- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00042146
Behavioral and Pharmacological Treatment for Insomnia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Insomnia is a prevalent health concern which is often associated with functional impairments, reduced quality of life, and increased health-care costs. The proposed study may provide useful information about optimal models for integrating behavioral and pharmacological therapies for the clinical management of insomnia.
Participants are randomly assigned to CBT or CBT plus medication. After the 6-week acute treatment phase, participants enter into a 6-month extended treatment phase. Of those treated with CBT alone initially, responders are randomized to extended CBT or no treatment. Of those receiving the combined CBT plus medication approach initially, responders are randomized to an extended treatment consisting of either CBT plus medication (used on an as needed schedule) or CBT alone (plus medication tapering). Outcome is evaluated across measures of sleep, clinical ratings, and several indices of daytime functioning. The measures are administered at baseline, at the end of the acute and extended treatment phases, and at 6, 12, and 24-month follow-up.
Study Type
Enrollment
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Quebec
-
Quebec City, Quebec, Canada, G1K 7P4
- Laval University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Subjective complaint of difficulties initiating or maintaining sleep, accompanied by marked distress or daytime impairments due to insomnia
- Sleep difficulties present 3 nights or more per week and lasting for more than 6 months
Exclusion criteria:
- Major medical or psychiatric problems
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Rochefort A, Jarrin DC, Belanger L, Ivers H, Morin CM. Insomnia treatment response as a function of objectively measured sleep duration. Sleep Med. 2019 Apr;56:135-144. doi: 10.1016/j.sleep.2019.01.016. Epub 2019 Jan 31.
- Beaulieu-Bonneau S, Ivers H, Guay B, Morin CM. Long-Term Maintenance of Therapeutic Gains Associated With Cognitive-Behavioral Therapy for Insomnia Delivered Alone or Combined With Zolpidem. Sleep. 2017 Mar 1;40(3):zsx002. doi: 10.1093/sleep/zsx002.
- Morin CM, Beaulieu-Bonneau S, Belanger L, Ivers H, Sanchez Ortuno M, Vallieres A, Savard J, Guay B, Merette C. Cognitive-behavior therapy singly and combined with medication for persistent insomnia: Impact on psychological and daytime functioning. Behav Res Ther. 2016 Dec;87:109-116. doi: 10.1016/j.brat.2016.09.002. Epub 2016 Sep 13.
- Morin CM, Vallieres A, Guay B, Ivers H, Savard J, Merette C, Bastien C, Baillargeon L. Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. JAMA. 2009 May 20;301(19):2005-15. doi: 10.1001/jama.2009.682.
Study record dates
Study Major Dates
Study Start
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Nervous System Diseases
- Sleep Disorders, Intrinsic
- Dyssomnias
- Sleep Wake Disorders
- Sleep Initiation and Maintenance Disorders
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Hypnotics and Sedatives
- GABA Agents
- Sleep Aids, Pharmaceutical
- GABA-A Receptor Agonists
- GABA Agonists
- Zolpidem
Other Study ID Numbers
- R01MH060413 (U.S. NIH Grant/Contract)
- DATR A4-GPS
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Sleep Initiation and Maintenance Disorders
-
University of CalgaryCanadian Sport Institute Alberta; PX3Recruiting
-
University of CyprusUniversity of Catania; Azienda ospedaliera Garibaldi CataniaRecruitingSleep QualityCyprus, Italy
-
Kirsehir Ahi Evran UniversitesiNot yet recruitingSleep Quality
-
Universidad de GranadaRecruiting
-
Colorado State UniversityCompleted
-
Universidad Autonoma de Baja CaliforniaNot yet recruiting
-
Clinique Beau SoleilNot yet recruiting
-
BELL Therapeutics Inc.Not yet recruitingInsomnia | Sleep Initiation and Maintenance DisordersSouth Korea
-
Beijing Sport UniversityNot yet recruiting
-
Beijing Tiantan HospitalInner Mongolia Autonomous Region Mental Health CenterNot yet recruiting
Clinical Trials on zolpidem
-
EMSAssociação Fundo de Incentivo à PesquisaCompleted
-
Henry Ford Health SystemCompleted
-
University of PennsylvaniaNational Institutes of Health (NIH); National Institute on Aging (NIA)CompletedInsomnia | Insomnia ChronicUnited States
-
University of Southern CaliforniaRecruitingPain, Postoperative | Spine Fusion | Lumbar Spine Degeneration | Lumbar Spine SpondylosisUnited States
-
Eisai Inc.Purdue Pharma LPCompleted
-
Biolab Sanus FarmaceuticaCompleted
-
Biolab Sanus FarmaceuticaCompleted
-
TakedaCompletedChronic InsomniaUnited States
-
Astellas Pharma IncAstellas Pharma Taiwan, Inc.CompletedSleep Initiation and Maintenance Disorders | Primary InsomniaTaiwan
-
SanofiCompletedSleep Initiation and Maintenance DisordersUnited States, Canada, Australia