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Comparing Brief Behavioral Therapy (BBT-CI) and Healthy Eating Education Learning (HEAL) for Cancer-Related Sleep Problems While Receiving Chemotherapy

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ClinicalTrials.gov Identifier: NCT04829539
Recruitment Status : Recruiting
First Posted : April 2, 2021
Last Update Posted : May 23, 2023
Sponsor:
Collaborator:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
Karen Mustian, University of Rochester NCORP Research Base

Brief Summary:
This phase III trial compares BBT-CI to HEAL for the reduction of insomnia in patients with stage I-III cancer who are receiving chemotherapy. Chemotherapy can cause side effects such as sleep problems. Sleep problems such as insomnia, are common for cancer patients. Insomnia can be described as difficulty falling asleep, waking up many times during the night or waking up earlier than patient would like. Insomnia can increase fatigue and worsen quality of life. This trial may help researchers determine which treatment works better in reducing insomnia, BBT-CI or HEAL.

Condition or disease Intervention/treatment Phase
Hematopoietic and Lymphoid Cell Neoplasm Malignant Solid Neoplasm Behavioral: Behavioral Intervention Other: Quality-of-Life Assessment Other: Questionnaire Administration Phase 3

Detailed Description:

PRIMARY OBJECTIVE:

I. Determine the efficacy of BBT-CI compared to HEAL for treating insomnia as measured by the Insomnia Severity Index (ISI) at post-intervention.

SECONDARY OBJECTIVE:

I. Determine the efficacy of BBT-CI compared to HEAL for improving sleep efficiency as measured via actigraphy at post-intervention.

MECHANISTIC OBJECTIVES:

I. Examine the efficacy of BBT-CI compared to HEAL for regulating circadian rhythms as measured via actigraphy (i.e., Mesor, Acrophase, Amplitude, I<O dichotomy index).

EXPLORATORY OBJECTIVES:

I. Examine potential moderators of BBT-CI effects on insomnia (ISI). II. Examine potential mediators of BBT-CI effects on insomnia (ISI). III. Determine the efficacy of BBT-CI compared to HEAL for treating insomnia as measured by the Insomnia Severity Index at the 6-month follow-up.

IV. Determine the efficacy of BBT-CI compared to HEAL for improving sleep efficiency as measured via actigraphy at the 6-month follow-up.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I (BBT-CI): Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions.

GROUP II (HEAL): Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions.

After completion of study, patients are followed for up to 6 months.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 400 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Multicenter Randomized Controlled Trial Comparing Brief Behavioral Therapy for Cancer Related Insomnia (BBT-CI) and Healthy Eating Education Learning (HEAL)
Actual Study Start Date : June 24, 2021
Estimated Primary Completion Date : January 30, 2027
Estimated Study Completion Date : June 30, 2027

Arm Intervention/treatment
Experimental: Group I (BBT-CI)
Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions.
Behavioral: Behavioral Intervention
Receive BBT-CI
Other Names:
  • Behavior Conditioning Therapy
  • Behavior Modification
  • Behavior or Life Style Modifications
  • Behavior Therapy
  • Behavioral Interventions
  • Behavioral Modification
  • Behavioral Therapy
  • Behavioral Treatment
  • Behavioral Treatments

Other: Quality-of-Life Assessment
Ancillary studies
Other Name: Quality of Life Assessment

Other: Questionnaire Administration
Ancillary studies

Active Comparator: Group II (HEAL)
Patients complete face to face/video sessions with a trained staff member. Patients also complete phone sessions.
Behavioral: Behavioral Intervention
Receive HEAL
Other Names:
  • Behavior Conditioning Therapy
  • Behavior Modification
  • Behavior or Life Style Modifications
  • Behavior Therapy
  • Behavioral Interventions
  • Behavioral Modification
  • Behavioral Therapy
  • Behavioral Treatment
  • Behavioral Treatments

Other: Quality-of-Life Assessment
Ancillary studies
Other Name: Quality of Life Assessment

Other: Questionnaire Administration
Ancillary studies




Primary Outcome Measures :
  1. Mean change in the Insomnia Severity Index (ISI) total score [ Time Frame: Baseline to day 49 ]
    The Insomnia Severity Index (ISI) is a validated self-report measure of insomnia. A 5-point Likert Scale of seven questions is used to rate each item (0=no problem; 4=very severe problem), yielding a total score ranging from 0-28 with higher scores indicating higher severity of insomnia. A linear mixed effects analysis of covariance model (ANCOVA) will be used to assess the statistical significance of the differences in mean change between BBT-CI and HEAL.


Secondary Outcome Measures :
  1. Mean change in Sleep Efficiency assessed via Actigraphy [ Time Frame: Baseline to day 49 ]
    Actigraphy will assess sleep efficiency, calculated as the percent of total sleep time to time in bed. Higher percentage indicates better sleep efficiency. A linear mixed effects analysis of covariance model (ANCOVA) will be used to assess the statistical significance of the differences in mean change between BBT-CI and HEAL.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Be at least 18 years of age
  • Be diagnosed with cancer (stage I, II, III, or IV) with a life expectancy of at least 12 months
  • Be currently receiving any cancer treatment (surgery alone is excluded)
  • Report sleep disturbance of 3 or greater on the sleep disturbance question: "Rate your sleep disturbance in the past 2 weeks on a scale from 0-10, 0 is no problems and 10 is having the most severe problems"
  • Have a score of 2, 1, or 0 on the Eastern Cooperative Oncology Group (ECOG) performance status scale
  • Be able to speak, understand and read English to participate in the study assessments and interventions

Exclusion Criteria:

  • Have a clinical diagnosis of obstructive sleep apnea or restless leg syndrome (even if controlled)
  • Be engaged in a formal Cognitive Behavioral Therapy for Insomnia program presently or in the past 30 days. Use of psychotropics and sleep medication are allowed

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04829539


Locations
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United States, California
Kaiser Permanente NCORP Recruiting
Oakland, California, United States, 94612
Contact: Desiree Goldstein    707-651-2797    desiree.goldstein@kp.org   
United States, Hawaii
Hawaii Minority Underserved NCORP Recruiting
Honolulu, Hawaii, United States, 96813
Contact: Erin Fukaya    808-441-7715    efukaya@cc.hawaii.edu   
United States, Illinois
Heartland Cancer Research NCORP Recruiting
Decatur, Illinois, United States, 61526
Contact: Peggy Wisher    217-876-4755    wisher.peggy@mhsil.com   
Carle Cancer Center NCORP Recruiting
Urbana, Illinois, United States, 61801
Contact: Elizabeth Barnick    217-383-6963    betsy.barnick@carle.com   
United States, Minnesota
Metro Minnesota Community Oncology Research Consortium Recruiting
Minneapolis, Minnesota, United States, 55426
Contact: Michele Lacy    952-993-1516    michele.lacy@parknicollet.com   
United States, Missouri
Cancer Research for the Ozarks NCORP Recruiting
Springfield, Missouri, United States, 65804
Contact: Kristina Gardner    417-269-4880    Kristina.Gardner@Mercy.Net   
United States, Nevada
Nevada Cancer Research Foundation NCORP Recruiting
Las Vegas, Nevada, United States, 89106
Contact: Shannon Yule    702-384-0013    S.YULE@sncrf.org   
United States, North Carolina
Southeast Clinical Oncology Research Consortium Recruiting
Winston-Salem, North Carolina, United States, 27104
Contact: Michele Harmon    336-448-1421    mharmon@southeastclinicaloncology.org   
United States, Ohio
Delaware/Christiana Care NCORP Recruiting
Dayton, Ohio, United States, 45459
Contact: Mary Ontko    937-528-1027    mary.ontko@daytonncorp.org   
United States, Pennsylvania
Geisinger Cancer Institute NCORP Recruiting
Dayton, Pennsylvania, United States, 17822
Contact: Heather Albertson    570-214-9501    halbertson@geisinger.edu   
United States, Wisconsin
Cancer Research of Wisconsin and Northern Michigan Consortium Recruiting
Green Bay, Wisconsin, United States, 54301
Contact: Amy Koffarnus    920-433-8261    Amy.Koffarnus@hshs.org   
Sponsors and Collaborators
University of Rochester NCORP Research Base
National Cancer Institute (NCI)
Investigators
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Principal Investigator: Oxana Palesh University of Rochester NCORP Research Base
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Responsible Party: Karen Mustian, Professor, University of Rochester NCORP Research Base
ClinicalTrials.gov Identifier: NCT04829539    
Other Study ID Numbers: URCC19185
NCI-2020-07175 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) )
URCC19185 ( Other Identifier: University of Rochester NCORP Research Base )
URCC-19185 ( Other Identifier: DCP )
URCC19185 ( Other Identifier: CTEP )
R01CA214647 ( U.S. NIH Grant/Contract )
UG1CA189961 ( U.S. NIH Grant/Contract )
First Posted: April 2, 2021    Key Record Dates
Last Update Posted: May 23, 2023
Last Verified: May 2023

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Neoplasms