Could a mouthpiece replace the CPAP machine for sleep apnea?

NCT ID NCT03924817

First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time

Summary

This registry study follows 500 adults with obstructive sleep apnea who are prescribed a mandibular advancement device (MAD) — a dental appliance worn at night to keep the airway open. Researchers will track how the device is prescribed, how often patients actually use it, and whether it improves breathing and sleep-related quality of life after three months. The goal is to better understand which patients might benefit from this alternative to CPAP therapy.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
mandibular advancement device (a dental appliance worn at night to hold the lower jaw forward and keep the airway open)
What this could lead to
If successful, this could help identify which patients with obstructive sleep apnea benefit most from a mandibular advancement device, offering an alternative to CPAP machines.
What could go wrong
This is an observational registry, not a controlled trial, so it cannot prove cause and effect. Results may be influenced by patient selection and adherence, and the device may not work for everyone.

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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

  • Ruhrlandklinik Essen

    Essen, North Rhine-Westphalia, 45239, Germany

  • Schlaf- und Beatmungszentrum Blaubeuren

    Blaubeuren Abbey, Badden-Württemberg, 89143, Germany

  • Universitätsklinikum Regensburg - Klinik für Innere Medizin II

    Regensburg, 93053, Germany

  • Zentrum für Schlafmedizin Dr. Warmuth

    Berlin, State of Berlin, 12683, Germany

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