The Efficacy of Intra-oral Neuromuscular Stimulation Training on Snoring in Individuals with Primary Snoring and Mild Sleep Apnoea (2024)

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The aim of this study is to see if the Snoozeal device is as effective as the previous methods and if it can reduce snoring and improve sleep quality.

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Ethical review

Approved WMO

Status

Recruitment stopped

Health condition type

Upper respiratory tract disorders (excl infections)

Study type

Observational non invasive

ID

NL-OMON55000

Source

ToetsingOnline

Brief title

eXciteOSA study (Snoozeal)

Condition

  • Upper respiratory tract disorders (excl infections)

Synonym

apnea, Snoring

Research involving

Human

Sponsors and support

Primary sponsor :

Signifier Medical Technologies

Intervention

Keyword :

Daytime, Mild obstructive sleep apnea, Neuromuscular stimulation, Snorring

Outcome measures

Primary outcome

Primary Objective

1) To assess the efficacy of daytime trans-oral neuromuscular stimulation

training on respiratory indices of Sleep disordered breathing

Change in AHI and ODI (Comparison of pre and post therapy sleep studies)

2) To assess the efficacy of daytime trans-oral neuromuscular stimulation

training on objective snoring in Sleep disordered breathing

Change in Objective snoring pre and post therapy (% snoring at 40, 45 and 50dB)

Secondary outcome

Secondary Objectives

1) To assess the efficacy of daytime trans-oral neuromuscular stimulation

training on snoring sleep quality.

Comparison of sleep quality questionnaires at start and end of therapy (PSQI,

ESS, EQ-5D-5L)

2) To assess the efficacy of daytime trans-oral neuromuscular stimulation

training on snoring reported by sleep partner

Comparison of visual analogue scale of snoring reported by partner

Background summary

It has been shown that a common cause for snoring and throat obstruction
(obstructive sleep apnoea) is excessive loss of muscle tone in the throat when
we go to sleep. This results in the partial collapse of the throat (snoring) or
complete collapse (obstructive sleep apnoea) during sleep.

45% of the male population snore. Sleep apnoea affects 4 to 6% of the
population and is associated with increased incidence of raised blood pressure,
heart attacks and strokes. Although there are several lifestyle practices
associated with snoring such as smoking, obesity and drinking, a significant
proportion of people may snore despite not being associated with these.

A solution to this issue is to improve the muscle tone of the throat so that it
doesn*t collapse so easily. Several studies have shown that certain types of
throat exercises can help reduce snoring. Further studies have also shown that
using electrical stimulation to exercise the tongue muscles has the same
effect.

From this, doctors in the UK have developed a new type of device, Snoozeal,
that allows a more accurate and comfortable way of delivering this energy to
exercise the tongue muscles. The device works by stimulating the tongue muscles
during the day so that the tongue is less likely to collapse during sleep. It
is a form of *workout* for the tongue and like other physical exercise regimes,
it needs to be repeated regularly for a few weeks to take effect.

Study objective

The aim of this study is to see if the Snoozeal device is as effective as the
previous methods and if it can reduce snoring and improve sleep quality.

Study design

Multi centre, observational, prospective, post market surveillance study

Intervention

Intra-oral neuromuscular stimulation training with a a device using 20 minutes
during daytime

Study burden and risks

not applicalble

Public

Signifier Medical Technologies

Hammersmith Grove 5-17
london W6 0LG
GB

Scientific

Signifier Medical Technologies

Hammersmith Grove 5-17
london W6 0LG
GB

Listed location countries

Netherlands

Age

Adults (18-64 years)

Elderly (65 years and older)

Inclusion criteria

Participant is willing and able to give informed consent for participation in
the trial
Male or female, aged 18 years or above
AHI 5-15/hr as confirmed by polysomnography
Bedpartner

Exclusion criteria

* BMI >35 kg/m2
* 5< AHI >15/h, i.e. evidence of moderate to severe OSA from polysomnography
* Symptomatic nasal pathology i.e. septal deviation, nasal polyposis or chronic
rhinosinusitis
* Tonsil Hypertrophy (Tonsil size * Grade 3 or greater)
* Tongue or lip piercing
* Pacemaker or implanted medical electrical devices
Pregnancy or planned pregnancy (device has not been tested or approved for use
in pregnant women)
* Previous oral surgery for snoring
* Relevant facial skeletal abnormalities (i.e. syndromic facial deficiencies,
severe micrognathia etc.)
* Any criteria that, in the opinion of the investigator, would make the
participant unsuitable for the study due to inability to complete required
study procedures

Design

Study phase :

4

Study type :

Observational non invasive

Masking :

Open (masking not used)

Control :

Uncontrolled

Primary purpose :

Treatment

Recruitment

NL

Recruitment status

:

Recruitment stopped

Start date (anticipated) :

Enrollment :

16

Type :

Actual

Medical products/devices used

Generic name :

intra-oral neuromuscular stimulation device (eXiteOSA)

Registration

:

Yes - CE intended use

Approved WMO

Date :

Application type :

First submission

Review commission :

MEC-U: Medical Research Ethics Committees United (Nieuwegein)

Approved WMO

Date :

Application type :

Amendment

Review commission :

MEC-U: Medical Research Ethics Committees United (Nieuwegein)

Approved WMO

Date :

Application type :

Amendment

Review commission :

MEC-U: Medical Research Ethics Committees United (Nieuwegein)

Approved WMO

Date :

Application type :

Amendment

Review commission :

MEC-U: Medical Research Ethics Committees United (Nieuwegein)

Followed up by the following (possibly more current) registration

No registrations found.

Other (possibly less up-to-date) registrations in this register

No registrations found.

In other registers

Register ID
ClinicalTrials.gov NCT04392765
CCMO NL73741.100.20
The Efficacy of Intra-oral Neuromuscular Stimulation Training on Snoring in Individuals with Primary Snoring and Mild Sleep Apnoea (2024)

References

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