Sleep apnea and insomnia? new study tests digital therapy to boost CPAP use
NCT ID NCT07556432
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at people who have both sleep apnea and chronic insomnia. All 120 participants will receive standard CPAP therapy for sleep apnea. Half will also get a digital program to treat their insomnia starting at the same time as CPAP. The other half will follow usual care and can access the program after 6 months. The goal is to see if early insomnia treatment helps people use CPAP more regularly and improves their health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- digital cognitive behavioral therapy for insomnia (CBT-I)
- What this could lead to
- If it works, this could show that treating insomnia early improves CPAP use and overall health in people with both conditions.
- What could go wrong
- This is a small, early-stage trial with only 120 participants, so results may not apply to everyone. The digital program may not work as well as in-person therapy.
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 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 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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45 to 65 years
- 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: 1. 45-65 years of age 2. Diagnosis of OSAS by respiratory polygraphy or polysomnography with an apnea-hypopnea index (AHI) ≥20 when scored by PSG or ≥15 when scored by PG30 with a prescription for CPAP therapy 3. Diagnosis of chronic insomnia according to the International Classification of Sleep Disorders (ICSD 3-TR).31 4. Ability to communicate in French 5. Ability to provide informed consent 6. Accept to receive information about incidental findings 7. Ownership of a smartphone running at least Android 9 (API version 28+) or iOS 12.2+. Exclusion criteria: 1. Current treatment for OSAS 2. Current or past treatment for chronic insomnia (CBT-I) 3. Severe restless legs syndrome 4. REM sleep behaviour disorder 5. Neurological diseases (stroke, Parkinson's disease, etc.) 6. Severe hypertension (≥180 mmHg systolic or requiring ≥3 antihypertensive medications) 7. Respiratory failure (oxygen saturation during wakefulness \<90%) 8. Severe heart failure (NYHA class III-IV) 9. High-risk alcohol consumption (≥14 units/week) 10. Known pregnancy 11. Epilepsy or history of epileptic seizures (ICD-11: 8A6; ICD-10: G40) 12. Known bipolar disorder of any type (ICD-11: 6A60, 6A61, 6A6Y, 6A6Z; ICD-10: F31) 13. Known Acute and transient psychotic disorder (ICD-11: 6A23; ICD-10: F23) 14. Known Active suicidal ideation 15. Known or suspected severe parasomnias incompatible with programme use (e.g., sleepwalking: 16. Known Severe cardiovascular disease that may contraindicate unsupervised CBT-I strategies (e.g., unstable arrhythmias, angina pectoris) 17. Any medical or psychiatric condition that, in the investigator's judgment, would contraindicate the use of the CE-marked HelloBetter Insomnie digital device or participation in CBT-I
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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 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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A smart neck brace may replace CPAP for sleep apnea
- A blood test for liver trouble may flag hidden risk in sleep apnea patients
- Blood oxygen dips may reveal who stays on CPAP
- Can a simple questionnaire improve sleep apnea treatment?