ClinicalTrials.gg
CompletedNCT05562388MADUpdated Aug 27, 2026Results posted

Mandibular Advancement Device and Changes in Nocturia

An interventional study of Somnodent Classic in Obstructive Sleep Apnea, Nocturia and OSA, sponsored by Isabel Moreno Hay. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by Isabel Moreno Hay · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
11
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

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

Among 751 studies in Sleep Apnea, Obstructive with a site in United States — 126 open to participants now, 159 under way, 9 of them phase 3. Sleep Apnea, Obstructive · United States.

Enrollment
505th of 592
11 · median 50
Started
2023
with 41 others
No phase
408 of 751
65 open now
Registered
594th of 751
by date

Among the 751 studies in Sleep Apnea, Obstructive with a site in United States, this one is the 505th largest by enrollment of the 592 interventional ones, is one of 42 that started in 2023, is one of 408 with no phase, and was the 594th registered.

By phase

751 studies; the count open now beside each. This study's row is marked.

No phasethis study408 · 65 open
Observational157 · 28 open
Phase 253 · 8 open
Phase 339 · 6 open
Phase 436 · 4 open
Phase 126 · 4 open
Phase 1/226 · 10 open
Phase 2/36 · 1 open

By the year they started

First in 1999; this study’s year is marked. 42 started in 2023.

Size and results

Median enrollment 50 across the 592 interventional studies, 81 across the 157 observational. Of the 511 that completed or were terminated, 256 (50%) have results posted.

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02

Study summary

The main purpose of this study is to test is mandibular advancement device (MAD) use is associated with reductions in nocturia.

Read the detailed description

After been informed about the study and informed about risks and benefits, participants will be fitted with a MAD and will be asked to completed questionnaires at baseline, in between follow ups and during follow ups. Nocturia will be assess and appliance will be titrated every 2 weeks until participants report less than 2 voiding per night according to the daily dairies. At that point, second sleep study with MAD in place will be performed to assess treatment effectiveness.

03

Conditions studied

  • Obstructive Sleep Apnea
  • Nocturia
  • OSA

Keywords

  • obstructive sleep apnea
  • oral appliance
  • nocturia
  • mandibular advancement device
04

Who can participate

Ages eligible
18 Years to 80 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

  • English speaker
  • >18 y/o
  • Obstructive sleep apnea diagnosis with AHI≥5
  • ≥ 2 voiding/night at baseline
  • Upon clinical examination ≥ 8 teeth per arch, range of mandibular protrusion ≥5 mm
  • Consent to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Patients with concomitant diagnosed sleep disorders (i.e. insomnia, narcolepsy, restless legs syndrome, rapid eye movement sleep behavior disorder).
  • Prostate/kidney problems (urological disease: (eg overactive bladder, benign prostate hyperplasia)
  • Pregnancy
  • Heart failure, use of diuretics, diabetes, Parkinson's disease or dementia.
  • Patients using combination therapy for the management of obstructive sleep apnea (OSA) (i.e. positive airway pressure (PAP) therapy or positional therapy).
  • Upon clinical examination: periodontal disease (>4 mm on periodontal probing, with bleeding on probing, visual signs of periodontal inflammation); tooth horizontal mobility >1 mm, vertical mobility, and unfavorable crown to root ratio; open cavities, loose or fractured restorations, or patient undergoing restorative dental treatments.
  • Exaggerated gag reflex.
  • Lack of coordination or dexterity.
  • Inadequate English comprehension.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
11 participants (actual)

Study arms

  • Experimental
    MAD therapy

    MAD Therapy

    Device: Somnodent Classic

Interventions

  • DeviceSomnodent Classic

    The efficacy of the device will be evaluated in regards to the response of nocturia. Once patients report an average of voiding per night of less than 2 in the preceding 2 weeks of the follow up they will be classified as responders in term of nocturia and will be evaluated with a second sleep study. Efficacy of MAD will be assessed by comparing the apnea hypopnea index (AHI) values of pre and post sleep study with MAD, and they will be classified as responders if they have 50% improvement in AHI.

06

What researchers measure

Primary outcomes

  1. To Test MAD if Associated in Changes in Nocturia

    Assessment of efficacy of device in terms of nocturia: Patients will complete daily questionnaires to evaluate voiding at night. Average of 2 preceding weeks of the follow up will be used to determine treatment success in terms of nocturia. Once less than 2 voiding's per night is achieved participants will be considers responders in terms of nocturia and second sleep study will be performed.

    Time frame: 15 weeks

Secondary outcomes

  1. Association Between Change in Nocturia Episodes and Change in Apnea-Hypopnea Index (API)

    Pearson Correlation Coefficient between the change in Baseline to Week 15 in average nightly nocturia episodes and the change from Baseline to Week 15 in Apnea-Hypopnea Index (API) following mandibular advancement device therapy.

    Time frame: 15 weeks

Other outcomes

  1. Changes in Quality of Life

    Evaluate changes in quality of life after MAD treatment and see how changes correlate with changes in nocturia. The outcomes will be evaluated with health related quality of life questionnaire at baseline and at the last follow up.

    Time frame: 15 weeks

  2. Change in Fatigue

    Evaluate changes in fatigue symptomatology after MAD treatment and see how changes in correlate with changes in nocturia. The outcomes will be evaluated with fatigue assessment scale at baseline and at the last follow up.

    Time frame: 15 weeks

  3. Changes in Insomnia

    Evaluate changes insomnia symptomatology after MAD treatment and see how changes correlate with changes in nocturia. The outcomes will be evaluated with insomia severity index questionnaire at baseline and at the last follow up.

    Time frame: 15 weeks

07

Results

Posted Aug 27, 2026

Participant flow

Participant flow — Overall Study
MilestoneMAD Therapy
Started11
Completed11
Not completed0

Outcome measures

PrimaryTo Test MAD if Associated in Changes in Nocturia

Assessment of efficacy of device in terms of nocturia: Patients will complete daily questionnaires to evaluate voiding at night. Average of 2 preceding weeks of the follow up will be used to determine treatment success in terms of nocturia. Once less than 2 voiding's per night is achieved participants will be considers responders in terms of nocturia and second sleep study will be performed.

Time frame:
15 weeks
Reported as:
Mean · Episodes per night
To Test MAD if Associated in Changes in Nocturia
Episodes per nightMAD Therapy
Baseline2.33 ± 0.6
Follow-Up1.13 ± 0.36
SecondaryAssociation Between Change in Nocturia Episodes and Change in Apnea-Hypopnea Index (API)

Pearson Correlation Coefficient between the change in Baseline to Week 15 in average nightly nocturia episodes and the change from Baseline to Week 15 in Apnea-Hypopnea Index (API) following mandibular advancement device therapy.

Time frame:
15 weeks
Reported as:
Number · Correlation Coefficient
Association Between Change in Nocturia Episodes and Change in Apnea-Hypopnea Index (API)
Correlation CoefficientMAD Therapy
Association Between Change in Nocturia Episodes and Change in Apnea-Hypopnea Index (API)0.165
Statistical analysis
  • MAD Therapy · Pearson Correlation Coefficient · p = 0.628
Other pre-specifiedChanges in Quality of Life

Evaluate changes in quality of life after MAD treatment and see how changes correlate with changes in nocturia. The outcomes will be evaluated with health related quality of life questionnaire at baseline and at the last follow up.

Time frame:
15 weeks

Results for this outcome have not been posted.

Other pre-specifiedChange in Fatigue

Evaluate changes in fatigue symptomatology after MAD treatment and see how changes in correlate with changes in nocturia. The outcomes will be evaluated with fatigue assessment scale at baseline and at the last follow up.

Time frame:
15 weeks

Results for this outcome have not been posted.

Other pre-specifiedChanges in Insomnia

Evaluate changes insomnia symptomatology after MAD treatment and see how changes correlate with changes in nocturia. The outcomes will be evaluated with insomia severity index questionnaire at baseline and at the last follow up.

Time frame:
15 weeks

Results for this outcome have not been posted.

Adverse events

Collected over From study enrollment through study completion (approximately 19 months).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MAD Therapy0/11 (0%)0/11 (0%)0/11 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)MAD Therapy
Mean50.36 ± 12.86
Sex: Female, Male
Sex: Female, Male(Participants)MAD Therapy
Female7
Male4
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)MAD Therapy
Hispanic or Latino0
Not Hispanic or Latino11
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)MAD Therapy
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White11
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)MAD Therapy
United States11
08

Study locations

1 site
  • University of Kentucky
    Lexington, Kentucky 40536, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

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 Dec 2023 to primary completion in Jul 2025, 19 months.

Results were first posted in Aug 2026, 1 year after primary completion.

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 19 months is below 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
Sep 13, 2022
First posted
Sep 30, 2022
StartActual
Dec 11, 2023
Primary completionActual
Jul 30, 2025
CompletionActual
Jul 30, 2025
Results first posted
Aug 27, 2026
Last update
Aug 27, 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 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05562388
Lead sponsor
Isabel Moreno Hay
Collaborators
American Academy of Dental Sleep Medicine
Responsible party
Isabel Moreno Hay (Associate Professor, University of Kentucky) — Sponsor-investigator
First posted
Sep 30, 2022
Start date
Dec 11, 2023
Primary completion
Jul 30, 2025
Completion
Jul 30, 2025
Results posted
Aug 27, 2026
Last update
Aug 27, 2026

Study contacts

Fernanda Yanez Regonesi, DDS, MS
principal investigator · University Of Kentucy

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 completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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