ClinicalTrials.gg
Active, not recruitingNCT03377543Updated Oct 26, 2026

Sleep and Inflammatory Resolution Pathway

An Early Phase 1 interventional study of Aspirin and Placebo in Inflammatory Response, Inflammation and Sleep, sponsored by Beth Israel Deaconess Medical Center. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Beth Israel Deaconess Medical Center · Early Phase 1, Interventional, and Basic science

Updated Oct 26, 2026Study completion movedGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Goal of this project is to investigate whether increases in inflammation that result from common patterns of restricting sleep on week nights and catching up on sleep over the weekend are caused by disruption in the newly discovered inflammatory resolution pathways. These pathways are crucial in the active termination of the inflammatory response, and their disruption may contribute to ongoing unresolved inflammation, which has been observed not only during periods of sleep restriction, but also after recovery sleep has been obtained. If the hypothesis is true, it is possible that increasing the body's natural production of endogenous, inflammatory resolution mediators may provide a non-behavioral strategy to limit the inflammatory consequences in those undergoing periods of sleep restriction with intermittent recovery sleep.

Read the detailed description

Low-grade or unresolved inflammation is involved in the pathogenesis of many human diseases. Common sleep patterns of restricting sleep during the work week and "catching up" on sleep over the weekend lead to inflammatory upregulation that does not recover completely after the weekend.

The goal of this proposal is to investigate, for the first time, inflammatory resolution pathways. Inflammatory resolution mediators, such as resolvins, are derived from omega-3 free fatty acids and actively 'turn-off' inflammation. Based on preliminary data, the investigators hypothesize that common sleep restriction-recovery patterns disrupt inflammatory resolution pathways, making it difficult to return to inflammatory homeostasis. If true, pharmacologically increasing the body's natural production of endogenous inflammatory resolution mediators may provide a way to reduce the detrimental inflammatory consequences of common sleep restriction-recovery patterns.

The hypothesis will be tested using an experimental model that mimics common patterns of restricting sleep on weekdays and "catching up" on sleep on the weekend. The proposal will further utilize the unique ability of low-dose aspirin, which - like no other non-steroidal anti-inflammatory drug - is able to activate inflammatory resolution pathways. Healthy women and men between the ages of 18 to 65 years will be tested under three, 11-day in-hospital stays, during which participants will be exposed to control sleep or common patterns of sleep restriction-recovery. The three in-hospital stays will be combined with preemptive administration of low-dose aspirin or a placebo.

Targeting inflammatory resolution pathways could provide a novel, non-behavioral strategy to mitigate both inflammatory consequences and future disease risks in those undergoing periods of sleep restriction-recovery patterns - a behavior pattern that is unlikely to be eradicated in the near future, as changes in sleep are generally difficult to make and to maintain.

02

Conditions studied

  • Inflammatory Response
  • Inflammation
  • Sleep
  • Sleep Restriction

Browse trials for

03

In context

Inflammation

3,536 studies on the registry are indexed under Inflammation; 642 are open to participants now.

This study's planned enrollment of 66 is above the median of 50 across 2,577 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Beth Israel Deaconess Medical Center is the lead sponsor of 568 studies on the registry; 80 are open to participants now.

Of its 76 completed or terminated interventional studies of FDA-regulated products, 62 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women and men between the ages 18-65 years.
  • (BMI) between 18.5 and 35 kg/m2.
  • For female participants: No significant discomfort during pre-menses/menses.
  • Daily sleep duration between 7-9 hours, verified by electronic sleep diary data for two weeks.
  • Habitual sleep period must begin within one hour of 11:00pm (to ensure normal entrainment).
  • Negative toxicology screen, including: amphetamines, barbiturates, benzodiazepines, cocaine, opiates, and methadone. Toxicology screening will be performed as part of the screening lab tests; an outside lab toxicology screening will not suffice.

Exclusion criteria

Exclusion Criteria:

  • Active infection/disease.
  • Following blood chemistry values outside of the laboratory's normal range or the range specified below:

    • WBC (range: 2.0-10.0 K/uL)
    • count
    • Hematocrit in range
    • TSH outside of the laboratory's normal range
    • >1.5
    • or AST >2.5 upper limit of normal
  • Stage 4 chronic kidney disease based on CKD epi-equation
  • Pre-diabetes or diabetes ( >5.7%)
  • History of neurological, chronic pain, immune/inflammatory, vascular/cardiovascular (including Raynaud syndrome), liver/kidney, metabolic disorders (including diabetes).
  • Current asthma (diagnosis of asthma and either asthma symptoms present within the past years or taking medication for asthma) and/or history of ASA induced sensitivity
  • Systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90 mmHg prior to the initial and medical screens. Systolic blood pressure ≥ 160mmHg and/or diastolic blood pressure ≥ 100mmHg during admissions (Stays 1, 2, and 3)
  • History of gastrointestinal disorders, including esophageal reflux, gastric and duodenal ulcers, gastrointestinal bleeding.
  • Personal or family (first degree relative) history of any stroke
  • History of psychiatric disorders, including major depressive disorders, bipolar disorders, panic disorders, post-traumatic stress disorders (PTSD), thought disorders, and substance abuse/dependence disorders.
  • History of intolerance or allergy to non-steroidal anti-inflammatory drugs (NSAID).
  • Sleep disorders: Sleep efficiency \<80% based on polysomnographic (PSG) screening night; respiratory disturbance index of >10 events/hour based on PSG screening night, periodic leg movement index (PLMI) of >25/hour and/or PLMAI (PLM arousal index) of >5/hour based on PSG screening night; restless legs syndrome, circadian rhythm disorders, and nightmare disorders determined by diagnostic interview.
  • Pregnant/nursing.
  • Regular medication use other than oral .
  • Intake of non-steroidal anti-inflammatory drugs (NSAIDs) or cold/cough remedies within the last month.
  • Intake of dietary supplements containing DHA/EPA-derived fatty acids (e.g., fish oil) within the last 3 months prior to study start.
  • Donation of blood or platelets within three months prior to or in-between study arms.
  • Smoking.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    Control Sleep/Non-Active Placebo or 81mg Aspirin Pill

    Daily intake of pill at bedtime over 2-week period prior to and during the 11-day in-hospital stay

    Drug: Aspirin · Drug: Placebo

  • Experimental
    Sleep Restriction/81mg Aspirin Pill

    Daily intake of pill at bedtime over 2-week period prior to and during the 11-day in-hospital stay

    Drug: Aspirin

  • Experimental
    Sleep Restriction/Non-Active Placebo

    Daily intake of pill at bedtime over 2-week period prior to and during the 11-day in-hospital stay

    Drug: Placebo

Interventions

  • 81mg aspirin pill daily at bedtime over a 25 day period

    Also known as: Non-steroidal anti-inflammatory drug

  • DrugPlacebo

    81mg non-active pill that looks like aspirin

06

What researchers measure

Primary outcomes

  1. Inflammatory Resolution Markers

    Resolvins

    Time frame: Change from baseline to sleep restriction, single measure in the morning

Secondary outcomes

  1. Inflammatory Markers

    Interleukin-6

    Time frame: Change from baseline to sleep restriction, single measure in the morning

07

Study locations

1 site
08

References and documents

Publications

  • Nett S, Dang R, Engert LC, Daniel S, Wang J, Albrecht S, Taj M, Sethna N, Haack M. Effects of Low-Dose Acetylsalicylic Acid on Spontaneous Pain, Pain Sensitivity, and Central Pain Modulation in Response to a Sleep Restriction Challenge in Healthy Individuals. Eur J Pain. 2026 Oct;30(9):e70392. doi: 10.1002/ejp.70392. PubMed 42781832 ↗
  • Sun H, Dang R, Li P, Xiao W, Scott-Sutherland J, Sassower KC, Westover MB, Felsenstein D, Thomas RJ, Haack M, Mullington JM. Facility-measured sleep electroencephalographic microstructures in long COVID. Sleep. 2026 Aug 14;49(8):zsag090. doi: 10.1093/sleep/zsag090. PubMed 42017829 ↗
  • Engert LC, Dang R, Chatterton B, Daniel S, Mullington JM, Haack M. The Effect of Low-Dose Acetylsalicylic Acid on Cellular Immune Responses to Experimental Sleep Restriction in Healthy Humans. Neuroimmunomodulation. 2026;33(1):125-137. doi: 10.1159/000551037. Epub 2026 Feb 13. PubMed 41686719 ↗
  • Engert LC, Ledderose C, Biniamin C, Birriel P, Buraks O, Chatterton B, Dang R, Daniel S, Eske A, Reed T, Tang A, Bertisch SM, Mullington JM, Junger WG, Haack M. Effects of low-dose acetylsalicylic acid on the inflammatory response to experimental sleep restriction in healthy humans. Brain Behav Immun. 2024 Oct;121:142-154. doi: 10.1016/j.bbi.2024.07.023. Epub 2024 Jul 21. PubMed 39043348 ↗
09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2018 to primary completion in Dec 2025, 90 months.

Of 63 non-industry phase 1 interventional studies under Inflammation, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 56. This study's 90 months is above that.

Counting every sponsor, half of 82 studies reached it within 21 months; a quarter within 10 and three quarters within 51.

Completion moved once since we started tracking on Sep 25, 2026: Dec 2025 → Jun 2027, on Oct 26, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Dec 4, 2017
First posted
Dec 19, 2017
StartActual
Jun 6, 2018
Primary completionActual
Dec 30, 2025
CompletionEst.
Jun 30, 2027was Dec 2025
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Study completion
Dec 30, 2025→Jun 30, 2027
Oct 26, 2026
Publications
4 publications citing this study linked from PubMed, e.g. PubMed 42781832 ↗
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Publications 4 publications citing this study linked from PubMed, e.g. PubMed 42781832 ↗
    Study completion Dec 30, 2025→Jun 30, 2027
    + 4 other changes: identifiers, verification date, data sharing statement and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03377543
Responsible party
Monika Haack (Associate Professor of Neurology, Beth Israel Deaconess Medical Center) — Principal investigator
First posted
Dec 19, 2017
Start date
Jun 6, 2018
Primary completion
Dec 30, 2025
Completion
Jun 30, 2027 (estimated)
Last update
Oct 26, 2026

Study contacts

Monika Haack, PhD
principal investigator · Beth Israel Deaconess Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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Studies of the drug tested here: Aspirin

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