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Trial registered on ANZCTR
Registration number
ACTRN12611000409976
Ethics application status
Not yet submitted
Date submitted
18/04/2011
Date registered
19/04/2011
Date last updated
6/06/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Multimodal phenotyping for the prediction of oral appliance treatment outcome in obstructive sleep apnoea
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Scientific title
Multimodal phenotyping for the prediction of oral appliance treatment outcome in obstructive sleep apnoea
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Secondary ID [1]
259777
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obstructive sleep apnoea
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Condition category
Condition code
Respiratory
259520
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0
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Sleep apnoea
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A mandibular advancement splint will be used by participants in the study. The splint itself is not under examination in this study, but is being used to determine patient characteristics that predict treatment outcome.
A fully adjustable two-piece splint MAS will be used (SomnoDent, SomnoMed Ltd) with known high efficacy will be used. Fitting of the appliance is followed by an acclimatisation period (4-8 weeks) during which the mandible is incrementally advanced until the maximum comfortable limit is reached (under the supervision of the treating dentist).
Participants will be recruited for approximately 2 years and will be observed during the study for 4-8 weeks. They will be referred back to their own sleep physician and dentist for continuation of their treatment.
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Intervention code [1]
264212
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Not applicable
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Comparator / control treatment
No comparator/control treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To use multimodal assessments of upper airway sleep and awake structure and function to extensively phenotype OSA patients selected for MAS treatment.
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Assessment method [1]
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Timepoint [1]
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End of study
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Secondary outcome [1]
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To determine which phenotypic traits from each assessment relate to MAS treatment outcome and the inter-relationships between them.
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Assessment method [1]
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Timepoint [1]
276048
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End of study
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Secondary outcome [2]
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To use the findings of multimodal phenotyping to develop an accurate composite prediction model for MAS treatment outcome using the minimum number of assessments necessary.
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Assessment method [2]
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Timepoint [2]
276049
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End of study
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Secondary outcome [3]
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To prospectively validate the derived prediction model.
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Assessment method [3]
276050
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Timepoint [3]
276050
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End of study
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Eligibility
Key inclusion criteria
1. Age greater than 18 years
2. OSA defined by polysomnography (AHI >10 /hour)
3. A clinical decision to undertake oral appliance treatment
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Central sleep apnoea
2. Need for immediate therapy (eg. sleepy drivers)
3. Co-existing sleep disorder (eg. narcolepsy, shift work)
4. Contraindications to oral appliance therapy (periodontal disease or dental caries, less than 10 teeth per dental arch, exaggerated gag reflex)
5. Regular use of sedatives, narcotics, or psychoactive drugs
6. Pregnant or breastfeeding women
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
31/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
3929
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2065
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Recruitment postcode(s) [2]
3930
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2037
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Sydney
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Address [1]
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University Road
Camperdown
NSW
2006
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Country [1]
264911
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
University Road
Camperdown
NSW
2006
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Country
Australia
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Secondary sponsor category [1]
264012
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None
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Name [1]
264012
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Address [1]
264012
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Country [1]
264012
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Sydney South West Area Health Service Human Research Ethics Committe (RPAH Zone) EC00113
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Ethics committee address [1]
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Research Development Office Royal Prince Alfred Hospital Missenden Road Camperdown NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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27/04/2010
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Approval date [1]
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Ethics approval number [1]
266871
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Summary
Brief summary
Obstructive sleep apnoea is a common sleep-related breathing disorder. Oral appliances worn during sleep to gently hold the lower jaw in a forward position are a novel treatment often appealing to patients. Currently use is limited as there is no means to determine if patients will be treated successfully. There is a need for simple, clinical methods to predict which patients are best suited to this new treatment approach and this project will address this by developing such a method. This study will use a combination of data measured from patients with obstructive sleep apnoea including sleep characteristics, lung function and facial dimension measured from photographs to produce a virtual model to predict whether or not a patient will respond to treatment with an oral appliance.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof Peter Cistulli
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Address
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Centre for Sleep Health and Research
Level 8
Royal North Shore Hospital
St Leonards
NSW 2065
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Country
15588
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Australia
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Phone
15588
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+61 2 9926 8673
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Fax
15588
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+61 2 9906 6391
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Email
15588
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[email protected]
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Contact person for scientific queries
Name
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Prof Peter Cistulli
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Address
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Centre for Sleep Health and Research
Level 8
Royal North Shore Hospital
St Leonards
NSW 2065
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Country
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Australia
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Phone
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+61 2 9926 8673
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Fax
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+61 2 9906 6391
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Upper airway morphology in adults with positional obstructive sleep apnea.
2023
https://dx.doi.org/10.1007/s11325-023-02879-0
N.B. These documents automatically identified may not have been verified by the study sponsor.
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