UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058037
Receipt number R000066337
Scientific Title The Impact of Comparing Treatment Status with Other Patients on Adherence to CPAP Therapy (CPAP-League Trial)
Date of disclosure of the study information 2025/06/25
Last modified on 2025/08/29 16:48:59

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Basic information

Public title

The Impact of Comparing Treatment Status with Other Patients on Adherence to CPAP Therapy (CPAP-League Trial)

Acronym

CPAP League Trial

Scientific Title

The Impact of Comparing Treatment Status with Other Patients on Adherence to CPAP Therapy (CPAP-League Trial)

Scientific Title:Acronym

CPAP League Trial

Region

Japan


Condition

Condition

Sleep apnea

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary objective of the study is to examine whether adherence to CPAP treatment improves in patients with SAS who have been undergoing CPAP therapy for a long period by showing them the treatment status of other patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The number of participants who demonstrated improved CPAP adherence when comparing pre- and post-intervention periods.

CPAP adherence during the six months following initiation of the intervention will be compared with adherence during the three months before obtaining consent. Improvement in adherence will be defined as meeting either of the following criteria: (1) an increase of >=10% in the proportion of days with >=4 hours of CPAP use, or (2) an increase of >=40 minutes in the average daily usage time.

The observation period after the intervention is six months.

Key secondary outcomes

1. The proportion of days with >= 4 hours of CPAP use
2. Average daily CPAP usage time
3. Daytime sleepiness assessed using a questionnaire


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

1. Participants will receive monthly feedback on their CPAP therapy treatment data (usage time and the proportion of days with >4 hours of use) via mail or email for 6 months.

Interventions/Control_2

1. Participants will receive monthly feedback on their CPAP therapy treatment data (usage time and the proportion of days with >4 hours of use) via mail or email for 6 months.

2. The CPAP therapy treatment data of all study participants will be aggregated, and each participant will be ranked among the participants based on their treatment adherence. The results of the aggregations and the ranking will be provided as feedback to each participant every month.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. CPAP therapy has been initiated for SAS, diagnosed according to Japanese public health insurance criteria (apnea hypopnea index (AHI) >= 20/h by polysomnography, or respiratory event index (REI) is equal to or more than 40/h by portable monitoring device at the time of OSA diagnosis).

2. The patient is regularly attending outpatient visits to maintain CPAP therapy, in accordance with Japanese public health insurance requirements.

3. At least three months have passed since the introduction of the CPAP telemonitoring system.

Key exclusion criteria

A) Treatment adherence is already sufficiently good, with little need for further improvement. (Defined as a proportion of days with >4 hours of CPAP use of 90% or higher, and an average daily usage time >=7 hours over the past three months.)
B) No CPAP usage at all during the past three months (for example, due to business trips, caring for family members, or other social reasons resulting in an inability to use CPAP, and for whom improvement in adherence through this intervention is not expected).
C) Working night shifts twice or more a week.
D) Patients with cognitive impairment

Target sample size

186


Research contact person

Name of lead principal investigator

1st name Kimihiko
Middle name
Last name Murase

Organization

Graduate School of Medicine, Kyoto University

Division name

Departement of Respiratory Medicine

Zip code

606-8507

Address

54 Kawaharacho Syogoin Sakyo Kyoto

TEL

0757513852

Email

kyodaisuimin@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Kimihiko
Middle name
Last name Murase

Organization

Graduate School of Medicine, Kyoto University

Division name

Departement of Respiratory Medicine

Zip code

606-8507

Address

54 Kawaharacho Syogoin Sakyo Kyoto

TEL

0757513852

Homepage URL


Email

kyodaisuimin@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto university

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto University Graduate School and Faculty of Medicine, Ethics Committee

Address

54 Kawaharacho Shogoin Sakyo Kyoto

Tel

0753667618

Email

ethcom@kuhp.kyoto-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW

京都府


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 06 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 05 Month 31 Day

Date of IRB

2025 Year 07 Month 15 Day

Anticipated trial start date

2025 Year 09 Month 01 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 06 Month 01 Day

Last modified on

2025 Year 08 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066337