Ignite Creation Date:
2024-05-19 @ 5:34 PM
Last Modification Date:
2024-10-26 @ 3:30 PM
Study NCT ID:
NCT06419959
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-05-17
First Post:
2024-05-03
Brief Title:
NightWare and Cardiovascular Health in Veterans With PTSD
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Improving Cardiovascular Health in Veterans With PTSD by Treating Trauma-Related Nightmares With NightWare
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to learn more about the effectiveness of a prescription wrist-wearable device called NightWare NW on improving sleep in Veterans with nightmares related to posttraumatic stress disorder PTSD The investigators also want to learn whether it improves cardiovascular health among this population
Detailed Description:
Posttraumatic stress disorder PTSD is associated with profound health consequences in Veterans including cardiovascular disease CVD the leading cause of death in adults in the United States Trauma-related nightmares a hallmark of PTSD are a debilitating symptom that can lead to poor sleep quality and other health issues that ultimately cause clinically significant impairments in daily functioning Recently nightmares were reported to be an independent predictor of CVD in Veterans for reasons that are unclear Poor sleep is associated with increased CVD risk possibly by impairing vascular health and nervous system function Nightmare-related sleep disturbances are often resistant to first-line treatment eg psychotherapy medications and even with improvements residual nightmares and sleep disturbances often persist that still meet clinical significance Moreover significant barriers often exist including access to care and lack of trained providers that prevent reaching and engagement of individuals to treatments and there is poor adherence to interventions overall As such there is a need to implement interventions andor complementary approaches that may appeal to Veterans experiencing PTSD-related nightmares who are looking for alternatives In this regard NightWare NW digital therapeutic is a novel smart watch application that was recently granted Breakthrough Device designation by the FDA for the treatment of nightmares in adults with PTSD It uses the wearers biometric data ie heart rate body movement and position to distinguish normal and distressed sleep and interrupt nightmares Preliminary evidence demonstrated an improvement in subjective sleep quality in Veterans after 30-days of NW compared with a sham condition However it is unknown whether NW improves sleep quality in Veterans with PTSD with co-morbid medical conditions such as obstructive sleep apnea OSA or in those using medications eg prazosin to treat nightmares related to PTSD It is also unknown if the effects of NW on sleep are similar in male and female Veterans or whether improvements in sleep with NW result in improvements in objective sleep ie sleep physiology or cardiovascular health In this context this study will determine if 8 weeks of NW improves subjective sleep in Veterans with PTSD-related nightmares including those with OSA andor taking medications to treat PTSD related nightmares eg prazosin The change in Pittsburgh Sleep Quality Index PSQI scores from baseline to 8 weeks will be measured Additional goals will evaluate changes in cardiovascular health outcomes with NW use and if there are potential sex differences in the response to NW The proposed research is a high priority topic of the Veterans Affairs as PTSD affects 11-23 of Veterans in a given year The research is highly innovative and if successful will lead to significant advances in the healthcare of Veterans particularly as it relates to the treatment of PTSD-related nightmares
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
True
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
True
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 24-0284 | OTHER | COMIRB | None |
| CX002762-01A1 | OTHER_GRANT | None | None |