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Protocol Details

Development of a Wearable Point of Care Monitoring Device for Pediatric Obstructive Sleep Apnea

This study is currently recruiting participants.

Summary | Eligibility | Citations | Contacts

Summary

Number

000224-CH

Sponsoring Institute

National Institute of Child Health and Human Development (NICHD)

Recruitment Detail

Type: Participants currently recruited/enrolled
Gender: Male & Female
Min Age: 3 Years
Max Age: 12 Years

Referral Letter Required

No

Population Exclusion(s)

None

Keywords

near-infrared spectroscopy (NIRS);
tissue oxygenation;
Polysomnography;
Natural History

Recruitment Keyword(s)

None

Condition(s)

pediatric obstructive sleep apnea

Investigational Drug(s)

None

Investigational Device(s)

None

Intervention(s)

None

Supporting Site

National Institute of Child Health and Human Development

Background:

Obstructive sleep apnea (OSA) occurs when the blockage of the airway causes a person to stop breathing involuntarily for 10 seconds or more throughout the night during sleep. Pediatric OSA can be especially concerning and can have long-term effects. Researchers want to see how a monitoring device called near-infrared spectroscopy (NIRS) compares with the traditional techniques used in children s sleep studies.

Objective:

To learn about oxygen levels in the brain and limbs in children with and without sleep apnea using a wearable, point-of-care biosensor.

Eligibility:

Children aged 3-12 who have OSA and plan to receive treatment (OSA group) or who do not have OSA (NORM group).

Design:

Participants will be screened with a review of their medical records. If they have taken part in other NIH studies, that data will be reviewed as well.

Participants in the NORM group will have 1 overnight study visit. Those in the OSA group will have 2 overnight study visits.

Participants will do an overnight sleep study. They will have a physical exam and medical history. They will have a sleep study electroencephalography (EEG). For this, electrodes will be placed on their head. They will wear a gauze cap to keep the electrodes in place. Two NIRS probes made of a soft silicon will be placed on their forehead and arm. They will follow their normal bedtime routine. Their parent will stay overnight.

The OSA group will have a second study visit 2 weeks to 12 months after they start treatment for their sleep apnea. They will repeat the sleep study.

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Eligibility

INCLUSION CRITERIA:

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

1. Male or female, aged >=3 and <13 years

2. For NORM group: Children without OSA (AHI<2)

3. For OSA group: Children with OSA (AHI>=2)

EXCLUSION CRITERIA:

An individual who meets any of the following criteria will be excluded from participation in this study:

1. Children <3 years or >=13 years

2. Any chronic or acute medical condition that in the opinion of the investigators will interfere with overnight sleep study acquisition.

3. Any head injuries or physical conditions that in the opinion of the investigators would affect probe signal and contact.

4. For NORM group: Children with AHI>=2

5. For OSA group: Children with AHI<2


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Citations:

Ullman N, Anas NG, Izaguirre E, Haugen W, Ortiz H, Arguello O, Nickerson B, Mink RB. Usefulness of cerebral NIRS in detecting the effects of pediatric sleep apnea. Pediatr Pulmonol. 2014 Oct;49(10):1036-42. doi: 10.1002/ppul.22962. Epub 2013 Dec 11. PMID: 24339172.

Summerfelt ST, Selosse EJ, Reilly PJ, Trahanovsky WS. 1H-nuclear magnetic resonance spectroscopy of reducing-residue anomeric protons of pertrifluoroacetylated carbohydrates. Carbohydr Res. 1990 Aug 15;203(2):163-72. doi: 10.1016/0008-6215(90)80014-t. PMID: 2276122.

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Contacts:

Principal Investigator

Referral Contact

For more information:

Bruce J. Tromberg
National Institute of Child Health and Human Development (NICHD)
BG 31 RM 1C14
31 CENTER DR
BETHESDA MD 20814
(301) 496-8859
bruce.tromberg@nih.gov

Brian Y. Hill
National Institute of Child Health and Human Development (NICHD)
BG 49 RM B1A27
49 CONVENT DR
BETHESDA MD 20814
(301) 827-0083
brian.hill@nih.gov

Office of Patient Recruitment
National Institutes of Health Clinical Center (CC)
Building 61, 10 Cloister Court
Bethesda, Maryland 20892
Toll Free: 1-800-411-1222
Local Phone: 301-451-4383
TTY: TTY Users Dial 7-1-1
ccopr@nih.gov

Clinical Trials Number:

NCT05052216

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