Can a sleep app help people stick with their sleep apnea treatment?
NCT ID NCT07838870
First seen Sep 24, 2026 · Last updated Sep 25, 2026 · Updated 1 time
Summary
Many people with obstructive sleep apnea also have insomnia, which can make it harder to use their sleep apnea device. This trial tests a digital cognitive behavioral therapy for insomnia app called COAST. The app gives weekly sleep recommendations based on daily diaries. Researchers want to see if treating insomnia helps participants use their upper airway stimulation device more consistently and improves their insomnia symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a digital cognitive behavioral therapy for insomnia app called COAST
- What this could lead to
- If it works, the app could give people with insomnia and sleep apnea a way to sleep better and use their sleep apnea device more consistently.
- What could go wrong
- This is an early study with 100 participants. The app may not improve device use or sleep, and some people may find the weekly diaries and recommendations hard to follow.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * being seen and treated at the designated study locations for OSA with: * a diagnosis of insomnia (defined as ISI ≥10, or prescribed hypnotic medication (trazadone, zolpidem, eszopiclone, doxepin), or a diagnosis of insomnia \[International Classification of Sleep Disorders 3 criteria\]). * internet-capable device (e.g., smartphone, tablet, or computer) * able to download and use the COAST app for administration of the intervention * able to download and Inspire smartphone app utilized for clinical compliance information collection * Included patients must meet FDA indications for UAS (qualifying apnea-hypopnea index score (AHI), body mass index (AHI) and appropriate anatomical airway collapse pattern as evaluated through clinically required drug induced sleep endoscopy DISE) and be scheduled for UAS implantation in typical clinical care settings at UPMC. Exclusion Criteria: * -engaged in CBT-I in past 6 months * does not have access to or unable to use internet capable device (smartphone, tablet or computer)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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UPMC Mercy Hospital
Pittsburgh, Pennsylvania, 15219, United States
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