Clinical trial Recruiting at 1 site Observational Ages 18 to 99

Daytime versus overnight titration for hypoglossal nerve stimulation

Official title: Non-inferiority Analysis of Daytime Versus Overnight Polysomnography for Hypoglossal Nerve Stimulation Titration in Obstructive Sleep Apnea

Run by University Hospital, Antwerp · NCT06559956 · Data updated 2026-11-12

We will test whether a daytime sleep test works as well as an overnight sleep test to fine-tune hypoglossal nerve stimulation for people with moderate to severe obstructive sleep apnea.

Quick facts

Study typeObservational
Ages18 Years to 99 Years
SexAll
Enrollment110 (estimated)
SponsorUniversity Hospital, Antwerp
Academic / other
Locations1 site (Edegem, Antwerp)
StatusRecruiting
StartedAugust 27, 2024
Main results expectedJuly 2028
Study endsJuly 2028
Registry record updatedSeptember 10, 2025
Trial IDNCT06559956 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with obstructive sleep apnea who have an implanted Inspire hypoglossal nerve stimulator and can give informed consent, and who either underwent an overnight titration at Antwerp University Hospital or are undergoing a daytime titration there.

Probably not a fit

Patients who cannot complete study questionnaires in the required language or who do not have an Inspire implant are not eligible and are unlikely to benefit from this comparison.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This single-center, prospective and retrospective non-inferiority study compares daytime polysomnography (PSG) to the conventional overnight PSG for titration of hypoglossal nerve stimulation (Inspire system). Two cohorts include patients who previously had an overnight titration as part of routine care and patients who recently had or will undergo a daytime titration at Antwerp University Hospital. The study collects PSG and home sleep test data, device usage and settings, and patient-reported outcomes (Epworth Sleepiness Scale, FOSQ-30, and a visual analogue snoring scale) across visits from pre-implant through 6- and 12-month follow-up. The primary goal is to determine whether daytime titration is non-inferior to overnight titration for optimizing stimulation settings.

Why it matters

Potential benefit: If daytime titration proves non-inferior, it could simplify follow-up care by offering shorter, daytime appointments that reduce burden on patients and sleep lab resources.

How similar studies have gone: Earlier feasibility work has suggested daytime PSG can be used for HNS titration, but robust head-to-head non-inferiority evidence is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients diagnosed with OSA and implanted with HNS therapy (Inspire system)
* Cohort 1: Patients that previously underwent an overnight titration PSG as part of their routine clinical care at the Antwerp University Hospital
* Cohort 2: Patients that recently underwent or will be undergoing a daytime titration PSG at the Antwerp University Hospital
* Able to give informed consent

Exclusion Criteria:

* Not able to understand the language of the questionnaires

Where it's running

  • Antwerp University Hospital
    Edegem, Antwerp, Belgium
    Recruiting

Study contacts

  • Principal investigator: Olivier Vanderveken, MD, PhD — University Hospital, Antwerp
  • Study coordinator: Dorine Van Loo, MSc
  • Email: dorine.vanloo@uza.be
  • Phone: +3238215780

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.