NCT06351098

Brief Summary

To examine the relations between sleep (nap transitions, sleep physiology), memory, and brain development longitudinally, the researchers will assess n=180 children (in order to acquire n=152 usable data sets) who are 36-54 months of age and habitual nappers at enrollment. In each wave, the researchers will assess memory, memory change over a nap and equivalent waking interval, sleep physiology of the nap, and brain structure and function (using Magnetic Resonance Imagining or MRI). Additionally, overnight sleep physiology will be assessed in all participants. Waves will take place approximately every 6 months. For all children, three waves will be collected. With these data, the researchers will address the following aims:

  • Examine neural markers that predict the sleep transition (Aim 1);
  • Examine changes in sleep-dependent memory processing (mnemonic discrimination) over both nap and overnight sleep intervals, across the sleep transition (Aim 2);
  • Examine changes in sleep microstructure in both nap and overnight sleep across the sleep transition (Aim 3)
  • Examine interrelations among brain, memory and sleep microstructure across the sleep transition (Aim 4)

Trial Health

77
On Track

Trial Health Score

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

Enrollment
180

participants targeted

Target at P75+ for not_applicable

Timeline
26mo left

Started Nov 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress55%
Nov 2023Jun 2028

Study Start

First participant enrolled

November 5, 2023

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

March 15, 2024

Completed
24 days until next milestone

First Posted

Study publicly available on registry

April 8, 2024

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2028

Last Updated

April 4, 2025

Status Verified

April 1, 2025

Enrollment Period

4.6 years

First QC Date

March 15, 2024

Last Update Submit

April 1, 2025

Conditions

Keywords

SleepBrain development

Outcome Measures

Primary Outcomes (1)

  • Memory

    Memory will be assessed using the Mnemonic Similarity Task (MST), before and after nap/wake and overnight sleep. The specific variable of interest is the lure discrimination index, which refers to the probability of "Similar" responses to lure items minus the probability of "Similar" responses given to foils.

    across the nap period, approximately 2.5 hours

Study Arms (1)

Nap

EXPERIMENTAL

Children are nap promoted

Behavioral: nap

Interventions

napBEHAVIORAL

Children are nap promoted

Nap

Eligibility Criteria

Age36 Months - 60 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • months at the time of enrollment
  • must be a habitual napper (defined as napping 5 or more days/week on average for the past month)
  • must sleep independently (not bedsharing; in order to maintain consistent sleep not interrupted by others)

You may not qualify if:

  • diagnosis of any sleep disorder (other than mild parasomnia which is routine at this age) past or present (Child's Sleep Habit Questionnaire)
  • current use of psychotropic or sleep-altering medications (Developmental, Health, and Environment Questionnaire)
  • traveling beyond 1 time zone within 1 month prior to testing (phone screening)
  • fever or symptoms of respiratory illness at the time of testing (phone screening)
  • physical handicap which interferes with assessments (vision, hearing impairment; phone screening)
  • diagnosed developmental disability (Developmental, Health, and Environment Questionnaire)
  • history of neurological injury such as history of seizures, brain tumor, or stroke (phone screening)
  • presence of metal in the body (e.g., implant of any form) or other contraindication for MRI (e.g., claustrophobia, which is rare at this age).
  • external influences on nap habits (e.g., inability to nap due to school or caregiver schedule or interfering activities during a typical naptime) including if the child will enroll in full-day kindergarten by the end of the study. Caregivers will also be queried for the presence of interfering activities throughout enrollment (e.g., ecological momentary assessment (or EMA), sleep diaries at each wave).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Maryland

College Park, Maryland, 20742, United States

RECRUITING

University of Massachusetts

Amherst, Massachusetts, 01003, United States

RECRUITING

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Model Details: Memory will be assessed using the Mnemonic Similarity Task (MST), before and after nap/wake and overnight sleep. The specific variable of interest is the lure discrimination index, which refers to the probability of "Similar" responses to lure items minus the probability of "Similar" responses given to foils.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 15, 2024

First Posted

April 8, 2024

Study Start

November 5, 2023

Primary Completion (Estimated)

June 1, 2028

Study Completion (Estimated)

June 1, 2028

Last Updated

April 4, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will share

De-identified data collected through the proposed work will be made available to researchers pursuant to the Policies of NIH and the University of Maryland. Access to data will be granted upon request to qualified academic investigators for non-commercial research. Research resources generated with funds from this grant will be freely distributed, as available, to qualified academic investigators for noncommercial research upon request. Finally, following publication, raw MRI and PSG data will also be made available on the National Sleep Research Resource (NSRR), which is supported by the National Heart, Lung, and Blood Institute. The NSRR offers access free-of-charge to collections of de-identified physiological signals and clinical data elements from well-characterized research cohorts and clinical trials. If MRI data prove difficult to upload to NSRR, we will work with NHLBI Program to identify a supplemental or additional repository for the MRI data.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data will be made available following publication.
Access Criteria
Data will be made available to researchers pursuant to the Policies of NIH and the University of Maryland.

Locations