Trial Outcomes & Findings for PERSONAL - Sleep In Breast Cancer (NCT NCT05093426)

NCT ID: NCT05093426

Last Updated: 2025-04-03

Results Overview

Percentage of breast cancer patients scoring 8 or above on the Insomnia Severity Index

Recruitment status

COMPLETED

Target enrollment

226 participants

Primary outcome timeframe

3 weeks

Results posted on

2025-04-03

Participant Flow

Participant milestones

Participant milestones
Measure
Insomnia in Breast Cancer Cohort
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
Stage 1
STARTED
226
Stage 1
COMPLETED
220
Stage 1
NOT COMPLETED
6
Stage 2
STARTED
120
Stage 2
COMPLETED
105
Stage 2
NOT COMPLETED
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

2 missing values

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Insomnia in Breast Cancer Cohort
n=220 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
Age, Continuous
53.9 years
STANDARD_DEVIATION 9.88 • n=218 Participants • 2 missing values
Sex: Female, Male
Female
218 Participants
n=218 Participants • 2 missing values
Sex: Female, Male
Male
0 Participants
n=218 Participants • 2 missing values
Race/Ethnicity, Customized
Ethnicity · Asian/British Asian
6 Participants
n=218 Participants • 2 missing values
Race/Ethnicity, Customized
Ethnicity · Black/African/Black British
5 Participants
n=218 Participants • 2 missing values
Race/Ethnicity, Customized
Ethnicity · Mixed/Multiple ethnic backgrounds
4 Participants
n=218 Participants • 2 missing values
Race/Ethnicity, Customized
Ethnicity · Other ethnic group
1 Participants
n=218 Participants • 2 missing values
Race/Ethnicity, Customized
Ethnicity · White
202 Participants
n=218 Participants • 2 missing values
Smartphone access
Yes
214 Participants
n=218 Participants • 2 missing values
Smartphone access
No
4 Participants
n=218 Participants • 2 missing values
Weight (kg)
76.1 kg
STANDARD_DEVIATION 16.68 • n=218 Participants • 2 missing values
Height (cm)
163.5 cm
STANDARD_DEVIATION 7.33 • n=218 Participants • 2 missing values
Body Mass Index (kg/m^2)
Underweight
3 Participants
n=218 Participants • 2 missing values
Body Mass Index (kg/m^2)
Normal weight
68 Participants
n=218 Participants • 2 missing values
Body Mass Index (kg/m^2)
Overweight
74 Participants
n=218 Participants • 2 missing values
Body Mass Index (kg/m^2)
Obese
59 Participants
n=218 Participants • 2 missing values
Body Mass Index (kg/m^2)
Morbidly obese
14 Participants
n=218 Participants • 2 missing values
Breastfeeding
218 Participants
n=218 Participants • 2 missing values
Regular night-work/shift work
Yes
2 Participants
n=218 Participants • 2 missing values
Regular night-work/shift work
No
216 Participants
n=218 Participants • 2 missing values
Marital status
Married or living with partner
163 Participants
n=218 Participants • 2 missing values
Marital status
Separated or divorced
27 Participants
n=218 Participants • 2 missing values
Marital status
Single
22 Participants
n=218 Participants • 2 missing values
Marital status
Widowed
6 Participants
n=218 Participants • 2 missing values
Education level
College
67 Participants
n=218 Participants • 2 missing values
Education level
Primary school
1 Participants
n=218 Participants • 2 missing values
Education level
Secondary school
48 Participants
n=218 Participants • 2 missing values
Education level
University
102 Participants
n=218 Participants • 2 missing values
Employment status
Full-time work
111 Participants
n=218 Participants • 2 missing values
Employment status
Part-time work
52 Participants
n=218 Participants • 2 missing values
Employment status
Retired
42 Participants
n=218 Participants • 2 missing values
Employment status
Student
1 Participants
n=218 Participants • 2 missing values
Employment status
Unemployed
12 Participants
n=218 Participants • 2 missing values
Menopausal status
Don't know
26 Participants
n=218 Participants • 2 missing values
Menopausal status
Peri-menopause
37 Participants
n=218 Participants • 2 missing values
Menopausal status
Post-menopause
123 Participants
n=218 Participants • 2 missing values
Menopausal status
Pre-menopause
32 Participants
n=218 Participants • 2 missing values
Sleep difficulties
Yes
168 Participants
n=218 Participants • 2 missing values
Sleep difficulties
No
50 Participants
n=218 Participants • 2 missing values
Sleep difficulties started/worsened since diagnosis
Yes
150 Participants
n=204 Participants • 16 missing values
Sleep difficulties started/worsened since diagnosis
No
54 Participants
n=204 Participants • 16 missing values
Prescribed medication for sleep issues
Yes
12 Participants
n=168 Participants • 52 missing values
Prescribed medication for sleep issues
No
156 Participants
n=168 Participants • 52 missing values
Sleep apnoea
Yes
3 Participants
n=218 Participants • 2 missing values
Sleep apnoea
No
215 Participants
n=218 Participants • 2 missing values

PRIMARY outcome

Timeframe: 3 weeks

Percentage of breast cancer patients scoring 8 or above on the Insomnia Severity Index

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=220 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
Prevalence of Insomnia in a Cohort of Breast Cancer Patients
170 Participants

SECONDARY outcome

Timeframe: 2 weeks

Insomnia severity using Insomnia Severity Index (min. 0, max. 28 where higher scores mean a worse outcome). With severity classified by total score for the Insomnia Severity Index: 0-7 no significant insomnia, 8-14 Subthreshold insomnia, 15-21 Clinical insomnia (moderate severity) and 22-28 Clinical Insomnia (Severe severity)

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=220 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Insomnia Severity Over a Three-week Period.
No clinically significant insomnia
50 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Insomnia Severity Over a Three-week Period.
Subthreshold insomnia
90 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Insomnia Severity Over a Three-week Period.
Clinical insomnia (moderate severity)
71 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Insomnia Severity Over a Three-week Period.
Clinical insomnia (severe)
9 Participants

SECONDARY outcome

Timeframe: 3 weeks

In patients with breast cancer experiencing insomnia (defined as score of 8 or more on the Insomnia Severity Index; ISI scale), to assess Sleep efficiency over a three-week period. Sleep efficiency (the % of time a participant is asleep whilst in bed) measured using Sleep diary (derived from total time asleep relative to total time in bed).

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=97 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Sleep Efficiency Over a Three-week Period.
78.5 percentage of time participant is asleep
Standard Deviation 10.71

SECONDARY outcome

Timeframe: 3 weeks

Quality of Life using EQ-5D-5L questionnaire (multiple choice questions regarding Mobility, Self-care, Usual activities, Pain/Discomfort and Anxiety/Depression as well as measure of % of health using scale where higher percentage is greater outcome) and Functional Assessment of Cancer Therapy - Endocrine Systems questionnaire (questions regarding Physical well-being, Social/Family well-being, Emotional, Functional well-being and Additional concerns using scale of 0 - 4 where 0 is Not at all, 1 is A little bit, 2 is Some-what, 3 is Quite a bit and 4 is Very much).

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=105 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Usual activities - Day 21 · Some problems
74 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Anxiety/depression - Baseline · No problems
35 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Anxiety/depression - Baseline · Some problems
70 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Mobility - Baseline · No problems
87 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Mobility - Baseline · Some problems
18 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Mobility - Baseline · Missing
0 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Mobility - Day 21 · No problems
60 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Mobility - Day 21 · Some problems
38 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Mobility - Day 21 · Missing
7 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Self-care - Baseline · No problems
95 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Self-care - Baseline · Some problems
10 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Self-care - Baseline · Missing
0 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Self-care - Day 21 · No problems
86 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Self-care - Day 21 · Some problems
12 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Self-care - Day 21 · Missing
7 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Usual activities - Baseline · No problems
51 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Usual activities - Baseline · Some problems
54 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Usual activities - Baseline · Missing
0 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Usual activities - Day 21 · No problems
24 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Usual activities - Day 21 · Missing
7 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Pain/discomfort - Baseline · No problems
31 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Pain/discomfort - Baseline · Some problems
74 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Pain/discomfort - Baseline · Missing
0 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Pain/discomfort - Day 21 · No problems
15 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Pain/discomfort - Day 21 · Some problems
83 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Pain/discomfort - Day 21 · Missing
7 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Anxiety/depression - Baseline · Missing
0 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Anxiety/depression - Day 21 · No problems
30 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Anxiety/depression - Day 21 · Some problems
68 Participants
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
EQ-5D-5L - Anxiety/depression - Day 21 · Missing
7 Participants

SECONDARY outcome

Timeframe: 3 weeks

Population: 7 missing values at Day 21

EQ-5D-5L questionnaire: multiple choice questions for Mobility, Self-care, Usual activities, Pain/Discomfort and Anxiety/Depression and % of health where a higher % is a greater outcome). Functional Assessment of Cancer Therapy - Endocrine Systems (FACT-ES) (sub-scales: Physical well-being, Social/Family well-being, Emotional, Functional well-being and Endocrine symptoms): each question in sub-scales are scored using a scale of 0-4 where 0 is Not at all, 1 is A little bit, 2 is Some-what, 3 is Quite a bit and 4 is Very much. Scores for questions are added to give total baseline and total day 21 score for each sub-scale. Minimum total score is 0 for all sub-scales, the maximum scores are 28 for Physical, Social/Family and Functional well-being sub-scales, 24 for the Emotional well-being sub-scale, 76 for Endocrine symptoms. A lower total score represents better outcomes. FACT-ES = Total of subscale scores (0-184). FACT-G = Total of subscale scores excluding endocrine system (0-108).

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=105 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Social/family well-being - Total Day 21 score
17.1 score on a scale
Standard Deviation 4.49
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Physical well-being - Total Baseline score
18.9 score on a scale
Standard Deviation 5.00
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Physical well-being - Total Day 21 Score
18.5 score on a scale
Standard Deviation 5.40
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Social/family well-being - Total Baseline score
17.9 score on a scale
Standard Deviation 4.12
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Emotional well-being - Total Baseline score
16.5 score on a scale
Standard Deviation 3.78
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Emotional well-being - Total Day 21 score
16.5 score on a scale
Standard Deviation 3.86
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Functional well-being - Total Baseline score
13.0 score on a scale
Standard Deviation 4.99
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Functional well-being - Total Day 21 score
12.9 score on a scale
Standard Deviation 5.04
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Endocrine Symptom Subscale - Total Baseline score
54.0 score on a scale
Standard Deviation 9.88
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Endocrine Symptom Subscale - Total Day 21 score
53.1 score on a scale
Standard Deviation 9.96
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Total Baseline score
120.1 score on a scale
Standard Deviation 18.91
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-ES - Total Day 21 score
118.1 score on a scale
Standard Deviation 20.85
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-G - Total Baseline score
66.2 score on a scale
Standard Deviation 12.55
In Patients With Breast Cancer Experiencing Insomnia (Defined as Score of 8 or More on the Insomnia Severity Index; ISI Scale), to Assess Quality of Life Over a Three-week Period.
FACT-G - Total Day 21 score
65.0 score on a scale
Standard Deviation 14.18

SECONDARY outcome

Timeframe: 3 weeks

Population: Number of subjects completing the digital sleep diary on at least 17 out of 21 days

Compliance; % of patients completing sleep diary (17 or more days out of 21) Feasibility and User experience; User experience questionnaire.

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=105 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
To Assess: - Compliance of Data Entry Into the Digital Sleep Diary - Feasibility and Experience of Patients to Input Data Relating to Their Sleep Into a Mobile Phone Application Daily
66 Participants

SECONDARY outcome

Timeframe: 3 weeks

Population: These are descriptions of the subgroups that were analysed based on breast cancer stage, tumour staging and treatment regimen therefore the reported numbers reflect the number of participants in each subgroup.

Assessment to determine if there is any association or correlation between insomnia prevalence and severity as well as quality of life (using insomnia severity index and EQ-5D-5L and Functional Assessment of Cancer Therapy - Endocrine Systems questionnaires) for patients in subgroups based on clinical or treatment characteristics i.e. breast cancer stage (Stage I, II or III), tumour staging (T1, T2, T3 or DCIS) treatment regimen (Systemic treatment, Dexamethasone treatment, Radiation therapy, Hormonal or Targeted Therapy as well as time since start of chemotherapy and current systemic anti-cancer therapy).

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=105 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Targeted therapy participants who reported as having insomnia (ISI score 8 or above)
16 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage I breast cancer participants who reported as having insomnia (ISI score 8 or above)
26 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage II breast cancer participants who reported as having insomnia (ISI score 8 or above)
58 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage III breast cancer participants who reported as having insomnia (ISI score 8 or above)
21 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage I breast cancer participants who reported as having subthreshold insomnia
12 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage I breast cancer participants who reported as having clinical insomnia (moderate severity)
13 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage I breast cancer participants who reported as having clinical insomnia (severe)
1 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage II breast cancer participants who reported as having subthreshold insomnia
30 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage II breast cancer participants who reported as having clinical insomnia (moderate severity)
25 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage II breast cancer participants who reported as having clinical insomnia (severe)
3 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage III breast cancer participants who reported as having subthreshold insomnia
9 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage III breast cancer participants who reported as having clinical insomnia (moderate severity)
12 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Stage III breast cancer participants who reported as having clinical insomnia (severe)
0 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Tumour staging T1 participants who reported as having insomnia (ISI score 8 or above)
43 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Tumour staging T2 participants who reported as having insomnia (ISI score 8 or above)
47 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Tumour staging T3 participants who reported as having insomnia (ISI score 8 or above)
14 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Tumour staging DCIS participants who reported as having insomnia (ISI score 8 or above)
1 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Systemic anti-cancer therapy participants who reported as having insomnia (ISI score 8 or above)
54 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Dexamethasone treatment participants who reported as having insomnia (ISI score 8 or above)
12 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Radiation therapy participants who reported as having insomnia (ISI score 8 or above)
34 Participants
Associations Between Insomnia Prevalence and Severity as Measured by the Insomnia Severity Index and Quality of Life (EQ-5D-5L and FACT-ES) With Clinical or Treatment Characteristics of Breast Cancer Patients.
Hormonal treatment participants who reported as having insomnia (ISI score 8 or above)
39 Participants

SECONDARY outcome

Timeframe: 3 weeks

Adverse Events and Serious Adverse Events will be collected and summarised.

Outcome measures

Outcome measures
Measure
Insomnia in Breast Cancer Cohort
n=105 Participants
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
Safety of the Digital Sleep Diary
Number of subjects that experienced any Adverse Event
51 participants
Safety of the Digital Sleep Diary
Related to the Sleep Diary
0 participants

Adverse Events

Insomnia in Breast Cancer Cohort

Serious events: 0 serious events
Other events: 51 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Insomnia in Breast Cancer Cohort
n=105 participants at risk
A single cohort will be observed in Stage 1 to assess the prevalence of insomnia suffered by participants who suffer from breast cancer. A subset of participants will continue to Stage 2 to use a digital sleep diary app for an observational period of 3 weeks. Stage 2 Digital sleep diary app: Participants in Stage 2 will be asked to download a digital sleep diary app and complete a sleep log every day for 21 days.
General disorders
Fatigue
19.0%
20/105 • Number of events 20 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Insomnia
13.3%
14/105 • Number of events 14 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Itchy skin on arms
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Nausea
11.4%
12/105 • Number of events 12 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Rash
3.8%
4/105 • Number of events 4 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
General disorders
Edema limbs
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Nervous system disorders
Peripheral sensory neuropathy
1.9%
2/105 • Number of events 2 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Alopecia
2.9%
3/105 • Number of events 3 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Constipation
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Nail discolouration
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Nervous system disorders
Stinging on left axilla scar
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Respiratory, thoracic and mediastinal disorders
Covid-19
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Acid reflux
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Investigations
Weight loss
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Vomiting
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Vascular disorders
Hot flashes
8.6%
9/105 • Number of events 9 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Metabolism and nutrition disorders
Anorexia
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Diarrhea
3.8%
4/105 • Number of events 4 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Mood changes
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Sleep struggles
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Heartburn
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Bloating
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Low mood
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Nervous system disorders
Neuropathy in the tips fingers and soles
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Depression
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Night sweats
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Skin infection
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Sore skin
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Dry skin
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Injury, poisoning and procedural complications
Bruising
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Infections and infestations
Infection
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Nervous system disorders
Dizzy spells
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Muscle aches
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Ear and labyrinth disorders
Tinnitus
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Nervous system disorders
Headache
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Nervous system disorders
Migraines
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Blisters
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Anxiety
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
General disorders
Discomfort
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Skin and subcutaneous tissue disorders
Discomfort on palpation
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Psychiatric disorders
Confusion
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
General disorders
Pain around radiotherapy site
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Neck pain
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
General disorders
Edema - hands and feet
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Joint ache
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Back pain
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Joint pain
2.9%
3/105 • Number of events 3 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
General disorders
Pain
1.9%
2/105 • Number of events 2 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Radiating arm pain
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Reproductive system and breast disorders
Breast pain
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Bone pain
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
General disorders
Intermittent pain
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Gastrointestinal disorders
Mucositis
2.9%
3/105 • Number of events 3 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Infections and infestations
Cold sore
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Aching legs
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.
Musculoskeletal and connective tissue disorders
Aching joints
0.95%
1/105 • Number of events 1 • 3 weeks
Nurses called participants at the end of the 3-week period to ask if they had experienced any adverse events during the 3-week period.

Additional Information

Nihal Noori

Closed Loop Medicine Ltd.

Phone: 07443603405

Results disclosure agreements

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