Status:

COMPLETED

CBT-I or Zolpidem/Trazodone for Insomnia

Lead Sponsor:

California Pacific Medical Center Research Institute

Collaborating Sponsors:

Patient-Centered Outcomes Research Institute

University of Pittsburgh

Conditions:

Chronic Insomnia

Eligibility:

All Genders

18-80 years

Phase:

PHASE4

Brief Summary

This study is a randomized (1:1:1) comparative effectiveness trial of medication (zolpidem or trazodone), cognitive-behavioral therapy for insomnia (CBT-I), and the combination (medication + CBT-I) fo...

Detailed Description

Insomnia is a common health problem that causes distress, impaired function, and increased risk for other health problems. Chronic insomnia is defined by problems with the quality or amount of sleep, ...

Eligibility Criteria

Inclusion

  • Age 18-80
  • Insomnia Severity Index score \> 10
  • Regular internet and computer access
  • Receives primary care in a Non-metropolitan/Rural residence

Exclusion

  • Use of hypnotic medication \>2 times in the past week
  • Current cognitive or cognitive behavioral treatment for insomnia
  • Psychotic disorder
  • Bipolar disorder
  • Current substance use disorder
  • Severe Chronic obstructive pulmonary disease (COPD) or other severe pulmonary disease (such as asthma or lung fibrosis)
  • Cognitive impairment or dementia
  • History of spontaneous or hypnotic-induced complex sleep behavior
  • Delayed sleep phase disorder (DSPD)
  • Shift work that includes working the night shift (between the hours of 12:00 a.m. - 6:00 a.m.)
  • History of fracture or injurious fall in the past 12 months
  • Currently pregnant, planning to become pregnant, or breastfeeding
  • Other severe or uncontrolled mental or physical disorders that would make participation difficult or unsafe

Key Trial Info

Start Date :

February 25 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2024

Estimated Enrollment :

155 Patients enrolled

Trial Details

Trial ID

NCT04468776

Start Date

February 25 2022

End Date

June 30 2024

Last Update

February 24 2025

Active Locations (7)

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Page 1 of 2 (7 locations)

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35233

2

University of Arizona

Tucson, Arizona, United States, 85721

3

University of Missouri

Columbia, Missouri, United States, 65212

4

Oregon Health & Science University

Portland, Oregon, United States, 97239