Combination Tonsillectomy and Hypoglossal Nerve Stimulation for OSA Patients With Lateral Pharyngeal Collapse

NCT07724938 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 72

Last updated 2026-07-24

No results posted yet for this study

Summary

The goal of this clinical trial is to learn whether removing the tonsils at the time of hypoglossal nerve stimulation improves treatment of obstructive sleep apnea in adults whose airway collapses from the side of the upper airway during sleep. The main questions it aims to answer are:

1. Does hypoglossal nerve stimulation combined with tonsillectomy reduce the severity of obstructive sleep apnea more than hypoglossal nerve stimulation alone?
2. Does tonsillectomy improve how effectively hypoglossal nerve stimulation opens and stabilizes the upper airway?

Researchers will compare participants who receive hypoglossal nerve stimulation with tonsillectomy to participants who receive hypoglossal nerve stimulation alone.

Participants will:

* Complete sleep studies, questionnaires, and other assessments before and after treatment
* Be randomly assigned to receive hypoglossal nerve stimulation either with or without tonsillectomy
* Return for follow-up visits and sleep testing to evaluate treatment effectiveness
* In a subset of participants, complete additional overnight testing to measure how treatment changes upper-airway collapsibility

Conditions

Interventions

PROCEDURE

Tonsillectomy

Tonsillectomy

DEVICE

HGNS

HGNS alone (without concomitant tonsillectomy)

Sponsors & Collaborators

  • Massachusetts Eye and Ear Infirmary

    collaborator OTHER
  • Brigham and Women's Hospital

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-08-31
Primary Completion
2030-08-31
Completion
2031-02-28
FDA Device
Yes

Countries

  • United States

Study Locations

More Related Trials

Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07724938 on ClinicalTrials.gov