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Trial registered on ANZCTR
Registration number
ACTRN12625000605493
Ethics application status
Approved
Date submitted
5/05/2025
Date registered
12/06/2025
Date last updated
12/06/2025
Date data sharing statement initially provided
12/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparing a novel mattress sensor with overnight in-laboratory sleep studies to assess sleep-disordered breathing in children
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Scientific title
Comparing a novel mattress device with polysomnography to assess sleep-disordered breathing in paediatric patients
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Secondary ID [1]
314326
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sleep-disordered breathing
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Snoring
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Condition category
Condition code
Respiratory
333676
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0
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Other respiratory disorders / diseases
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Respiratory
333677
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Use of a novel mattress sensor device and a finger pulse oximeter ring device for up to 14 nights in the home, and during one night of in-laboratory polysomnography (PSG) will provide comparative observational data to guide future larger scale trials in paediatric patients with clinical signs and symptoms of sleep disordered breathing.
The mattress sensor device is a long, thin, flat sensor strip that is placed on top of the mattress under the chest of the person lying in bed. The bed sensor is placed under the mattress protector and bottom bed sheet so there is no physical contact with the study participant. The sensor connects to a low-voltage USB-powered device placed next to the bed (e.g. on a bedside table or floor), which also contains acoustic and environmental condition (light, temperature and humidity) sensors. The device is triggered to record when the bed sensor detects movement (body movements and respiratory movements) and continuously captures respiratory related motion and acoustic data when movement is present. Users can very easily turn the device off to prevent recordings if they wish.
The finger pulse oximeter device is a wrist device with finger probe that is securely taped onto a suitable finger tip (one of the most reliable vascular beds for oximetry) prior to sleep. Trial participants will be asked to use the oximeter on at least on one night during the 14 nights at home, but preferably more often. Data are stored on onto the wrist device for subsequent download and off-line analysis of conventional oximetry metrics (average levels, oxygen desaturation indices and hypoxic burden).
Participants and their parent will have a 30 minute face-to-face meeting with researchers where the devices will be shown and instructions given on their use. Instructional materials, including trouble-shooting guides and contact details for support if required will also be provided.
The parent will be asked to complete a brief daily diary to record if the devices were used the previous night and any issues that arose. Downloaded device data will also be used to evaluate the number of successful device recordings (mattress sensor and oximeter devices) as a percentage of the number of nights available for recordings.
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Intervention code [1]
331066
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Diagnosis / Prognosis
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Comparator / control treatment
Overnight oximetry and mattress sensor device respiratory disturbance metrics in the home and in the laboratory will be compared to single night in-laboratory polysomographic measures of sleep disturbances. The additional mattress and oximetry measures are observational and will not influence usual clinical care of study participants. These preliminary data will help to determine the strength of anticipated relationships between non-intrusive bed sensor measurements and oximetry, which requires a device to be worn each night.
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Control group
Active
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Outcomes
Primary outcome [1]
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Feasibility of use of a novel mattress-sensor device in paediatric sleep medicine.
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Assessment method [1]
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Feasibility will be determined based on the ability of parents to successfully fit the device to their child’s bed at home to successful obtain any device recordings over the study recording period.
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Timepoint [1]
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Daily device recordings over 14 nights of data collection will be used to determine the proportion of study participants in whom any successful device recordings were obtained in the home setting.
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Primary outcome [2]
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Reliability of novel mattress-sensor device recordings
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Assessment method [2]
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Reliability will be determined based on the number of nights of successful device recordings expressed as a percentage of nights available for device recordings over the study.
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Timepoint [2]
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Following completion of 14-nights of device setup and attempted recordings
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Primary outcome [3]
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Reliability of oximetry recordings
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Assessment method [3]
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Reliability will be determined based on the number of nights of successful oximetry recordings expressed as a percentage of nights targeted for oximetry recordings.
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Timepoint [3]
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Following completion of 14 nights available for in-home recordings.
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Secondary outcome [1]
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Mattress sensor device sleep related respiratory disturbance metrics versus conventional in-laboratory respiratory disturbance rates as conventionally determined using the apnoea hypopnea index.
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Assessment method [1]
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The frequency of device detected abnormal breathing events will be compared with conventional polysomnographically determined apnoea hypopnea index (AHI).
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Timepoint [1]
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Following completion of the single night conentional in-laboratory polysmnography study.
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Eligibility
Key inclusion criteria
1. Aged 2-7 years inclusive
2. History of snoring and/or sleep disordered breathing
3. Ability for non-contested parental consent
4. Ability to attend for follow-up consultation
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Minimum age
2
Years
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Maximum age
7
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Potential life-threatening obstruction requiring urgent ENT intervention
2. Guardianship issues, legal consent orders or any concerns regarding safety of parental consent
3. BMI >30 kg/m²
4. Major paediatric issues (e.g. syndromic diagnoses, craniofacial issues, diabetes, hypertension, congenital cardiac problems, severe respiratory disease etc).
5. Living > 25km from Metropolitan Adelaide (for logistics of device collection).
6. Inability to adequately complete PSG at the Women's and Children's Hospital
7. Previous nasal, adenoid or tonsil surgery
8. Previous upper airway surgery (non-ENT)
9. Impractical to fit the mattress device to the bed mattress at home
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Statistics will be descriptive and exploratory in nature.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
7/07/2025
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Actual
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Date of last participant enrolment
Anticipated
5/10/2026
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Actual
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Date of last data collection
Anticipated
31/12/2026
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Passe and Williams Foundation
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
321295
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317462
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Women's and Children's Health Network Human Research Ethics Committee
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Ethics committee address [1]
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https://www.wchn.sa.gov.au/research/human-research
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Ethics committee country [1]
317462
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Australia
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Date submitted for ethics approval [1]
317462
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04/03/2025
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Approval date [1]
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08/04/2025
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Ethics approval number [1]
317462
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2025/HRE00024
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Summary
Brief summary
Polysomnography (PSG) currently remains the gold standard for diagnosing sleep-disordered breathing in children as it provides comprehensive monitoring of cardiac, respiratory, musculoskeletal, and neurological functions during sleep. However, paediatric PSG requires a 1-night in hospital stay with extensive instrumentation with multiple wires and sensors setup and monitored by skilled personnel. This process poses significant challenges that include long wait times, child and parental distress from the procedures and unnatural sleeping environment, high costs and problems of extrapolating 1-night PSG results to usual sleep at home. Alternatives like smartphone videos and overnight oximetry, though more accessible, lack diagnostic sensitivity, specificity and accuracy. This study aims to address these limitations by introducing a minimally intrusive on-mattress device capable of recording body position, acoustic, respiratory and cardiac signals, along with oximetry data (via a pulse oximeter) to identify breathing issues during sleep in the normal home sleeping environment. Following successful proof-of-concept trials in adults, this study seeks to pilot test the use of this device in children to assess potential clinical utility, feasibility and reliability compared to PSG and overnight oximetry in paediatric sleep medicine care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof A. Simon Carney
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Address
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Flinders University, Sturt Road, Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61 08 8277 0288
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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A. Simon Carney
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Address
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Flinders University, Sturt Road, Bedford Park, SA 5042
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Country
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Australia
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Phone
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+610882770288
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof. Peter Catcheside
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Address
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Flinders University, Sturt Road, Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61 08 7421 9164
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Informed consent form
PISCF for Paediatric Mattress Device +PSG Study V3_23Apr2025_clean.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF