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临床试验 NCT06404086 针对长期新冠,长期新冠-19,嗜睡症,睡眠干扰目前招募中。请查看临床试验雷达卡片视图和 AI 发现工具了解所有详情,或在此提出任何问题。
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RECOVER-SLEEP: Platform Protocol

招募中
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临床试验NCT06404086旨在研究治疗,主要针对长期新冠,长期新冠-19,嗜睡症,睡眠干扰。这是一项II期 (第二期) 干预性研究试验,目前试验状态为招募中。试验始于2024年7月31日,计划招募1,074名患者。该研究由杜克大学主导,预计于2025年12月31日完成。试验数据来源于ClinicalTrials.gov,最后更新时间为2025年8月19日
简要概括
The platform protocol is designed to be flexible so that it is suitable for a range of study settings and intervention types. Therefore, the platform protocol provides a general protocol structure that can be shared by multiple interventions and allows comparative analysis across the interventions. For example, objectives, measures, and endpoints are generalized in the platform protocol, but intervention-specific features are detailed in separate appendices.

This platform protocol is a prospective, multi-center, multi-arm, randomized controlled platform trial evaluating potential interventions for PASC-mediated sleep disturbances. The hypothesis is that symptoms of sleep and circadian disorders that emerge in patients with PASC can be improved by phenotype-targeted interventions. Specific sleep and circadian disorders addressed in this protocol include sleep-related daytime impairment (referred to as hypersomnia) and complex PASC-related sleep disturbance (reflecting symptoms of insomnia and sleep-wake rhythm disturbance).

详细描述
Interventions will be added to the platform protocol as appendices. Each appendix will leverage all elements of the platform protocol, with additional elements described in the individual appendix.

After completing Baseline assessments, participants will be randomized to an intervention group, which is based on their sleep phenotype, or into a placebo/control group.

官方标题

RECOVER-SLEEP: A Platform Protocol for Evaluation of Interventions for Sleep Disturbances in Post-Acute Sequelae of SARS-CoV-2 Infection (PASC)

疾病
长期新冠长期新冠-19嗜睡症睡眠干扰
其他研究标识符
  • Pro00112484
  • OTA-21-015G (其他拨款/资助编号) (NIH Grant to RTI; RTI subcontracting with DCRI)
NCT编号
实际开始日期
2024-07-31
最近更新发布
2025-08-19
预计完成日期
2025-12-31
计划入组人数
1,074
研究类型
干预性研究
试验分期 (阶段)
II期 (第二期)
试验状态
招募中
关键词
PASC
主要目的
治疗方法
分配方式
随机
干预模型
平行
盲法
三盲
试验组/干预措施
参与者组/试验组干预措施/治疗方法
其他Hypersomnia Arm (Appendix A)
This is a double-blind, phase 2, randomized, placebo-controlled interventional trial of a wake-promoting drug (modafinil or solriamfetol) to treat hypersomnia, defined by elevated scores (\> 55) on the PROMIS 8a SRI scale, in participants with PASC. Participants will be randomized to study drug or control. Participants who meet the eligibility criteria for modafinil will receive either active modafinil or modafinil-matched control. If modafinil is contraindicated, participants will be assessed for solriamfetol. If participants are eligible for solriamfetol, they will receive either active solriamfetol or solriamfetol-matched control. If solriamfetol is contraindicated, participants will be excluded from Appendix A. Modafinil and solriamfetol will be analyzed as a single wake-promoting drug condition versus control. The intervention duration will be 10 weeks. Anticipated enrollment is 474 participants. Details about the Hypersomnia Appendix are available under NCT06404099.
Modafinil
Modafinil is used off-label based on supporting published evidence in major depressive disorder (antidepressant augmentation), multiple sclerosis-related fatigue, Parkinson disease-related excessive daytime sleepiness, and severe cancer-related fatigue (in patients receiving active treatment). Doses up to 400 mg/day, given as a singleMode dose, have been well tolerated, but there is no consistent evidence that this dose confers additional benefit beyond that of the 200 mg dose. Study drug administration will total 10 weeks.
Modafinil Placebo
The placebo will be tooled to look similar to the modafinil tablet, but it will not contain the active ingredient. Modafinil placebo dosing will follow the same titration scheme as modafinil treatment. Unblinded study personnel will manage modafinil and placebo disbursement to maintain blinding among participants and blinded study personnel, including site investigators.
Solriamfetol
The proposed doses and the schedule of dose escalation are consistent with currently approved FDA labeling for solriamfetol for other disorders of excessive daytime sleepiness. Solriamfetol dosing will total 10 weeks, including 3 weeks for titration and 7 weeks of maintenance. Solriamfetol will be given as a 75 mg tablet (1 or 2 per day) in the morning. The 3-week titration will be facilitated by phone calls between the study team and participants. Titrations in dose will be dependent upon participants' symptoms and tolerance to solriamfetol, with a goal of participants taking the highest dose permitted by symptoms. This dose will be used for the maintenance phase.
Solriamfetol Placebo
The placebo tablet will be tooled to look similar to the solriamfetol tablet, but it will not contain the active ingredient. Solriamfetol placebo dosing will follow the solriamfetol dosing scheme and goal. Unblinded study personnel will manage solriamfetol and placebo disbursement to maintain blinding among participants and blinded study personnel, including site investigators.
其他Complex PASC related Sleep Disturbances (CPSD) Arm (Appendix B )
This is a double-blind, phase 2, randomized, placebo-controlled, interventional trial that combines brief education and a tailored sleep timing prescription for CPSD with therapies that modify circadian timing for participants who report poor sleep quality or daytime sleep-related impairment, defined by elevated scores (≥55) on the PROMIS 8b SD scale, in participants with symptoms that occurred or worsened after COVID-19 infection. Interventions involve tailored lighting (TL) and melatonin. Participants will be randomly assigned to 1 of 4 groups: (a) active TL + oral melatonin, (b) active TL + placebo melatonin, (c) placebo TL + oral melatonin, and (d) placebo TL + placebo melatonin. All groups will receive BBT-CPSD. It is a 2x2 factorial design schema. The intervention duration will be 8 weeks. Anticipated enrollment for this appendix is 600 participants. Additional details about the CPSD Appendix are available under NCT06404112.
褪黑素
Melatonin dosing will be one tablet of 3 mg immediate release daily consumed 2 hours before the participant's desired bedtime, which is defined as the time at which the participant tries to fall asleep.
Melantonin Placebo
Melatonin placebo dosing will be one placebo tablet once daily consumed 2 hours before the participant's desired bedtime.
Tailored Lighting (TL) Active
TL will be delivered similarly to both active and placebo groups, but the circadian stimulus (the amount of light) will be different, albeit practically unidentifiable to participants.
Tailored Lighting (TL) Placebo
TL will be delivered similarly to both active and placebo groups, but the circadian stimulus (the amount of light) will be different, albeit practically unidentifiable to participants.
主要终点
结果指标度量标准描述时间框架
Total number of participants enrolled in each Appendix
Total number of participants enrolled in each Appendix will be reported. Appendix-specific outcome measure data will be reported under the associated NCT#.
12 months
资格标准

适龄参与研究
成人, 老年人
最低年龄要求
18 Years
适龄性别
全部

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

  1. ≥ 18 years of age at the time of enrollment

  2. Previous suspected, probable, or confirmed SARS-CoV-2 infection, as defined by the Pan American Health Organization:

    Suspected* case of SARS-CoV-2 infection - Three options, A through C:

    A. Met the clinical OR epidemiological criteria:

    1. Clinical criteria: Acute onset of fever AND cough (influenza-like illness) OR Acute onset of ANY THREE OR MORE of the following signs or symptoms: fever, cough, general, weakness/fatigue, headache, myalgia, sore throat, coryza, dyspnea, nausea, diarrhea, anorexia;
    2. Epidemiological criteria: Contact of a probable or confirmed case or linked to a COVID-19 cluster; or B. Presented with acute respiratory infection with a history of fever or measured fever of ≥ 38°C and cough, with onset within the last 10 days, and required hospitalization; or C. Presented with no clinical signs or symptoms, NOR meeting epidemiologic criteria with a positive professional use or self-test SARS-CoV-2 Antigen-Rapid Diagnostic Test.

    Probable* case of SARS-CoV-2 infection, defined as having met the clinical criteria above AND was a contact of a probable or confirmed case or is linked to a COVID-19 cluster; or

    Confirmed case of SARS-CoV-2 infection - Two options, A through B:

    A. Presented with a positive nucleic acid amplification test, regardless of clinical criteria OR epidemiological criteria; or B. Met clinical criteria AND/OR epidemiological criteria (See suspected case A), with a positive professional use or self-test SARS-CoV-2 Antigen-Rapid Diagnostic Test.

    * Suspected and probable cases will only be allowed if they occurred before May 1, 2021, and will be limited to 10% of the study population. Otherwise, confirmed cases are required.

  3. New/worse sleep problems following a SARS-CoV-2 infection that have persisted for at least 12 weeks and are still present at the time of consent

  4. PROMIS 8a SRI or 8b SD T Score ≥ 55**

    ** Screening with both the PROMIS 8a SRI and 8b SD will occur for the phenotype assessment portion of the protocol.

  5. Willing and able to provide informed consent, complete the surveys and clinical assessments, and return for all of the necessary follow-up visits

  6. Adequate method of birth control for participants of child-bearing potential

An individual who meets any of the following criteria will be excluded from participation in this study:

  1. Known active acute SARS-CoV-2 infection ≤ 4 weeks from consent
  2. Known pregnancy, breastfeeding, or contemplating pregnancy during the study period
  3. Untreated sleep apnea (AHI ≥ 15 or severe sleep-related hypoxemia)
  4. Current night or rotating shift work
  5. Known history of narcolepsy prior to SARS-CoV-2 infection
  6. Any non-marijuana illicit drug use within 30 days of informed consent
  7. Known history of severe mental disorder, such as psychotic disorders and bipolar disorder
  8. Current or recent use (within the last 14 days) of study intervention or similar intervention to treat the underlying condition, unless a washout period is permitted per appendix*
  9. Known allergy/sensitivity or any hypersensitivity to components of the study intervention or control*
  10. Known contraindication(s) to study intervention including prohibited concomitant medications and without the ability to safely hold prohibited concomitant medications (see appendices)*
  11. Currently receiving/using intervention from another clinical trial that could impact or mask treatment effect; refer to MOP for details
  12. Any condition that would make the participant, in the opinion of the investigator, unsuitable for the study

(*)If only one study intervention appendix is open at the time of enrollment. If multiple study intervention appendices are open, a participant may be excluded from any study intervention appendix based on contraindications listed in the study intervention appendix, current use of study intervention, or known allergy/sensitivity/hypersensitivity yet remain eligible for the remaining study intervention appendices.

研究中心联系人
联系人: Jaelyn R Linski, BA, CCRC, 919-668-8060, [email protected]
联系人: Barrie L Harper, BSMT (ASCP) PMP, [email protected]
47 位于 1 个国家/地区的研究中心

Arizona

Banner University Medical Center Phoenix, Phoenix, Arizona, 85006, United States
进行中但不再招募
University of Arizona Banner Medical Center, Tucson, Arizona, 85719, United States
Heidi Erickson, 联系人, 520-626-5287, [email protected]
Parthasarathy Sairam, MD, 主要研究者
招募中
The Southern Arizona VA Health Care System, Tucson, Arizona, 85723, United States
Adnan Abbasi, MD, 联系人
Adnan Abbasi, 主要研究者
招募中

California

Stanford University, Palo Alto, California, 94304, United States
Clete Kushida, MD, 联系人, 650-723-6601, [email protected]
Clete Kushida, MD, 主要研究者
招募中
University of California San Francisco General Hospital, San Francisco, California, 94143, United States
Aric Prather, MD, 联系人
Aric Prather, 主要研究者
Andrew Krystal, 子研究者
招募中

Colorado

University of Colorado Anschutz Medical Campus, Aurora, Colorado, 80045, United States
Sarah Jolley, MD, 联系人
Sarah Jolley, MD, 主要研究者
Kristine Erlandson, 子研究者
Neale Lange, 子研究者
招募中
Denver Health and Hospital Authority, Denver, Colorado, 80204, United States
Edward Gardner, MD, 联系人
Edward Gardner, 主要研究者
招募中

District of Columbia

Howard University Hospital, Washington D.C., District of Columbia, 20060, United States
Peter Whitesell, 联系人
Peter Whitesell, MD, 主要研究者
Zara Martirosyan, 子研究者
Alem Mehari, 子研究者
招募中

Florida

University of Florida College of Medicine Jacksonville, Jacksonville, Florida, 32209, United States
Carmen Isache, MD, 联系人
Carmen Isache, MD, 主要研究者
Jorge Verdecia, MD, 子研究者
招募中
Lakeland Regional Medical Center, Lakeland, Florida, 33805, United States
Debra Seoane, MD, 联系人
Debra Seoane, MD, 主要研究者
招募中

Georgia

Grady Memorial Hospital, Atlanta, Georgia, 30303, United States
Jenny Han, MD, 联系人
Jenny Han, 主要研究者
Tiffany Walker, 子研究者
招募中
Morehouse School of Medicine, Atlanta, Georgia, 30310, United States
Priscilla Igho-Pemu, 联系人
Priscilla Igho-Pemu, 主要研究者
招募中
Emory University, Atlanta, Georgia, 30322, United States
Dayna Johnson, MD, 联系人, 404-727-8708, [email protected]
Dayna Johnson, MD, 主要研究者
Nancy Collop, MD, 子研究者
Alex Truong, MD, 子研究者
招募中
Atlanta VA Medical Center, Decatur, Georgia, 30030, United States
Barry Fields, MD, 联系人
Barry Fields, MD, 主要研究者
招募中
Emory Hope Clinic, Decatur, Georgia, 30030, United States
Wiley Zanthia, MD, 联系人
Wiley Zanthia, 主要研究者
Nadine Rouphael, 子研究者
Cassie Grimsley-Ackerley, 子研究者
Kristen Unterberger, 子研究者
Veronica Smith, 子研究者
Mary Atha, 子研究者
Paulina Rebolledo Esteinou, 子研究者
Kelley Colleen, 子研究者
Srilatha Edupuganti, 子研究者
Matthew Collins, 子研究者
Zanthia Wiley, 子研究者
Daniel Graciaa, 子研究者
Jessica Traenkner, 子研究者
招募中

Illinois

Northwestern Memorial Hospital, Chicago, Illinois, 60611, United States
Phyllis Zee, MD, 联系人
Phyllis Zee, 主要研究者
Kathryn Reid, 子研究者
Paul Chung, 子研究者
Alexander Choi, 子研究者
Lisa Wolfe, 子研究者
Sabra Abbott, 子研究者
Mathew Mass, 子研究者
招募中
Cook County Health Specialty Care Center, Chicago, Illinois, 60612, United States
进行中但不再招募
Rush University Medical Center, Chicago, Illinois, 60612, United States
James Moy, MD, 联系人
James Moy, MD, 主要研究者
Babak Mokhlesi, MD, 子研究者
招募中
University of Illinois at Chicago, Chicago, Illinois, 60612, United States
Bharati Prasad, MD, 联系人
Bharati Prasad, MD, 主要研究者
招募中
NorthShore Medical Group, Evanston, Illinois, 60201, United States
Mary Ellen Acree, MD, 联系人, [email protected]
Amanda Caplan, MD, 联系人, 1-224-364-2273, [email protected]
Mary Ellen Acree, MD, 主要研究者
Oluwadamilola Adeyemi, MD, 子研究者
Amanda Caplan, MD, 子研究者
Michael Glickman, MD, 子研究者
Benjamin Margolis, MD, 子研究者
Nicholas Mathenia, MD, 子研究者
招募中
Saint Francis Medical Center, Peoria, Illinois, 61606, United States
Patrick Whitten, MD, 联系人
Patrick Whitten, 主要研究者
Ossama Ikladios, 子研究者
Subramanyam Chittivelu, 子研究者
Kaninika Verma, 子研究者
招募中

Kansas

University of Kansas Medical Center, Kansas City, Kansas, 66160, United States
Damien Stevens, MD, 联系人
Damien Stevens, 主要研究者
Diego Mazzotti, 子研究者
招募中

Kentucky

University of Kentucky, Lexington, Kentucky, 40536, United States
Christopher Simmons, MD, 联系人
Christopher Simmons, MD, 主要研究者
Robert Murray, 子研究者
Sara Pasha, 子研究者
Sidney Whiteheart, 子研究者
招募中

Maryland

Johns Hopkins Bayview Medical Center, Baltimore, Maryland, 21224, United States
Jonathan Jun, MD, 联系人, 410-550-0115, [email protected]
Jonathan Jun, MD, 主要研究者
Daisy Duan, MD, 子研究者
Luu Pham, MD, 子研究者
招募中
Jadestone Clinical Research, LLC, Silver Spring, Maryland, 20904, United States
Jonathan Cohen, MD, 联系人
Jonathan Cohen, 主要研究者
Homam Ibrahim, 子研究者
招募中

Massachusetts

Tufts Medical Center, Boston, Massachusetts, 02111, United States
Aarti Grover, MD, 联系人, 617-636-7689, [email protected]
Aarti Grover, MD, 主要研究者
招募中
Massachusetts General Hospital, Boston, Massachusetts, 02114, United States
Aleksandar Videnovic, MD, 联系人, 671-724-3837, [email protected]
Aleksandar Videnovic, MD, 主要研究者
招募中
Brigham and Womens Hospital, Boston, Massachusetts, 02115, United States
Daniel Gottlieb, MD, 联系人
Daniel Gottlieb, MD, 主要研究者
Susan Redline, MD, 子研究者
招募中
Boston Medical Center, Boston, Massachusetts, 02118, United States
Sanford Auerbach, MD, 联系人
Sanford Auerbach, 主要研究者
Steven Lenio, 子研究者
招募中
Beth Israel Deaconess Med. Ctr., Boston, Massachusetts, 02215, United States
Janet Mullington, MD, 联系人
Janet Mullington, 主要研究者
Robert Thomas, 子研究者
招募中
University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, 01655, United States
Jennifer Wang, MD, 联系人
Jennifer Wang, MD, 主要研究者
Evan Bradley, 子研究者
Mary Co, 子研究者
招募中

New Jersey

Rutgers University - Robert Wood Johnson Medical School, New Brunswick, New Jersey, 08901, United States
Sabiha Hussain, MD, 联系人
Sabiha Hussain, 主要研究者
Aesha Jobanputra, 子研究者
招募中

New Mexico

University of New Mexico, Albuquerque, New Mexico, 87102, United States
Shanna Diaz, MD, 联系人, 505-272-2515, [email protected]
Shanna Diaz, MD, 主要研究者
招募中

New York

Icahn School of Medicine at Mount Sinai, New York, New York, 10029, United States
Vaishnavi Kundel, MD, 联系人
Vaishnavi Kundel, MD, 主要研究者
Mira Tadros, 子研究者
招募中

North Carolina

East Carolina University, Greenville, North Carolina, 27834, United States
Paul Bolin, MD, 联系人
Paul Bolin, MD, 主要研究者
招募中

Ohio

University of Cincinnati Medical Center, Cincinnati, Ohio, 45220, United States
Ann Romaker, MD, 联系人
Ann Romaker, MD, 主要研究者
Rachel Foot, MD, 子研究者
招募中
University Hospitals of Cleveland Medical Center, Cleveland, Ohio, 44106, United States
Kingman Strohl, MD, 联系人
Kingman Strohl, MD, 主要研究者
Susheel Patil, 子研究者
招募中

Oregon

Oregon Health and Science University, Portland, Oregon, 97239, United States
Hope Aluko, MD, 联系人
Hope Aluko, 主要研究者
Akram Khan, 子研究者
Maureen Lyons, 子研究者
招募中

Texas

Southwest Family Medicine Associates, Dallas, Texas, 75235, United States
Chrisette Sharma, MD, 联系人, 469-893-1242, [email protected]
Chrisette Dharma, MD, 主要研究者
Angela Kemp, MD, 子研究者
Monica Ramirez, MD, 子研究者
招募中
Houston Methodist Hospital, Houston, Texas, 77030, United States
Eleftherios Mylonakis, MD, 联系人
Eleftherios Mylonakis, 主要研究者
Rodney Folz, 子研究者
Deepa Gotur, 子研究者
Faisal Zahiruddin, 子研究者
招募中
University of Texas Health Science Center at Houston, Houston, Texas, 77030, United States
Reeba Matthew, MD, 联系人
Reeba Matthew, MD, 主要研究者
Bela Patel, 子研究者
Ruckshanda Majid, 子研究者
招募中
New Dawn Wellness and Medical Research Center, Houston, Texas, 77082, United States
Adanna Ukazu, MD, 联系人
Adanna Ukazu, MD, 主要研究者
Kerollos Shaker, MD, 子研究者
Elaine Shehata, MD, 子研究者
招募中

Virginia

University of Virginia Health System, Charlottesville, Virginia, 22908, United States
Alexandra Kadl, MD, 联系人
Alexandra Kadl, MD, 主要研究者
Scott Schecter, MD, 子研究者
Jeffrey Sturek, MD.PhD, 子研究者
招募中

Washington

Evergreen Hospital Medical Center, Kirkland, Washington, 98034, United States
Pinky Agarwal, MD, 联系人
Pinky Agarwal, MD, 主要研究者
招募中

West Virginia

University Physicians and Surgeons (DBA Marshall Health), Huntington, West Virginia, 25701, United States
Imran Khawaja, MD, 联系人
Imran Khawaja, MD, 主要研究者
招募中
West Virginia Clinical and Translational Science Institute, Morgantown, West Virginia, 26506, United States
Sunil Sharma, MD, 联系人
Sunil Sharma, 主要研究者
Robert Stansbury, 子研究者
Edward Rojas, 子研究者
招募中

Wisconsin

Medical College of Wisconsin, Milwaukee, Wisconsin, 53226, United States
Rose Franco, MD, 联系人, 414-955-7040, [email protected]
Rose Franco, MD, 主要研究者
招募中