Evidence map›Paper›PMID 37553702›Full record

ArticleBioelectronic medicine2023

Obstructive sleep apnea improves with non-invasive hypoglossal nerve stimulation using temporal interference.

Florian Missey, Malin Silverå Ejneby, Ibrahima Ngom, Mary J Donahue, Jan Trajlinek, Emma Acerbo, Boris Botzanowski, Antonino M Cassarà, Esra Neufeld, Eric D Glowacki and 3 more

Abstract read
In one paragraph

Article in Bioelectronic medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  14. Article
  15. Interfering with sleep apnea.Bioelectronic medicine · 2024
    Article
  16. Review
  17. Article
  18. Transcranial Electrical Neurostimulation as a Potential Addiction Treatment.Inquiry : a journal of medical care organization, provision and financing
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Florian MisseyInternational Clinical Research Center, St. Anne's University Hospital Brno, Brno, 60200, Czech Republic.
Malin Silverå EjnebyDepartment of Biomedical Engineering, Linköping University, Linköping, 58185, Sweden.
Ibrahima NgomInstitute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France.
Mary J DonahueLaboratory of Organic Electronics, Linköping University, Campus Norrköping, Norrköping, 602 21, Sweden.
Jan TrajlinekCentral European Institute of Technology, Brno University of Technology, Brno, 61200, Czech Republic.
Emma AcerboInstitute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France.
Boris BotzanowskiInstitute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France.
Antonino M CassaràIT'IS Foundation for Research on Information Technologies in Society, Zurich, 8004, Switzerland.
Esra NeufeldIT'IS Foundation for Research on Information Technologies in Society, Zurich, 8004, Switzerland.
Eric D GlowackiCentral European Institute of Technology, Brno University of Technology, Brno, 61200, Czech Republic.
Lee ShangoldENT and Allergy Associates, 1500 Route 112, Port Jefferson Station, New York, 11776, USA.
William M HanesSomnial Inc, 25 Health Sciences Dr, Stony Brook, New York, USA.
Adam WilliamsonInternational Clinical Research Center, St. Anne's University Hospital Brno, Brno, 60200, Czech Republic. adam.williamson@fnusa.cz.

Funding

European Research Council 834677 "e-NeuroPharma" ERC-2018-ADG
6 · The paper itself

Abstract

backgroundPeripheral nerve stimulation is used in both clinical and fundamental research for therapy and exploration. At present, non-invasive peripheral nerve stimulation still lacks the penetration depth to reach deep nerve targets and the stimulation focality to offer selectivity. It is therefore rarely employed as the primary selected nerve stimulation method. We have previously demonstrated that a new stimulation technique, temporal interference stimulation, can overcome depth and focality issues.

methodsHere, we implement a novel form of temporal interference, bilateral temporal interference stimulation, for bilateral hypoglossal nerve stimulation in rodents and humans. Pairs of electrodes are placed alongside both hypoglossal nerves to stimulate them synchronously and thus decrease the stimulation amplitude required to activate hypoglossal-nerve-controlled tongue movement.

resultsComparing bilateral temporal interference stimulation with unilateral temporal interference stimulation, we show that it can elicit the same behavioral and electrophysiological responses at a reduced stimulation amplitude. Traditional transcutaneous stimulation evokes no response with equivalent amplitudes of stimulation.

conclusionsDuring first-in-man studies, temporal interference stimulation was found to be well-tolerated, and to clinically reduce apnea-hypopnea events in a subgroup of female patients with obstructive sleep apnea. These results suggest a high clinical potential for the use of temporal interference in the treatment of obstructive sleep apnea and other diseases as a safe, effective, and patient-friendly approach.

trial registrationThe protocol was conducted with the agreement of the International Conference on Harmonisation Good Clinical Practice (ICH GCP), applicable United States Code of Federal Regulations (CFR) and followed the approved BRANY IRB File # 22-02-636-1279.

Indexed as

Hypoglossal nerveObstructive sleep apneaPeripheral nerve stimulationTemporal interference

Identifiers

PMID37553702
PMCPMC10410873

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.