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RecruitingNCT07891702Updated Oct 23, 2026

Effect of Transcutaneous Electrical Stimulation on Polysomnographic Parameters in Patients With Obstructive Sleep Apnea

An interventional study of Transcutaneous Electrical Stimulation in Obstructive Sleep Apnea, sponsored by Mansoura University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Mansoura University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Jul 2025, registered Oct 2026).
  • Started Jul 2025; still recruiting 1 year 3 months later.
Updated Oct 23, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

  • The aim of this study is to assess the impact of transcutaneous electrical stimulation on polysomnographic findings in obstructive sleep apnea patients.
  • The hypothesis of the present study is that nocturnal delivery of transcutaneous electrical stimulation of the pharyngeal dilators, in particular the genioglossus, may help in treating the functional loss of the neuromuscular tone with sleep onset to keep the Upper airway patent during sleep which would reduce the severity of OSA as measured by the apnea-hypopnea-index (AHI), so representing an alternative and better-tolerated approach compared to usual care with CPAP.
Read the detailed description

All participants will undergo a detailed clinical assessment, including:

  1. Medical history: Particular attention will be given to symptoms suggestive of OSA, including excessive daytime sleepiness, loud snoring, witnessed episodes of breathing cessation during sleep, fragmented sleep, and morning headaches. Daytime sleepiness will be assessed using the Epworth Sleepiness Scale.
  2. General and respiratory examination: General physical examination and chest examination will be performed, with particular attention to body mass index (BMI) and neck circumference.
  3. ENT examination: An ear, nose, and throat examination will be conducted to identify potential anatomical abnormalities that may contribute to upper airway obstruction.
  4. Baseline polysomnography: Full-night polysomnography will be performed to establish the diagnosis and characterize the severity of OSA.
  5. Intervention (Transcutaneous Electrical Stimulation):

    • Transcutaneous electrical stimulation will be administered using a digital electrical muscle stimulator (EV-906 Digital TENS/EMS, Taiwan). Stimulation electrodes will be applied bilaterally to the submental region using two 4 × 4 cm electrode patches positioned approximately halfway between the chin and the angle of the mandible.
    • Before the overnight intervention, stimulation intensity will be titrated while the participant is awake to establish a tolerable sensory level. Stimulation will initially be delivered at a frequency of 30 Hz for approximately one minute to assess comfort and determine the maximum tolerable current. The intensity will then be adjusted according to the participant's sensory response
    • The stimulation waveform will be pulsed, biphasic, and symmetric, with the following parameters:

Frequency: 30 Hz. Phase duration (pulse width): 200 microseconds. Stimulation ON time: 5 seconds. Stimulation OFF time: 5 seconds. Electrode placement: Bilateral submental region.

The second full-night polysomnography session will be performed with active electrical stimulation. Stimulation delivery and monitoring will follow the study protocol, with participant comfort and safety taken into consideration.

Polysomnographic parameters recorded during the baseline and intervention sessions will be compared.

02

Conditions studied

  • Obstructive Sleep Apnea

Keywords

  • Obstructive sleep apnea, electrical stimulation, polysomnography, AHI,
03

In context

Sleep Apnea, Obstructive

2,263 studies on the registry are indexed under Sleep Apnea, Obstructive; 465 are open to participants now.

This study's planned enrollment of 50 is close to the median of 53 across 1,490 interventional studies indexed under Sleep Apnea, Obstructive.

Browse Sleep Apnea, Obstructive studies →

Lead sponsor

Mansoura University is the lead sponsor of 1,114 studies on the registry; 185 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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
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

1 - Adult patients aged 18 years or older. 2- Male or female patients diagnosed with obstructive sleep apnea by baseline overnight polysomnography.

3- Patients willing to participate in the study and provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Patients with central sleep apnea or predominantly central sleep-disordered breathing.
  2. Patients with significant unstable cardiovascular or respiratory disease that may increase the risk of participation.
  3. Patients with implanted electronic devices, such as pacemakers or implantable cardioverter-defibrillators.
  4. Patients with skin lesions, infection, irritation, or other abnormalities at the intended electrode application sites.
  5. Patients with neurological or neuromuscular disorders that significantly affect upper airway muscle function.
  6. Patients with a history of upper airway surgery that substantially alters upper airway anatomy, if this may interfere with study assessment.
  7. Patients unable to tolerate electrical stimulation or complete the required polysomnography sessions.
  8. Patients who decline to participate or withdraw their informed consent.
05

Study design

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

Study arms

  • Experimental
    Transcutaneous Electrical Stimulation Group

    Participants diagnosed with obstructive sleep apnea will undergo baseline overnight polysomnography without electrical stimulation, followed within one week by a second overnight polysomnography session during active transcutaneous electrical stimulation of the submental region. Each participant will serve as their own control, and polysomnographic parameters will be compared between the two sessions.

    Device: Transcutaneous Electrical Stimulation

Interventions

  • DeviceTranscutaneous Electrical Stimulation

    Transcutaneous electrical stimulation will be delivered using an EV-906 Digital TENS/EMS device. Two 4 × 4 cm electrode patches will be placed bilaterally over the submental region, approximately halfway between the chin and the angle of the mandible. Stimulation will use a pulsed, symmetric, biphasic waveform at a frequency of 30 Hz and a phase duration of 200 microseconds, with 5-second ON and 5-second OFF cycles. Stimulation intensity will be titrated while the participant is awake to establish a tolerable sensory level. The intervention will be administered during the second overnight polysomnography session to assess its effects on polysomnographic parameters in patients with obstructive sleep apnea.

06

What researchers measure

Primary outcomes

  1. Change in Apnea-Hypopnea Index (AHI)

    The change in the apnea-hypopnea index (AHI), defined as the number of apneas and hypopneas per hour of sleep, between baseline overnight polysomnography performed without electrical stimulation and the second overnight polysomnography performed during active transcutaneous electrical stimulation. AHI will be compared between the two sessions to evaluate the acute effect of electrical stimulation on OSA severity.

    Time frame: Baseline and within 1 week after baseline, during the second overnight polysomnography session with active electrical stimulation.

Secondary outcomes

  1. Change in Oxygen Desaturation Index (ODI)

    The change in oxygen desaturation index (ODI), defined as the number of oxygen desaturation events per hour of sleep, between baseline polysomnography without electrical stimulation and polysomnography performed during active transcutaneous electrical stimulation.

    Time frame: Baseline and within 1 week after baseline, during the second overnight polysomnography session.

  2. Change in Sleep Efficiency

    The change in sleep efficiency, calculated as total sleep time divided by total recording time in bed and expressed as a percentage, between baseline polysomnography and polysomnography performed during active transcutaneous electrical stimulation.

    Time frame: Baseline and within 1 week after baseline, during the second overnight polysomnography session.

07

Study locations

1 of 1 sites recruiting
  • Mansoura University
    Al Mansurah, Dakahlia Governorate 35516, Egypt
    Recruiting
08

References and documents

Publications

  • Steier J, Seymour J, Rafferty GF, Jolley CJ, Solomon E, Luo Y, Man WD, Polkey MI, Moxham J. Continuous transcutaneous submental electrical stimulation in obstructive sleep apnea: a feasibility study. Chest. 2011 Oct;140(4):998-1007. doi: 10.1378/chest.10-2614. Epub 2011 Mar 31. PubMed 21454399 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update 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 Jul 2025 (actual). Primary completion is estimated for Jan 2027, 18 months after the start.

Of 511 non-industry interventional studies with no phase under Sleep Apnea, Obstructive, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 53. This study's planned 18 months is below that.

Counting every sponsor, half of 621 studies reached it within 26 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
Oct 17, 2026
First posted
Oct 23, 2026
StartActual
Jul 6, 2025
Primary completionEst.
Jan 2027
CompletionEst.
Feb 2027
Last update
Oct 23, 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.
Registered
First appeared on the registry. No changes since
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07891702
Responsible party
Mohammed Shehta (Associate professor, Mansoura University) — Principal investigator
First posted
Oct 23, 2026
Start date
Jul 6, 2025
Primary completion
Jan 2027 (estimated)
Completion
Feb 2027 (estimated)
Last update
Oct 23, 2026

Study contacts

Mohammed Shehta, Associate professor-chest med.
Contact
dr_mshehta@mans.edu.eg
+201004344106

Oversight

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

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