ClinicalTrials.gg
Not yet recruitingNCT07936968COMPAZzzUpdated Nov 13, 2026

Intervention for COMorbid PAin and SLEEP in AYA Living Beyond Cancer (WP1)

An interventional study of Blended pain-sleep intervention in Life After Cancer, sponsored by Vrije Universiteit Brussel. Not yet recruiting at 1 site in Belgium. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Vrije Universiteit Brussel · Not applicable, Interventional, and Supportive care

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
46
Allocation
Non-randomized
Ages
16 Years and older
Sex
All
01

Where this study stands

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

Among 12 studies in Pain by Vrije Universiteit Brussel — 4 open to participants now, 5 under way, none of them phase 3. Pain · Vrije Universiteit Brussel.

Started
2026
with 1 other
No phase
9 of 12
2 open now
Registered
12th of 12
by date

Among the 12 studies in Pain by Vrije Universiteit Brussel, this one is one of 2 that started in 2026, is one of 9 with no phase, and was the 12th registered.

Pain

10,066 studies on the registry are indexed under Pain; 1,651 are open to participants now.

Browse Pain studies →

Open to participants now

4 of the 12 studies in Pain by Vrije Universiteit Brussel are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

Where they have run

Who these studies take

Of the 928 Pain studies recruiting now, 383 (41%) set no upper age limit and 434 (47%) stop at 75 or younger; 146 take children under 18; 222 take healthy volunteers.

This study: 16 Years and older · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Pain by Vrije Universiteit Brussel, or all of them as a file.
02

Study summary

The COMPAZzz project aims to co-develop and evaluate the feasibility of a blended pain and sleep management intervention for adolescents and young adults (AYA) living beyond cancer. Pain and sleep disturbances are common among AYA living beyond cancer and frequently coexist, whereby pain may disrupt sleep and poor sleep may increase pain. In turn, these symptoms may negatively affect quality of life, psychological well-being, and participation in education, work, and social activities.

Despite the considerable impact of these symptoms, pain and sleep disturbances are often addressed separately in survivorship care. COMPAZzz seeks to address this gap by developing an integrated, non-pharmacological (= without administering medication) intervention combining principles of Pain Science Education (PSE) and Cognitive Behavioural Therapy for insomnia (= sleeplessness) (CBT-i). PSE aims to improve understanding of pain by addressing misconceptions and explaining the biological, psychological, and social factors that influence pain experiences. CBT-i targets thoughts, behaviours, and emotions that contribute to sleep disturbances.

Using a Participatory Action Research (PAR) approach, AYA living beyond cancer will actively contribute to the development of the intervention in collaboration with relevant stakeholders, including significant others and oncology clinicians. This collaborative approach aims to ensure that the intervention reflects the needs, preferences, and lived experiences of the target population, thereby supporting its acceptability, engagement, and potential implementation in clinical practice and everyday life.

COMPAZzz aims to establish a foundation for more integrated and person-centered survivorship care addressing co-occurring pain and sleep disturbances in AYA living beyond cancer.

Read the detailed description

Adolescents and young adults (AYA) living beyond cancer may experience persistent pain and sleep disturbances following cancer treatment. These symptoms frequently coexist and interact bidirectionally. Together, pain and sleep disturbances may negatively affect fatigue, psychological well-being, daily functioning, and quality of life. Despite their close relationship, these symptoms are often managed separately in clinical practice.

Pain Science Education (PSE) aims to improve understanding of pain by addressing misconceptions and explaining the biological, psychological, and social factors that influence pain experiences. Cognitive Behavioural Therapy for insomnia (CBT-i) targets thoughts, behaviours, and emotions that contribute to sleep disturbances. Integrating PSE and CBT-i principles into a blended pain-sleep intervention may offer a more comprehensive approach to managing both symptoms. However, such an intervention has not yet been developed specifically for AYA living beyond cancer. The COMPAZzz project therefore aims to co-develop an integrated pain-sleep intervention with and for AYA living beyond cancer (WP1) and to evaluate its feasibility in practice in a second workpackage.

In this first workpackage the intervention development will take place using a Participatory Action Research (PAR) approach. The development will be guided by the Intervention Mapping Protocol (IMP), an iterative framework that supports the development of interventions based on identified needs, behavioural and environmental targets, theory-based methods, and practical implementation requirements.

The intervention development process will involve AYA living beyond cancer, significant others, oncology clinicians, and the research consortium. The AYA co-creation group will comprise 10-12 participants, aiming to include 5-6 individuals diagnosed with cancer between 16 and 25 years of age and 5-6 diagnosed between 26 and 35 years of age. This distribution is intended to represent different life stages and experiences within the AYA population. Significant others and a multidisciplinary group of oncology clinicians will contribute additional perspectives on the challenges experienced by AYA, their support needs, and the practical requirements of integrating an intervention into survivorship care. At least one psychologist will be recruited to provide expertise in the development of the sleep intervention based on CBT-i principles.

Intervention development will proceed through five iterative phases, with six co-creation sessions with AYA, each lasting approximately 1.5 hours, and an additional seventh session focused on the planned feasibility evaluation. In the first session, participants will be introduced to the project and invited to identify their needs, experiences, barriers, and facilitators related to pain and sleep management. Sessions two and three will focus on defining and prioritising behavioural and environmental targets and selecting appropriate theory-based intervention methods. Sessions four and five will translate these priorities into a practical intervention by determining its content, format, delivery method, timing, materials, and organisation. Session six will involve trying out a preliminary version of the co-developed intervention, for example through a webinar, website, or face-to-face format, and collecting feedback. Additional sessions may be organised if needed to reach consensus. The seventh session will gather AYA input on the proposed feasibility study.

In parallel with the initial AYA co-creation activities, focusgroup discussions will be organised separately for significant others and oncology clinicians to explore their perspectives on AYA's challenges and gaps in current pain and sleep management. Approximately three focusgroups per stakeholder category are anticipated, with 6-8 participants per group; the final number will depend on whether data saturation is achieved. Significant others and oncology clinicians will also participate in joint expert consulting sessions during the subsequent development phases. Each expert consulting session will include approximately 6-8 participants, with an equal distribution of significant others and oncology clinicians. Participants in the focus groups may also take part in the expert consulting sessions if they wish.

Throughout the development process, the research consortium will review findings between sessions and use stakeholder feedback to refine subsequent activities. The iterative nature of the IMP will allow earlier decisions to be revisited when necessary. Co-creation sessions, focus groups, and expert consulting sessions will be organised in person, online, or in a hybrid format according to participant preferences. The final co-developed intervention will be offered to participating AYA free of charge.

The resulting intervention will be a blended, non-pharmacological pain-sleep management programme tailored to AYA living beyond cancer. Its content and delivery format will be determined through the participatory development process. The intervention will integrate PSE to improve understanding of pain and its biopsychosocial determinants, CBT-i principles to address factors contributing to sleep disturbances, and strategies that address the interaction between pain and sleep. Broader self-management approaches, potentially including physical activity and stress reduction, may also be incorporated. The specific intervention components, duration, number of sessions, delivery methods, and supporting materials will be finalised during co-development.

03

Conditions studied

  • Life After Cancer

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Keywords

  • AYA
  • Co-creation
  • Pain
  • Sleep disturbances
  • Cancer survivors
  • Psychosocial
  • Adolescents
  • Young adults
  • Significant others
  • Oncology clinicians
  • Intervention Mapping Control
  • Focus group discussions
  • Participatory Action Research
04

Who can participate

Ages eligible
16 Years and older
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

  • Able to read, write and speak Dutch.
  • Able to provide (aged 18 or older) or informed assent (under 18 years old) (i.e., no severe intellectual disability or psychiatric disorder).
  • AYA participants: diagnosed with cancer between the ages of 16 and 35 years (AYA ages) and having completed primary cancer treatment with no evidence of active disease for a maximum of five years. The participants experience pain and/or insomnia that developed during or following completion of cancer treatment and can reasonably be attributed to the cancer trajectory. For the purpose of co-creation and intervention development, participants may preferably experience both symptoms, but may also only experience one of the two symptoms (pain or insomnia). Recruitment will seek to achieve an approximately balanced sample (50:50) of participants with pain and participants with insomnia. These conditions are defined as follows:

A. Pain: Pain that started during cancer treatment or after completion of cancer treatment, with no minimum cut-off for pain intensity or duration, but with a self-reported significant impact on daily functioning and/or quality of life (QoL).

B. Insomnia disorder: Meeting the research diagnostic criteria for insomnia disorder, defined as self-reported sleep difficulties on ≥3 nights per week during the past month, accompanied by ≥1 daytime sleep-related problem).

  • Adult significant others (aged 18 or older): parent, partner, sibling, close friend, or other relevant person involved in the life of someone living beyond AYA cancer.
  • Adult oncology clinicians (aged 18 or older): currently involved in the care of people living beyond AYA cancer (e.g., oncologist, nurse, physical therapist, occupational therapist, psychologist). At least one psychologist with a current employment in oncology for AYA will be recruited to join the oncology clinicians and provide expert input on the development of the sleep intervention based on CBT-I principles.
  • All types of socio-economic status or cultural background.

Exclusion criteria

Exclusion Criteria:

  • Inability to understand Dutch.
  • Severe cognitive impairment or severe psychiatric condition that prevents meaningful participation in group discussions.
  • Individuals who do not give consent to audio recording.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
46 participants (estimated)

Study arms

  • Other
    Co-creation group

    This arm encompasses the AYA, who will participate in 7 co-creation sessions. To co-create the intervention and plan a feasible implementation.

    Other: Blended pain-sleep intervention

  • Other
    Significant others' discussions

    This arm encompasses significant others, who will provide information and extra insights in the issue next to the information gathered from the AYA.

    Other: Blended pain-sleep intervention

  • Other
    Oncology clinicians' discussions

    This arm encompasses oncology clinicians, who will provide information and extra insights in the issue next to the information gathered from the AYA.

    Other: Blended pain-sleep intervention

Interventions

  • OtherBlended pain-sleep intervention

    Intervention development will involve AYA (10-12 participants), significant others, and oncology clinicians. AYA will attend six co-creation sessions (1.5 hours each) and a seventh on feasibility evaluation. Sessions cover pain and sleep needs (session 1), behavioural and environmental targets and theory-based methods (sessions 2-3), intervention development (sessions 4-5), and testing a preliminary intervention (session 6). Separate focus groups with significant others and oncology clinicians will explore AYA's challenges and care gaps. Approximately three groups per stakeholder category are planned, with 6-8 participants each, depending on data saturation. Joint expert consultations (6-8 participants, equally representing both groups) will refine intervention targets and components, ensure guideline alignment, and assess scientific and practical feasibility. Consultations follow sessions 2 and 5, with feedback informing further development. Focus group participants may also join.

06

What researchers measure

Primary outcomes

  1. Development and documentation of a blended pain-sleep intervention using Participatory Action Research and the Intervention Mapping Protocol

    A blended pain-sleep intervention for AYA living beyond cancer will be developed using a Participatory Action Research (PAR) approach guided by the Intervention Mapping Protocol (IMP), a framework for developing, implementing, and evaluating health-promoting interventions. Development will involve seven co-creation sessions with AYA living beyond cancer, as well as focus group discussions with significant others and oncology clinicians to identify the needs and preferences of AYA. Two subsequent expert consultation sessions will gather further feedback on the co-created intervention. Qualitative input and recommendations will be documented and used to refine the intervention objectives, components, and content.

    Time frame: 13 months. The time between the enrollment-period and the end of co-creation-period.

Secondary outcomes

  1. Baseline assessment of demographic, socioeconomic, clinical, and professional characteristics using a self-developed questionnaire in AYAs, significant others, and oncology clinicians

    At baseline, all study participants will complete a self-developed questionnaire to collect demographic and socioeconomic characteristics, including age, sex, gender, socioeconomic status, and ethnicity. For AYAs living beyond cancer, additional information will be collected on cancer history, including cancer type(s), date(s) of diagnosis, cancer treatment(s), treating hospital(s), other medical history, and current or previous psychosocial, physical, and pharmacological treatments. Significant others will report their relationship with the AYA and provide relevant information about the AYA's cancer history. Oncology clinicians will report their oncology experience and experience in pain and sleep management for AYAs living beyond cancer.

    Time frame: At the start of the study, before the intervention development activities begin.

  2. Pain severity and pain interference assessed using the Brief Pain Inventory (BPI) in AYAs living beyond cancer

    The Brief Pain Inventory (BPI) is a 14-item questionnaire used to assess pain severity and pain interference with daily functioning in people with cancer. It evaluates worst pain and other aspects of pain severity and interference over the past week, with items rated on a scale from 0 to 10. The pain interference score is calculated as the mean of seven items assessing the extent to which pain interferes with daily activities, including walking, mood, and sleep. Higher scores indicate greater pain severity or interference.

    Time frame: At the start of the study, before the intervention development activities begin.

  3. Neuropathic pain symptoms assessed using the 7-item Douleur Neuropathique 4 (DN-4) in AYAs

    Neuropathic pain symptoms will be assessed using the 7-item DN-4 questionnaire. The 7-item DN-4 questionnaire is on the first 7 items of the 10-item DN-4 questionnaire. The items are related to the quality of pain (burning, painful cold, electric shocks) and its association to abnormal sensations (tingling, pins and needles, numbness, itching). Each item is scored as 0 (no) or 1 (yes). A total score of ≥4/7 is indicative for the diagnosis of neuropathic pain.

    Time frame: At the start of the study, before the intervention development activities begin.

  4. Central sensitization-related symptoms assessed using the Central Sensitization Inventory (CSI) in AYAs

    Central sensitization-related symptoms will be assessed using the Central Sensitization Inventory (CSI), a questionnaire measuring the frequency and severity of symptoms associated with central sensitivity syndromes. The CSI consists of 25 items, each scored on a 5-point scale from 0 (never) to 4 (always), yielding a total score ranging from 0 to 100. Higher scores reflect a greater burden of symptoms. A score of 40 or higher indicates the presence of central sensitization pain.

    Time frame: At the start of the study, before the intervention development activities begin.

  5. Insomnia severity assessed using the Insomnia Severity Index (ISI) in AYAs

    The Insomnia Severity Index (ISI) is a self-report questionnaire used to identify potential cases of insomnia and assess insomnia severity, covering both nighttime symptoms and daytime impairment. It consists of seven items, each rated on a 5-point Likert scale ranging from 0 to 4, yielding a total score between 0 and 28. Higher scores indicate greater insomnia severity. A cut-off score of 10 is considered optimal for detecting insomnia cases, while a reduction of 8.4 points has been associated with moderate improvement in insomnia severity.

    Time frame: At the start of the study, before the intervention development activities begin.

  6. Multidimensional fatigue assessed using the Multidimensional Fatigue Inventory (MFI) in AYAs

    The Multidimensional Fatigue Inventory (MFI) is a 20-item self-report questionnaire designed to assess fatigue across five domains: general fatigue, physical fatigue, reduced activity, reduced motivation, and mental fatigue. Each item is scored on a 5-point scale ranging from 1 (totally agree) to 5 (disagree). The total score ranges from 20 to 100, with higher scores indicating greater levels of fatigue.

    Time frame: At the start of the study, before the intervention development activities begin.

  7. Participant-reported process evaluation of the Intervention Mapping Protocol process using a self-developed questionnaire and the PEET-12

    The Intervention Mapping Protocol (IMP) process will be evaluated at the end of each session (co-creation/focus group discussions/expert consultations) using a self-developed questionnaire and the PEET-12. All study participants involved in these sessions will be asked to complete both questionnaires. The PEET-12 assesses participants' engagement in the process. The self-developed questionnaire assesses participants' satisfaction and appreciation, perceived knowledge and self-efficacy, and their overall feedback on the session. Items in the self-developed questionnaire will be rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).

    Time frame: 12 months. From the start to the completion of the intervention development process.

07

Study locations

1 site
  • Vrije Universiteit Brussel
    Jette, Vlaams-Brabant 1090, Belgium
    • Dr. Kelly Ickmans · Contactkelly.ickmans@vub.be · +32 2 477 44 20
    • Amélie De Loose · Sub investigator
    • Lotte Legiest · Sub investigator
    • Dr. Emma Rheel · Sub investigator
    • Prof. dr. Marieke De Craemer · Sub investigator
08

References and documents

Individual participant data

Plan to share: No — IPD will not be shared due to ethical and legal restrictions and different privacy aspects.

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Oct 2026; primary completion for Dec 2027, 14 months later.

Of 3,738 non-industry interventional studies with no phase under Pain, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 23. This study's planned 14 months is above that.

Counting every sponsor, half of 3,837 studies reached it within 10 months; a quarter within 4 and three quarters within 23.

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

Registered
Oct 19, 2026
First posted
Nov 13, 2026
StartEst.
Oct 16, 2026
Primary completionEst.
Dec 2027
CompletionEst.
Sep 2028
Last update
Nov 13, 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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

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
NCT07936968
Collaborators
Universitair Ziekenhuis Brussel (UZB), University Ghent, Kom op tegen Kanker-Fonds Wetenschappelijk Onderzoek (KOTK-FWO)
Responsible party
Sponsor
First posted
Nov 13, 2026
Start date
Oct 16, 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Sep 2028 (estimated)
Last update
Nov 13, 2026

Study contacts

Dr. Kelly Ickmans
Contact
kelly.ickmans@vub.be
+32 2 477 44 20
Dr. Eva Roose
Contact
Eva.Charlotte.S.Roose@vub.be
+32 2 477 44 20
Kelly Ickmans
principal investigator · Vrije Universiteit Brussel

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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