Can fixing insomnia help heavy drinkers cut back?
NCT ID NCT06286774
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Researchers at the University of Missouri-Columbia are studying whether improving insomnia can lead to better alcohol outcomes in heavy-drinking adults. The trial enrolls 256 adults who meet criteria for alcohol use disorder and insomnia disorder. Participants receive five weekly one-hour sessions of cognitive behavioral therapy for insomnia, a structured program that includes stimulus control, sleep restriction, and sleep hygiene. The study measures changes in insomnia severity, weekly drinking quantity, and alcohol-related consequences.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cognitive Behavioral Therapy for Insomnia (CBT-I), a structured sleep-focused talk therapy
- What this could lead to
- If CBT-I improves sleep and reduces drinking, it could offer a non-drug way to help heavy drinkers cut back by targeting insomnia.
- What could go wrong
- This is a behavioral trial, not a cure, and some participants may not stick with the therapy or see lasting changes in drinking. Sleep improvements do not always translate into less alcohol use.
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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 256 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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May 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 to 49 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * report heavy drinking in a typical week in the past month * meet DSM-5 criteria for Alcohol Use Disorder * meet DSM-5 and research diagnostic criteria for Insomnia Disorder Exclusion Criteria: * ≥50 years * unable to provide informed consent * report contraindications for CBT-I (mania or seizure disorder) * moderate to severe sleep apnea that is untreated * have symptoms requiring immediate clinical attention (e.g., psychosis, suicide plan) * are already receiving behavioral treatment for insomnia or alcohol use
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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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University of Missouri-Columbia
RECRUITINGColumbia, Missouri, 65212, United States
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