Trial Outcomes & Findings for Effects of Bright Light Therapy in Mild Traumatic Brain Injury (NCT NCT01747811)

NCT ID: NCT01747811

Last Updated: 2017-06-01

Results Overview

The MSLT is a objective measure of sleepiness. Participants will take a brief nap 3 times during the 1st and second visit. The period of time between wake and sleep onset will be utilized as an objective measure of sleepiness (in minutes). A mean value will be calculated for the entirety of the pre-treatment napping periods and for the post treatment visits.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

Change from baseline performance at 6 weeks (post-treatment)

Results posted on

2017-06-01

Participant Flow

Participant milestones

Participant milestones
Measure
Wavelength-1 Bright Light
30 minutes daily light exposure for 6 weeks
Wavelength-2 Bright Light
30 minutes daily light exposure for 6 weeks
Overall Study
STARTED
16
16
Overall Study
COMPLETED
14
12
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Wavelength-1 Bright Light
30 minutes daily light exposure for 6 weeks
Wavelength-2 Bright Light
30 minutes daily light exposure for 6 weeks
Overall Study
Lack of Efficacy
2
4

Baseline Characteristics

Effects of Bright Light Therapy in Mild Traumatic Brain Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Wavelength-1 Bright Light
n=14 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=12 Participants
30 minutes daily light exposure for 6 weeks
Total
n=26 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
10 Participants
n=7 Participants
24 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
23.07 Years
STANDARD_DEVIATION 7.50 • n=5 Participants
23.46 Years
STANDARD_DEVIATION 8.64 • n=7 Participants
23.24 Years
STANDARD_DEVIATION 7.85 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Region of Enrollment
United States
14 participants
n=5 Participants
12 participants
n=7 Participants
26 participants
n=5 Participants

PRIMARY outcome

Timeframe: Change from baseline performance at 6 weeks (post-treatment)

The MSLT is a objective measure of sleepiness. Participants will take a brief nap 3 times during the 1st and second visit. The period of time between wake and sleep onset will be utilized as an objective measure of sleepiness (in minutes). A mean value will be calculated for the entirety of the pre-treatment napping periods and for the post treatment visits.

Outcome measures

Outcome measures
Measure
Wavelength-1 Bright Light
n=14 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=12 Participants
30 minutes daily light exposure for 6 weeks
Performance on Multiple Sleep Latency Test (MSLT)
MSLT_PreTreatment_Sleep Onset Latency (SOL)
6.67 minutes
Standard Deviation 3.91
7.32 minutes
Standard Deviation 5.41
Performance on Multiple Sleep Latency Test (MSLT)
MSLT_PostTreatment_Sleep Onset Latency (SOL)
6.73 minutes
Standard Deviation 5.98
7.88 minutes
Standard Deviation 5.83

SECONDARY outcome

Timeframe: Change from baseline performance at 6 weeks (post-treatment)

Population: A total of 22 participants had useable data, 4 participants were excluded due to movement in the images.

Change from baseline in left prefrontal cortical response during a multi source interference task at six weeks. Methods utilized to assess activity in the left prefrontal cortex/inferior frontal operculum included a regions of interest analysis.

Outcome measures

Outcome measures
Measure
Wavelength-1 Bright Light
n=13 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=9 Participants
30 minutes daily light exposure for 6 weeks
Neural Activation During Functional Magnetic Resonance Imaging (fMRI) Executive Function Task
0.098 Percent Signal Change
Standard Deviation 0.106
-0.025 Percent Signal Change
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Change from baseline at 6 weeks (post-treatment)

The Pittsburgh Sleep Quality Index is a self report measure of sleep quality. The overall score takes into account many different facets of sleep, such as sleep quality, sleep latency, sleep duration, sleep disturbances, etc. The scores range from 0-21, and any score that is equal to or greater than 5 is indicative of poor sleep quality.

Outcome measures

Outcome measures
Measure
Wavelength-1 Bright Light
n=14 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=12 Participants
30 minutes daily light exposure for 6 weeks
Score on Pittsburgh Sleep Quality Index (PSQI)
Pittsburgh Sleep Quality Index_Mean_PreTreatment
6.50 units on a scale
Standard Deviation 2.14
8.25 units on a scale
Standard Deviation 1.60
Score on Pittsburgh Sleep Quality Index (PSQI)
Pittsburgh Sleep Quality Index_Mean_PostTreatment
4.79 units on a scale
Standard Deviation 2.29
6.25 units on a scale
Standard Deviation 3.19

SECONDARY outcome

Timeframe: Change from baseline at 6 weeks (post-treatment)

Population: We collected usable actigraphy from 29 participants. The 7 remaining participants had unusable actigraphy data.

Actigraphy is an objective measure that determines sleep vs. wake. It is a watch with an accelerometer worn on the wrist. Sleep quality is determined by the amount of time in bed divided by the amount of time sleeping (in minutes).

Outcome measures

Outcome measures
Measure
Wavelength-1 Bright Light
n=14 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=12 Participants
30 minutes daily light exposure for 6 weeks
Actigraphy-measured Sleep Quality
86.17 minutes
Standard Deviation 1.60
85.70 minutes
Standard Deviation 5.21

SECONDARY outcome

Timeframe: Change from baseline at 6 weeks (post-treatment)

The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a neuropsychological assessment that measures different facets of memory including the following: immediate memory, visuospatial/constructional, language, attention, and delayed memory. This is given to all participants on both pre and post treatment visits. The total range for this scale is 40-160. Lower values represent a worse outcome, and higher values represent an improved outcome.

Outcome measures

Outcome measures
Measure
Wavelength-1 Bright Light
n=14 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=12 Participants
30 minutes daily light exposure for 6 weeks
Performance on Neuropsychological Assessment
Pre-treatment
102.71 units on a scale
Standard Deviation 9.55
101.67 units on a scale
Standard Deviation 19.01
Performance on Neuropsychological Assessment
Post Treatment
98.50 units on a scale
Standard Deviation 9.20
95.33 units on a scale
Standard Deviation 15.39

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from baseline at 6 weeks (post-treatment)

The Beck Depression Inventory (BDI-II) is a self report scale utilized for measuring the severity of depression. Scores can range from 0-63 (0 meaning minimal depressive symptoms, and 63 being severe depressive symptoms). Participants are given this on baseline and post treatment.

Outcome measures

Outcome measures
Measure
Wavelength-1 Bright Light
n=14 Participants
30 minutes daily light exposure for 6 weeks wavelength-1 bright light: 6 weeks of daily light exposure, 30 minutes per morning
Wavelength-2 Bright Light
n=12 Participants
30 minutes daily light exposure for 6 weeks
Change From Baseline in Beck Depression Inventory (BDI-II) Scores at 6 Weeks
4.00 units on a scale
Standard Deviation 5.07
4.83 units on a scale
Standard Deviation 3.88

Adverse Events

Wavelength-1 Bright Light

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

Wavelength-2 Bright Light

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

William Killgore

University of Arizona

Phone: 520-621-0605

Results disclosure agreements

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