eXciteOSA for Treatment of Mild Obstructive Sleep Apnea (OREM)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT05183009 |
Recruitment Status :
Active, not recruiting
First Posted : January 10, 2022
Last Update Posted : December 2, 2022
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Sleep Apnea, Obstructive | Device: eXciteOSA | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 102 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | An Open-label Randomized Controlled Trial Assessing the Efficacy of Intraoral Neuromuscular Electrical Stimulation for Treatment of Mild Obstructive Sleep Apnea: The OREM Trial |
Actual Study Start Date : | January 17, 2022 |
Estimated Primary Completion Date : | December 31, 2022 |
Estimated Study Completion Date : | December 31, 2022 |

Arm | Intervention/treatment |
---|---|
Experimental: Therapy
Neuromuscular electrical stimulation
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Device: eXciteOSA
eXciteOSA |
No Intervention: No Therapy
Under the care of the referring physician, with no therapy applied
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- Respiratory event index [ Time Frame: Six weeks ]The difference in the delta-REI (baseline to follow-up) between arms

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Aged >=18 years;
- Diagnosed with mild OSA;
- Smartphone or tablet capable of running the eXciteOSA app;
- Fluent in written and spoken English (all sites) or Spanish (one site only).
Exclusion Criteria:
- BMI >=35 kg/m2;
- Implanted medical device;
- Dental braces and/or intraoral metal jewelry;
- Any condition impacting the tissue of the oral cavity, including but not limited to ulceration or periodontitis;
- Symptomatic nasal pathology such as septal deviation, nasal polyposis, or chronic rhinosinusitis;
- Tonsillar hypertrophy (tonsil size grade 3 or greater);
- Clinically significant facial or oropharyngeal abnormalities such as class 2 malocclusion;
- Prior oropharyngeal surgery for sleep-disordered breathing;
- At-home use of a mandibular advancement device or PAP for sleep-disordered breathing within the previous four weeks;
- Use of any overnight therapy that cannot be withdrawn during study enrollment;
- Diagnosed with any sleep disorder other than OSA;
- Chronic use of central nervous system depressants;
- Driver in a sleepiness-related vehicular accident or near-miss within the two years prior to enrolment (self-report);
- Employed as a commercial driver, pilot, or other occupation that may be impacted by hypersomnolence;
- Considered by the PI to be at risk of an AE resulting from hypersomnolence;
- Any periods of non-connectivity (wifi or cellular data) exceeding 48 hours planned to take place, or likely to take place, during enrollment;
- Current or planned pregnancy;
- Member of a vulnerable population, including but not limited to prisoners and those lacking consent capacity;
- Clinically-significant burden of comorbidities, and/or any other limitation or condition that may impact the patient's ability to complete the study protocol and use the device per the Instructions for Use (PI discretion);
- Employee and/or residing household member who is an employee of a company that produces or distributes products designed to diagnose, treat, and/or monitor sleep or sleep-disordered breathing (including the Sponsor).

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05183009
United States, Alabama | |
Sleep Disorders Center of Alabama | |
Birmingham, Alabama, United States, 35213 | |
United States, Colorado | |
Delta Waves | |
Colorado Springs, Colorado, United States, 80918 | |
United States, Florida | |
Florida Lung & Sleep Associates | |
Lehigh Acres, Florida, United States, 33971 | |
United States, Maryland | |
Pulmonary and Critical Care Associates of Baltimore | |
Baltimore, Maryland, United States, 21286 | |
United States, Missouri | |
Clayton Sleep Institute | |
Saint Louis, Missouri, United States, 63143 | |
United States, Ohio | |
Ohio Sleep Medicine Institute | |
Dublin, Ohio, United States, 43017 | |
United States, South Carolina | |
Bogan Sleep Consultants | |
Columbia, South Carolina, United States, 29201 |
Study Director: | Yasser Zayni | Signifier Medical Technologies |
Responsible Party: | Signifier Medical Technologies |
ClinicalTrials.gov Identifier: | NCT05183009 |
Other Study ID Numbers: |
SMT_EOSA_SZT_0002 |
First Posted: | January 10, 2022 Key Record Dates |
Last Update Posted: | December 2, 2022 |
Last Verified: | December 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Product Manufactured in and Exported from the U.S.: | No |
Apnea Sleep Apnea Syndromes Sleep Apnea, Obstructive Respiration Disorders Respiratory Tract Diseases |
Signs and Symptoms, Respiratory Sleep Disorders, Intrinsic Dyssomnias Sleep Wake Disorders Nervous System Diseases |