Smarter Follow-Up could boost CPAP use and cut costs
NCT ID NCT04559737
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This study compares two approaches to help people with moderate-to-severe obstructive sleep apnea stay on CPAP therapy. One group receives usual care, where patients reach out if they have trouble. The other group adds active monitoring and extra support only for those who struggle, while successful users are left alone. The goal is to see which method improves CPAP adherence and is more cost-effective over one year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- case management (population management platform with management by exception follow-up)
- What this could lead to
- If successful, this approach could improve CPAP adherence and reduce healthcare costs by focusing resources on patients who need help most.
- What could go wrong
- This is a small, early-stage study comparing care models, not testing a new treatment. Results may not apply to other healthcare systems or patient populations.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Expected to start
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Jul 2020
An estimate. Start dates often move.
- Finished
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Jul 2020
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Kaiser Permanente member * Moderate-Severe Obstructive Sleep Apnea diagnosis (AHI4%≥15 on home sleep apnea test \[Nox T3 or WatchPAT\] or polysomnography (in-lab study) * PAP therapy clinically recommended and prescribed for home therapy of OSA * Adults (age ≥ 18 years) Exclusion Criteria: * Chronic respiratory failure requiring bilevel PAP ventilatory support or addition of oxygen supplementation. * Prior use of PAP prescribed for home therapy. * Inability wirelessly connect patient's PAP device.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Kaiser Permanente Sleep Center
Fontana, California, 92335, United States
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