Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

Home under-mattress monitor to guide mandibular advancement therapy for sleep apnea

Official title: Home-Based Under-Mattress Monitoring Device to Estimate Mandibular Advancement in Oral Appliance Therapy for Obstructive Sleep Apnea

Run by University of Kentucky · NCT07186725 · Data updated 2026-11-12

This study will test whether a home under-mattress monitor can help set and fine-tune a mandibular advancement device for people with obstructive sleep apnea.

More Obstructive Sleep Apnea trials

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment70 (estimated)
SponsorUniversity of Kentucky
Academic / other
Locations1 site (Lexington, Kentucky)
StatusRecruiting
StartedJanuary 7, 2026
Main results expectedMarch 2027
Study endsMarch 2027
Registry record updatedFebruary 3, 2026
Trial IDNCT07186725 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with a prior PSG or HSAT diagnosis of obstructive sleep apnea who can attend biweekly clinic visits, tolerate a MAD and digital dental impressions, and are not using PAP therapy.

Probably not a fit

Patients with central or mixed sleep apnea, active dental problems or allergies to the appliance material, those already on PAP therapy, or those unable to use the MAD are unlikely to benefit.

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

What this trial studies

This interventional study uses an under-mattress monitoring device alongside level 3 home sleep apnea testing to guide titration of a mandibular advancement device (MAD). Participants diagnosed with obstructive sleep apnea will attend biweekly clinic visits during the MAD titration period while home devices collect sleep parameters. The study will compare symptom changes, patient satisfaction, and objective sleep measures between responders and non-responders to MAD therapy. Data will be collected at a single center (University of Kentucky) and analyzed to determine whether the under-mattress monitor improves titration and outcomes.

Why it matters

Potential benefit: If successful, the device could provide objective home feedback to optimize MAD settings and improve apnea control and comfort.

How similar studies have gone: Mandibular advancement devices and home sleep testing have prior evidence for mild-to-moderate OSA, but using an under-mattress monitor specifically to guide MAD titration is relatively novel with limited direct prior data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of Obstructive Sleep Apnea demonstrated with a sleep study polysomnography or home sleep study (PSG or HSAT), manually scored by a sleep physician according to the 2017 American Academy of Sleep medicine scoring guidelines.
* Willingness to commute to the OFP clinic every 2 weeks during MAD titration period.
* Consent to partake in the study.

Exclusion Criteria:

* Diagnosis of central or mixed sleep apnea.
* Neurocognitive disease.
* Concomitant therapy with PAP therapy.
* Allergic to the appliance material (Polyamide 12).
* Presence of active dental decay, ill-fitting dental restorations, or crown to root ratio unfavorable.
* Inadequate English language comprehension.
* Lack of coordination or dexterity to insert/remove the MAD intraorally.
* Inability to tolerate digital dental impressions.
* Patients with concomitant diagnosed sleep disorders, including narcolepsy, restless leg syndrome, rapid eye movement sleep behavior disorder).

Where it's running

  • University of Kentucky
    Lexington, Kentucky, United States
    Recruiting

Study contacts

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.