Purpose

This registry is a prospective, multi-center, single-arm study of pediatric subjects (ages 18-21 years) who are undergoing implant of the Inspire Upper Airway Stimulation (UAS) System for the treatment of moderate or severe obstructive sleep apnea (OSA). Implanted subjects will be followed for 5 years post-implant.

Condition

Eligibility

Eligible Ages
Between 18 Years and 21 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Subject is between 18 and 21 years of age; 2. Subject has a diagnosis of moderate to severe OSA (15 ≤ AHI ≤ 65) based on a recent sleep study; 3. Subject has documented failure of, or intolerance to, positive airway pressure treatments, despite attempts to improve compliance; 4. Subject is contraindicated for, or not effectively treated by, adenotonsillectomy; 5. Subject has followed standard of care in considering all other alternative/adjunct therapies; 6. Subject is willing and able to have stimulation hardware permanently implanted and to use the patient remote to activate the stimulation; 7. Subject is willing and able to return for follow-up visits, undergo sleep studies (including in-lab and at-home), and complete questionnaires related to the registry; 8. Subject is willing and able to provide informed consent.

Exclusion Criteria

  1. Subject has a combination of central + mixed apneas > 25% of the total apnea-hypopnea index (AHI); 2. Subject has any anatomical finding that would compromise the performance of upper airway stimulation, such as the presence of complete concentric collapse of the soft palate; 3. Subject has any condition or procedure that has compromised neurological control of the upper airway; 4. Subject is unable, or does not have the necessary assistance, to operate the patient remote; 5. Subject is pregnant or plans to become pregnant; 6. Subject has an implantable device that may be susceptible to unintended interaction with the Inspire System; 7. Subject has a terminal illness with life expectancy < 12 months; 8. Any other reason the investigator deems the subject is unfit for participation in the registry.

Study Design

Phase
Study Type
Observational [Patient Registry]
Observational Model
Cohort
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
Registry Population Pediatric subjects (age 18-21 years) who are undergoing implant of the Inspire Upper Airway Stimulation System for the treatment of moderate to severe obstructive sleep apnea (OSA)
  • Device: Inspire Upper Airway Stimulation System
    Implant of the Inspire Upper Airway Stimulation System

Recruiting Locations

Childrens Hospital of Colorado
Aurora, Colorado 80045
Contact:
Kari Gorecki
kari.gorecki@cuanschutz.edu

Duke University
Durham, North Carolina 27705
Contact:
Donald Luckett
donald.luckett@duke.edu

Cincinnati Childrens Hospital
Cincinnati, Ohio 45229
Contact:
Angie Duggins
angie.duggins@cchmc.org

Children's Hospital of Philadelphia
Philadelphia, Pennsylvania 19406
Contact:
Ashley Williams
williamsab@chop.edu

Children's Hospital of Pittsburgh
Sewickley, Pennsylvania 15143
Contact:
Amber Shaffer
shafferad@upmc.edu

University of Texas Southwestern/Children's Hospital of Dallas
Dallas, Texas 75207
Contact:
Francesca Chambers
Francesca.Chambers@UTSouthwestern.edu

Children's Hospital of the King's Daughters/East Virginia Medical School
Norfolk, Virginia 23507
Contact:
Lakshya Enugu
enugul@evms.edu

More Details

Status
Recruiting
Sponsor
Inspire Medical Systems, Inc.

Study Contact

Gwen Gimmestad
763-392-9966
gwengimmestad@inspiresleep.com

Detailed Description

This registry is a prospective, multi-center, single-arm study of pediatric subjects (ages 18-21 years) who are undergoing implant of the Inspire Upper Airway Stimulation (UAS) System for the treatment of moderate or severe obstructive sleep apnea (OSA). Implanted subjects will be followed for 5 years post-implant. Subjects will be recruited in accordance with the approved Inspire UAS indication for use and will only include those subjects who are within the new age indication (18-21 years of age). Implanted subjects must meet the registry eligibility criteria. Those subjects that are enrolled but fail to meet the eligibility criteria will be considered screen failures. This registry will collect safety and effectiveness data on 60 implanted subjects at a minimum of 5 qualified clinical centers in the United States. Study data will be collected at the following timepoints: Baseline (pre-implant) Implant Activation (1 month post-implant) 6 Months post-implant 1, 2, 3, 4, 5 years post-implant

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.