NCT06181643

Brief Summary

The overall goal of this project is to conduct a factorial, randomized controlled trial to optimize synchronous, virtual delivery of CBT-I for cancer survivors. The proposed project will yield multiple deliverables to innovate cancer survivorship care, chiefly an optimized, scalable, virtually-delivered intervention that addresses chronic insomnia, one of the most deleterious concerns among the growing demographic of cancer survivors in the U.S. Findings will inform future considerations for delivering CBT-I to cancer survivors.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2024

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 13, 2023

Completed
13 days until next milestone

First Posted

Study publicly available on registry

December 26, 2023

Completed
9 months until next milestone

Study Start

First participant enrolled

September 6, 2024

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2026

Completed
Last Updated

May 8, 2026

Status Verified

May 1, 2026

Enrollment Period

1.7 years

First QC Date

December 13, 2023

Last Update Submit

May 7, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Insomnia Severity Index (ISI) total score

    Changes in insomnia severity will be assessed using the validated Insomnia Severity Index (ISI). Scores of 15 or higher on the ISI indicate clinically significant insomnia, and reductions of \>8 points are considered clinically meaningful. Changes from T0-T2 are the primary outcome. Acute (T0-T1; post-SSP) and 3-month (T0-T3; 3 Month Surveillance/Booster 3) changes will be examined as secondary outcomes.

    T0 (Baseline) to T2 (week 8)

Secondary Outcomes (6)

  • Emotional distress: PROMIS Anxiety Symptoms

    T0 (week 0) to T3 (week 16)

  • Emotional distress: PROMIS Depression Symptoms

    T0 (week 0) to T3 (week 16)

  • Daytime fatigue: PROMIS Fatigue

    T0 (week 0) to T3 (week 16)

  • Work-related functioning

    T0 (week 0) to T3 (week 16)

  • Use of sleep aid medications

    T0 (week 0) to T3 (week 16)

  • +1 more secondary outcomes

Study Arms (4)

Group 1: Survivorship Sleep Program with Individual Delivery + No Booster Sessions

EXPERIMENTAL

4 weekly SSP sessions delivered to individual participants (session durations approximately 45 min/session). No booster sessions.

Behavioral: Survivorship Sleep Program with Individual Delivery + No Booster Sessions

Group 2: Survivorship Sleep Program with Group Delivery + No Booster Sessions

EXPERIMENTAL

4 weekly SSP sessions delivered to groups of participants (session durations approximately 90 min/session). No booster sessions.

Behavioral: Survivorship Sleep Program with Group Delivery + No Booster Sessions

Group 3: Survivorship Sleep Program with Individual Delivery + 3 Booster Sessions

EXPERIMENTAL

4 weekly SSP sessions delivered to individual participants (session durations approximately 45 min/session), followed by 3 monthly booster sessions.

Behavioral: Survivorship Sleep Program with Individual Delivery + 3 Booster Sessions

Group 4: Survivorship Sleep Program with Group Delivery + 3 Booster Sessions

EXPERIMENTAL

4 weekly SSP sessions delivered to groups of participants (session durations approximately 90 min/session), followed by 3 monthly booster sessions.

Behavioral: Survivorship Sleep Program with Group Delivery + 3 Booster Sessions

Interventions

4 weekly SSP sessions delivered to individual participants (session durations approximately 45 min/session). No booster sessions.

Group 1: Survivorship Sleep Program with Individual Delivery + No Booster Sessions

4 weekly SSP sessions delivered to groups of participants (session durations approximately 90 min/session). No booster sessions.

Group 2: Survivorship Sleep Program with Group Delivery + No Booster Sessions

4 weekly SSP sessions delivered to individual participants (session durations approximately 45 min/session). 3 monthly booster sessions.

Group 3: Survivorship Sleep Program with Individual Delivery + 3 Booster Sessions

4 weekly SSP sessions delivered to groups of participants (session durations approximately 90 min/session). 3 monthly booster sessions.

Group 4: Survivorship Sleep Program with Group Delivery + 3 Booster Sessions

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • History of nonmetastatic, localized, or regional solid or blood malignancy(ies)
  • Completion of primary cancer treatment (radiation, surgery, and/or chemotherapy). Use of hormonal, maintenance, oral, and immunotherapies is permitted.
  • Chronic insomnia (DSM-5 criteria)
  • years of age or older

You may not qualify if:

  • Self-reported inability to speak and write in English
  • Undertreated noninsomnia sleep disorder (e.g., sleep apnea)
  • Undertreated epilepsy, undertreated serious mental illness, undertreated suicidality, and/or psychiatric hospitalization in the past year
  • Unwilling or unable to discontinue night shift work

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Study Officials

  • Daniel Hall, PhD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
SUPPORTIVE CARE
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor, Harvard Medical School

Study Record Dates

First Submitted

December 13, 2023

First Posted

December 26, 2023

Study Start

September 6, 2024

Primary Completion

May 31, 2026

Study Completion

May 31, 2026

Last Updated

May 8, 2026

Record last verified: 2026-05

Locations