Trial Outcomes & Findings for Understanding the Sleep Apnea/Insomnia Interaction (NCT NCT01824472)

NCT ID: NCT01824472

Last Updated: 2020-08-05

Results Overview

Insomnia Severity Index. Minimum: 0. Maximum: 28. Higher scores mean worse outcome. The outcome measure is reported as a change score in which the score at baseline is subtracted from the score at follow-up, thus the more negative the score, the larger the improvement. The total score represents an addition of the questions totals; there is no specific subscale modification required to calculate the total score.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

Between Baseline and Day 42.

Results posted on

2020-08-05

Participant Flow

Participant milestones

Participant milestones
Measure
CPAP+CC
CPAP therapy for sleep apnea and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) CPAP: Treatment for sleep apnea CC: Placebo (sham) for insomnia
Sham CPAP+CC
sham CPAP (ineffective CPAP--placebo/sham for sleep apnea) and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) sham CPAP: Placebo for sleep apnea CC: Placebo (sham) for insomnia
CPAP+CBT
CPAP therapy for sleep apnea and cognitive-behavioral therapy for insomnia CPAP: Treatment for sleep apnea CBT: Treatment for insomnia
Overall Study
STARTED
17
13
15
Overall Study
COMPLETED
16
6
11
Overall Study
NOT COMPLETED
1
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
CPAP+CC
CPAP therapy for sleep apnea and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) CPAP: Treatment for sleep apnea CC: Placebo (sham) for insomnia
Sham CPAP+CC
sham CPAP (ineffective CPAP--placebo/sham for sleep apnea) and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) sham CPAP: Placebo for sleep apnea CC: Placebo (sham) for insomnia
CPAP+CBT
CPAP therapy for sleep apnea and cognitive-behavioral therapy for insomnia CPAP: Treatment for sleep apnea CBT: Treatment for insomnia
Overall Study
Lost to Follow-up
0
0
1
Overall Study
Withdrawal by Subject
1
5
3
Overall Study
Ineligible post randomization&screening
0
2
0

Baseline Characteristics

Understanding the Sleep Apnea/Insomnia Interaction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CPAP+CC
n=17 Participants
CPAP therapy for sleep apnea and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) CPAP: Treatment for sleep apnea CC: Placebo (sham) for insomnia
Sham CPAP+CC
n=13 Participants
sham CPAP (ineffective CPAP--placebo/sham for sleep apnea) and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) sham CPAP: Placebo for sleep apnea CC: Placebo (sham) for insomnia
CPAP+CBT
n=15 Participants
CPAP therapy for sleep apnea and cognitive-behavioral therapy for insomnia CPAP: Treatment for sleep apnea CBT: Treatment for insomnia
Total
n=45 Participants
Total of all reporting groups
Age, Continuous
46.9 years
STANDARD_DEVIATION 11.1 • n=5 Participants
49.4 years
STANDARD_DEVIATION 14.6 • n=7 Participants
48.5 years
STANDARD_DEVIATION 14.6 • n=5 Participants
48.2 years
STANDARD_DEVIATION 12.9 • n=4 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
22 Participants
n=4 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
8 Participants
n=7 Participants
7 Participants
n=5 Participants
23 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=5 Participants
8 Participants
n=7 Participants
5 Participants
n=5 Participants
22 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
18 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Insomnia Severity Index
22.4 units on a scale
STANDARD_DEVIATION 3.5 • n=5 Participants
22.2 units on a scale
STANDARD_DEVIATION 3.1 • n=7 Participants
21.4 units on a scale
STANDARD_DEVIATION 3.0 • n=5 Participants
21.9 units on a scale
STANDARD_DEVIATION 3.2 • n=4 Participants

PRIMARY outcome

Timeframe: Between Baseline and Day 42.

Population: Study participants who completed protocol

Insomnia Severity Index. Minimum: 0. Maximum: 28. Higher scores mean worse outcome. The outcome measure is reported as a change score in which the score at baseline is subtracted from the score at follow-up, thus the more negative the score, the larger the improvement. The total score represents an addition of the questions totals; there is no specific subscale modification required to calculate the total score.

Outcome measures

Outcome measures
Measure
CPAP+CC
n=16 Participants
CPAP therapy for sleep apnea and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) CPAP: Treatment for sleep apnea CC: Placebo (sham) for insomnia
Sham CPAP+CC
n=6 Participants
sham CPAP (ineffective CPAP--placebo/sham for sleep apnea) and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) sham CPAP: Placebo for sleep apnea CC: Placebo (sham) for insomnia
CPAP+CBT
n=11 Participants
CPAP therapy for sleep apnea and cognitive-behavioral therapy for insomnia CPAP: Treatment for sleep apnea CBT: Treatment for insomnia
Insomnia Severity Index Score
-8.2 score on a scale
Standard Deviation 6.49
-7.33 score on a scale
Standard Deviation 7.28
-6.27 score on a scale
Standard Deviation 5.9

Adverse Events

CPAP+CC

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Sham CPAP+CC

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

CPAP+CBT

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CPAP+CC
n=17 participants at risk
CPAP therapy for sleep apnea and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) CPAP: Treatment for sleep apnea CC: Placebo (sham) for insomnia
Sham CPAP+CC
n=13 participants at risk
sham CPAP (ineffective CPAP--placebo/sham for sleep apnea) and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) sham CPAP: Placebo for sleep apnea CC: Placebo (sham) for insomnia
CPAP+CBT
n=15 participants at risk
CPAP therapy for sleep apnea and cognitive-behavioral therapy for insomnia CPAP: Treatment for sleep apnea CBT: Treatment for insomnia
Renal and urinary disorders
Kidney problems
0.00%
0/17 • 3 months
We used the clinical trials website definitions
7.7%
1/13 • Number of events 1 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions
Gastrointestinal disorders
Gastroenteritis
0.00%
0/17 • 3 months
We used the clinical trials website definitions
7.7%
1/13 • Number of events 2 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions

Other adverse events

Other adverse events
Measure
CPAP+CC
n=17 participants at risk
CPAP therapy for sleep apnea and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) CPAP: Treatment for sleep apnea CC: Placebo (sham) for insomnia
Sham CPAP+CC
n=13 participants at risk
sham CPAP (ineffective CPAP--placebo/sham for sleep apnea) and contact control (placebo/sham for cognitive-behavioral therapy for insomnia) sham CPAP: Placebo for sleep apnea CC: Placebo (sham) for insomnia
CPAP+CBT
n=15 participants at risk
CPAP therapy for sleep apnea and cognitive-behavioral therapy for insomnia CPAP: Treatment for sleep apnea CBT: Treatment for insomnia
Cardiac disorders
Atrial Fibrillation
0.00%
0/17 • 3 months
We used the clinical trials website definitions
7.7%
1/13 • Number of events 1 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions
Infections and infestations
Sinus infection
5.9%
1/17 • Number of events 1 • 3 months
We used the clinical trials website definitions
0.00%
0/13 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions
Ear and labyrinth disorders
Ear ache
5.9%
1/17 • Number of events 1 • 3 months
We used the clinical trials website definitions
0.00%
0/13 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions
General disorders
Mouth pain
5.9%
1/17 • Number of events 1 • 3 months
We used the clinical trials website definitions
0.00%
0/13 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions
Nervous system disorders
Dizziness
0.00%
0/17 • 3 months
We used the clinical trials website definitions
0.00%
0/13 • 3 months
We used the clinical trials website definitions
6.7%
1/15 • Number of events 3 • 3 months
We used the clinical trials website definitions
Musculoskeletal and connective tissue disorders
Neck pain
5.9%
1/17 • Number of events 1 • 3 months
We used the clinical trials website definitions
0.00%
0/13 • 3 months
We used the clinical trials website definitions
0.00%
0/15 • 3 months
We used the clinical trials website definitions

Additional Information

Dr. Nalaka Gooneratne

University of Pennsylvania

Phone: 215 573 2048

Results disclosure agreements

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