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CompletedNCT06604247Updated Sep 19, 2024

The Association Between CBT-I Dose and Innate Immunity in Insomnia and Fatigue in Prostate Cancer Patients

An interventional study of Cognitive Behavioral therapy for insomnia (CBT-I) in Breast Cancer and Prostate Cancer, sponsored by Abramson Cancer Center at Penn Medicine. Completed at 1 site in United States. Open to participants aged 40 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Abramson Cancer Center at Penn Medicine · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 11 months after the study started (first participant enrolled Sep 2020, registered Sep 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
40 Years to 85 Years
Sex
All
01

Study summary

The objective of this project is to test the association between Cognitive Behavioral Therapy for Insomnia dose (number of sessions), severity of cancer related fatigue, and levels of innate immunity biomarkers. Ultimately, this research will help to develop a better understanding of the underlying mechanisms of cancer related fatigue.

Read the detailed description

Cancer-related fatigue (CRF) and insomnia are prevalent among cancer patients and have been linked to decreases in quality of life and poorer overall survivorship. Currently, the mechanisms underlying CRF are not well understood, which has led to treatments that are only moderately effective. In addition, when compared to Cognitive Behavioral Therapy for Insomnia (CBT-I) in the general population, the treatment outcomes in CBT-I with cancer patients are subpar and, as such, this study will evaluate whether dose of CBT-I is effective in ameliorating CRF.

02

Conditions studied

  • Breast Cancer
  • Prostate Cancer
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's enrollment of 18 is below the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Abramson Cancer Center at Penn Medicine is the lead sponsor of 457 studies on the registry; 84 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 14 (42%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 85 Years
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

  • Diagnosis of organ-confined breast cancer or prostate cancer
  • Received radiation treatment
  • Willing and able to provide informed consent
  • Endorse problem with both insomnia and cancer-related fatigue, as measured by the insomnia severity index, Multidimensional Fatigue Symptom Inventory (short form) and the Brief Fatigue Inventory

Exclusion criteria

Exclusion Criteria:

  • History of obstructive Sleep Apnea
  • History of narcolepsy
  • Night shift work
  • Distant metastatic disease at presentation
  • Active drug/alcohol dependence
05

Study design

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

Study arms

  • Experimental
    4-session

    Participants randomized to this condition received 4 weekly CBT-I sessions.

    Behavioral: Cognitive Behavioral therapy for insomnia (CBT-I)

  • Experimental
    8-session

    Participants randomized to this condition received 8 weekly CBT-I sessions.

    Behavioral: Cognitive Behavioral therapy for insomnia (CBT-I)

  • Experimental
    10-session

    Participants randomized to this condition received 10 weekly CBT-I sessions.

    Behavioral: Cognitive Behavioral therapy for insomnia (CBT-I)

  • Experimental
    12-session

    Participants randomized to this condition received 12 weekly CBT-I sessions.

    Behavioral: Cognitive Behavioral therapy for insomnia (CBT-I)

Interventions

  • BehavioralCognitive Behavioral therapy for insomnia (CBT-I)

    Cognitive Behavioral Therapy for Insomnia includes evaluation and orientation; data acquisition and delivery of sleep restriction therapy \& stimulus control instructions; review of sleep hygiene; cognitive therapy \[decatastrophization\]; managing nonadherence and relapse prevention), and, finally, the final sessions will be largely focused on time-in-bed titration.

06

What researchers measure

Primary outcomes

  1. Fatigue

    Fatigue, as measured by the Multidimensional Fatigue Symptom Inventory-Short Form and the FACIT-Fatigue scale.

    Time frame: From enrollment to three months post-treatment

  2. Insomnia Severity

    As measured by the Insomnia Severity Index

    Time frame: From enrollment to post-treatment, and 3 months post-treatment

Secondary outcomes

  1. Sleep Continuity

    As measured by the daily sleep diary, including sleep latency, number of awakenings, wake after sleep onset, total sleep time and sleep efficiency.

    Time frame: From enrollment to post-treatment, and 3 months post-treatment.]

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Study locations

1 site
  • University Of Pennsylvania, Behavioral Sleep Medicine Program
    Philadelphia, Pennsylvania 19104, United States
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 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
NCT06604247
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Sep 30, 2020
Primary completion
Oct 1, 2023
Completion
Jun 30, 2024
Last update
Sep 19, 2024

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 completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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