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Trial registered on ANZCTR
Registration number
ACTRN12625000606482
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
Testing a novel mattress device to record sleep-disordered breathing in children
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Scientific title
Testing a novel mattress device to record sleep-disordered breathing in paediatric patients
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Secondary ID [1]
314318
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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
337270
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Snoring
337271
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Airway obstruction during sleep
337272
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Condition category
Condition code
Respiratory
333670
333670
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0
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Other respiratory disorders / diseases
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Respiratory
333671
333671
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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 will provide comparative observational data for comparisons between devices across multiple nights 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.
If the participant does undergo upper airway surgery after participating in the 14 at-home nights, there is an option to repeat the 14 nights at home with the two devices once recovered from the surgery. This will be an opt-in choice by the parent and participant. These preliminary observational data will be used to test the sensitivity of novel device measures to standard care surgical interventions, with oximetry as a useful comparator control.
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Intervention code [1]
331064
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Diagnosis / Prognosis
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Comparator / control treatment
Overnight oximetry respiratory disturbance metrics will be compared with device detected respiratory disturbance metrics. Both 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.
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).
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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. Daily diary and recordings/data from the mattress device.
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Timepoint [1]
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Analysis at the end of 14 nights of data from at-home use of the mattress and oximetry devices and diary
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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. Daily diary and recordings/data from the mattress device.
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Timepoint [2]
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Analysis at the end of 14 nights of data from at-home use of the mattress device and diary
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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. Daily diary and data from the oximetry device.
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Timepoint [3]
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Analysis at the end of 14 nights of data from at-home use of the oximetry device and diary
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Secondary outcome [1]
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nil
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Assessment method [1]
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nil
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Timepoint [1]
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nil
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Eligibility
Key inclusion criteria
*parents willing and capable of providing informed consent prior to any screening or study specific procedure
*willing to participate in the designated follow up visits
*paediatric patients under age of 12
*history of snoring and/or sleep disordered breathing requiring ENT assessment for consideration of adenotonsillar surgery
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Minimum age
No limit
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Maximum age
12
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
significant clinician identified comorbidities making them unable or inappropriate to participate in this study
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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
This is a pilot observational study to determine the feasibility and reliability of novel mattress sensor device measurements in a paediatric clinical population in which novel measures may have future clinically utility. Statistics will be descriptive, to describe the study population characteristics, count data to describe the number of successful versus failed recordings, and exploratory of relationships between novel non-intrusive device measures versus more conventional worn sensor oximetry metrics. Preliminary data will also importantly inform future study design choices and sample size selection which require knowledge regarding the nature of the currently unknown distribution of novel metrics.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
23/06/2025
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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]
318840
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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]
318840
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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]
321288
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None
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Name [1]
321288
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none
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Address [1]
321288
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Country [1]
321288
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317457
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Flinders University Human Research Ethics Committee
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Ethics committee address [1]
317457
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https://staff-projects.flinders.edu.au/research-support/integrity/human-ethics
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Ethics committee country [1]
317457
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Australia
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Date submitted for ethics approval [1]
317457
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26/11/2024
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Approval date [1]
317457
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09/04/2025
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Ethics approval number [1]
317457
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8110
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Summary
Brief summary
Polysomnography (PSG) remains as the gold standard for diagnosing sleep-disordered breathing in children as it provides comprehensive monitoring of cardiac, respiratory, musculoskeletal, and neurological functions. However, the procedure’s requirement for overnight hospital stays and skilled personnel poses significant challenges including long wait times, high costs and difficulties in reflecting daily sleep patterns due to the unnatural sleeping environment. Alternatives like smartphone videos and overnight oximetry, though more accessible, lack diagnostic accuracy. This study aims to address these limitations, by introducing a minimally invasive on-mattress device capable of recording body position, acoustic, respiratory and cardiac signals, with oximetry data (via a pulse oximeter) to identify breathing issues during sleep. We hypothesise that this device will simplify and improve the diagnosis of sleep-disordered breathing in children.
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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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+610882770288
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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
141095
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+610882770288
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Fax
141095
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Email
141095
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[email protected]
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Contact person for scientific queries
Name
141096
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Prof. Peter Catcheside
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Address
141096
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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
141096
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+61 08 7421 9164
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Fax
141096
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Email
141096
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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 Study V4 (01APR2025) - Clean.pdf
Informed consent form
HREC - Child or Lay Language PICF V2 (01APR2025)-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