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WithdrawnNCT06113562Updated Mar 20, 2025

Close Obstructive Sleep Apnea (OSA) Trial

An interventional study of PFO closure in Obstructive Sleep Apnea and Patent Foramen Ovale, sponsored by University of Miami. Withdrawn. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-03-20.

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

Why this study was withdrawn
Withdrawn (Not able to enroll patients.)
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
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Study summary

The aim of this study is to evaluate the benefits of patent foramen ovale (PFO) closure on patients with obstructive sleep apnea (OSA) and persistent hypoxia despite optimal therapy.

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Conditions studied

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In context

Apnea

1,422 studies on the registry are indexed under Apnea; 159 are open to participants now.

Browse Apnea studies →

Lead sponsor

University of Miami is the lead sponsor of 820 studies on the registry; 161 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 93 (84%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Individuals diagnosed with severe OSA, defined as an apnea-hypopnea index (AHI) greater than 30, associated with nocturnal saturation below 90%, as determined by a sleep medicine specialist using polysomnography.
  2. Individuals need to have a patent foramen ovale documented by echocardiography.

Exclusion criteria

Exclusion Criteria:

  1. Individuals unable to take aspirin, clopidogrel, and/or ticagrelor.
  2. Pregnant individuals or those who become pregnant during the course of the study will be automatically withdrawn.
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Study design

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

Study arms

  • Experimental
    Persistent hypoxemia after Obstructive sleep apnea group

    Participants will receive Patent Foramen Ovale (PFO) closure and followed until repeat sleep apnea testing up to 6 months.

    Procedure: PFO closure

Interventions

  • ProcedurePFO closure

    The participants will receive a onetime closure of a small hole in heart. The procedure usually takes up to an hour. The procedure is done with local anesthesia and conscious sedation. A catheter is inserted into a vein in upper thigh and threaded to heart to deploy the closure device. Either Gore septal occluder or Amplatzer PFO occluder

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What researchers measure

Primary outcomes

  1. changes in the apnea hypoxia index

    The Apnea hypopnea index that ranges from: 0 to 5 is normal 5 to15 is mild 15 to 30 is moderate greater than 30 is severe.

    Time frame: baseline and then up to 3 months after the study

  2. change in mean nocturnal oxygen saturation

    Oxygen saturation will be measured in percentage. Ranges from 0 to 100 percent. The higher the percent the higher the oxygen saturation.

    Time frame: baseline and then up to 3 months after the study

  3. change in duration of nocturnal oxygen desaturation duration.

    Will be measured in seconds.

    Time frame: baseline and then up to 3 months after the study

Secondary outcomes

  1. change in quality of life as measured by the patient global impression of change scale.

    Change Scale: Adapted Patient Clinical Global Impression of Improvement (CGI-I) scale rated by the patient is a 7-point scale of improvement from 'very much improved' to 'very much worse'. 'Very much improved' means a better outcome.

    Time frame: baseline and then up to 3 months after the study

  2. change in quality of sleep as measured by the Epworth Sleepiness Scale

    Epworth Sleepiness Scale: The Epworth Sleepiness Scale is widely used in the field of sleep medicine as a subjective measure of a patient's sleepiness. The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing.

    Time frame: baseline and then up to 3 months after the study

  3. Change in physical activity as measured by Godin Leisure time physical activity questionnaire.

    Self-reported leisure time physical activity as assessed by the Godin Leisure time physical activity questionnaire in all participants. Score range from 0 upwards, with higher scores indicating more leisure time physical activity.

    Time frame: baseline and then up to 3 months after the study

  4. change in fatigue as measured by the Fatigue Severity Scale.

    Each item is scored between 1 and 7 (1 = strongly disagree, 7 = totally agree) in the scale consisting of 9 items that can be applied by individuals in a simple way. The total score range of the scale is 9-63. The total score is calculated by taking the average of 9 items. Accordingly, the lowest average score to be obtained is 1, and the highest average score is 7. The cut-off value was set at 4 and above to diagnose pathological fatigue. The lower the total score, the less fatigue.

    Time frame: baseline and then up to 3 months after the study

  5. changes in functional independence measure

    The Functional independence measure (FIM) is an 18-item instrument comprising 13 motor items and 5 cognitive items, with each item graded on a 7-point ordinal scale (1 denotes complete dependence and 7 denotes complete independence), including the ability to perform activities of daily living (ADLs) across 6 areas (self-care, sphincter control, transfers, locomotion, communication, and social cognition). Total admission FIM (Ta-FIM) scores, total discharge FIM (Td-FIM) scores (18 - 126), motor FIM (m-FIM) sub-scores (13 - 91) and cognitive FIM (c-FIM) sub-scores (5 - 35), were tabulated.

    Time frame: baseline and then up to 3 months after the study

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06113562
Lead sponsor
University of Miami
Responsible party
Eduardo De Marchena (Professor of Medicine and surgery, University of Miami) — Principal investigator
First posted
Nov 2, 2023
Start date
Feb 1, 2025
Primary completion
Feb 11, 2025
Completion
Feb 11, 2025
Last update
Mar 20, 2025

Study contacts

Eduardo de Marchena, MD
principal investigator · University of Miami

Oversight

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

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This study is withdrawn, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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