ClinicalTrials.gg
CompletedNCT03390114Updated Feb 21, 2021Results posted

Cognitive Behavioral Therapy to Treat Insomnia in Persons With HIV Infection

An interventional study of SHUTi in HIV/AIDS and Insomnia, sponsored by Indiana University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-21.

Sponsored by Indiana University · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 12 studies in Acquired Immunodeficiency Syndrome by Indiana University — 3 open to participants now, 3 under way, none of them phase 3. Acquired Immunodeficiency Syndrome · Indiana University.

Started
2018
with 1 other
No phase
7 of 12
2 open now
Registered
2nd of 12
by date

Among the 12 studies in Acquired Immunodeficiency Syndrome by Indiana University, this one is one of 2 that started in 2018, is one of 7 with no phase, and was the 2nd registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

3 of the 12 studies in Acquired Immunodeficiency Syndrome by Indiana University are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Acquired Immunodeficiency Syndrome by Indiana University, or all of them as a file.
02

Study summary

The goal of this preliminary study is to determine the efficacy of an internet-based treatment program for insomnia for HIV-infected persons.

Read the detailed description

The primary objective of this pilot trial is to compare 10-week changes in Insomnia Severity Index (ISI) scores in HIV-infected adults with clinically relevant insomnia severity and who are already receiving virologically suppressive antiretroviral therapy (ART) and are then randomized to either treatment with the SHUTi cognitive behavioral therapy program or to Usual Care (UC). A total of 100 persons with HIV may be screened to identify the 32 participants to be enrolled and randomized into the pilot trial. These participants will be ≥ 18 years old, have been receiving antiretroviral therapy with an HIV viral load \< 75 copies/mL within three months of the Entry Visit, and have an ISI score ≥ 15 within three months of the Entry Visit. These participants will be randomized 1:1 (stratified by age \<40 vs. ≥ 40 years) to either insomnia treatment with the SHUTi cognitive behavioral therapy program (N=16) or usual care (N=16).

03

Conditions studied

  • HIV/AIDS
  • Insomnia

Keywords

  • HIV
  • Insomnia
  • Cognitive Behavioral Therapy
04

Who can participate

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

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

  1. -1 infection, documented by both: (1) any licensed rapid HIV test or HIV enzyme test kit at any time prior to study entry and (2) by at least one detectable HIV-1 antigen or at least one detectable plasma HIV-1 RNA viral load.
  2. Age equal to or greater than 18 years.
  3. Ongoing receipt of antiretroviral therapy of any kind for at least 3 months prior to the Entry Visit.
  4. HIV-1 RNA level \< 75 copies/mL obtained during routine clinical care within 90 days of the Entry Visit.

    NOTE: There are no eligibility criteria for this trial.

  5. ISI score ≥ 15

Exclusion criteria

Exclusion Criteria:

  1. Inability to complete written, .
  2. Incarceration at the time of any study visit.
  3. Active suicidality, as determined by the patient's provider or social worker following a positive response (1, 2, or 3) to PHQ-9 Item #9
  4. Diagnosed vascular disease (documented history of angina pectoris, coronary disease, peripheral vascular disease, cerebrovascular disease, aortic aneurysm, or otherwise known atherosclerotic disease).
  5. History of congestive heart failure, even if currently compensated.
  6. Diagnosed disease or process, besides HIV infection, associated with increased systemic inflammation (including, but not limited to, systemic lupus erythematosis, inflammatory bowel diseases, other collagen vascular diseases).

    Note: or C co-infections are NOT exclusionary

  7. Known or suspected requiring systemic treatment within 180 days of the Entry Visit.

    NOTE: Localized treatment for skin cancers is not exclusionary.

  8. Uncontrolled hyperthyroidism or hypothyroidism, defined as TSH values outside of the local reference range on most recent clinical assessment.
  9. Last known clinic-based estimated (eGFR) \< 50 mL/min/1.73m2. (calculated from the 2009 CKD-EPI equation).
  10. Uncontrolled diabetes defined as the last known clinic-based > 8.0 g/dL.
  11. Last known clinic-based total cholesterol > 240 mg/dL.
  12. Therapy for serious medical illnesses within 14 days prior to screening.

    Note: Therapy for serious medical illnesses that overlaps with a main study visit will result in postponement of that study visit until the course of therapy is completed; postponement outside of the allowed study visit timeframe will result in study discontinuation.

  13. Pregnancy or breastfeeding during the course of the study.
  14. Receipt of agents, cytotoxic chemotherapy, systemic (of any dose), or anabolic steroids at the Entry Visit.

    Note: Physiologic testosterone replacement therapy or topical steroids is not exclusionary. Inhaled/nasal steroids are not exclusionary as long as the participant is not also receiving HIV protease inhibitors.

  15. Active drug use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements.
  16. History of schizophrenia, bipolar disorder, or dementia.

    NOTE: Depression is not exclusionary as long as the severity of depression does impede ability to perform the required study procedures.

  17. Musculoskeletal or neurologic disorders that impede ability to perform the required study procedures.
  18. History of sleep apnea or restless leg syndrome.
Terms in these criteria, in plain language(10)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    SHUTi Cognitive Behavioral Therapy

    SHUTi (www.myshuti.com) is an evidence-based, cognitive-behavioral, online intervention for insomnia.

    Behavioral: SHUTi

  • No intervention
    Usual Care

    Patients randomized to the Usual Care group will be encouraged to follow-up with their primary care or HIV provider. There will be no formal interaction with the participants between the Entry Visit and the Week 10 Visit. However, the participants will be encouraged to contact the study team for any changes in their condition. There will be no restrictions on the care that can be received, although we will assess changes in care during the trial.

Interventions

  • BehavioralSHUTi

    SHUTi consists of six, 40-minute, weekly sessions during which the intervention components of stimulus control, sleep restriction, sleep hygiene, cognitive restructuring, and relapse prevention are delivered. Each SHUTi session has the same structure: the main content, a homework screen with options, and a summary of the main points.

06

What researchers measure

Primary outcomes

  1. Insomnia Severity Index

    Change in the Insomnia Severity Index (ISI) score as measured by questionnaire. The ISI score ranges from 0 to 28 with higher scores indicating greater severity in insomnia symptoms.

    Time frame: 10 weeks

07

Results

Posted Feb 21, 2021

Participant flow

Participant flow — Overall Study
MilestoneSHUTi Cognitive Behavioral TherapyUsual Care
Started1010
Completed68
Not completed42

Outcome measures

PrimaryInsomnia Severity Index

Change in the Insomnia Severity Index (ISI) score as measured by questionnaire. The ISI score ranges from 0 to 28 with higher scores indicating greater severity in insomnia symptoms.

Time frame:
10 weeks
Reported as:
Mean · score on a scale
Insomnia Severity Index
score on a scaleSHUTi Cognitive Behavioral TherapyUsual Care
Insomnia Severity Index-9.0 ± 9.4-3.4 ± 2.0

Adverse events

Collected over 10 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SHUTi Cognitive Behavioral Therapy0/10 (0%)0/10 (0%)0/10 (0%)
Usual Care0/10 (0%)0/10 (0%)0/10 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)SHUTi Cognitive Behavioral TherapyUsual CareTotal
Mean46.2 ± 11.447.0 ± 14.746.6 ± 11.4
Sex: Female, Male
Sex: Female, Male(Participants)SHUTi Cognitive Behavioral TherapyUsual CareTotal
Female213
Male8917
Race (NIH/OMB)
Race (NIH/OMB)(Participants)SHUTi Cognitive Behavioral TherapyUsual CareTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American9817
White112
More than one race000
Unknown or Not Reported011
08

Study locations

1 site
  • Infectious Diseases Research Center
    Indianapolis, Indiana 46202, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified data will be made available to other researchers. These include demographics, medical history/medication history, ISI scores, and changes in ISI scores by study arm.

Supporting information: Study protocol, Informed consent form, Clinical study report

Time frame: Data will become available within 30 days of completion of final statistical analysis. There is no expiration of data availability.

Access criteria: Please contact the study PI, Dr. Samir Gupta, for specific details on data availability.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar 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 May 2018 to primary completion in Jul 2019, 14 months.

Results were first posted in Feb 2021, 1 year 6 months after primary completion.

Of 642 non-industry interventional studies with no phase under Acquired Immunodeficiency Syndrome, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 45. This study's 14 months is below that.

Counting every sponsor, half of 648 studies reached it within 29 months; a quarter within 17 and three quarters within 45.

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

Registered
Dec 28, 2017
First posted
Jan 4, 2018
StartActual
May 1, 2018
Primary completionActual
Jul 31, 2019
CompletionActual
Dec 31, 2019
Results first posted
Feb 21, 2021
Last update
Feb 21, 2021
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.
No changes since tracking began. The registry record was last updated on Feb 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03390114
Lead sponsor
Indiana University
Responsible party
Samir K Gupta, MD, MS (Professor of Medicine, Indiana University) — Principal investigator
First posted
Jan 4, 2018
Start date
May 1, 2018
Primary completion
Jul 31, 2019
Completion
Dec 31, 2019
Results posted
Feb 21, 2021
Last update
Feb 21, 2021

Study contacts

Samir K Gupta, MD, MS
principal investigator · Indiana University School of Medicine

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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