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Trial registered on ANZCTR
Registration number
ACTRN12618001407280
Ethics application status
Approved
Date submitted
17/08/2018
Date registered
22/08/2018
Date last updated
9/05/2024
Date data sharing statement initially provided
25/07/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Continuous Positive Airway Pressure Mask Systems: Comparison of Cushions, Frames, Headgear, Components and Accessories for product development
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Scientific title
Testing of Continuous Positive Airway Pressure (CPAP) masks on adult obstructive sleep apnea (OSA) patients to assess product usability and performance against benchmark products.
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Secondary ID [1]
295836
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MA17082018 & SLP-23-04-02
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
This study is linked to ACTRN12614000998640. The current study is a continuation of the processes described in ACTRN12614000998640 with a new PI, new study sites, and minor methodological changes.
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Health condition
Health condition(s) or problem(s) studied:
obstructive sleep apnea
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Condition category
Condition code
Respiratory
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A variety of unregistered prototype CPAP masks will be used as the intervention in this study. The number of intervention masks a participant may test will range from 1 to 2 masks. There will be no washout period between masks. CPAP masks may be full face, nasal, or nasal pillows masks (covering mouth and nose, covering nose only, or inserted into nostrils).
As this study protocol aims to facilitate the product development of CPAP masks (an iterative process), this protocol allows for a prototype mask to be designed, used as a trial intervention, improved based on patient feedback, and then retested again as trial intervention. This process may occur for several cycles. This particular protocol also allows for the testing of several different prototype masks. As such, the total number of intervention masks being evaluated under this protocol at the beginning of the study is unknown, but will reported at the completion of the study.
All CPAP masks will be used for a minimum of 3 nights and a maximum of 7 nights. Other than 'mask type' setting, patient's CPAP therapy settings will not be changed.
Adherence will be monitored through data downloads directly from the patient's device or SD card. Adherence may also be monitored through an approved wireless therapy monitoring system (EasyCare Online).
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Intervention code [1]
312169
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Treatment: Devices
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Comparator / control treatment
The comparator for this study will be one or more of the following:
- commercially available, approved CPAP mask currently used by the patient
- commercially available, approved CPAP mask not currently used by the patient
- another unapproved CPAP mask
The number of intervention masks a participant may test will range from 1 to 2 masks. There will be no washout period between masks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Subjective mask usability including comfort, seal, and ease of use as assessed by patient questionnaire (ie. 11-point Likert scale designed for this protocol)
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Assessment method [1]
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Timepoint [1]
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After a maximum of 7 nights
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Primary outcome [2]
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Mask efficacy, as collected by Apnea-hypopnoea index downloaded by the CPAP device
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Assessment method [2]
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Timepoint [2]
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After a maximum of 7 nights
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Secondary outcome [1]
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Objective mask leak as assessed by CPAP device data
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Assessment method [1]
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Timepoint [1]
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After a maximum of 7 nights
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Eligibility
Key inclusion criteria
MA17082018 (2018-2023):
• Patients willing to give written informed consent
• Patients who can read and comprehend English
• Patients who >/= 18 years of age
• Patients being treated for OSA for >/= 6 months
• Patients currently using a suitable mask system
• Patients who can trial the masks for up to 7 nights each
SLP-23-04-02 (2023-2028):
• Participants willing to give written informed consent
• Participants who >/= 18 years of age
• Participants being treated for OSA for >/= 3 months
• Participants currently using a suitable mask system(s)
• Participants who can trial the masks for up to 7 nights each
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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
MA17082018 (2018-2023):
• Patients using Bilevel flow generators
• Patients who are or may be pregnant
• Patients with a preexisting lung disease/ condition that would predispose them to pneumothorax (for example: COPD, lung cancer; fibrosis of the lungs; recent (< 2years) case of pneumonia or lung infection; lung injury.
• Patients believed to be unsuitable for inclusion by the researcher
• Participants who or whose bed partner has implantable metallic implants in the head, neck and chest region affected by magnetic fields (Non-ferrous implants may be acceptable) (for masks with magnetic clips only)
SLP-23-04-02 (2023-2028):
• Patients using Bilevel flow generators
• Patients who are pregnant
• Patients with a preexisting lung disease/ condition that would predispose them to pneumothorax (for example: COPD, lung cancer; fibrosis of the lungs; recent (< 2years) case of pneumonia or lung infection; lung injury.
• Patients believed to be unsuitable for inclusion by the researcher
• Patients who or whose bed partner has implantable medical devices which may contraindicate against masks with magnetic clips (exclusion criteria for study masks with magnetic clips only)
• Patients who are currently enrolled in other clinical studies
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation).
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/10/2018
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Actual
15/11/2018
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Date of last participant enrolment
Anticipated
23/10/2028
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Actual
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Date of last data collection
Anticipated
10/11/2028
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Actual
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Sample size
Target
60
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Accrual to date
30
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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ResMed Ltd
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Address [1]
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1 Elizabeth Macarthur Drive, Bella Vista, NSW, 2120
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
ResMed Ltd
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Address
1 Elizabeth Macarthur Drive, Bella Vista, NSW, 2120
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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UNSW HREC
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Ethics committee address [1]
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University of NSW, Anzac parade, Sydney NSW 2052
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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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03/09/2018
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Approval date [1]
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09/11/2018
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Ethics approval number [1]
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HC18733
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Ethics committee name [2]
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The University of New South Wales Research Ethics Committee A
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Ethics committee address [2]
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https://research.unsw.edu.au/research-ethics-and-compliance-support-recs UNSW HREC B, but the options is not in the list. They now have 3 sub-committees (A, B & C).
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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23/06/2023
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Approval date [2]
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09/08/2023
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Ethics approval number [2]
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HC230403
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Summary
Brief summary
Obstructive sleep apnoea (OSA) is characterised by a partial or complete collapse of the upper airway during sleep. Continuous Positive Airway Pressure (CPAP) therapy acts as a positive airway splint, delivering a fixed positive airway pressure to the upper airway via a tube and mask. CPAP compliance is strongly influenced by the patient’s mask system. As masks are worn every night the comfort, seal, stability and ease of use of a CPAP mask is highly important. The product development of mask systems is an iterative process. Evaluation of the comfort, seal, stability and ease of use of the mask system by patients in their home environment provides the required information for these iterative design changes. This project will allow the iterative testing of mask systems by patients by comparing them to already released masks or acceptable subjective levels.
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Trial website
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Trial related presentations / publications
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Public notes
This study protocol aims to facilitate the product development of CPAP masks. As product development is an iterative process, this protocol allows for a prototype mask to be designed, used as a trial intervention, improved based on patient feedback, and then retested again as trial intervention. This process may occur for several cycles. This particular protocol also allows for the testing of several different prototype masks.
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Contacts
Principal investigator
Name
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Dr Adam Benjafield
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Address
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ResMed Ltd. 1 Elizabeth Macarthur drive, Bella Vista, NSW 2153
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Country
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Australia
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Phone
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+61 2 8884 1000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Alison Wimms
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Address
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ResMed Ltd. 1 Elizabeth Macarthur drive, Bella Vista, NSW 2153
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Country
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Australia
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Phone
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+61 2 8884 1000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Alison Wimms
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Address
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ResMed Ltd. 1 Elizabeth Macarthur drive, Bella Vista, NSW, 2153
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Country
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Australia
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Phone
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+61 2 8884 1000
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
company confidential data, no benefit for sharing IPD
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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
No additional documents have been identified.
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