolerance and comfort of the device and evaluate the quality of sleep of the subject by the bed partner.

Subjects will sleep at home using the SnoreLab app to record snoring for five nights and fill out the Snore Outcomes Survey. They will then utilize the lower dental device for five nights recording their snoring. At the end of the five nights of using the lower dental device, the subjects will fill out the comfort and difficulties form with the bed partner completing the Snore Outcomes Survey. If the lower device is tolerated, the process is repeated with the upper device added to the lower device.

02

Conditions studied

  • Snoring

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03

In context

Snoring

122 studies on the registry are indexed under Snoring; 15 are open to participants now.

This study's planned enrollment of 30 is below the median of 43 across 95 interventional studies indexed under Snoring.

Browse Snoring studies →

Lead sponsor

Norton Healthcare is the lead sponsor of 7 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 to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. . Able to provide
  2. Age 18 or older
  3. Self-report of snoring problems
  4. Has a bed partner that is willing and able to consent as well as answer questions related to partner's snoring both with and without oral device-

Exclusion criteria

Exclusion Criteria:

  1. Missing teeth.
  2. Respiratory disorders requiring treatment including asthma,
  3. Poor dental health including gum disease or loose teeth
  4. Dental implants placed within the last three months
  5. Temporomandibular joint dysfunction
  6. Presence of mouth or jaw pain
  7. Bruxism (teeth grinding)
  8. Full dentures
  9. No bed partner
  10. Braces
  11. Diagnosed with Obstructive or Central Sleep Apnea, Sleep Apnea
  12. Uncontrolled RLS
  13. Ongoing or prior use of a dental device
  14. Noise in bedroom i.e., fan, bed partner snoring
  15. Other medical or sleep issues which will interfere with the device per PI discretion
  16. Does not have a smart phone
  17. Other medical condition that PI believes will make the patient ineligible for participation
Terms in these criteria, in plain language(2)

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.

05

Study design

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

Study arms

  • Other
    Dental Device Arm

    Subjects in this single arm study serve as their own control by recording snoring on the SnoreLab device for five days and completing the Snore Outcomes survey. After five nights with now device, the lower dental device is used for five nights and snoring is recorded in the SnoreLab app. At the end of the five nights the subjects complete the Comfort and Difficulties Form and the bed partner completes the Snore Outcomes Survey. If the lower device was tolerated well, the process is repeated with the upper dental device used with the lower device.

    Device: Delta Dental Oral Device

Interventions

  • DeviceDelta Dental Oral Device

    The oral device is designed to move the genioglossus forward, with interior attachments to maintain the placement of the tongue on the floor of the mouth forward. In addition, bite plates made of the Ethylene-vinyl acetate (EVA) plastic were fabricated and embedded with the mouthpiece to encourage subjects to bite down and push the tongue under the interior lower attachment. The upper plate is made of the same material and slightly opens the bite to improve oral air flow further. The primary component of the mouthpiece is fabricated with Vistamaxx material, which is semi-crystalline 2mm co-polymer that can be molded by the user with Nurse assistance to provide a custom fit. The subject will be fitted by moistening and heating in a microwave. Tthe research staff member will assist to ensure proper fit with both the lower and upper dental devices. The subject then completes the data collection portion regarding using the SnoreLab app and survey completion as previously described.

06

What researchers measure

Primary outcomes

  1. Intensity of Snoring (Snore Lab App; range from Quiet to Epic snoring, Epic is a worse outcome)

    To determine if use of a device to position the tongue forward will decrease the intensity of snoring.

    Time frame: Daily up to 15 days

  2. Frequency of Snoring (Snore Lab App, app records snoring through the night)

    To determine if use of a device to position the tongue forward will decrease the frequency of snoring.

    Time frame: Daily up to 15 days

Secondary outcomes

  1. Partner Assessment of Snoring (Snore Outcomes Survey, response scale varies per item)

    Evaluate the level of snoring of the subject by bed partner using approved questionnaire

    Time frame: Day 5 (end of no device use)

  2. Partner Assessment of Snoring (Snore Outcomes Survey, response scale varies per item)

    Evaluate the level of snoring of the subject by bed partner using approved questionnaire

    Time frame: Day 10 (end of lower device use)

  3. Partner Assessment of Snoring (Snore Outcomes Survey, response scale varies per item)

    Evaluate the level of snoring of the subject by bed partner using approved questionnaire

    Time frame: Day 15 (end of lower and upper device use)

  4. Device Tolerance and Comfort (Tolerance Form)

    Subject Evaluation of tolerance and comfort of the oral device by questionnaire

    Time frame: Day 5 (end of no device use)

  5. Device Tolerance and Comfort (Tolerance Form)

    Subject Evaluation of tolerance and comfort of the oral device by questionnaire

    Time frame: Day 10 (end of lower device use)

  6. Device Tolerance and Comfort (Tolerance Form)

    Subject Evaluation of tolerance and comfort of the oral device by questionnaire

    Time frame: Day 15 (end of lower and upper device use)

  7. Quality of Sleep Assessment (Snore Outcomes Survey, response scale varies per item) )

    Evaluate the quality of sleep of subject by bed partner by questionnaire

    Time frame: Day 5 (end of no device use)

  8. Quality of Sleep Assessment (Snore Outcomes Survey, response scale varies per item)

    Evaluate the quality of sleep of subject by bed partner by questionnaire

    Time frame: Day 10 (end of lower device use)

  9. Quality of Sleep Assessment (Snore Outcomes Survey, response scale varies per item)

    Evaluate the quality of sleep of subject by bed partner by questionnaire

    Time frame: Day 15 (end of lower and upper device use)

07

Study locations

1 of 1 sites recruiting
  • Norton Clinical Research Group
    Louisville, Kentucky 40218, United States
    Recruiting
08

References and documents

Publications

  • American Academy of Sleep Medicine. International Classification of Sleep Disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.
  • Gliklich RE, Wang PC. Validation of the snore outcomes survey for patients with sleep-disordered breathing. Arch Otolaryngol Head Neck Surg. 2002 Jul;128(7):819-24. doi: 10.1001/archotol.128.7.819. PubMed 12117343 ↗
  • Meira e Cruz M., Cardiovascular Center of University of Lisbon, Lisbon School of Medicine, Lisbon, Portugal; Email: mcruz@medicina.ulisboa.pt
  • Cooke ME, Battagel JM. A thermoplastic mandibular advancement device for the management of non-apnoeic snoring: a randomized controlled trial. Eur J Orthod. 2006 Aug;28(4):327-38. doi: 10.1093/ejo/cji122. Epub 2006 Jun 13. PubMed 16772315 ↗
  • Deeb R, Judge P, Peterson E, Lin JC, Yaremchuk K. Snoring and carotid artery intima-media thickness. Laryngoscope. 2014 Jun;124(6):1486-91. doi: 10.1002/lary.24527. Epub 2014 Jan 28. PubMed 24242702 ↗
  • Johnston CD, Gleadhill IC, Cinnamond MJ, Peden WM. Oral appliances for the management of severe snoring: a randomized controlled trial. Eur J Orthod. 2001 Apr;23(2):127-34. doi: 10.1093/ejo/23.2.127. PubMed 11398550 ↗
  • Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. J Clin Sleep Med. 2015 Jul 15;11(7):773-827. doi: 10.5664/jcsm.4858. PubMed 26094920 ↗

Individual participant data

Plan to share: No — No, this is a limited feasibility study and data will not be generalizable to the public due to small sample size. (n=30)

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

Started Jun 2021 (actual). Primary completion is estimated for Dec 2023, 30 months after the start.

Of 33 non-industry interventional studies with no phase under Snoring, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 31. This study's planned 30 months is above that.

Counting every sponsor, half of 45 studies reached it within 20 months; a quarter within 10 and three quarters within 31.

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

Registered
May 13, 2021
First posted
May 25, 2021
StartActual
Jun 1, 2021
Primary completionEst.
Dec 31, 2023
CompletionEst.
Dec 31, 2023
Last update
Apr 6, 2022
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 Apr 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04900285
Lead sponsor
Norton Healthcare
Collaborators
Delta Dental Foundation
Responsible party
David Winslow, Jr., MD, FCCP (Pulmonologist, Staff Physician, Norton Healthcare) — Principal investigator
First posted
May 25, 2021
Start date
Jun 1, 2021
Primary completion
Dec 31, 2023 (estimated)
Completion
Dec 31, 2023 (estimated)
Last update
Apr 6, 2022

Study contacts

Nancy McDonald, BSN
Contact
Nancy.McDonald@nortonhealthcare.org
502-559-5864 ext. 17787
David Winslow, MD
Contact
David.Winslow@nortonhealthcare.org
502-559-5864 ext. 17773
David Winslow, MD
principal investigator · Norton Healthcare

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 status unknown, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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