Trial Outcomes & Findings for Study of Trazodone & Cognitive Behavioral Therapy to Treat Insomnia (NCT NCT01348542)

NCT ID: NCT01348542

Last Updated: 2020-02-25

Results Overview

Polysomnography (8 hours fixed time in bed) will be used to measure sleep duration at baseline and post treatment (3 months)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Baseline to Post Treatment (3 months)

Results posted on

2020-02-25

Participant Flow

Participant milestones

Participant milestones
Measure
Trazodone
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Overall Study
STARTED
13
11
Overall Study
COMPLETED
10
11
Overall Study
NOT COMPLETED
3
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Trazodone
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Overall Study
Withdrawal by Subject
3
0

Baseline Characteristics

Study of Trazodone & Cognitive Behavioral Therapy to Treat Insomnia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Trazodone
n=10 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=11 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
42.6 years
STANDARD_DEVIATION 8.75 • n=5 Participants
45.27 years
STANDARD_DEVIATION 9.94 • n=7 Participants
44.0 years
STANDARD_DEVIATION 9.26 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Insomnia Severity Index
16.70 score on a scale
STANDARD_DEVIATION 3.59 • n=5 Participants
16.18 score on a scale
STANDARD_DEVIATION 2.18 • n=7 Participants
16.43 score on a scale
STANDARD_DEVIATION 2.87 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Post Treatment (3 months)

Population: Objective Short Sleepers defined by 2 week actigraphy sleep duration measurement

Polysomnography (8 hours fixed time in bed) will be used to measure sleep duration at baseline and post treatment (3 months)

Outcome measures

Outcome measures
Measure
Trazodone
n=7 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=8 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Change in Objective Polysomnography Sleep Duration From Baseline to Post Treatment (3 Months)
28.95 minutes
Standard Deviation 31.70
38.91 minutes
Standard Deviation 24.74

PRIMARY outcome

Timeframe: Baseline to follow up (9 months)

Population: From the 21 participants who completed the study, 15 met the criteria for objective short sleep duration and were included in the final analysis.

Polysomnography (8 hours fixed time in bed) will be used to measure sleep duration at baseline and follow up (9 months)

Outcome measures

Outcome measures
Measure
Trazodone
n=7 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=8 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Change in Objective Polysomnography Sleep Duration From Baseline to Follow up (9 Months)
51.78 minutes
Standard Deviation 76.39
32.36 minutes
Standard Deviation 30.31

PRIMARY outcome

Timeframe: Baseline to Post Treatment (3 months)

Population: From the 21 participants who completed the study, 15 met the criteria for objective short sleep duration and were included in the final analysis.

Actigraphy (ad libitum time in bed) will be used to measure sleep duration at baseline and Post Treatment (3 months)

Outcome measures

Outcome measures
Measure
Trazodone
n=7 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=8 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Change in Objective Actigraphy Sleep Duration From Baseline to Post Treatment (3 Months)
51.01 minutes
Standard Deviation 57.50
-11.73 minutes
Standard Deviation 31.43

PRIMARY outcome

Timeframe: Baseline to follow up (9 months)

Population: From the 21 participants who completed the study, 15 met the criteria for objective short sleep duration and were included in the final analysis.

Actigraphy (ad libitum time in bed) will be used to measure sleep duration at baseline and follow up (9 months)

Outcome measures

Outcome measures
Measure
Trazodone
n=7 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=8 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Change in Objective Actigraphy Sleep Duration From Baseline to Follow up (9 Months)
50.35 minutes
Standard Deviation 27.47
-7.56 minutes
Standard Deviation 38.04

SECONDARY outcome

Timeframe: Baseline to Post Treatment (3 months)

Population: From the 21 participants who completed the study, 15 met the criteria for objective short sleep duration and were included in the final analysis.

The Insomnia Severity Index (ISI) was used to measure the change in severity of sleep disturbance at baseline to post treatment (3 months). The ISI is composed of 7 items each rated on a scale of 0-4. The total score was calculated by adding the individual item scores. The total ISI scale score ranged from 0-28 with higher total scores indicating a higher severity of insomnia symptoms.

Outcome measures

Outcome measures
Measure
Trazodone
n=7 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=8 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Change From Baseline in Subjective Severity of Sleep Disturbance at 3 Months
-12.29 score on a scale
Standard Deviation 4.35
-10.75 score on a scale
Standard Deviation 2.87

SECONDARY outcome

Timeframe: Baseline to follow up (9 months)

Population: From the 21 participants who completed the study, 15 met the criteria for objective short sleep duration and were included in the final analysis.

The Insomnia Severity Index (ISI) was used to measure the change in severity of sleep disturbance at baseline to Follow Up (9 months). The ISI is composed of 7 items each rated on a scale of 0-4. The total score was calculated by adding the individual item scores. The total ISI scale score ranged from 0-28 with higher total scores indicating a higher severity of insomnia symptoms.

Outcome measures

Outcome measures
Measure
Trazodone
n=7 Participants
Trazodone: 50 mg once a day, for 3 months
Cognitive Behavioral Therapy
n=8 Participants
Cognitive Behavioral Therapy: The CBT Protocol is implemented over a period of 12 weeks, with 4 consultations held on a weekly basis and 4 held on a biweekly basis.
Change From Baseline in Subjective Severity of Sleep Disturbance at 9 Months
-13.29 score on a scale
Standard Deviation 3.77
-10.38 score on a scale
Standard Deviation 3.02

Adverse Events

Trazodone

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cognitive Behavioral Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Alexandros Vgontzas

Penn State University College of Medicine

Phone: 717 531-7278

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place