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Inspire Upper Airway Stimulation System

Phase 3

Down Syndrome | Unknown | Other |Inspire Medical Systems, Inc.|Last Updated: Sep 18, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment57
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04801771Effects of Hypoglossal Nerve Stimulation on Cognition and Language in Down Syndrome and Obstructive Sleep ApneaPHASE3 ACTIVE NOT_RECRUITING 57Jun 24, 2021Sep 30, 2027Sep 18, 20258 United States
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Study Endpoints
Primary Endpoints
Change in intelligence using the Kaufman Brief Intelligence Scale (KBIT-2)
6 Months post-implant

Change in the Intelligence Quotient Standard Score of at least 0.5 standard deviation from baseline

Change in attention using the Wechsler Intelligence Scale
6 Months post-implant

Change in Cancellation scaled score of at least 0.5 standard deviation from baseline

Change in processing speed using the Cambridge Neuropsychological Test Automated Battery (CANTAB)
6 Months post-implant

Change in RTIFMDRT and RTIFMDMT raw scores of at least 0.5 standard deviation from baseline

Change in executive functioning using the Delis-Kaplan Executive Functioning System (DKEFS)
6 Months post-implant

Change in Category Functioning scaled score of at least 0.5 standard deviation from baseline

Change in learning and memory using the Cambridge Neuropsychological Test Automated Battery - Paired Associates Learning
6 Months post-implant

Change in PAL-TEA raw score of at least 0.5 standard deviation from baseline

Change in language using Expressive Language Sampling
6 Months post-implant

Change in % of unintelligible C-units, number of different word roots and mean length of C-units in morphemes of at least 0.5 standard deviation from baseline

Secondary Endpoints
Rate of procedure and device-related adverse events
Implant through 12 Months post-implant
Change in Obstructive Sleep Apnea (OSA)
3, 6, 12 Months post-implant
Change in quality of life as measured by OSA-18 and ESS-CHAD questionnaires
12 months post-implant
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Subjects implanted with Inspire UAS SystemEXPERIMENTALSubjects who meet eligibility criteria will be implanted with the Inspire Upper Airway Stimulation (UAS) System.
Interventions
NameTypeDescription
Inspire Upper Airway Stimulation (UAS) SystemDEVICEThe Inspire UAS System is an implantable device that provides hypoglossal nerve stimulation for the treatment of obstructive sleep apnea.
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Eligibility Criteria
Age Range10 Years — 21 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: * Diagnosis of Down syndrome * Age 10-21 years * Prior adenotonsillectomy * Severe OSA (AHI \> 10, AHI \< 50, no more than 25% AHI attributable to central events) based on prior in-lab PSG performed after adenotonsillectomy and within 18 months of enrollment * Approval from at l...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04801771primaryCompletionDate: changed
LOWMay 24, 2026NCT04801771studyFirstPostDate: changed