Clinical trial Recruiting at 4 sites Interventional Ages 22 and up

Janus II: dual-channel implant for severe sleep apnea

Official title: Janus II: A Feasibility Study to Evaluate Response to Remede Dual Channel System Therapy

Run by Zoll Medical Corporation · NCT06556693 · Data updated 2026-11-12

This study will test a dual-channel implant (remedē® Dual Channel System) in adults with severe sleep apnea to see if it can be implanted safely and improve breathing during sleep.

More Sleep Apnea trials

Quick facts

Study typeInterventional
Ages22 Years and up
SexAll
Enrollment40 (estimated)
SponsorZoll Medical Corporation
Industry-sponsored
Drugs / interventionsradiation
Locations4 sites (Scottsdale, Arizona and 3 other locations)
StatusRecruiting
StartedAugust 12, 2025
Main results expectedApril 2028
Study endsDecember 2034
Registry record updatedNovember 6, 2026
Trial IDNCT06556693 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with severe sleep-disordered breathing who can tolerate an implant procedure and do not have exclusionary conditions such as uncontrolled COPD, pacemaker dependence, recent infection, need for MRI, or prior cervical surgery/radiation are the ideal candidates.

Probably not a fit

Patients with contraindications listed in the protocol — for example pacemaker dependence, severe COPD or pulmonary hypertension, active infection within 30 days, significant kidney failure, or a need for MRI — are unlikely to be eligible or to receive benefit from participation.

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

What this trial studies

This is an interventional feasibility study of the remedē® Dual Channel System that involves surgical implant of a dual-channel neurostimulation device and overnight sleep studies. Participants with severe sleep-disordered breathing who can tolerate the procedures will receive the implant and undergo scheduled overnight assessments to monitor device performance and sleep measures. The study will also track participants over time to collect data on chronic safety and any device-related adverse events. Many common exclusions apply (for example severe COPD, pacemaker dependence, recent infection, need for MRI, prior neck surgery/radiation) that limit eligibility.

Why it matters

Potential benefit: If successful, the device could provide a new implantable option to reduce breathing pauses and improve sleep quality for people with severe sleep apnea.

How similar studies have gone: Implantable neurostimulation systems for sleep apnea, including earlier remedē devices for central sleep apnea, have demonstrated clinical benefit in prior studies, though the dual-channel configuration used here is less well established and is being tested for feasibility.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Severe sleep disordered breathing
* Expected to tolerate study procedures
* No heart failure or medically stable heart failure

Exclusion Criteria:

* Currently implanted with a neurostimulator to treat sleep disordered breathing without sponsor approval
* History of severe COPD or pulmonary arterial hypertension
* Current or previous history of nerve injury or palsy
* Prior cervical surgeries or radiation treatment to head region
* Known need for an MRI
* History of psychosis or severe bipolar disorder
* Active Infection or sepsis within 30 days of enrollment
* Currently on kidney dialysis or significantly reduced kidney function
* Pacemaker dependance
* New defibrillator or any implantable device or device generator changeout within 30 days prior to study implant or anticipated within the first 12 months
* Other conditions or anticipated surgical procedure expected to affect ability to complete study procedures
* Allergy to contrast dye unless can be prophylactically treated
* Known pregnancy or planning to become pregnant

Where it's running

  • The Insomnia and Sleep Institute of Arizona LLC
    Scottsdale, Arizona, United States
    Recruiting
  • The University of Michigan Health-West
    Wyoming, Michigan, United States
    Recruiting
  • The Ohio State University
    Columbus, Ohio, United States
    Recruiting
  • Houston Methodist Institute
    Houston, Texas, 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.