Status:

RECRUITING

Efficacy of Trazodone to Treat Insomnia in Older Adults (TRADITION Study)

Lead Sponsor:

Centre hospitalier de l'Université de Montréal (CHUM)

Conditions:

Insomnia Chronic

Older People

Eligibility:

All Genders

65+ years

Phase:

PHASE2

Brief Summary

This study aims to evaluate how effective trazodone is in treating insomnia in adults aged 65 years and older. The main question it aims to answer is : \- Is trazodone more effective than a placebo i...

Eligibility Criteria

Inclusion

  • Individuals aged 65 or older in an outpatient setting
  • Insomnia according to the criteria of the ICSD-3R

Exclusion

  • Contraindication to trazodone (hypersensitivity)
  • Presence of a ventricular cardiac arrhythmia (e.g., torsades de pointes)
  • Recent myocardial infarction (\< 6 months)
  • Substances that may alter sleep (hypnotics or any other medication intended to induce sleep, such as mirtazapine or quetiapine, corticosteroids, melatonin, psychostimulant drugs)
  • Active, unstable psychiatric disorder
  • Initiation or titration of an antidepressant within the past 6 months
  • Cognitive-behavioral therapy ongoing or planned during the study period
  • Major neurocognitive disorder (NCD) moderate or severe, or other cognitive disorders that may prevent the participant from being able to participate in the study, according to the judgment of the evaluating physician
  • Parkinson's disease
  • Priapism
  • Known angle-closure glaucoma
  • Symptomatic restless leg syndrome \> 3 times per week
  • QTc interval \> 500 ms
  • Parasomnias, dyssomnias other than insomnia
  • Severe sleep apnea with AHI \> 30 without CPAP treatment
  • Use of a monoamine oxidase inhibitor
  • Use of a strong CYP 3A4 inducer or inhibitor
  • Hospitalized individuals
  • Seizure within the past 6 months
  • History of orthostatic hypotension
  • History of delirium within the last 6 months
  • Consumption of \> 14 alcoholic drinks per day or use of alcohol to induce sleep.

Key Trial Info

Start Date :

November 10 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2027

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT06983080

Start Date

November 10 2025

End Date

December 1 2027

Last Update

December 8 2025

Active Locations (1)

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1

Centre Hospitalier de l'Université de Montréal

Montreal, Quebec, Canada, H2X 0C1