Trial Outcomes & Findings for Short and Long-Term Effectiveness of Existing Insomnia Therapies for Patients Undergoing Hemodialysis (NCT NCT03534284)

NCT ID: NCT03534284

Last Updated: 2024-02-05

Results Overview

summary score obtained from the ISI, measuring insomnia, range from 0 to 28. Higher score indicates greater insomnia, at Week 7 describing the short-term effect of the intervention

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

126 participants

Primary outcome timeframe

Week 7

Results posted on

2024-02-05

Participant Flow

923 patients screened with Insomnia Severity Index (ISI). Of 411 identified as having insomnia (ISI score \>=10),179 declined study participation and 106 met exclusion criteria.

126 participants completed baseline measures before group assignment, including patient reported outcomes collected via Computer Assisted Telephone Interview (CATI) and nights using sleep aid on sedatives\&hypnotics CRF. Most (115) also completed baseline Actigraphy, although this was not required for study entry (randomization).

Participant milestones

Participant milestones
Measure
CBT-I
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Overall Study
STARTED
43
42
41
Overall Study
Week 7 Primary Outcome
39
41
40
Overall Study
COMPLETED
36
39
38
Overall Study
NOT COMPLETED
7
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
CBT-I
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Overall Study
Death
2
3
3
Overall Study
Withdrawal by Subject
5
0
0

Baseline Characteristics

Short and Long-Term Effectiveness of Existing Insomnia Therapies for Patients Undergoing Hemodialysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Total
n=126 Participants
Total of all reporting groups
Age, Continuous
60.9 years
STANDARD_DEVIATION 15.2 • n=93 Participants
56.2 years
STANDARD_DEVIATION 13.4 • n=4 Participants
57.2 years
STANDARD_DEVIATION 12.7 • n=27 Participants
58.1 years
STANDARD_DEVIATION 13.9 • n=483 Participants
Sex: Female, Male
Female
22 Participants
n=93 Participants
22 Participants
n=4 Participants
19 Participants
n=27 Participants
63 Participants
n=483 Participants
Sex: Female, Male
Male
21 Participants
n=93 Participants
20 Participants
n=4 Participants
22 Participants
n=27 Participants
63 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=93 Participants
9 Participants
n=4 Participants
8 Participants
n=27 Participants
26 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
34 Participants
n=93 Participants
33 Participants
n=4 Participants
33 Participants
n=27 Participants
100 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
7 Participants
n=483 Participants
Race (NIH/OMB)
Asian
2 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants
8 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
4 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=93 Participants
9 Participants
n=4 Participants
9 Participants
n=27 Participants
27 Participants
n=483 Participants
Race (NIH/OMB)
White
28 Participants
n=93 Participants
27 Participants
n=4 Participants
23 Participants
n=27 Participants
78 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Time since starting dialysis, months
26.4 months
n=93 Participants
36.3 months
n=4 Participants
28.2 months
n=27 Participants
30.9 months
n=483 Participants

PRIMARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

summary score obtained from the ISI, measuring insomnia, range from 0 to 28. Higher score indicates greater insomnia, at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Insomnia Severity Index (ISI) Short-term
12.47 score on a scale
Interval 10.68 to 14.26
11.97 score on a scale
Interval 10.23 to 13.72
13.05 score on a scale
Interval 11.29 to 14.82

PRIMARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

summary score obtained from the ISI, measuring insomnia, range from 0 to 28. Higher score indicates greater insomnia, at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Insomnia Severity Index (ISI) Long-term
11.34 score on a scale
Interval 9.28 to 13.41
12.2 score on a scale
Interval 10.2 to 14.19
11.85 score on a scale
Interval 9.83 to 13.88

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Pittsburgh Sleep Quality Index, measuring sleep quality, range 0 to 21. Higher scores indicates worse sleep quality: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Pittsburgh Sleep Quality Index - Short-term
9.44 score on a scale
Interval 8.32 to 10.55
11.09 score on a scale
Interval 10.0 to 12.18
12.39 score on a scale
Interval 11.28 to 13.49

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Pittsburgh Sleep Quality Index, measuring sleep quality, range 0 to 21. Higher scores indicates worse sleep quality: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Pittsburgh Sleep Quality Index - Long-term
9.15 score on a scale
Interval 7.89 to 10.4
10.49 score on a scale
Interval 9.26 to 11.71
9.95 score on a scale
Interval 8.71 to 11.19

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Epworth Sleepiness Scale, measuring sleepiness, range 0 to 24. Higher scores indicates greater sleepiness: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Epworth Sleepiness Scale - Short-term
7.67 score on a scale
Interval 6.37 to 8.97
8.46 score on a scale
Interval 7.19 to 9.74
7.5 score on a scale
Interval 6.21 to 8.79

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Epworth Sleepiness Scale, measuring sleepiness, range 0 to 24. Higher scores indicates greater sleepiness: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Epworth Sleepiness Scale - Long-term
7.27 score on a scale
Interval 5.88 to 8.65
8.12 score on a scale
Interval 6.76 to 9.47
7.94 score on a scale
Interval 6.57 to 9.31

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from FACIT Fatigue Scale, measuring fatigue, range 0 to 52. Higher scores indicates greater fatigue: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - FACIT Fatigue Scale- Short-term
32.55 score on a scale
Interval 29.51 to 35.59
28.76 score on a scale
Interval 25.77 to 31.75
28.5 score on a scale
Interval 25.48 to 31.51

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from FACIT Fatigue Scale, measuring fatigue, range 0 to 52. Higher scores indicates greater fatigue: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - FACIT Fatigue Scale- Long-term
32.65 score on a scale
Interval 29.44 to 35.86
28.53 score on a scale
Interval 25.39 to 31.68
30.7 score on a scale
Interval 27.52 to 33.87

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from first item Graded Chronic Pain scale, measuring pain, range 0 to 10. Higher scores indicates greater pain: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Graded Chronic Pain Scale - Short-term
4.50 units on a scale
Interval 3.74 to 5.27
4.53 units on a scale
Interval 3.78 to 5.29
4.21 units on a scale
Interval 3.44 to 4.98

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from first item Graded Chronic Pain scale, measuring pain, range 0 to 10. Higher scores indicates greater pain: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Graded Chronic Pain Scale - Long-term
4.14 units on a scale
Interval 3.34 to 4.95
4.32 units on a scale
Interval 3.53 to 5.11
4.80 units on a scale
Interval 4.0 to 5.6

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Second Item Graded Chronic Pain scale, measuring pain interference, range 0 to 10. Higher scores indicates greater interference from pain: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Graded Chronic Pain Scale - Interference - Short-term
4.18 units on a scale
Interval 3.32 to 5.05
4.07 units on a scale
Interval 3.22 to 4.91
3.61 units on a scale
Interval 2.75 to 4.46

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Second Item Graded Chronic Pain scale, measuring pain interference, range 0 to 10. Higher scores indicates greater interference from pain: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Graded Chronic Pain Scale - Interference - Long-term
3.88 units on a scale
Interval 3.07 to 4.68
3.71 units on a scale
Interval 2.93 to 4.5
4.30 units on a scale
Interval 3.5 to 5.09

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Patient Health Questionnaire 9, measuring depression, range 0 to 27. Higher scores indicates greater depression: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Patient Health Questionnaire 9 - Short-term
6.98 score on a scale
Interval 5.47 to 8.49
7.93 score on a scale
Interval 6.45 to 9.4
8.27 score on a scale
Interval 6.78 to 9.75

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Patient Health Questionnaire 9, measuring depression, range 0 to 27. Higher scores indicates greater depression: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Patient Health Questionnaire 9 - Long-term
6.61 score on a scale
Interval 5.09 to 8.14
8.04 score on a scale
Interval 6.55 to 9.53
7.34 score on a scale
Interval 5.83 to 8.84

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Generalized Anxiety Disorder 7 Scale, measuring anxiety, range 0 to 21. Higher scores indicates greater anxiety: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Generalized Anxiety Disorder 7 Scale - Short-term
5.18 score on a scale
Interval 3.54 to 6.82
6.18 score on a scale
Interval 4.58 to 7.79
7.04 score on a scale
Interval 5.42 to 8.66

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Generalized Anxiety Disorder 7 Scale, measuring anxiety, range 0 to 21. Higher scores indicates greater anxiety: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Generalized Anxiety Disorder 7 Scale - Long-term
5.27 score on a scale
Interval 3.56 to 6.98
6.35 score on a scale
Interval 4.67 to 8.02
6.29 score on a scale
Interval 4.6 to 7.99

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Quality of Life Short Form 12 scale - Physical Component Score, measuring quality of life, range 0 to 100. Higher scores indicates better quality of life: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Quality of Life Short Form 12 Scale - Physical Component Score - Short-term
31.87 score on a scale
Interval 29.13 to 34.61
32.37 score on a scale
Interval 29.66 to 35.08
32.80 score on a scale
Interval 30.06 to 35.53

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Quality of Life Short Form 12 scale - Physical Component Score, measuring quality of life, range 0 to 100. Higher scores indicates better quality of life: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Quality of Life Short Form 12 Scale - Physical Component Score - Long-term
33.21 score on a scale
Interval 30.36 to 36.07
32.07 score on a scale
Interval 29.28 to 34.85
31.85 score on a scale
Interval 29.04 to 34.67

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Quality of Life Short Form 12 scale - Mental Component Score, measuring quality of life, range 0 to 100. Higher scores indicates better quality of life: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Quality of Life Short Form 12 Scale - Mental Component Score - Short-term
49.53 score on a scale
Interval 46.62 to 52.44
47.77 score on a scale
Interval 44.9 to 50.65
48.29 score on a scale
Interval 45.38 to 51.19

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

Score from Quality of Life Short Form 12 scale - Mental Component Score, measuring quality of life, range 0 to 100. Higher scores indicates better quality of life: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Patient-reported Outcomes (PRO) - Quality of Life Short Form 12 Scale - Mental Component Score - Long-term
50.44 score on a scale
Interval 47.59 to 53.29
49.23 score on a scale
Interval 46.45 to 52.01
51.38 score on a scale
Interval 48.56 to 54.19

SECONDARY outcome

Timeframe: Week 7

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

This will be defined, as the number of days that the patient took a drug to help sleep, range from 0 to 7: at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Cumulative Weekly Use of Sedatives/Hypnotics - Short-term
1.65 days
Interval 0.93 to 2.37
1.29 days
Interval 0.66 to 1.92
1.01 days
Interval 0.35 to 1.67

SECONDARY outcome

Timeframe: Week 25

Population: The model used to estimate means at week 7 and week 25 included all time points (weeks 0, 4, 7, 13, 25). All N=126 participants had the outcome on at least one time point. Thus the model included all participants, even those missing outcome at week 7 or week 25.

This will be defined, as the number of days that the patient took a drug to help sleep, range from 0 to 7: at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=43 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Cumulative Weekly Use of Sedatives/Hypnotics - Long-term
1.58 days
Interval 0.93 to 2.24
2.62 days
Interval 1.69 to 3.56
2.42 days
Interval 1.51 to 3.32

SECONDARY outcome

Timeframe: Week 7

Population: N=119 participants had at least one time point (week 0, week 7, and/or week 25) with actigraphy data and were included in model to estimate means at week 7 and week 25. Seven had no actigraphy collected: 4 declined to wear the watch; 3 had data that could not be scored due to inconsistent use.

Actigraphy measurement of average nighttime sleep efficiency (percent time asleep of time in bed): at Week 7 describing the short-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=41 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=41 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=37 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Objective Measure of Sleep - Short-term
68.03 percentage of time in bed asleep
Interval 62.41 to 73.65
70.94 percentage of time in bed asleep
Interval 65.94 to 75.94
70.87 percentage of time in bed asleep
Interval 65.94 to 75.8

SECONDARY outcome

Timeframe: Week 25

Population: N=119 participants had at least one time point (week 0, week 7, or week 25) with actigraphy data and were included in model to estimate means at week 7 and week 25. Seven had no actigraphy collected: 4 declined to wear the watch; 3 had data that could not be scored due to inconsistent use.

Actigraphy measurement of average nighttime sleep efficiency (percent time asleep of time in bed): at Week 25 describing the long-term effect of the intervention

Outcome measures

Outcome measures
Measure
CBT-I
n=41 Participants
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=41 Participants
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=37 Participants
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Objective Measure of Sleep - Long-term
68.99 percentage of time in bed asleep
Interval 64.57 to 73.41
71.6 percentage of time in bed asleep
Interval 66.77 to 76.43
71.57 percentage of time in bed asleep
Interval 65.49 to 77.65

Adverse Events

CBT-I

Serious events: 10 serious events
Other events: 14 other events
Deaths: 2 deaths

Medication- Trazodone

Serious events: 16 serious events
Other events: 20 other events
Deaths: 3 deaths

Medication- Placebo

Serious events: 15 serious events
Other events: 14 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
CBT-I
n=43 participants at risk
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 participants at risk
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 participants at risk
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Cardiac disorders
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
19.0%
8/42 • Number of events 13 • 6 months
9.8%
4/41 • Number of events 4 • 6 months
Blood and lymphatic system disorders
Hospitalization / Death
0.00%
0/43 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
0.00%
0/41 • 6 months
Endocrine disorders
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
0.00%
0/42 • 6 months
0.00%
0/41 • 6 months
Gastrointestinal disorders
Hospitalization / Death
0.00%
0/43 • 6 months
2.4%
1/42 • Number of events 2 • 6 months
4.9%
2/41 • Number of events 4 • 6 months
Infections and infestations
Hospitalization / Death
9.3%
4/43 • Number of events 5 • 6 months
11.9%
5/42 • Number of events 7 • 6 months
17.1%
7/41 • Number of events 9 • 6 months
Injury, poisoning and procedural complications
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
4.9%
2/41 • Number of events 2 • 6 months
Metabolism and nutrition disorders
Hospitalization / Death
4.7%
2/43 • Number of events 2 • 6 months
0.00%
0/42 • 6 months
4.9%
2/41 • Number of events 2 • 6 months
Musculoskeletal and connective tissue disorders
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
0.00%
0/42 • 6 months
0.00%
0/41 • 6 months
Renal and urinary disorders
Hospitalization / Death
0.00%
0/43 • 6 months
0.00%
0/42 • 6 months
2.4%
1/41 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Hospitalization / Death
0.00%
0/43 • 6 months
7.1%
3/42 • Number of events 4 • 6 months
4.9%
2/41 • Number of events 2 • 6 months
Surgical and medical procedures
Hospitalization / Death
7.0%
3/43 • Number of events 3 • 6 months
7.1%
3/42 • Number of events 6 • 6 months
7.3%
3/41 • Number of events 4 • 6 months
Vascular disorders
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
7.1%
3/42 • Number of events 3 • 6 months
0.00%
0/41 • 6 months

Other adverse events

Other adverse events
Measure
CBT-I
n=43 participants at risk
Cognitive Behavioral Therapy for Insomnia sessions: a 30-minute treatment session once weekly for six weeks. Cognitive Behavioral Therapy for Insomnia: Once weekly treatment sessions for 6 weeks. The content of each of these sessions will be adapted to include changes in behavior during HD treatments (such as napping) and to help patients better adjust to treatment schedules. The CBT-I sessions will be delivered by a therapist face-to-face with the patient via a fully interactive video telehealth platform.
Medication- Trazodone
n=42 participants at risk
Trazodone (50-100 mg): Trazodone: trazodone tablet
Medication- Placebo
n=41 participants at risk
Placebo (for trazodone) Placebo: Inactive pill manufactured to mimic trazodone tablets.
Blood and lymphatic system disorders
Hospitalization / Death
0.00%
0/43 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
0.00%
0/41 • 6 months
Cardiac disorders
Hospitalization / Death
4.7%
2/43 • Number of events 3 • 6 months
4.8%
2/42 • Number of events 2 • 6 months
9.8%
4/41 • Number of events 5 • 6 months
Endocrine disorders
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
0.00%
0/41 • 6 months
Eye disorders
Hospitalization / Death
0.00%
0/43 • 6 months
0.00%
0/42 • 6 months
2.4%
1/41 • Number of events 1 • 6 months
Gastrointestinal disorders
Hospitalization / Death
11.6%
5/43 • Number of events 6 • 6 months
7.1%
3/42 • Number of events 3 • 6 months
7.3%
3/41 • Number of events 3 • 6 months
Infections and infestations
Hospitalization / Death
4.7%
2/43 • Number of events 2 • 6 months
7.1%
3/42 • Number of events 3 • 6 months
4.9%
2/41 • Number of events 3 • 6 months
Injury, poisoning and procedural complications
Hospitalization / Death
14.0%
6/43 • Number of events 7 • 6 months
7.1%
3/42 • Number of events 3 • 6 months
9.8%
4/41 • Number of events 7 • 6 months
Metabolism and nutrition disorders
Hospitalization / Death
0.00%
0/43 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
2.4%
1/41 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Hospitalization / Death
7.0%
3/43 • Number of events 4 • 6 months
7.1%
3/42 • Number of events 4 • 6 months
4.9%
2/41 • Number of events 2 • 6 months
Nervous system disorders
Hospitalization / Death
4.7%
2/43 • Number of events 3 • 6 months
4.8%
2/42 • Number of events 2 • 6 months
2.4%
1/41 • Number of events 1 • 6 months
Psychiatric disorders
Hospitalization / Death
2.3%
1/43 • Number of events 1 • 6 months
9.5%
4/42 • Number of events 4 • 6 months
0.00%
0/41 • 6 months
Renal and urinary disorders
Hospitalization / Death
0.00%
0/43 • 6 months
0.00%
0/42 • 6 months
2.4%
1/41 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Hospitalization / Death
2.3%
1/43 • Number of events 2 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
0.00%
0/41 • 6 months
Skin and subcutaneous tissue disorders
Hospitalization / Death
0.00%
0/43 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
7.3%
3/41 • Number of events 3 • 6 months
Surgical and medical procedures
Hospitalization / Death
0.00%
0/43 • 6 months
4.8%
2/42 • Number of events 2 • 6 months
7.3%
3/41 • Number of events 3 • 6 months
Vascular disorders
Hospitalization / Death
0.00%
0/43 • 6 months
2.4%
1/42 • Number of events 1 • 6 months
2.4%
1/41 • Number of events 1 • 6 months

Additional Information

Dr. Raj Mehrotra

University of Washington

Phone: 206-221-7138

Results disclosure agreements

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