NCT06531733

Brief Summary

Purpose. The purpose of this study is to test sleep and wake-promoting countermeasures to evaluate their effectiveness in helping individuals fall asleep quickly, maintain sleep during a nap, and maintain alertness during waking. Protocol Overview. The proposed study involves two laboratory visits separated by at least one week. Participants are required to complete all procedures in the companion screening and at-home protocol in order to qualify for this laboratory protocol. The at-home protocol involves keeping a regular schedule for 2-3 weeks. Participants will need to maintain a regular schedule with at least 8.5 hours in bed for at least one week prior to the first laboratory visit. They will then continue the at-home protocol, maintaining at least 8.5 hours in bed each night for at least a week before completing the second laboratory visit. There are two interventions that participants will experience during the study, sleep promoting (pink noise) and wake promoting (blue enriched lighting plus a nap). These will be delivered separately and together depending on randomization. Participants will first be randomized to one of three conditions sleep promoting + wake placebo, sleep placebo + wake promoting, or sleep promoting + wake promoting. All participants will complete a sleep placebo + wake placebo condition. The order of the full placebo condition versus the intervention (i.e., lab visit 1 vs. lab visit 2) will be randomized after the condition randomization occurs. Each participant will complete one of the interventions and one placebo for a total of two visits.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2024

Geographic Reach
1 country

1 active site

Status
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

June 7, 2024

Completed
15 days until next milestone

Study Start

First participant enrolled

June 22, 2024

Completed
1 month until next milestone

First Posted

Study publicly available on registry

August 1, 2024

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

August 1, 2024

Status Verified

July 1, 2024

Enrollment Period

11 months

First QC Date

June 7, 2024

Last Update Submit

July 28, 2024

Conditions

Outcome Measures

Primary Outcomes (3)

  • Karolinska Sleepiness Scale (KSS)

    Subjective alertness as measured by the 9-point Likert-type Karolinska Sleepiness Scale (KSS).

    Up to 120 minues

  • Psychomotor Vigilance Task (PVT)

    Objective cognitive performance as measured by the psychomotor vigilance task (PVT), a simple reaction time task with outcome measures including number of lapses (reaction time \>500ms) and speed (1/reaction time).

    up to 560 minutes

  • Electroencephalography (EEG)

    Sleep architecture as measured by electroencephalography (EEG) including sleep stage at awakening, total sleep time, time in each sleep stage, sleep efficiency, and sleep onset latency.

    up to 48 hours

Study Arms (3)

sleep promoting + wake placebo

EXPERIMENTAL

Participants in this condition will listen to pink noise during a sleep opportunity (sleep promoting) and then have normal light with no nap (sham/placebo).

Device: Sleep Promoting (pink noise)Device: Wake Promoting (blue enriched light plus a nap)

sleep placebo + wake promoting

EXPERIMENTAL

Participants in this condition will have a sleep opportunity with no pink noise (sham/placebo) and then be exposed to blue enriched light (wake promoting) after a nap.

Device: Sleep Promoting (pink noise)Device: Wake Promoting (blue enriched light plus a nap)

sleep promoting + wake promoting

EXPERIMENTAL

Participants in this condition will be exposed to pink noise during a sleep opportunity (sleep promoting) and then be exposed to blue enriched light (wake promoting) after a nap.

Device: Sleep Promoting (pink noise)Device: Wake Promoting (blue enriched light plus a nap)

Interventions

Participants will be provided with comfortable headphones to wear throughout their daytime sleep opportunity. The headphones will deliver a continuous pink noise sound no greater than 50 decibels. Participants will be allowed to turn down the sound of the pink noise if they find it too loud. Participants will wear the headphones with no noise during the placebo condition.

sleep placebo + wake promotingsleep promoting + wake placebosleep promoting + wake promoting

Participants randomized to the blue-enriched light and nap condition will have the blue-enriched light turned on during their nighttime stay in the lab. The light will be turned off for up to one hour during the nap. During the placebo condition, participants will have an overhead room light of \~150 lux illuminated throughout their nighttime stay in the lab. This light level reflects an older NASA standard which was used in the design of some Artemis vehicles. During the placebo condition, participants will be asked to engage in quiet activities such as reading for one hour.

sleep placebo + wake promotingsleep promoting + wake placebosleep promoting + wake promoting

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy individuals between the ages of 18 and 60
  • Individuals who are pre-menopausal must be at least six months post-partum, not breastfeeding, and not planning a pregnancy in the immediate future.

You may not qualify if:

  • BMI \> 30
  • A sleep disorder of any kind
  • A chronic condition that could influence sleep (e.g., mood disorders, eye disorders)
  • A chronic condition that would interfere with data collection and/or potentially make sleep deprivation unsafe (e.g., cardiovascular disorders, diabetes, cancer)
  • Sensitive skin that would make electrode application intolerable
  • Use of medication that interferes with sleep (e.g., anti-anxiety, antihistamines, antidepressants, beta blockers)
  • Travel out of the time zone or stayed up all night in the past month
  • Individuals who are pregnant.
  • Individuals who test positive for caffeine, alcohol, nicotine, amphetamines, barbiturates, benzodiazepines, cocaine, marijuana, MDMA (ecstasy), methadone, methamphetamines, opiates, oxycodones.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

NASA Ames Research Center

Mountain View, California, 94043, United States

RECRUITING

Related Publications (27)

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    BACKGROUND
  • Brown TM, Brainard GC, Cajochen C, Czeisler CA, Hanifin JP, Lockley SW, Lucas RJ, Munch M, O'Hagan JB, Peirson SN, Price LLA, Roenneberg T, Schlangen LJM, Skene DJ, Spitschan M, Vetter C, Zee PC, Wright KP Jr. Recommendations for daytime, evening, and nighttime indoor light exposure to best support physiology, sleep, and wakefulness in healthy adults. PLoS Biol. 2022 Mar 17;20(3):e3001571. doi: 10.1371/journal.pbio.3001571. eCollection 2022 Mar.

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    PMID: 10381883BACKGROUND
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    PMID: 18419318BACKGROUND
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    BACKGROUND
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    PMID: 19962331BACKGROUND
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    PMID: 38114500BACKGROUND
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    PMID: 15838948BACKGROUND
  • Hilditch CJ, Wong LR, Bathurst NG, Feick NH, Pradhan S, Santamaria A, Shattuck NL, Flynn-Evans EE. Rise and shine: The use of polychromatic short-wavelength-enriched light to mitigate sleep inertia at night following awakening from slow-wave sleep. J Sleep Res. 2022 Oct;31(5):e13558. doi: 10.1111/jsr.13558. Epub 2022 Jan 31.

    PMID: 35102669BACKGROUND
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    PMID: 35023565BACKGROUND
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    PMID: 38114503BACKGROUND
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    BACKGROUND
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    PMID: 19296861BACKGROUND
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    PMID: 24501435BACKGROUND
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    PMID: 26549869BACKGROUND

MeSH Terms

Conditions

Fatigue

Condition Hierarchy (Ancestors)

Signs and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Erin E Flynn-Evans, PhD, MPH

CONTACT

Nicholas G Bathurst, MA

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: 8 participants per condition (24 total across 3 conditions + 1 sham/placebo condition that everyone will experience)
Sponsor Type
FED
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Fatigue Countermeasures Laboratory Director

Study Record Dates

First Submitted

June 7, 2024

First Posted

August 1, 2024

Study Start

June 22, 2024

Primary Completion

June 1, 2025

Study Completion

June 1, 2025

Last Updated

August 1, 2024

Record last verified: 2024-07

Locations