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Not yet recruitingNCT07809633APNEAL-PMCFUpdated Sep 9, 2026

Real-World Performance and Safety of Apneal Dx for Sleep Apnea Screening

An observational study in Obstructive Sleep Apnea, Sleep Apnea Syndromes and Sleep Apnea, Obstructive, sponsored by Mitral. Not yet recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Mitral · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 201 studies in Sleep Apnea, Obstructive with a site in France — 39 open to participants now, 48 under way, 4 of them phase 3. Sleep Apnea, Obstructive · France.

Planned enrollment
10th of 67
400 · median 140
Started
2026
with 13 others
Observational
67 of 201
18 open now
Primary completion
2031-06
later than 46 of 47 live
Registered
199th of 201
by date

Among the 201 studies in Sleep Apnea, Obstructive with a site in France, this one is the 10th largest by planned enrollment of the 67 observational ones that give a count, is one of 14 that started in 2026, is one of 67 observational ones, reaches primary completion later than 46 of the 47 other live ones, and was the 199th registered.

Sleep Apnea, Obstructive

2,242 studies on the registry are indexed under Sleep Apnea, Obstructive; 474 are open to participants now.

Browse Sleep Apnea, Obstructive studies →

Open to participants now

39 of the 201 studies in Sleep Apnea, Obstructive with a site in France are open now. Recruiting first, the newest first:

34 more — sign in →

All 39 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 313 Sleep Apnea, Obstructive studies recruiting now, 146 (47%) set no upper age limit and 124 (40%) stop at 75 or younger; 52 take children under 18; 65 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Sleep apnea-hypopnea syndrome (SAHS) is a frequent and largely under-diagnosed sleep-related breathing disorder. Adult prevalence is estimated between 9% and 38%. Untreated SAHS increases cardiometabolic and neurocognitive risk. Reference diagnostic methods (in-lab polysomnography and ambulatory ventilatory polygraphy) have limited capacity, which delays care.

Apneal Dx is a Class IIa software as a medical device (CE-marked 10 June 2026). It measures cardiorespiratory sleep activity using the sensors of a standard smartphone worn on the chest, with no additional sensor, to screen for and aid in the diagnosis of adult obstructive sleep apnea-hypopnea syndrome at home.

This study is a non-interventional, prospective, real-world post-market clinical follow-up (PMCF) of Apneal Dx used within its intended purpose in routine care. It does not add any examination, visit, randomisation or change to patient management. Data are collected from automatic device logs and optional in-app questionnaires completed by patients and healthcare professionals. The study covers France, Spain, Italy, the United Kingdom and Germany. There is no investigational site and no principal investigator.

Read the detailed description

OBJECTIVES

This PMCF study addresses residual evidence gaps after CE marking of Apneal Dx, under MDR Articles 61(11), 83, 84 and 86 and Annex XIV Part B, in support of a strategy based on Article 61(10).

Primary objectives:

(A) Demonstrate end-to-end technical performance in the unsupervised home environment and detect safety-relevant failure modes.

(B) Confirm concordance between the Apneal Dx AHI severity category and the healthcare professional's final clinical diagnosis obtained through the routine care pathway.

(C) Quantify real-world false positive and false negative rates at AHI thresholds of 5, 15 and 30 events per hour.

Secondary objectives:

(D) Care-pathway time indicators (time to consultation, diagnosis and treatment).

(E) How device outputs are used in clinical decisions. (F) Diagnostic performance against polysomnography (PSG) and ventilatory polygraphy (PG), when those tests have already been performed in routine care.

(G) Real-world screening utility, conditions of use and usability.

METHODS

Design: observational, prospective, single-cohort, longitudinal real-world data collection. Non-comparative; no randomisation; no blinding; no imposed follow-up visit. Target enrolment: 400 evaluable patients (estimated). Individual participation lasts up to 24 months (questionnaires at 6, 12 and 24 months after the first recording). Study period: 04 September 2026 to 10 June 2031 (57 months, aligned with the CE certificate cycle).

No intervention is assigned by the protocol. Apneal Dx is used under normal conditions of use and within its intended purpose. A PSG or PG result is collected only if the test has already been performed in the usual care pathway; the study never prescribes, prompts, schedules or funds a confirmatory test.

Data sources: (1) automatic technical metadata from the device (session duration, signal quality, processing events, error codes, software version); (2) healthcare professional questionnaire (H01-H14) on the HCP web platform; (3) patient questionnaire (P01-P12) in the mobile application. No medical records, no SNDS, no biospecimens, no linkage with an external database.

Setting: home and routine clinical practice. Decentralised collection with no investigational site, no participating institution and no principal investigator. The sponsor headquarters (Mitral SAS, Charenton-le-Pont, France) is declared as the single administrative location. Participants may reside in France, Spain, Italy, the United Kingdom or Germany.

Ethics: no ethics committee is territorially or institutionally competent in the absence of a site. Human subjects protection review is therefore recorded as not required. Participation follows a dedicated in-app information notice, distinct from the terms of use, and a voluntary in-app agreement. A permanent right to object applies.

Analysis: descriptive (point estimates and 95% Wilson confidence intervals, distributions, weighted Cohen kappa for concordance, sensitivity and specificity by AHI threshold, median delays). No superiority or non-inferiority hypothesis test. No multiplicity adjustment. Missing data are not imputed.

03

Conditions studied

  • Obstructive Sleep Apnea
  • Sleep Apnea Syndromes
  • Sleep Apnea, Obstructive

Keywords

  • post-market clinical follow-up
  • real-world evidence
  • smartphone
  • software as a medical device
  • screening
  • apnea-hypopnea index
  • digital health
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults with sleep complaints using the CE-marked Apneal Dx software as a medical device within its intended purpose, at home and in routine clinical practice, in France, Spain, Italy, Great Britain and Germany. The entire eligible active user base is solicited; no selection, sampling, stratification or quota is applied.

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

  • Aged 18 years or over
  • Uses Apneal Dx within its intended purpose in France, Spain, Italy, the United Kingdom or Germany
  • Has completed at least one recording generating a night report
  • Has received the study information notice
  • Has given the in-app agreement to take part

Exclusion criteria

Exclusion Criteria:

  • Under 18 years of age
  • Adult under legal protection

Both exclusion criteria are applied by design through an application eligibility rule.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Apneal Dx users

    Adults aged 18 years or over with sleep complaints, using Apneal Dx within its intended purpose at home in routine care, who have completed at least one recording generating a night report.

06

What researchers measure

Primary outcomes

  1. Patient recording success rate

    Proportion of interpretable nights among all attempted recordings, derived from automatic device logging.

    Time frame: Continuous, from study start through study completion (up to 57 months)

  2. Concordance between Apneal Dx severity category and the physician's final clinical diagnosis

    Weighted Cohen's kappa and proportion of exact agreement between the AHI severity category produced by Apneal Dx (normal, mild, moderate, severe) and the final clinical diagnosis reported by the healthcare professional, in participants with a documented reference test (PSG or PG) obtained through routine care.

    Time frame: Up to 24 months after the first recording, per participant

  3. Real-world false positive and false negative rates by AHI threshold

    False positive and false negative rates at AHI thresholds of 5, 15 and 30 events per hour, against the documented reference test result, with 95% Wilson confidence intervals.

    Time frame: Up to 24 months after the first recording, per participant

Secondary outcomes

  1. Time to consultation

    Median number of days between the Apneal Dx night report and the first consultation with a healthcare professional.

    Time frame: Up to 24 months after the first recording

  2. Time to diagnosis

    Median number of days between the Apneal Dx night report and the reference sleep test (PSG or PG) performed in routine care.

    Time frame: Up to 24 months after the first recording

  3. Time to treatment

    Median number of days between the reference sleep test and treatment initiation.

    Time frame: Up to 24 months after the first recording

  4. Distribution of clinical decisions following the Apneal report

    Distribution of clinical decisions taken following the Apneal Dx report, by Apneal severity category.

    Time frame: Up to 24 months after the first recording

  5. Agreement with PSG and with ventilatory polygraphy

    Agreement of Apneal Dx with PSG and with ventilatory polygraphy, stratified by reference test type and severity, in participants with a documented routine-care reference test.

    Time frame: Up to 24 months after the first recording

  6. Healthcare professional rating of Apneal Dx reliability

    Proportion of healthcare professionals rating Apneal Dx as reliable (score 4 or 5 on a 1-5 Likert scale).

    Time frame: Up to 24 months after the first recording

  7. Usability: navigation ease and instruction clarity

    Distribution of navigation ease and instruction clarity scores (1-5 Likert scales) reported by patients.

    Time frame: 6 months after the first recording

07

Study locations

1 site
08

References and documents

Publications

  • Evaluation of the Clinical Performance of Apneal, a Medical Device on Smartphone, for Sleep Apnea-hypopnea Syndrome Diagnosis (EASY). ClinicalTrials.gov Identifier: NCT06474143.

Individual participant data

Plan to share: No

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

Start is estimated for Sep 2026; primary completion for Jun 2031, 57 months later.

Of 36 industry-sponsored observational studies under Sleep Apnea, Obstructive, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 93. This study's planned 57 months is above that.

Counting every sponsor, half of 294 studies reached it within 28 months; a quarter within 14 and three quarters within 63.

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

Registered
Sep 3, 2026
First posted
Sep 9, 2026
StartEst.
Sep 2026
Primary completionEst.
Jun 2031
CompletionEst.
Jun 2031
Last update
Sep 9, 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 Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07809633
Lead sponsor
Mitral
Responsible party
Sponsor
First posted
Sep 9, 2026
Start date
Sep 2026 (estimated)
Primary completion
Jun 2031 (estimated)
Completion
Jun 2031 (estimated)
Last update
Sep 9, 2026

Study contacts

Guillaume Cathelain
Contact
guillaume.cathelain@apneal.ai
+33672448711
Guillaume Cathelain
study director · Mitral SAS

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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