ClinicalTrials.gg
CompletedNCT05527457Updated Feb 15, 2023

BAY2586116 Nasal Spray and OSA Severity

A Phase 1 interventional study of BAY2586116 and Placebo in Sleep Apnea, Obstructive, sponsored by Flinders University. Completed at 1 site in Australia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-02-15.

Sponsored by Flinders University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This investigator-initiated study aims to determine the effects of BAY2586116 (a novel TASK channel blocker nasal spray) on sleep apnoea severity and the potential influence of route of breathing.

02

Conditions studied

  • Sleep Apnea, Obstructive
03

In context

Sleep Apnea, Obstructive

2,240 studies on the registry are indexed under Sleep Apnea, Obstructive; 475 are open to participants now.

This study's enrollment of 10 is below the median of 52 across 1,472 interventional studies indexed under Sleep Apnea, Obstructive.

Browse Sleep Apnea, Obstructive studies →

Lead sponsor

Flinders University is the lead sponsor of 13 studies on the registry; 3 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
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

  • Male or female participants aged 18 years or older at screening
  • Must have completed Part A of the KOALA study (NCT04236440)
  • Must be willing to sleep three nights in the sleep lab without OSA therapy (This includes continuous positive airway pressure therapy (CPAP) and/or a mandibular advancement device (MAD))
  • Must be willing to refrain from drinking alcohol on the study days.
  • Must be willing to limit consumption of tobacco to four cigarettes or one cigar a day and not smoke while at the sleep laboratory. This might be up to 12 hours.
  • Must be willing to limit caffeinated beverage intake (coffee, tea, cola, and other soft drinks) to 400 mg / day or less of caffeine and not to be used within 4 hours of bedtime on study days.
  • use required by men or women according to the methods of contraception for those participating in clinical studies

Exclusion criteria

Exclusion Criteria:

  • Any medications or herbal supplements that may interfere or be with the study drug as determined by the investigator
  • Severely impaired breathing within two days prior to randomization (e.g., acute nasal congestion during upper airway infection).
  • known allergies or to the study drugs (active substances or of the preparations).
  • Any other condition which at the discretion of the investigator would make the participant unsuitable for participation in the study and will not allow participation for the full planned study period (e.g., active or other condition limiting to less than 12 months)
Terms in these criteria, in plain language(6)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo (saline) nasal spray, taken before bedtime. Dosage is taken on one instance for one night only.

    Drug: Placebo

  • Experimental
    BAY2586116 (oro-nasal breathing night)

    BAY2586116 nasal spray, taken before bedtime. Dosage is taken on one instance for one night only for the oro-nasal breathing night.

    Drug: BAY2586116

  • Experimental
    BAY2586116 (nasal breathing only night)

    BAY2586116 nasal spray, taken before bedtime. Dosage is taken on one instance for one night only for the nasal only breathing night.

    Drug: BAY2586116

Interventions

  • 160 μg BAY2586116 nasal spray application

  • DrugPlacebo

    Placebo (saline) nasal spray application

06

What researchers measure

Primary outcomes

  1. Individual comparison between physiology changes in Pcrit during KOALA part A (NCT04236440) between BAY2586116 vs. placebo and change in AHI with BAY2586116 vs. placebo (nasal breathing) during current study

    Individual changes in the critical closing pressure of the upper airway during sleep (Pcrit- measured in cmH2O) in KOALA part A (NCT04236440) will be compared to changes in the apnoea/hypopnoea index (AHI- measured as # of apnoeas and hypopneas per hour of sleep) between BAY2586116 (nasal breathing night) vs. placebo night

    Time frame: Two non-consecutive single night sleep studies (BAY2586116 nasal only breathing night vs. placebo night) conducted approximately 1 week apart

Secondary outcomes

  1. Change in OSA severity (BAY2586116 nasal only breathing night vs. placebo night)

    OSA severity as measured by the AHI (apnoea hypopnea index measured as # events/h sleep) during overnight in-laboratory polysomnography.

    Time frame: Two non-consecutive single night sleep studies (BAY2586116 nasal only breathing night vs. placebo night) conducted approximately 1 week apart

  2. Change in OSA severity (BAY2586116 oro-nasal breathing night vs. placebo night)

    OSA severity as measured by the AHI (apnoea hypopnea index measured as # events/h sleep) during overnight in-laboratory polysomnography.

    Time frame: Two non-consecutive single night sleep studies (BAY2586116 oro-nasal breathing night vs. placebo night) conducted approximately 1 week apart

  3. Change in OSA severity (BAY2586116 oro-nasal breathing night vs. BAY2586116 nasal only breathing night)

    OSA severity as measured by the AHI (apnoea hypopnea index measured as # events/h sleep) during overnight in-laboratory polysomnography.

    Time frame: Two non-consecutive single night sleep studies (BAY2586116 oro-nasal breathing night vs. BAY2586116 nasal only breathing night) conducted approximately 1 week apart

  4. Change in nadir overnight hypoxemia (BAY2586116 nights vs. placebo night)

    Nadir overnight oxygen saturation during sleep (%) measured via pulse oximetry during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  5. Change in sleep efficiency (BAY2586116 nights vs. placebo night)

    Percent time spent asleep divided by the recording time from lights out to lights on during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  6. Change in arousal index (BAY2586116 nights vs. placebo night)

    Number of cortical arousals per hour of sleep during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  7. Change in sleep architecture (BAY2586116 nights vs. placebo night)

    Proportion of sleep stages (% total sleep time) during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  8. Change in respiratory control (BAY2586116 nights vs. placebo night)

    Loop gain and the ventilatory response to arousal (% eupnea) during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  9. Change in the respiratory arousal threshold (BAY2586116 nights vs. placebo night)

    Threshold to arousal (% eupnea) during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  10. Change in airway collapsibility (BAY2586116 nights vs. placebo night)

    Vpassive (% eupnea) during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  11. Placebo OSA endotypes (outcomes 8-11) and whether they are associated with changes in OSA severity (BAY2586116 nights vs. placebo night)

    Exploratory analysis to determine if OSA endotypes (outcomes 8-11) are associated with changes in OSA severity (BAY2586116 nights vs. placebo night)

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

  12. Change in hypoxic burden (BAY2586116 nights vs. placebo night)

    Hypoxic burden during sleep (%min/h) measured via pulse oximetry during overnight in-laboratory polysomnography.

    Time frame: Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart

07

Study locations

1 site
  • Flinders University
    Bedford Park, South Australia 5042, Australia
08

References and documents

Publications

  • Gaisl T, Turnbull CD, Weimann G, Unger S, Finger R, Xing C, Cistulli PA, West S, Chiang AKI, Eckert DJ, Stradling JR, Kohler M. BAY 2253651 for the treatment of obstructive sleep apnoea: a multicentre, double-blind, randomised controlled trial (SANDMAN). Eur Respir J. 2021 Nov 18;58(5):2101937. doi: 10.1183/13993003.01937-2021. Print 2021 Nov. PubMed 34531274 ↗

Individual participant data

Plan to share: Yes — Individual data will be included in the study publication.

Supporting information: Study protocol

Time frame: Upon publication

Access criteria: Available in the publication.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05527457
Lead sponsor
Flinders University
Collaborators
Bayer
Responsible party
Professor Danny Eckert (Director, Adelaide Institute for Sleep Health, Flinders University) — Principal investigator
First posted
Sep 2, 2022
Start date
Aug 31, 2022
Primary completion
Dec 20, 2022
Completion
Dec 20, 2022
Last update
Feb 15, 2023

Study contacts

Danny J. Eckert, PhD
principal investigator · Flinders University

Oversight

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

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