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Trial · NCT05908526

Insomnia Treatment and EMA (Ecological Momentary Assessment) Outcomes

NCT05908526, Phase 2, Completed, University of Maryland, Baltimore; results first posted 2025-10-30

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Insomnia Treatment and EMA (Ecological Momentary Assessment) Outcomes. Trials, record NCT05908526. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05908526

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Insomnia Treatment and EMA (Ecological Momentary Assessment) Outcomes
NCT number
NCT05908526
Status
Completed
Phases
Phase 2
Enrollment
40 participants, actual
Lead sponsor
University of Maryland, Baltimore
Conditions
Insomnia
Interventions
Baseline surveys, Cognitive testing and EMAs, Actiwatch, suvorexant (or placebo), Placebo
First posted
2023-06-18
Last updated
2025-10-30
Results first posted
2025-10-30
Limitations and caveats
Limitations include unknown generalizability of our non-random sample of generally well-educated individuals.

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in Daytime Insomnia Symptoms Scale (DISS)Baseline (start of study) and end of study (before day 16).
This measure assesses daytime symptoms and functional impairments in five domains: alert cognition, fatigue, sleepiness, negative mood, and positive mood. Participants will complete this survey four times per day on their smart phone for approximately 16 days. The possible score range is 0-100, with higher scores indicating greater levels of a given construct.
PrimaryChange in Insomnia Severity as Assessed by Insomnia Severity IndexBaseline (start of study) and end of study (before day 16).
The Insomnia Severity Index is a brief self-report instrument that measures subjective symptoms and consequences of insomnia as well as the degree of distress caused by those difficulties. Total scores range from 0 to 28, with higher scores indicating greater insomnia severity.
SecondaryChange in Sleepiness as Assessed by Epworth Sleepiness ScaleBaseline (start of study) and end of study (before day 16).The Epworth Sleepiness Scale is a brief self-report instrument that measures daytime sleepiness. Total scores range from 0 to 24, with higher scores indicating greater severity of sleepiness.
SecondaryChange in Depression as Assessed by Patient Health Questionnaire-9Baseline (start of study) and end of study (before day 16).
The Patient Health Questionnaire-9 is a brief self-report instrument that measures depressive symptoms. Total scores range from 0 to 27, with higher scores indicating greater levels of depressive symptoms.
SecondaryChange in Anxiety as Assessed by Generalized Anxiety Disorder-7Baseline (start of study) and end of study (before day 16).
The Generalized Anxiety Disorder-7 is a brief self-report instrument that measures anxiety symptoms. Total scores range from 0 to 21, with higher scores indicating greater levels of depressive symptoms.
SecondaryChange in Cognitive Performance Assessed by the PVT (Psychomotor Vigilance Test): LapsesBaseline (start of study) and end of study (before day 16).
PVT is a computer-based, chronometric test to measure reactions to specified small changes in a changing environment. Response time is scored in seconds. Response accuracy is scored numerically, with lower numbers indicating better response accuracy.
SecondaryChange in Cognitive Performance Assessed by the PVT (Psychomotor Vigilance Test): Median Reaction TimeBaseline (start of study) and end of study (before day 16).
PVT is a computer-based, chronometric test to measure reactions to specified small changes in a changing environment. Response time is scored in seconds. Response accuracy is scored numerically, with lower numbers indicating better response accuracy.
SecondaryChange in Cognitive Performance Assessed by the Stroop Test: AccuracyBaseline (start of study) and end of study (before day 16).
Stroop test is a computer-based test of colors and words to measure cognitive interference. Response time is scored in seconds. Response accuracy is scored numerically, with lower numbers indicating better response accuracy.
SecondaryChange in Cognitive Performance Assessed by the Stroop Test: Response Time in MillisecondsBaseline (start of study) and end of study (before day 16).
Stroop test is a computer-based test of colors and words to measure cognitive interference. Response time is scored in milliseconds. Response accuracy is scored numerically, with lower numbers indicating better response accuracy.
SecondaryChange in Cognitive Performance Assessed by the Task-switching: Response Time in MillisecondsBaseline (start of study) and end of study (before day 16).
Task-switching is a computer-based, chronometric test to measure response time and response accuracy. Response time is scored in milliseconds. Response accuracy is scored numerically, with lower numbers indicating better response accuracy.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Daytime Insomnia Symptoms Scale (DISS)Baseline (start of study) and end of study (before day 16).Older adults with insomnia.units on a scaleMEAN
PRIMARYChange in Insomnia Severity as Assessed by Insomnia Severity IndexBaseline (start of study) and end of study (before day 16).Older adults with insomnia.units on a scaleMEAN
SECONDARYChange in Sleepiness as Assessed by Epworth Sleepiness ScaleBaseline (start of study) and end of study (before day 16).Older adults with insomniaunits on a scaleMEAN
SECONDARYChange in Depression as Assessed by Patient Health Questionnaire-9Baseline (start of study) and end of study (before day 16).Older adults with insomnia.units on a scaleMEAN
SECONDARYChange in Anxiety as Assessed by Generalized Anxiety Disorder-7Baseline (start of study) and end of study (before day 16).Older adults with insomnia.units on a scaleMEAN
SECONDARYChange in Cognitive Performance Assessed by the PVT (Psychomotor Vigilance Test): LapsesBaseline (start of study) and end of study (before day 16).Older adults with insomnia. Usable data was not available for ten participants (five in each treatment group).Lapses (reaction time >500 milliseconds)MEAN
SECONDARYChange in Cognitive Performance Assessed by the PVT (Psychomotor Vigilance Test): Median Reaction TimeBaseline (start of study) and end of study (before day 16).Older adults with insomnia. Usable data was not available for ten participants (five in each treatment group).Reaction Time (milliseconds)MEDIAN
SECONDARYChange in Cognitive Performance Assessed by the Stroop Test: AccuracyBaseline (start of study) and end of study (before day 16).Older adults with insomnia. Usable data was not available for ten participants (six in the treatment group and four in the placebo group).Number of ErrorsMEAN
SECONDARYChange in Cognitive Performance Assessed by the Stroop Test: Response Time in MillisecondsBaseline (start of study) and end of study (before day 16).Older adults with insomnia. Usable data was not available for ten participants (six in the treatment group and four in the placebo group).Response time in millisecondsMEAN
SECONDARYChange in Cognitive Performance Assessed by the Task-switching: Response Time in MillisecondsBaseline (start of study) and end of study (before day 16).Older adults with insomnia. Usable data was not available for six participants (three in each treatment group).Response Time (milliseconds)MEAN

Results by group52

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in Daytime Insomnia Symptoms Scale (DISS)TreatmentAlert Cognition morning65.96Standard Deviation 21.66units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)PlaceboAlert Cognition morning70.34Standard Deviation 19.63units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)TreatmentAlert Cognition midday69.22Standard Deviation 20.30units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)PlaceboAlert Cognition midday72.32Standard Deviation 18.45units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)TreatmentAlert Cognition afternoon69.72Standard Deviation 20.35units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)PlaceboAlert Cognition afternoon71.08Standard Deviation 17.89units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)TreatmentAlert Cognition evening67.54Standard Deviation 19.28units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)PlaceboAlert Cognition evening69.05Standard Deviation 17.09units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)TreatmentFatigue/sleepiness morning36.80Standard Deviation 25.74units on a scale
Change in Daytime Insomnia Symptoms Scale (DISS)PlaceboFatigue/sleepiness morning35.83Standard Deviation 28.80units on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTreatment20
Overall StudySTARTEDPlacebo20
Overall StudyCOMPLETEDTreatment20
Overall StudyCOMPLETEDPlacebo20
Overall StudyNOT COMPLETEDTreatment0
Overall StudyNOT COMPLETEDPlacebo0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment020
Total, all-cause mortalityPlacebo020
Total, other adverse eventsTreatment020
Total, other adverse eventsPlacebo020
Total, serious adverse eventsTreatment020
Total, serious adverse eventsPlacebo020

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
17368098BACKGROUNDPubMed
18509902BACKGROUNDPubMed
28427826BACKGROUNDPubMed
36813640BACKGROUNDPubMed
41490112DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Treatment vs Placebo: deaths from any causeTrial comparisons
Treatment vs Placebo: serious adverse eventsTrial comparisons

Tests3

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Psychomotor Vigilance TaskSecondary outcomeConductCognition
Stroop Color-Word TestSecondary outcomeConductCognition
Task Switching TestSecondary outcomeConductCognition

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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