Personalizing sleep apnea treatment: a step toward better CPAP outcomes
NCT ID NCT05067088
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This study investigates whether individual physiological traits that cause obstructive sleep apnea (OSA) can predict how well CPAP therapy works. Researchers will follow adults newly diagnosed with OSA who are starting CPAP, measuring factors like arousal threshold and breathing stability. The goal is to see if these traits influence CPAP adherence and effectiveness, potentially leading to more personalized treatment plans.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Continuous positive airway pressure (CPAP) therapy
- What this could lead to
- If successful, this could lead to personalized OSA treatments, improving CPAP adherence and outcomes for millions.
- What could go wrong
- The study is observational and early, so findings may not translate into immediate clinical changes. Individual responses to CPAP vary, and the physiological traits measured may not fully predict effectiveness.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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262 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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May 2026
- 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.
Who is studied
The participants will be drawn from the clinical population of patients referred for evaluation to the Yale New Haven Hospital Sleep Center. Currently, 38% of patients at YNHH with diagnosis of OSA are women, 65% are White, 12% Black, 10% Hispanic, 1% Asian, 1% Pacific Islander and remainder selecting other or unknown classification. We expect a similar proportion of enrolled subjects. Inclusion of vulnerable population subjects such prisoners or institutionalized individuals will be rare as these patients are infrequently evaluated sleep medicine clinics, however, they will not be excluded. Subjects who are undocumented immigrants to the U.S. will not be excluded and will undergo an informed consent process individualized in each encounter. Inclusion/exclusion criteria are noted above.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: 1. Age of \>18 years 2. Newly diagnosed OSA naïve to CPAP 3. Apnea hypopnea index (AHI) ≥5/hr on in-laboratory polysomnography or home sleep test acquired and scored using standard criteria(59) 4. Referred for CPAP adherence management at Yale New Haven Hospital Sleep Center Exclusion Criteria: 1. Need for supplemental oxygen 2. Central apnea index comprising \>50% of the AHI 3. Treatment recommendation with another modality (e.g., Bilevel PAP, Adaptive Servo-Ventilation, Automatic Volume Pressure Assured Pressure Support) 4. A referral for a sleep disorder other than OSA (i.e., narcolepsy, sleep related movement disorder, circadian rhythm sleep-wake disorder) 5. Prior CPAP or Auto-CPAP use over the past 3 years 6. Unstable medical or mental health condition (e.g., decompensated heart failure, end-stage chronic obstructive pulmonary disease, end stage renal disease, psychosis) 7. Inability to participate in the informed consent process (e.g., cognitive impairment) 8. Pregnancy 9. Non-English language use as only means of communication (because the research budget does not provide adequate resources to ensure that the needs of non-English speaking patients can be adequately addressed)
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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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Yale New Haven Hospital Sleep Center
North Haven, Connecticut, 06473, United States
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