Obstructive Sleep Apnea
Conditions
Brief summary
This investigation is a prospective, non-randomized, non-blinded study. This investigation is designed to evaluate the performance, comfort and ease of use of the F&P Toffee nasal pillows mask amongst obstructive sleep apnea (OSA) patients. Up to 45 OSA patients will be recruited from the Ohio Sleep Medical Institute (OSMI)
Detailed description
Visit 1 will involve the participants being consented into the trial. Visit 2 will involve the participants being fitted with the F&P Toffee nasal pillows mask for use in-home. The participant will then come in to return the mask (Visit Three) and have a final interview, this ensures the maximum time participants will be exposed to the Toffee mask in home will be 14 ± 4 days from visit two. The mask will be returned to the Institution at the conclusion of the trial and the participant will return to their previous mask. The Institution will recruit all patients within 1 week of the beginning of the study.
Interventions
Participants will be placed on this intervention for a total 14 ± 5 days from Visit 2. Participants will be using the Toffee nasal pillows mask during this treatment arm.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult (22+ years of age) * Able to give informed consent * Apnea hypopnea Index (AHI) ≥ 5 on diagnostic night * Either prescribed Automatic positive airway pressure (APAP), Continuous positive airway pressure (CPAP) or Bi-level positive airway pressure (PAP) for OSA * Fluent in spoken and written English * Existing nasal pillows mask user
Exclusion criteria
* Inability to give informed consent * Participant intolerant to PAP * Anatomical or physiological conditions making PAP therapy inappropriate * Current diagnosis of respiratory disease or carbon Dioxide (CO2) retention * Pregnant or may think they are pregnant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Toffee Mask Usability | 14 ± 5 days in-Home | Questionnaire on usability during second visit - Subjective. Participants rated overall usability of the mask on a 5 point likert type scale ranging from very easy, easy, neither, difficult or very difficult. |
| Toffee Mask Comfort | 14 ± 5 days in-Home | Determine from questionnaires - Subjective Participants rated overall comfort of the mask by indicating on a 5 point likert type scale the degree of comfort they felt. Answer responses ranges from very good, good, neither, poor, or very poor |
| Toffee Mask Treatment Performance - Subjective | 14 ± 5 days in-Home | Determined from questionnaires - Subjective Participants rated overall performance of the mask on a 5 point likert type scale with responses including very good, good, neither, poor, or very poor |
| Trial Mask Acceptability | 14 ± 5 days in-Home | Participant count regarding whether they would continue using the trial mask if given the choice. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Toffee Mask Treatment Performance - Objective | 14 ± 5 days in-Home | Objective data recorded from PAP device - Objective Apnea hypopnea index (AHI) data extracted from participants therapy efficacy reports was used to assess this outcome. AHI is a measure of disease severity and is used to evaluate treatment efficacy. Data was reported as a pass or fail based on the change in AHI from baseline to the intervention. If AHI increased by a clinically significant amount (as reviewed by the PI/study staff) this was marked as a fail. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Toffee Nasal Pillows Mask Participants will be placed on this arm for a total of 14 +- 5 days from visit 2. participants will be using the Toffee mask during this treatment arm
Toffee Nasal Pillows Mask: Participants will be placed on this intervention for a total 14 ± 5 days from Visit 2. Participants will be using the Toffee nasal pillows mask during this treatment arm. | 38 |
| Total | 38 |
Baseline characteristics
| Characteristic | Toffee Nasal Pillows Mask |
|---|---|
| Age, Customized 22-35 | 0 Participants |
| Age, Customized 36-45 | 5 Participants |
| Age, Customized 46-55 | 3 Participants |
| Age, Customized 56-65 | 10 Participants |
| Age, Customized 66-75 | 14 Participants |
| Age, Customized 76-85 | 6 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 38 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Region of Enrollment United States | 38 Participants |
| Sex: Female, Male Female | 14 Participants |
| Sex: Female, Male Male | 24 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 38 |
| other Total, other adverse events | 8 / 38 |
| serious Total, serious adverse events | 0 / 38 |
Outcome results
Toffee Mask Comfort
Determine from questionnaires - Subjective Participants rated overall comfort of the mask by indicating on a 5 point likert type scale the degree of comfort they felt. Answer responses ranges from very good, good, neither, poor, or very poor
Time frame: 14 ± 5 days in-Home
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Toffee Nasal Pillows Mask | Toffee Mask Comfort | Rated very good or good | 31 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Comfort | Very poor, poor | 2 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Comfort | Neither | 5 Participants |
Toffee Mask Treatment Performance - Subjective
Determined from questionnaires - Subjective Participants rated overall performance of the mask on a 5 point likert type scale with responses including very good, good, neither, poor, or very poor
Time frame: 14 ± 5 days in-Home
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Toffee Nasal Pillows Mask | Toffee Mask Treatment Performance - Subjective | Rated very good or good | 30 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Treatment Performance - Subjective | Rated poor or very poor | 4 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Treatment Performance - Subjective | Rated neither | 4 Participants |
Toffee Mask Usability
Questionnaire on usability during second visit - Subjective. Participants rated overall usability of the mask on a 5 point likert type scale ranging from very easy, easy, neither, difficult or very difficult.
Time frame: 14 ± 5 days in-Home
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Toffee Nasal Pillows Mask | Toffee Mask Usability | Rating Very easy or easy | 33 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Usability | Rating very difficult or difficult | 1 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Usability | Rating Neither | 4 Participants |
Trial Mask Acceptability
Participant count regarding whether they would continue using the trial mask if given the choice.
Time frame: 14 ± 5 days in-Home
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Toffee Nasal Pillows Mask | Trial Mask Acceptability | Yes | 27 Participants |
| Toffee Nasal Pillows Mask | Trial Mask Acceptability | No | 11 Participants |
Toffee Mask Treatment Performance - Objective
Objective data recorded from PAP device - Objective Apnea hypopnea index (AHI) data extracted from participants therapy efficacy reports was used to assess this outcome. AHI is a measure of disease severity and is used to evaluate treatment efficacy. Data was reported as a pass or fail based on the change in AHI from baseline to the intervention. If AHI increased by a clinically significant amount (as reviewed by the PI/study staff) this was marked as a fail.
Time frame: 14 ± 5 days in-Home
Population: 4 data sets were unavailable for analysis
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Toffee Nasal Pillows Mask | Toffee Mask Treatment Performance - Objective | Pass | 34 Participants |
| Toffee Nasal Pillows Mask | Toffee Mask Treatment Performance - Objective | Fail | 0 Participants |