Validation d'Une Solution Digitale intégrée (SUNrise®) d'Analyse Automatique Des Mouvements Mandibulaires Par Intelligence Artificielle Versus Polysomnographie Pour le Diagnostic du Syndrome d'Apnées Obstructives du Sommeil
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Sunrise
- 入组人数
- 848
- 试验地点
- 19
- 主要终点
- Time to treatment
研究概览
简要总结
Validation of an integrated digital solution (SUNrise®) of mandibular movement automatic analysis by artificial intelligence versus polysomnography for obstructive sleep apnea diagnosis: a prospective, randomized, parallel-arm, open-label, multicenter, national, controlled study.
详细描述
The new Sunrise integrated digital solution is a disposable 3 gram sensor that sits on the chin for sleep disorders diagnosis. This device records mandibular movements, head movements and position during sleep. Data acquisition is done through a mobile application installed on the user smartphone. Data is then transferred automatically at the end of the test (overnight) to a cloud platform where it is automatically analyzed. The Health Care Professional (HCP) and the patient have access to sleep parameters and report.
The objective of this trial is to determine the place of the Sunrise device in the care pathway in France for patients suspected of having OSA. The assumption is that Sunrise is both non-inferior to the normal practice (i.e., the PSG) on sleepiness at 3 months post-diagnosis, and superior to the PSG (outpatient or in-lab) in terms of time between inclusion and diagnosis appointment and treatment initiation. By speeding up the treatment initiation, the hypothesis is that Sunrise is also superior to the PSG on sleepiness as well as quality of life and work productivity at 3 months post-inclusion. Another assumption is that Sunrise is non-inferior to the PSG on CPAP compliance at 3 months following treatment initiation.
The SUNSAS study will be launched in 19 centers (public and private) in France and will include 848 patients aged 18 to 80 years. Eligible patients will be included and randomized in 2 arms, i.e., the Sunrise arm and the PSG arm. An appointment to discuss the diagnosis and treatment options (for patients suffering from OSA) will be arranged after the procedure (PSG or Sunrise) is performed. On site follow-up visits will be then organized at 3 months post-inclusion and at 3 months post-diagnosis, and a phone call will be scheduled at 3 months post-treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Man or woman aged between 18 to 80 years old
- •Patient referred for a suspicion of OSA
- •Patient having a smartphone and internet connection at home and able to use a mobile application
- •Patient affiliated to the social security system
排除标准
- •Patient with a previous sleep test performed within 5 years of inclusion
- •Patient previously treated for OSA within 5 years of inclusion
- •Patient suffering from severe chronic obstructive or restrictive pulmonary disease with or without oxygen at the discretion of the investigator
- •Patient refusing to shave his beard that could prevent him to wear the device on the chin
研究组 & 干预措施
Sunrise
Home Sleep Test, OSA diagnosis based on mandibular movements recording
干预措施: Sunrise (Device)
PSG
Polysomnography, OSA diagnosis based on local scoring by center
干预措施: polysomnography (Device)
结局指标
主要结局
Time to treatment
时间窗: Up to 15 months
To determine the superiority of Sunrise vs PSG in terms of time between inclusion and treatment initiation
Change in daily sleepiness
时间窗: 3 months post inclusion
To determine the superiority of Sunrise vs PSG on sleepiness at 3 months post-inclusion using ESS
Time to diagnosis
时间窗: Up to 12 months
To determine the superiority of Sunrise vs PSG in terms of time between inclusion and diagnosis appointment
Change in daily sleepiness
时间窗: 3 months post-diagnosis
To determine the non-inferiority of Sunrise vs PSG on sleepiness at 3 months post-diagnosis using the Epworth Sleepiness Scale (ESS) score. The ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. The higher the ESS score, the higher the average sleep propensity in daily life.
次要结局
- Change in quality of life(3 months post inclusion visit)
- Comparison of Sunrise versus PSG diagnosis(Up to 12 months)
- cost (€)/QALY(3 months post-diagnosis)
- Change in work productivity(3 months post-inclusion)
- Net profit for the French social security(estimated at 3 years)
- Comparison of CPAP compliance data(3 month after treatment initiation)
- Difference in the obstructive respiratory disturbance index (ORDI)(Up to 12 months)
