ClinicalTrials.gg
RecruitingNCT05527652Updated Aug 19, 2026

Self-Supporting Nasopharyngeal Airway (ssNPA) Treating Upper Airway Obstruction in Hypotonia

An interventional study of Self-Supporting Nasopharyngeal Airway (ssNPA) in Obstructive Sleep Apnea, Hypertonia, Muscle and Nasal Airway Obstruction, sponsored by University of Michigan. Recruiting at 1 site in United States. Open to participants aged 3 Years to 21 Years. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by University of Michigan · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2022; still recruiting 3 years 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
3 Years to 21 Years
Sex
All
01

Study summary

The researchers are investigating if the Self-Supporting Nasopharyngeal Airway (ssNPA) device can be used in the treatment of obstructive sleep apnea in children with Hypotonic Upper Airway Obstruction (HUAO).

02

Conditions studied

  • Obstructive Sleep Apnea
  • Hypertonia, Muscle
  • Nasal Airway Obstruction
  • Tolerance
  • Trisomy 21
  • Down Syndrome

Keywords

  • Sleep Apnea Syndromes
  • Sleep Apnea, Obstructive
  • Hypertonia, Muscle
  • Apnea
  • Respiration Disorders
  • Respiratory Tract Diseases
  • Sleep Disorders, Intrinsic
  • Dyssomnias
  • Sleep Wake Disorders
  • Nervous System Diseases
  • Neuromuscular Manifestations
  • Neurologic Manifestations
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 planned enrollment of 40 is below the median of 52 across 1,472 interventional studies indexed under Sleep Apnea, Obstructive.

Browse Sleep Apnea, Obstructive studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,506 studies on the registry; 192 are open to participants now.

Of its 169 completed or terminated interventional studies of FDA-regulated products, 133 (79%) have results posted.

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

04

Who can participate

Ages eligible
3 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Children with Hypotonic Upper Airway Obstruction (HUAO): This includes those who newly diagnosed with obstructive sleep apnea (OSA). These children will undergo overnight polysomnography to determine the presence of OSA (apnea-hypopnea index [AHI]>10 or AHI>5 with nocturnal hypoxemia defined as oxygen saturation by pulse oximetry [SpO2] nadir \<=75%).
  • All subjects require the presence of at least one symptom of OSA (such as snoring 3 or more nights per week, daytime sleepiness, or hyperactive/inattentive behaviors)
  • Post adenotonsillectomy or those with to tonsillectomy.
  • Tonsil size 2+ or smaller.
  • Parent/caregivers willing and able to provide and child willing and able to provide assent, where appropriate.

Exclusion criteria

Exclusion Criteria:

  • AHI ≤10 on polysomnogram (PSG) without hypoxemia or AHI\<5 with hypoxemia.
  • Any medical reason why Self-Supporting Nasopharyngeal Airway (ssNPA) therapy may not be suitable
  • Active Coronavirus (COVID) 19 infections
  • End-tidal carbon dioxide (ETCO2) or Transcutaneous carbon dioxide (TCO2) values >60 mmHg for >10% of sleep time on PSG
  • Psychiatric, medical, or social factors likely to invalidate assessments, make adherence with ssNPA highly unlikely or make local follow-up at 8 weeks unfeasible. Some psychiatric conditions may be provoked or exacerbated by OSA, and those most commonly implicated - Attention Deficit/Hyperactivity Disorder, Conduct Disorder, and Oppositional Defiant Disorder - will not be exclusions. However, more pervasive conditions such as severe autism will be excluded.
  • Presence of supraglottic airway collapse or more distal airway stenosis or collapse (for example glottic, subglottic stenosis, or concern for distal airway stenosis or malacia)
  • Moderate/severe tracheobronchomalacia
  • Need for anticoagulative therapy
  • Bleeding disorder
  • Restrictive thoracic disorders
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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Self-Supporting Nasopharyngeal Airway (ssNPA)

    Device: Self-Supporting Nasopharyngeal Airway (ssNPA)

  • No intervention
    Standard of Care

    Waitlist control group: While waiting, participants will continue to receive the treatment they would have had before which will likely include being placed on the waiting list for positive airway pressure (PAP). After a period of being on the waitlist (8 weeks) there is an option to cross-over to the device arm.

Interventions

  • DeviceSelf-Supporting Nasopharyngeal Airway (ssNPA)

    The ssNPA device is made of a single piece of flexible, medical-grade silicone. It is inserted through one nostril and extends to the anatomic position bypassing the upper airway obstruction above the epiglottis.

06

What researchers measure

Primary outcomes

  1. Apnea-hypopnea index (AHI)

    Measured during the polysomnogram

    Time frame: Up to 16 weeks

  2. Self-Supporting Nasopharyngeal Airway (ssNPA) tolerance

    Measured by self report. Likert scale 0-5 (higher score is better)

    Time frame: Up to 16 weeks

Secondary outcomes

  1. Sleep quality

    Higher score in parent report of sleep quality on scale 0-5 (higher score is better)

    Time frame: Up to 16 weeks

  2. Snoring frequency

    As reported by participant/care taker in survey given daily. Snoring frequency is rated on a Likert scale 1-5 where 5 indicates snoring more frequently.

    Time frame: Up to 16 weeks

  3. Daytime sleepiness

    Measured using the children's Epworth Sleepiness Scale - The Epworth Sleepiness Scale is a self-administered form with eight items investigating sleep propensity in different real-life situations during the preceding months. Each item can received 0-3 points, thus the final score ranges from 0 (best score) to 24 (worse score).

    Time frame: Up to 16 weeks

  4. Quality of life as indicated by the dimensions of the PedsQL (pediatric quality of life) instrument.

    There are several dimensions of the PedsQL: Physical Functioning, Emotional Functioning, Social Functioning and School Functioning. Each domain will be scored on a scale of 0 (never have problems) to 4 (almost always have problems) and transformed on a scale of 0-100 by reverse scoring (0=100, 1=75, 2=50, 3=25, 4=0). Psychosocial Health Summary Score is the sum of the items over the number of items answered in the Emotional, Social, and School Functioning scales. Physical Health Summary Score is the Physical Functioning Scale Score. The total quality of life score is the sum of all the items over the number of items answered on all scales.

    Time frame: Up to 16 weeks

07

Study locations

1 of 1 sites recruiting
  • The University of Michigan
    Ann Arbor, Michigan 48109, United States
    Recruiting
    • Louise M O'Brien, PhD · Contactlouiseo@med.umich.edu · 734-647-9064
    • David Zopf, MD · Principal investigator
    • Louise O'Brien, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 Nov 2022 (actual). Primary completion is estimated for May 2027, 54 months after the start.

Of 508 non-industry interventional studies with no phase under Sleep Apnea, Obstructive, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 53. This study's planned 54 months is above that.

Counting every sponsor, half of 623 studies reached it within 27 months; a quarter within 12 and three quarters within 50.

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

Registered
Aug 31, 2022
First posted
Sep 2, 2022
StartActual
Nov 16, 2022
Primary completionEst.
May 2027
CompletionEst.
Aug 2027
Last update
Aug 19, 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 Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05527652
Responsible party
Louise O'Brien (Professor, University of Michigan) — Principal investigator
First posted
Sep 2, 2022
Start date
Nov 16, 2022
Primary completion
May 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Aug 19, 2026

Study contacts

David A Zopf, MD
Contact
dazopf@wisc.edu
608-262-7181
Louise M O'Brien, PhD
Contact
louiseo@med.umich.edu
734-647-9064
David A Zopf, MD
principal investigator · The University of Wisconsin
Louise M O'Brien, PhD
principal investigator · University of Michigan

Oversight

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

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