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Combination Therapy for Sleep Disturbance in Cancer

Phase 2 & 3
Recruiting
Led By Sriram Yennu, MD
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through the study completion, an average of 1 year.
Awards & highlights

Study Summary

This trial is testing if CBT, combined with either BLT, Methylphenidate, and/or Melatonin, can help improve sleep and other related symptoms in cancer patients.

Who is the study for?
This trial is for English-speaking cancer patients with sleep issues, stable or no pain, and a life expectancy of over a year. They must be cognitively able to participate and not have severe psychiatric illnesses, certain sleep disorders, or be on specific medications that could interfere with the study.Check my eligibility
What is being tested?
The study tests if Cognitive Behavior Therapy (CBT) combined with Bright Light Therapy (BLT), methylphenidate, melatonin, or their placebos can improve sleep quality and reduce fatigue, anxiety, and depression in advanced cancer patients.See study design
What are the potential side effects?
Potential side effects may include daytime drowsiness from melatonin; increased heart rate, blood pressure changes from methylphenidate; eye strain or headache from BLT; plus general risks associated with CBT like emotional discomfort.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through the study completion, an average of 1 year.
This trial's timeline: 3 weeks for screening, Varies for treatment, and through the study completion, an average of 1 year. for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Pittsburgh Sleep Quality Index (PSQI) questionnaires

Side effects data

From 2014 Phase 2 trial • 40 Patients • NCT01114373
42%
Fatigue
39%
Early Morning Wakening
36%
Daytime drowsiness
11%
Weakness
11%
Dizziness
11%
Nausea
11%
Blurred vision
100%
80%
60%
40%
20%
0%
Study treatment Arm
Melatonin
Placebo

Trial Design

4Treatment groups
Experimental Treatment
Group I: Placebo (CLT+ placebo MT + placebo MP with CBT)Experimental Treatment2 Interventions
Patients receive placebo Melatonin (called placebo MT) PO QD for 6 weeks, placebo Methylphenidate (called placebo MP) PO BID for 6 weeks, Control Light Therapy (called CLT) for 30 minutes daily for 6 weeks and Cognitive Behavior Therapy (called CBT) weekly for 6 weeks.
Group II: Methylphenidate (CLT + placebo MT + MP with CBT)Experimental Treatment1 Intervention
Patients receive Control Light Therapy (called CLT) for 30 minutes daily for 6 weeks, placebo Melatonin (called placebo MT) PO QD for 6 weeks, Methylphenidate (called MP) PO BID for 6 weeks, and Cognitive Behavior Therapy (called CBT) weekly for 6 weeks.
Group III: Combination Therapy (BLT+MT+MP with CBT)Experimental Treatment3 Interventions
Patients receive Melatonin (called MT) PO QD for 6 weeks, Methylphenidate (called MP) PO BID for 6 weeks, Bright Light Therapy (called BLT) for 30 minutes daily for 6 weeks, and Cognitive Behavior Therapy (called CBT) weekly for 6 weeks.
Group IV: Bright light and Melatonin (BLT + MT+ placebo MP with CBT)Experimental Treatment2 Interventions
Patients receive Bright Light Therapy (called BLT) for 30 minutes daily for 6 weeks, Melatonin (called MT) PO QD for 6 weeks, placebo Methylphenidate (called placebo MP) PO BID for 6 weeks, and Cognitive Behavior Therapy (called CBT) weekly for 6 weeks.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Melatonin
2014
Completed Phase 4
~1150
Methylphenidate
2014
Completed Phase 4
~431850

Find a Location

Who is running the clinical trial?

M.D. Anderson Cancer CenterLead Sponsor
2,974 Previous Clinical Trials
1,789,288 Total Patients Enrolled
1 Trials studying Sleep
88 Patients Enrolled for Sleep
Sriram Yennu, MDPrincipal InvestigatorMD Anderson
2 Previous Clinical Trials
350 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any current vacancies in this clinical trial for patients seeking treatment?

"This study, which was first posted on December 1st, 2022 is no longer recruiting patients for participation. The most recent update to the posting was on August 23rd, 2022. There are 2,300 other trials seeking participants."

Answered by AI

Who else is applying?

What state do they live in?
California
Pennsylvania
Texas
How old are they?
18 - 65
What site did they apply to?
MD Anderson Cancer Center
What portion of applicants met pre-screening criteria?
Met criteria
How many prior treatments have patients received?
2

Why did patients apply to this trial?

Havanese William wible I took other drugs none of them ever work so I'm looking to get us a shot I believe it can help me. So if you pick my name I really appreciate it and give me a chance also please pay for my flight if I get accepted to go to Texas so I got to pay for that myself just wondering thank you 1-267-596-6291.
PatientReceived 2+ prior treatments
~125 spots leftby Feb 2027