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Delayed Sleep PhaseNCT03806296

Delayed Sleep Timing in Teens Study

A study testing Increase morning bright light, Decrease evening blue light and Sleep scheduling in people with Delayed Sleep Phase, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will (1) comprehensively characterize the substance use disorder (SUD) risk profile associated with adolescent Delayed Sleep Phase (DSP), and (2) probe whether SUD risk is diminished by altering sleep/circadian timing. Read more about this study

Who is it for?
Ages 16 to 19 yearsHealthy volunteers can take part
Conditions the study is for
Delayed Sleep Phase
What is being tested?
Increase morning bright light, Decrease evening blue light and Sleep scheduling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
142 participants
Where
1 siteUnited States
Study dates
3 Dec 2018to 30 Nov 2024
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 19 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Age 16-19 years
  • Currently in 11th or 12th grade and enrolled in a traditional high-school; or cyber school with synchronous classes (not home-schooled)
  • Physically and psychiatrically healthy, as determined by instruments described below
  • Provision of written informed consent and assent
  • Additional inclusion criterion for Experimental protocol
  • Meets operational definition of delayed sleep phase (DSP; weekend bedtime ≥1 AM)

Who cannot join

  • Significant or unstable acute or chronic medical conditions
  • Past or current bipolar disorder or psychotic disorder
  • Past or current substance use disorder other than alcohol use disorder or cannabis use disorder
  • Past month recreational drug use other than alcohol, cannabis, and nicotine
  • Current syndromal sleep disorders other than insomnia and delayed sleep phase disorder
  • Medications that interfere with sleep and/or reward function (antidepressants, and stimulants prescribed for ADHD are permitted)
  • Conditions that would interfere with the MRI procedures (e.g., non-removal ferromagnetic devices)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Western Psychiatric Institute and Clinic

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: Delayed Sleep Phase and Risk for Adolescent Substance Use

This study will (1) comprehensively characterize the substance use disorder (SUD) risk profile associated with adolescent Delayed Sleep Phase (DSP), and (2) probe whether SUD risk is diminished by altering sleep/circadian timing.

Read the detailed description

Mounting evidence indicates that delayed sleep phase (DSP) may confer risk for adolescent substance use (SU) and SUDs. However, the exact nature of this link and the mechanisms underlying it remain unclear. Circadian misalignment, a mismatch between late sleep hours and early school start times, is a compelling potential contributor to elevated SU in adolescent DSP with plausible neurobehavioral mechanisms. The investigators hypothesize that DSP-associated circadian misalignment decreases impulse control and increases reward sensitivity, thereby increasing SUD risk.

This study will, for the first time, (1) comprehensively characterize the SUD risk profile associated with adolescent DSP, and (2) probe whether SUD risk is diminished by altering sleep/circadian timing. The study will assess both established markers of SUD risk and putative neurobehavioral mechanisms (impulsivity and reward sensitivity). Specifically, the investigators will employ a comprehensive, multi-method approach to examining DSP's role in SUD risk, combining laboratory, experimental, and longitudinal studies. The investigators will recruit a sample of 150 eleventh and twelfth graders (16-19 y/o), divided between 100 DSP and 50 normal phase teens. The investigators will focus on cannabis and alcohol use given their prevalent use in adolescents and evident links to DSP.

In the laboratory study, the investigators will compare a group of DSP adolescents to a group of normal phase adolescents on behavioral and neuroimaging (fMRI) tasks tapping impulsivity and reward sensitivity, as well as a circadian phase assessment.

In the experimental study, the investigators will probe whether stabilizing circadian phase in the DSP group (n=100) by using sleep scheduling and chronotherapeutic approaches (i.e., dim light in the evening and bright light in the morning) improves sleep and neurobehavioral function relevant to SUD risk.

NOTE: When this ClinicalTrials.gov protocol was initially submitted, there were some mistakes made. The initial submission focused only on the Experimental study, which thus only included the "DSP group" (aka Late Sleep Timing group), and thus out the Laboratory study along with the "normal phase group" (aka Early/Middle Sleep Timing group). At that time, we also only listed a limited range of the primary outcomes listed in the funded grant, inadvertently leaving out several primary outcomes (weekday sleep duration - actigraph, circadian timing - dim light melatonin onset, neural correlates of reward receipt, and baseline cannabis and alcohol use). Finally, we mistakenly listed cannabis use from the Longitudinal protocol as a secondary outcome when it was actually an exploratory outcome in the funded grant, and thus we removed it.

Being tested
Increase morning bright light, Decrease evening blue light, Sleep scheduling, Monitor sleep, mood, and substance use
Keywords
sleep, circadian, adolescence, substance use, reward, impulse control
Medical subject headings
Substance-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Increase morning bright lightOther

    Participants will wear Re-Timer bright glasses for 30 minutes each morning

  • Decrease evening blue lightOther

    Participants will wear tinted glasses that block blue wavelength light for 2 hours before bed

  • Sleep schedulingBehavioural

    Participants will advance their weekday bedtime and maintain their weekday risetime on weekends

  • Monitor sleep, mood, and substance useBehavioural

    Participants will monitor sleep, mood, and substance use via smartphone-based platform and wrist actigraphy

Study groups in NCT03806296
Study groupRoleWhat they receive
ManipulationExperimentalParticipants who reported a weekend bedtime ≥ 1 AM. Completed both a 1-week baseline period (T1) and a 2-week experimental period (T2). During the 2-week experimental period, participants were asked to adhere to the following: * Sleep scheduling--advance bedtime by 1.5 hours ( + sleep duration) * Decrease evening blue light exposure via blue blocker goggles (2 h before bed) * Increase morning bright light exposure via bright light goggles (30 m after rise) * Monitor sleep, mood, and substance use via smartphone-based platform and wrist actigraph
Receives: Other: Increase morning bright light; Other: Decrease evening blue light; Behavioral: Sleep scheduling; Behavioral: Monitor sleep, mood, and substance use
ControlActive comparatorParticipants who reported a weekend bedtime ≥ 1 AM. Completed both a 1-week baseline period (T1) and a 2-week experimental period (T2). During the 2-week experimental period, participants were asked to adhere to the following: - Monitor sleep, mood, and substance use via smartphone-based platform and wrist actigraph
Receives: Behavioral: Monitor sleep, mood, and substance use
Early/Middle Sleep TimingNo interventionParticipants who report a weekend bedtime <1AM. Participants completed only the 1-week baseline observational protocol (T1)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Weekday Sleep Duration - Actigraphy

    Total Sleep Time as determined by wrist actigraphy data (averaged across weekdays during 1 week of T1 and during 2 weeks of T2)

    Measured: T1 (1 Week), T2 (2 Weeks)

  2. Circadian Timing - Dim Light Melatonin Onset

    Circadian Timing as determined by dim light melatonin onset (DLMO) assessed during saliva sampling using the 4pg/ml threshold.

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday.

  3. Circadian Alignment

    Circadian alignment is operationalized as the interval between the dim light melatonin onset (DLMO) and sleep midpoint based on the prior two nights of actigraphy data.

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday. Based on DLMO assessed on weeknight lab overnight visit, and including the two nights of actigraphy data prior to the lab visit.

  4. Reward Motivation (Behavioral)

    Adjusted average pumps on Balloon Analogue Risk Task, a computerized measure of risk taking behavior in participants are presented with a series of balloons and offered the chance to earn money by pumping each balloon up by clicking a button. The adjusted average only includes non-burst trials.

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday.

  5. Behavioral Inhibition

    Accuracy on Cued Go/No-Go Task, specifically correct response (withholding response) on No-Go trials following an incongruent Go cue

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday.

  6. Neural Correlates of Reward Anticipation

    Activation within the reward network during the Monetary Incentive Delay task. Specifically, activation is defined as bold signal in regions of the reward network (from NeuroSynth) on reward anticipation trials (large reward) versus neutral (no money) trials. Higher values represent increased reactivity to reward, as compared to neutral trials.

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday.

  7. Neural Correlates of Reward Receipt

    Monetary Incentive Delay Task: Win Outcome vs No Win contrast within the reward network (from Neurosynth). Higher values represent increased reactivity to reward wins, as compared to neutral trials.

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday.

  8. Neural Correlates of Impulse Control

    Activation within the Executive Control Network during the Stop Signal Task. Specifically, activation is defined as bold signal in regions of the Executive Control Network on unsuccessful Stop trials versus successful Go trials. Higher values represent increased activity to unsuccessful Stop versus successful Go trials.

    Measured: Overnight visits at end of T1 (1 Week) and T2 (2 Weeks). Always occurred on a Wednesday or Thursday.

  9. Cannabis Use

    Days of cannabis use based on timeline followback interview administered during baseline interview during consent/diagnostic interview visit.

    Measured: Days of cannabis use in 3 months prior to baseline.

  10. Alcohol Use

    Days of alcohol use based on timeline followback interview administered during baseline interview during consent/diagnostic interview visit.

    Measured: 3 months prior to baseline, based on timeline followback interview.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jan 2019
  2. Study start3 Dec 2018
  3. Primary completion22 Mar 2024
  4. Study completion30 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study combines Laboratory, Experimental, and Longitudinal protocols. The study includes 2 initial groups (Early/Middle Sleep Timing and Late Sleep Timing) that all complete the initial Laboratory (baseline) protocol. The Late Sleep participants are also randomized to complete one of two arms (Manipulation or Control) in the Experimental (intervention) protocol. The Early/Mid Sleep group does not complete the Experimental protocol. Finally, participants are also follow-up assessments through the life of the grant in the Longitudinal protocols.
Masking
None (open label)
Enrolment
142 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03806296
Sponsor's protocol ID
STUDY19030063
Other IDs
R01DA044143
Status last verified
Aug 2025
First submitted
8 Jan 2019
Last updated
26 Aug 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Wescott DL, Quick AD, Oryshkewych NS, Wallace ML, Beebe D, Buysse DJ, Clark DB, Mirchandaney R, Hasler BP. Chronotherapeutic Approaches to Target Insufficient and Late Sleep in Adolescents: A Randomized Clinical Trial. JAMA Pediatr. 2026 Jun 1;180(6):610-618. doi: 10.1001/jamapediatrics.2026.0976.

    PubMed 42008244

Questions about this trial

What is this clinical trial studying?

A study testing Increase morning bright light, Decrease evening blue light and Sleep scheduling in people with Delayed Sleep Phase, run by University of Pittsburgh at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Weekday Sleep Duration - Actigraphy (time frame: T1 (1 Week), T2 (2 Weeks)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03806296, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Aug 2025.

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