ISRCTN ISRCTN17418746
DOI https://doi.org/10.1186/ISRCTN17418746
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Integrated Research Application System (IRAS) 350021
Protocol serial number 66154
Sponsor University of Oxford
Funders NIHR Oxford Biomedical Research Centre, Oxford Sleep Research Fund
Submission date
04/11/2025
Registration date
06/11/2025
Last edited
06/11/2025
Recruitment status
Not yet recruiting
Overall study status
Ongoing
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims:
Obstructive sleep apnoea (OSA) is a common condition where the throat repeatedly closes during sleep, causing disturbed sleep and drops in oxygen levels. It increases the risk of high blood pressure, heart problems and accidents. The usual test for diagnosing OSA is a home sleep study. Home sleep studies use several sensors at and access to testing is limited. This study aims to find out whether a new ambulatory monitoring system (AMS), which uses fewer sensors with only a small chest patch and wrist-worn pulse oximeter, can detect breathing and oxygen changes as accurately as the current used home sleep tests.

Who can participate?
Adults aged 18 years and over who have been referred to the Oxford Sleep Unit because their doctor suspects sleep apnoea can take part. People with an allergy to medical adhesive used for the chest patch cannot take part.

What does the study involve?
Participants will use both the new AMS and the standard home sleep test on the same night, followed by up to five more nights using the AMS alone. They will attend up to three short visits at the Oxford Sleep Unit to receive and return equipment and complete short questionnaires about comfort and ease of use. All monitoring is non-invasive and done at home during normal sleep.

What are the possible benefits and risks of participating?
There is no direct benefit to participants, but their involvement will help test a new, simpler way to diagnose sleep apnoea that could improve access to testing in the future. Risks are very low: the devices are CE-marked and widely used. A small number of people may experience mild skin irritation from the adhesive patch.

Where is the study run from?
The study is being conducted at the Oxford Sleep Unit, Churchill Hospital, Oxford, and led by the University of Oxford (UK).

When is the study starting and how long is it expected to run for?
September 2025 to March 2026

Who is funding the study?
The study is funded by the NIHR Oxford Biomedical Research Centre and the Oxford Sleep Research Fund (UK).

Who is the main contact?
Dr Chris Turnbull, christopher.turnbull@ndm.ox.ac.uk

Contact information

Dr Chris Turnbull
Public, Scientific, Principal investigator

Department of Respiratory Medicine
Churchill Hospital
Oxford
OX3 7LE
United Kingdom

ORCiD logoORCID ID 0000-0001-8942-5424
Phone +44 (0)1865225789
Email christopher.turnbull@ouh.nhs.uk

Study information

Primary study designObservational
Study designSingle-arm prospective cohort study
Secondary study designCohort study
Participant information sheet 48393_PIS_V1.0_01Aug2025.pdf
Scientific titleEvaluating an ambulatory monitoring system in obstructive sleep apnoea: a proof-of-concept study
Study acronymEASY OSA
Study objectivesPrimary objective:
To investigate the feasibility of using an Ambulatory Monitoring System (AMS) which consistents of a chest patch and pulse oximeter) to detect overnight >3 % desaturations compared to clinical standard respiratory polygraphy (RP)

Secondary objectives:
1. To investigate the feasibility of using an AMS (chest patch and pulse oximeter) to detect apnoeas and hypopnoeas compared to clinical standard RP
2. To assess the feasibility and patient experience of using an AMS

Exploratory objectives:
1. To compare sleep metrics (apnoea-hypopnoea index, oxygen desaturations index and hypoxic burden) between AMS and RP
2. To explore the night-to-night variability of sleep apnoea severity measured by AMS
Ethics approval(s)

Approved 22/09/2025, North East - Newcastle & North Tyneside 2 Research Ethics Committee (2 Redman Place, Stratford, London, E20 1JQ, United Kingdom; N/A; newcastlenorthtyneside2.rec@hra.nhs.uk), ref: 25/NE/0168

Health condition(s) or problem(s) studiedObstructive sleep apnoea
InterventionThis is a single-centre, prospective, non-randomized pilot study designed to assess the feasibility of using a novel ambulatory monitoring system (AMS) to detect respiratory disturbances in people with suspected obstructive sleep apnoea (OSA).

Each participant will undergo a paired overnight comparison between the AMS and standard home respiratory polygraphy (RP) on night 1. The AMS will then continue recording for up to 5 additional nights (maximum of 7 nights total).

The AMS comprises a wireless chest patch (VitalPatch™, VitalConnect Inc.) measuring ECG, respiratory rate, posture, and movement, and a wrist-worn pulse oximeter (Nonin WristOx2 BLE, Nonin Medical Inc.) measuring oxygen saturation and pulse rate. Both devices connect via Bluetooth to a tablet for data upload. RP will be performed as part of routine clinical care.
Intervention typeOther
Primary outcome measure(s)

The feasibility of using an Ambulatory Monitoring System (AMS) which consists of a chest patch and pulse oximeter to detect overnight >3 % desaturations compared to clinical standard respiratory polygraphy (RP). This will be assessed on night 1 of the study.

Key secondary outcome measure(s)

1. The feasibility of using an AMS (chest patch and pulse oximeter) to detect apnoeas and hypopnoeas compared to clinical standard RP, assessed on night 1 of the study.
2. The feasibility and patient experience of using an AMS, assessed on day 5-7 of the study, at the final study visit.

Exploratory objectives:
1. Sleep metrics (apnoea-hypopnoea index, oxygen desaturations index and burden) of AMS and RP assessed on night 1 of the study.
2. Night-to-night variability of sleep apnoea severity measured by AMS on nights 1-5 of the study (all nights up to the final study visit, visit 3)

Completion date01/03/2026

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration10
Key inclusion criteria1. Willing and able to give informed consent for participation in the study
2. Aged 18 years or above
3. Referred with required suspected obstructive sleep apnoea
Key exclusion criteriaAllergy or intolerance to hydrocolloid adhesive used for AMS chest patch attachment
Date of first enrolment13/11/2025
Date of final enrolment20/02/2026

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Oxford University Hospitals NHS Foundation Trust
Churchill Hospital
Old Road
Headington
Oxford
OX3 7LE
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon reasonable request after all analysis have been complete, no later than one year after the planned end of study date. Please c ontact Chris Turnbull (christopher.turnbull@ndm.ox.ac.uk).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 1.0 01/08/2025 06/11/2025 No Yes
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Protocol file version 1.0 01/08/2025 06/11/2025 No No

Additional files

48393_PIS_V1.0_01Aug2025.pdf
Participant information sheet
48393_PROTOCOL_V1.0_01Aug2025.pdf
Protocol file

Editorial Notes

05/11/2025: Study's existence confirmed by the North East - Newcastle & North Tyneside 2 Research Ethics Committee.