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TerminatedNCT04271930Updated Oct 9, 2024

Effect of Sleep Quality on Hematopoietic Cell Transplant Patient Outcomes

An interventional study of Mindfulness Awareness Practices for Insomnia and Sleep Health Information in Sleep and Multiple Myeloma, sponsored by Medical College of Wisconsin. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-09.

Sponsored by Medical College of Wisconsin · Not applicable, Interventional, and Supportive care

Why this study was terminated
This study terminated early due to lack of participant retention
Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This randomized, controlled study will compare Mindfulness Awareness Practices for Insomnia (MAP-I) to sleep health education (SHE) in subjects receiving autologous hematopoietic cell transplant for multiple myeloma.

Read the detailed description

This randomized controlled study will evaluate the feasibility of implementing a mindfulness intervention targeting inpatient autologous hematopoietic cell transplantation (HCT) recipients (first HCT) with multiple myeloma (MM) and the preliminary efficacy of Mindfulness Awareness Practices for Insomnia (MAP-I) vs. sleep health education (SHE) to improve insomnia outcomes, cellular and transcriptomic markers of inflammation, and insomnia associated behavioral symptoms (depression, fatigue).

Patients enrolled in this study will be randomized to either receive MAP-I or SHE starting 2-4 weeks prior to HCT. Patients will receive two sessions prior to inpatient admission for HCT, and four sessions in the two weeks of hospitalization following HCT, for a total of six intervention (or control) sessions.

Primary Objective: Determine the feasibility of implementing MAP-I among HCT recipients under first autologous HCT for MM.

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Conditions studied

  • Sleep
  • Multiple Myeloma

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Keywords

  • Sleep
  • Insomnia
  • Mindfulness Awareness Practices for Insomnia
  • Sleep Health Education
  • Multiple Myeloma
  • Autologous Hematopoietic Cell Transplantation
  • Depression
  • Inflammation
  • Sleep hygiene
  • Fatigue
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In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's enrollment of 24 is below the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Medical College of Wisconsin is the lead sponsor of 540 studies on the registry; 120 are open to participants now.

Of its 71 completed or terminated interventional studies of FDA-regulated products, 56 (79%) 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
All
Accepts healthy volunteers
No

Inclusion criteria

  • ≥18 years of age
  • ≤ 1 year since initiation of systemic anti-myeloma therapy
  • No prior progression or relapse of myeloma prior to HCT
  • Patient should be eligible to receive melphalan 200 mg/m2 as conditioning regimen
  • Stem cell graft with > 2.0 x10\^6 cluster of differentiation 34 cells (CD34+)/kg available for transplant
  • Karnofsky Performance Score (KPS) ≥70
  • Agreeable to random assignment and data collection, including survey completion and blood draws
  • Available to attend the outpatient intervention portion.
  • Voluntary written consent must be given before performance of any study related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care

Exclusion criteria

Exclusion Criteria:

  • Prior autologous HCT
  • Outpatient HCT
  • Presence of coexistent amyloidosis
  • Presence of known Obstructive Sleep Apnea (OSA)
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Mindfulness Awareness Practices for Insomnia

    Participants will be instructed to practice mindfulness techniques on a daily basis, beginning with 5 minutes and increasing to 20 minutes over the course of the 6-week intervention - as is standard with the Mindfulness Awareness Practices (MAPs) course - with practice prior to bedtime. An intervention training manual is the cornerstone of standardized delivery of MAP-I. Participants are also provided with a book on mindfulness (Fully Present: The Science, Art, and Practice of Mindfulness, authored by the Mindfulness Awareness Research Center (MARC) leader and MAP-I instructor Diana Winston) as well as access to the University of California Los Angeles (UCLA) Mindful App courtesy of the MARC at UCLA (via personal iPhone or study-administered tablets per patient preference), which contains pre-recorded guided meditations for use in daily practice.

    Behavioral: Mindfulness Awareness Practices for Insomnia

  • Active comparator
    Sleep Health Education

    Six individual 1-hour videos will be shown to participants at the same time points as, and with equal duration to, the MAP-I intervention. These videos will be recorded presentations that have been modified for HCT recipients based upon similar SHE interventions delivered in prior studies. Similar to the intervention group, patients in the SHE group will also participate in group Zoom chat sessions with equal frequency and duration lead by a study research coordinator. These sessions will allow for general patient interaction to discuss sleep and any questions or comments they may have, as lead by the group facilitator.

    Behavioral: Sleep Health Information

Interventions

  • BehavioralMindfulness Awareness Practices for Insomnia

    MAP-I is a curriculum-based intervention that incorporates practice prior to bed, use of practice in the bed during night-time awakenings, and daily body scan.

  • BehavioralSleep Health Information

    A video SHE seminar will serve as active comparator for nonspecific treatment elements that pose rival explanations for the effectiveness of MAP-I.

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What researchers measure

Primary outcomes

  1. Number of Participants Enrolling in the Study

    This outcome measure is the number of participants signed consent and were enrolled compared to the number of potential participants assessed for eligibility.

    Time frame: Up to 2 weeks

  2. Number of Participants Completing Study Procedures

    This outcome measure is the number of participants completing the required study procedures compared to the number of participants initiating study procedures.

    Time frame: 100 days after transplant procedure

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Study locations

1 site
  • Froedtert Hospital and the Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, 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 Oct 9, 2024, 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
NCT04271930
Lead sponsor
Medical College of Wisconsin
Responsible party
Jennifer M. Knight (Assistant Professor, Medical College of Wisconsin) — Principal investigator
First posted
Feb 17, 2020
Start date
Nov 1, 2020
Primary completion
May 23, 2023
Completion
May 23, 2023
Last update
Oct 9, 2024

Study contacts

Jennifer Knight, MD
principal investigator · Medical College of Wisconsin

Oversight

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

Not currently enrolling

This study is terminated, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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