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TerminatedNCT02712437Updated Sep 8, 2017

Prospective Study Evaluating the Use of PROSPECT to Reduce Insomnia in Patients With Early Stage Breast Cancer

An interventional study of PROSPECT in Breast Cancer and Insomnia, sponsored by University of Michigan Rogel Cancer Center. Terminated at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-08.

Sponsored by University of Michigan Rogel Cancer Center · Not applicable, Interventional, and Treatment

Why this study was terminated
The study was terminated because of low accrual.
Phase
Not applicable
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

Women with early stage breast cancer may experience difficulty falling asleep or staying asleep. If this occurs for more than 4 weeks, these participants may have chronic insomnia. Chronic insomnia can lead to difficulty coping with stress, changes in mood, increased use of medications for sleep and an overall decrease in quality of life.

The investigators have developed an internet-based website that is designed to help people manage symptoms typically experienced by breast cancer survivors, including insomnia, fatigue, pain and overall poor quality of life. The investigators want to learn whether this type of treatment can reduce chronic insomnia and improve the way subjects feel using both questionnaires and a special form of a wrist watch. This information may help the investigators better manage sleep difficulties in subjects who experience these symptoms after diagnosis of their breast cancer.

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Conditions studied

  • Breast Cancer
  • Insomnia

Keywords

  • Insomnia
  • Quality of Life
  • Cognitive behavioral therapy
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 4 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

University of Michigan Rogel Cancer Center is the lead sponsor of 316 studies on the registry; 46 are open to participants now.

Of its 46 completed or terminated interventional studies of FDA-regulated products, 30 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Clinical diagnosis of insomnia as identified through the screening Insomnia Severity Index score >14
  2. Insomnia present for > 30 days per patient report
  3. Female gender
  4. Histologically proven stage 0-III invasive carcinoma of the breast

    a. Patient's must have completed primary surgical resection at least 2 weeks prior to enrollment, radiation at least 2 weeks prior to enrollment and/or cytotoxic chemotherapy at least 6 weeks prior to enrollment in the study

  5. ECOG performance status 0-2
  6. Ability to operate the accelerometer (Actiwatch Spectrum Pro)
  7. The patient is aware of the nature of her diagnosis, understands the study regimen, its requirements, risks, and discomforts, and is able and willing to sign an informed consent document

Exclusion criteria

Exclusion Criteria:

  1. Subjects who do not have access to the internet to use the internet-based module, PROSPECT
  2. Initiation of hormone therapy \<4 weeks prior to enrollment in the study
  3. Initiation of sleep aids, including over-the-counter or prescription medications taken for insomnia (melatonin, benzodiazepines, antihistamines, etc.) for \< 4 weeks prior to enrollment in the study
  4. Use of medication for treatment of another sleep disorder, such as restless leg syndrome or narcolepsy
  5. History of medial or arthritic disease that could confound or interfere with evaluation of activity level, including but not limited to inflammatory arthritis (Rheumatoid Arthritis, Systemic Lupus Spondyloarthropathy, Psoriatic Arthritis, Polymyalgia Rheumatica), Parkinson's disease and cancer involving the bone
  6. Second or third shift workers or others with non-traditional sleep schedules
  7. Serious or unstable medical condition that could likely lead to hospitalization during the course of the study or compromise study participation
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    PROSPECT

    Participants who have received treatment for early stage breast cancer and who experience chronic insomnia as assessed by difficulty sleeping for \>30 days with an insomnia severity index score of \>14. Participants will complete baseline symptom questionnaires and actigraphy, then complete an internet-based cognitive behavioral therapy program (PROSPECT) for 6 weeks. Participants will then repeat questionnaires and actigraphy at 6 weeks and questionnaires at 12 weeks.

    Behavioral: PROSPECT

Interventions

  • BehavioralPROSPECT

    PROSPECT is an internet-based exercise and behavioral symptom management program developed for patients who experience long-term side effects from cancer treatment. The cancer-specific symptom management intervention is intended as a self-management adjunct to improve cancer- and treatment-related symptoms, including insomnia, through non-pharmacologic approaches.

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What researchers measure

Primary outcomes

  1. Change in Insomnia Severity Index

    Insomnia will be measured through the use of a validated survey called the Insomnia Severity Index

    Time frame: 6 weeks

Secondary outcomes

  1. Change in Sleep Disturbance as measured by Actigraphy

    Sleep disturbance will be measured through the use of actigraphy watches to be worn for 7 days at baseline and 7 days after 6 weeks of the intervention

    Time frame: 6 weeks

Other outcomes

  1. Change in use of sleep aids

    A review of the patient's medication list will be conducted at baseline and 6 weeks to determine change in use of sleep aids for chronic insomnia during study participation

    Time frame: 6 weeks

  2. Change in Quality of Life

    Quality of life will be measured through the use of a validated survey called Functional Assessment of Cancer Therapy-Endocrine Symptoms

    Time frame: 6 weeks

  3. Change in Fear of Cancer Recurrence

    Fear of recurrence will be measured through the use of a validated survey called Assessment of Cancer Survivors

    Time frame: 6 weeks

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Study locations

1 site
  • Unvisterity of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02712437
Lead sponsor
University of Michigan Rogel Cancer Center
Responsible party
Sponsor
First posted
Mar 18, 2016
Start date
Mar 16, 2016
Primary completion
Mar 9, 2017
Completion
Mar 9, 2017
Last update
Sep 8, 2017

Study contacts

Daniel F Hayes, MD
principal investigator · University of Michigan Rogel Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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