Therapeutic area · Obstructive sleep apneaUpdated October 13, 2026

EDC for obstructive sleep apnea clinical trials

The headline endpoint in a sleep apnea trial comes from an overnight study that someone else scored, the symptom endpoints come from the participant’s phone, and the adherence number comes from a device. Capture keeps the sleep-study results, questionnaires, device-use data and safety events together on one record with one audit trail. Build it free in the sandbox, no credit card.

  • Sleep-study results per visit
  • Sleepiness scale on the phone
  • Device-use hours as data

Free sandbox · No credit card · 21 CFR Part 11 aligned

Overnight sleep study results (demo)
Subject 006-0023 · Week 12 · Home sleep apnea testSubmitted

Scored by central reader

Study type

SSTYPE
In-lab polysomnographyHome sleep apnea test

Recording time

RECHR
7.4hours

AHI, 4% hypopnea rule

AHI4
18.6events/h

Oxygen desaturation index, 4%

ODI4
15.2events/h

Lowest oxygen saturation

SPO2MIN
81%

Study quality

QUAL
AdequateTechnically inadequate, repeat
Demo data only. Rules, units and quality thresholds follow your protocol.Save
The scoring rule is part of the variable name

What an obstructive sleep apnea trial needs from its EDC

  • The scoring rule travels with the number: current drug-trial protocols name an AHI based on a 4% desaturation rule as primary and report an arousal-based 3% version alongside it, so each result should be stored with the rule that produced it.
  • Results from a reader, not the site: the overnight study is usually scored centrally. The EDC should record the study type, quality and the reader’s values, and let a repeat study replace a failed one with the audit trail intact.
  • Symptoms from the participant: sleepiness and quality-of-life questionnaires and a short diary belong on the participant’s phone, on a schedule that matches the study visits.
  • Adherence as data: for CPAP, oral appliance and other device trials, hours of use per night is often the key secondary or primary measure, with 4 hours per night a common adherence cut-off.
  • Cardiometabolic safety: blood pressure, weight and adverse events are collected at every visit in the same record.

The study data

What a sleep apnea protocol asks you to capture

Obstructive sleep apnea trials fall into two families. Device and procedure trials compare positive airway pressure, mandibular advancement devices, hypoglossal nerve stimulation, surgery or position therapy, and are often unblinded or sham-controlled. Drug and behavioural trials (weight loss, exercise, medicines aimed at airway muscle tone or arousal) usually run a placebo-controlled parallel or crossover design. Both depend on a baseline sleep study to confirm the diagnosis, with an apnea-hypopnea index of 5 or more events per hour a common entry threshold and bands such as 5 to 14 (mild), 15 to 30 (moderate) and above 30 (severe) used to stratify.

The primary endpoint in recent drug protocols is the change in AHI using a 4% hypopnea rule, with the oxygen desaturation index and an AHI that counts 3% desaturations or arousals reported as secondary or supportive. These are protocol and scoring-manual decisions and they change the numbers, so a good form stores the study type (in-lab polysomnography or home sleep apnea test), recording time, each index with its rule in the variable name, lowest oxygen saturation and a quality flag. Do not overwrite a failed study; enter the repeat as a new record and let the reason for any change sit in the audit trail.

This page is the apnea-specific companion to EDC for sleep disorder clinical trials, which covers insomnia and general sleep medicine with a nightly diary. Here the focus is the sleep study, the airway device and the sleepiness and cardiometabolic outcomes that define OSA research.

Where the sleep-study file lives

Raw polysomnography and home-test signals are large files held in the scoring software or by the central reader. Capture is not a signal archive. The eCRF holds the structured results the analysis needs, the identifier of the study so a reviewer can find the file, and the date. Agree the transfer format with the central reader in the data management plan, and decide whether results are entered by the site or imported by the study team from the reader’s report.

Baseline severity band (demo)

AHI, events per hour

18.6 / 60

Moderate (15 to 30)
0-5 Below 55-15 Mild (5 to 14)15-30 Moderate (15 to 30)30-60 Severe (over 30)
Bands are protocol-defined strata, shown as demo data

Protocol to build

Sleep apnea protocol elements and where they live in Capture

Protocol elementWhat the data looks likeWhere it lives in Capture
EligibilityAHI threshold, symptoms, BMI, airway exam, comorbidities, prior therapyEligibility form with a calculated BMI and edit checks
Sleep studyStudy type, recording time, AHI and ODI with their rules, minimum saturation, qualityVisit eCRF form per study; repeat studies as new records
Sleepiness and sleep qualityQuestionnaire items, total and datePhone questionnaires such as the Epworth Sleepiness Scale template and PSQI template
Daily symptomsMorning sleep diary, naps, device used last nightPhone diary based on the sleep diary template
Device useHours per night, nights used, mask or appliance problemsRepeating site form or study-team import; see medication adherence capture for the pattern
CardiometabolicBlood pressure, weight, waist, glucose, lipidsVital signs and lab results forms
AllocationArm, stratified by severity band or BMIRandomization in the same platform
SafetyAdverse events, device-related events, serious eventsAdverse event form with severity, seriousness and causality as separate fields

Capture records the data your protocol defines. Diagnosis, scoring rules and severity are decided by clinicians, scorers and the statistical plan.

Build the week 12 visit before you enrol

Upload the protocol, let the AI draft the visits and forms for review, then run a practice participant through the sleep study, a sleepiness questionnaire and a device check on a real phone. Free sandbox.

Build your sleep apnea study free

Device adherence

Hours of use, the 4-hour convention and what the EDC can honestly hold

In positive airway pressure trials, usage in hours per night is often an outcome in its own right, and the proportion of participants using the device for 4 hours or more per night is a frequent adherence definition. Registered trials differ: some take objective usage from the device’s memory card or modem, others rely on self-report. Decide the source, the period (last 7 nights, last 30 nights or since the previous visit) and how to treat nights with no data, and write the rule down before the first visit.

Capture does not connect to a CPAP machine or vendor cloud. What it can do is hold the numbers: a site form that records average nightly hours and nights used for the period, or a study-team import of the device report into the same record, with the source named in a field. A participant-reported morning item (“Did you use the device last night?”) is a separate, subjective measure and should be kept as one. Keep the two apart so the analysis can compare them. For wearable data that does sync natively, see EDC for wearable device studies.

Adherence is also a retention risk. Reminders, a visible completion window and a coordinator view of who has not responded keep short questionnaires on schedule; see ePRO compliance and reminders.

Device use by site · Week 12 (demo)

Participants ≥ 4 h/night

71%

Median hours

5.3

No download this period

3

Site 00178/100
Site 00269/100
Site 00352/100

Two device downloads missing

A dashboard the team builds from exports, not a built-in report

Safety and blinding

Safety, sham arms and keeping the scorer blind

Safety in sleep apnea trials includes the usual adverse event list plus device-specific events: skin irritation from masks, dry mouth, jaw or tooth discomfort with oral appliances, procedure-related events with surgery or implants, and for drugs whatever the compound brings. Keep onset, severity, seriousness, relationship and action taken as separate answers; the AE seriousness decision tree and AE causality assessment page explain how.

Many device trials cannot blind the participant. They can still blind the people who score outcomes. Blinded roles in Capture never receive treatment-arm values, enforced by masked database views and row-level security rather than by the interface alone, which lets a central scorer or an outcome assessor work without seeing the allocation. For a sham-controlled design, record the allocation only in the randomization module and keep device serial numbers on a restricted form.

Build sequence

From sleep apnea protocol to a live study

A realistic order of work for a sponsor, device company or investigator-initiated team.

  1. 1

    Draft visits and forms

    Upload the protocol (PDF, DOCX or DOC) and let the AI study builder propose the schedule and forms. Nothing is saved until a person reviews it.

  2. 2

    Build the sleep-study form

    One form with study type, recording time, each index with its scoring rule, minimum saturation and a quality flag, plus range checks on every value.

  3. 3

    Set up the phone questionnaires

    Sleepiness, sleep quality and the morning diary with completion windows and reminders; licences for named instruments stay with your study documents.

  4. 4

    Add device-use and safety forms

    Average hours, nights used and source of the figure; adverse events with device-related events as a category.

  5. 5

    Test, approve and go live

    Run practice participants through a failed study, a missed download and a device problem, approve the forms and start the paid live phase when real participants enrol.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

Can Capture store AHI and ODI from a sleep study?

Yes, as structured number fields with units and range checks. Store the scoring rule with each value, for example 3% or 4%, because the rule changes the result.

Does Capture connect to CPAP machines?

No. Capture does not claim a CPAP or sleep-device integration. Device-use hours can be entered by the site or imported by the study team into the same record, with the source recorded.

Can participants complete the Epworth Sleepiness Scale on a phone?

You can build a phone questionnaire that opens from a secure link, with reminders. Capture does not supply licensed wording; your team confirms the terms with the rights holder and files them with the study documents.

How do we keep the sleep scorer blind?

Blinded roles never receive treatment-arm values; this is enforced by masked database views and row-level security, so a scorer or outcome assessor can enter or review results without seeing the arm.

Is a repeat sleep study handled?

Record it as a new entry with a quality flag on the original. Changes to a field show old value, new value, user, time and reason in the audit trail.

Is the platform 21 CFR Part 11 compliant?

Capture provides 21 CFR Part 11-aligned controls: a field-level audit trail, electronic signatures and role-based access. Compliance is shared with the sponsor’s own validated use of the system. This is not legal advice.

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