Multicenter Study on the Role of Light Therapy in Modulating the Clinical Phenotype of Patients With Primary and Comorbid Chronic Insomnia Through Circadian Phase Modification.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Change in Insomnia Severity Index
研究概览
简要总结
Some evidence indicates that circadian rhythm may play a role in the pathophysiology of insomnia disorder. This single-blind randomized controlled multicentre prospective study aims to evaluate the possible therapeutic effect of light therapy in modulating the clinical phenotype of patients affected by chronic primary and comorbid insomnia, through the modification of the circadian phase.
详细描述
Some evidence indicates that circadian rhythm may play a role in the pathophysiology of insomnia disorder. This single-blind randomized controlled multicentre prospective study aims to evaluate the possible therapeutic effect of light therapy in modulating the clinical phenotype of patients affected by chronic primary and comorbid insomnia, through the modification of the circadian phase.
STUDY DESIGN AND METHODS
With regard to the study in question, it should be noted that:
- the study is a prospective multicentre randomized single-blind controlled trial
- the duration of the study is expected to be 3 years with a duration of enrollment of 2 and a half years and a minimum clinical follow-up of 3 months
The study will be divided into two evaluations, an initial evaluation (Time 0, T0) where the patients will be enrolled and all the measurements required before treatment with light therapy will be performed, and a final evaluation after 6 weeks of treatment with light therapy effective or sham (Time 1, T1), where the measurements performed at T0 will be repeated. Both assessments will be performed at the Sleep Medicine outpatient clinic.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary chronic insomnia
- •Comorbid chronic insomnia
- •Absence of pharmacological therapy of insomnia
- •Absence of behavioural and cognitive treatment of insomnia
- •Capacity to understand the study and adhere to the procedures
- •Written informed consent
排除标准
- •Secondary insomnia due to medical conditions or drug treatment
- •Cerebral diseases
- •Invalidating diseases
- •Eye diseases that contraindicate the use of light therapy
- •Psychiatric disorders
- •Cognitive decline
- •Working in night shifts during the last month before enrolment
- •Impossibility to provide informed consent
研究组 & 干预措施
Luminette
Patients without ocular contraindications undergo a Luminotherapy protocol (intermittent blue-enriched light therapy with Luminette 10000 lux equivalent) with morning or evening timing, depending on the circadian phase.
干预措施: Luminette (Other)
Sham
Control group (white light <100 lux equivalent).
干预措施: Sham (Other)
结局指标
主要结局
Change in Insomnia Severity Index
时间窗: Baseline and after 6 weeks of intervention
Insomnia Severity Index (ISI, Pittsburgh Quality Index) - self-report questionnaire composed of 19 items assessing sleep quality
次要结局
- Change in salivary melatonin(Baseline and after 6 weeks of intervention)
