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Adverse Childhood ExperiencesNCT06454344

The Iowa ACEs and Sleep Cohort and Manipulating Sleep in Young Adults With ACEs Studies

A study testing Cognitive Behavioral Therapy for Insomnia (CBT-i) in people with Adverse Childhood Experiences and Vascular Dilatation, run by University of Wisconsin, Madison at 2 sites in United States.

Suspended

Paused. Enrolment is on hold for now and may resume.

Official record
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Trial summary

The overall purpose of this study is to understand the role of disrupted sleep in the association of exposure to early life adversity (adverse childhood experiences (ACEs)) with vascular endothelial (dys)function. Read more about this study

Who is it for?
Ages 18 to 29 yearsHealthy volunteers can take part
What is being tested?
Cognitive Behavioral Therapy for Insomnia (CBT-i)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
2 sitesUnited States
Study dates
1 May 2024to 31 Oct 2028
Phase
Interventional
Are there results?
None posted in the registry

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 18 to 29 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 18-29 years of age
  • SBP <129 and DBP <90 mmHg
  • Body Mass Index > 18.5 kg/m2 and <35 kg/m2
  • Willing to complete in-home sleep studies
  • 18-29 years of age
  • SBP <129 and DBP <90 mmHg
Show all 11Show fewer
  • Body Mass Index > 18.5 kg/m2 and <35 kg/m2
  • Willing to complete in-home sleep studies
  • >= 3 Adverse Childhood Experiences
  • PSQI Global Score >5
  • Sleep Efficiency Score <90%

Who cannot join

  • Currently undergoing treatment for a sleep disorder or diagnosed with restless leg syndrome, hypersomnia, parasomnia or narcolepsy, or obstructive sleep apnea
  • Currently performing overnight shift work
  • Lifetime history of any psychiatric disorder with psychotic features or bipolar disorder, currently undergoing treatment for substance-induced mood disorder
  • Endorsed suicidal ideation as indicated by a Moderate or High risk determination on the Columbia Suicide Risk Protocol
  • Diagnosed neurological disorder or illness affecting the central nervous system
  • Diagnosed acute or chronic autoimmune disease or chronic inflammatory condition
Show all 42Show fewer
  • Current or previous cancer diagnosis
  • History of moderate or severe traumatic brain injury
  • Current or previous history of CBT-I treatment or sleep restriction or cognitive restructuring therapy for sleep
  • History of cardiometabolic disease (e.g., ischemic heart disease, coronary artery disease, stroke, chronic kidney disease, diabetes mellitus), pulmonary disease, or renal disease
  • Current or recent (within past month) use of anti-hypertensive (including clonidine), lipid lowering, glucose- controlling, or prescription anti-inflammatory medications
  • Current or recent (within past month) opiates, benzodiazepine or benzodiazepine receptor agonists, or trazodone
  • Recent changes to or unstable treatment (changes within last 6 mo.) with prescription medications
  • Currently smoking or using nicotine
  • Current use of hormone therapy
  • Current heavy alcohol use, as defined as binge drinking on 5 or more days in the last month, or consuming more than 7 (women) or 14 (men) drinks per week in the last month (per NIAAA definition)
  • Current or recent (within the last 6 mo.) illicit drug use disorder as indicated by a score of 3 or greater on the Drug Abuse Screening Test (DAST-10)
  • Current or recent (within 6 mo.) pregnancy OR current or recent breastfeeding (within 3 mo.) OR children under the age of 2 years old in the home
  • Currently completing greater than 300 minutes of moderate intensity, or greater than 150 minutes of vigorous intensity physical activity, or an equal combination per week
  • Unstable housing
  • AIM 2
  • Currently undergoing treatment for a sleep disorder or diagnosed with restless leg syndrome, hypersomnia, parasomnia or narcolepsy, or obstructive sleep apnea
  • Currently performing overnight shift work
  • Lifetime history of any psychiatric disorder with psychotic features or bipolar disorder, currently undergoing treatment for substance-induced mood disorder
  • Endorsed suicidal ideation as indicated by a Moderate or High risk determination on the Columbia Suicide Risk Protocol
  • Diagnosed neurological disorder or illness affecting the central nervous system
  • Diagnosed acute or chronic autoimmune disease or chronic inflammatory condition
  • Current or previous cancer diagnosis
  • History of moderate or severe traumatic brain injury
  • Current or previous history of CBT-I treatment or sleep restriction or cognitive restructuring therapy for sleep
  • History of cardiometabolic disease (e.g., ischemic heart disease, coronary artery disease, stroke, chronic kidney disease, diabetes mellitus), pulmonary disease, or renal disease
  • Current or recent (within past month) use of anti-hypertensive (including clonidine), lipid lowering, glucose- controlling, or prescription anti-inflammatory medications
  • Current or recent (within past month) opiates, benzodiazepine or benzodiazepine receptor agonists, or trazodone
  • Recent changes to or unstable treatment (changes within last 6 mo.) with prescription medications
  • Currently smoking or using nicotine
  • Current use of hormone therapy
  • Current heavy alcohol use, as defined as binge drinking on 5 or more days in the last month, or consuming more than 7 (women) or 14 (men) drinks per week in the last month (per NIAAA definition)
  • Current or recent (within the last 6 mo.) illicit drug use disorder as indicated by a score of 3 or greater on the Drug Abuse Screening Test (DAST-10)
  • Current or recent (within 6 mo.) pregnancy OR current or recent breastfeeding (within 3 mo.) OR children under the age of 2 years old in the home
  • Currently completing greater than 300 minutes of moderate intensity, or greater than 150 minutes of vigorous intensity physical activity, or an equal combination per week
  • Unstable housing
  • Likely Obstructive Sleep Apnea, as indicated by an apnea-hypopnea index (AHI) >= 15 events/hour or persistent hypoxemia, as indicated by an arterial oxygen saturation <= 88% for >5 minutes per night.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Integrative Laboratory of Applied Physiology and Lifestyle Medicine

    Iowa City, Iowa, 52242

  • University of Wisconsin

    Madison, Wisconsin, 53792

Other trials in United States

About this study

Official title: Associations of Adverse Childhood Experiences, Sleep Disruption, and Vascular Dysfunction in Young Adults: The Iowa ACEs and Sleep Cohort and Manipulating Sleep in Young Adults With ACEs Studies

The overall purpose of this study is to understand the role of disrupted sleep in the association of exposure to early life adversity (adverse childhood experiences (ACEs)) with vascular endothelial (dys)function.

In Aim 1 (The Iowa ACEs and Sleep Cohort Study), the investigators will utilize a cross-sectional cohort design with a state-of-the-art translational approach. Participants will be recruited to objectively characterize the degree to which lower sleep quality and quantity contribute to ACEs-related endothelial dysfunction, inflammation, and oxidative stress in young adults using:

Read more
  1. rigorous at home sleep monitoring using 7-nights of wrist actigraphy and 2 nights of home-based polysomnography to objectively measure sleep quality (sleep efficiency, wakefulness after sleep onset and sleep depth), and total sleep duration,
  2. in vivo assessment of endothelial function via flow-mediated dilation testing, and
  3. in vitro determination of endothelial cell inflammation and oxidative stress from biopsied endothelial cells. This study to achieve this Aim.

In Aim 2, approximately 70 eligible participants from Aim 1 (The Iowa ACEs and Sleep Cohort Study) will then be randomized to either a 6-week behavioral sleep intervention (cognitive behavioral therapy for insomnia) or a wait-list control to determine the mechanistic contribution of sleep disruption to vascular dysfunction in young adults with moderate-to-high exposure to adverse childhood experiences (ACEs). Following the intervention, participants will again complete:

  1. rigorous at home sleep monitoring using 7-nights of wrist actigraphy and 2 nights of home-based polysomnography to objectively measure sleep quality (sleep efficiency, wakefulness after sleep onset and sleep depth), and total sleep duration,
  2. in vivo assessment of endothelial function via flow-mediated dilation testing, and
  3. in vitro determination of endothelial cell inflammation and oxidative stress from biopsied endothelial cells.
Being tested
Cognitive Behavioral Therapy for Insomnia (CBT-i)
Medical subject headings
Aneurysm, Parasomnias, Psychological Trauma, Inflammation

What participants receive

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

  • Cognitive Behavioral Therapy for Insomnia (CBT-i)Behavioural

    CBT-I is a structured program with a robust empirical evidence supporting its efficacy for improving sleep quality and quantity. The cognitive component of CBT-I teaching individuals how to recognize and change the beliefs they hold about sleep that negatively impact sleep, such as negative thoughts and emotions. The behavioral component includes several strategies to help improve sleep, including: improved sleep hygiene, improving the sleep environment, relaxation training, stimulus control therapy (consistent wake/sleep times, using the bed only for sleep, etc), and sleep restriction. Sleep restriction consists of reducing the time spend in bed initially to increase sleep drive in subsequent nights. Once sleep has improved, the time in bed is gradually increased again.

Study groups in NCT06454344
Study groupRoleWhat they receive
Cognitive Behavioral Therapy for Insomnia (CBT-i)ExperimentalNot described
Receives: Behavioral: Cognitive Behavioral Therapy for Insomnia (CBT-i)
Waitlist ControlNo interventionNot described

What is being measured

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

  1. Vascular Endothelial Function

    The brachial artery flow-mediated dilation (FMD) technique, a non-invasive bioassay of endothelium-dependent vasodilatory function, will be used as the primary determinant of in-vivo vascular endothelial function.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

Secondary outcomes (16)
  1. Endothelial NFκB p65 expression.

    Vascular endothelial cells will be biopsied and stained for inflammatory marker NFκB p65.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  2. Endothelial TNF-α expression.

    Vascular endothelial cells will be biopsied and stained for inflammatory marker TNF-α.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  3. Endothelial MCP-1 expression.

    Vascular endothelial cells will be biopsied and stained for inflammatory marker MCP-1.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  4. Endothelial NADPH-oxidase p47phox expression.

    Vascular endothelial cells will be biopsied and stained for NADPH-oxidase p47phox, a marker of oxidative stress.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  5. Endothelial nitrotyrosine expression.

    Vascular endothelial cells will be biopsied and stained for nitrotyrosine, a marker of oxidative stress.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  6. Circulating CRP

    Blood samples will be collected and analyzed for inflammatory marker CRP in plasma.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  7. Circulating TNF-α

    Blood samples will be collected and analyzed for inflammatory marker TNF-α in serum.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  8. Circulating MCP-1

    Blood samples will be collected and analyzed for inflammatory marker MCP-1 in serum.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  9. Circulating IL1-RA

    Blood samples will be collected and analyzed for inflammatory marker IL1-RA in plasma.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  10. Circulating oxidized low density lipoprotein

    Blood samples will be collected and analyzed for oxidative stress marker oxidized low density lipoprotein in serum.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  11. Circulating 8-iso prostaglandin F2α

    Blood samples will be collected and analyzed for oxidative stress marker 8-iso prostaglandin F2α in serum.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  12. Anti-oxidant (Superoxide Dismutase) Activity in Peripheral Blood Mononuclear Cells

    Peripheral blood mononuclear cells will be isolated from whole blood pre and post intervention and superoxide dismutase activity will be quantified using calorimetric assay.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  13. Anti-oxidant (Glutathione Reductase) Activity in Peripheral Blood Mononuclear Cells

    Peripheral blood mononuclear cells will be isolated from whole blood pre and post intervention and glutathione reductase activity will be quantified using calorimetric assay.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  14. Anti-oxidant (Catalase) Activity in Peripheral Blood Mononuclear Cells

    Peripheral blood mononuclear cells will be isolated from whole blood pre and post intervention and catalase activity will be quantified using calorimetric assay.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  15. Perceived Stress

    The investigators will measure perceived stress using the "Perceived Stress Scale" (PSS-10). This will be considered one of the mediators alongside sleep in the investigators' models, as the addition of other potential mediators can improve power and provide a more accurate estimate of the original (sleep) mediator by controlling for shared effects among mediators. The PSS-10 has a minimum score of "0" and a maximum score of "40" with higher scores indicating worse outcomes.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

  16. Distress

    The investigators will measure distress using the "Kessler Psychological Distress Scale" (K-10). This will be considered one of the mediators alongside sleep in the investigators' models, as the addition of other potential mediators can improve power and provide a more accurate estimate of the original (sleep) mediator by controlling for shared effects among mediators. The K-10 has a minimum score of "10" and a maximum score of "50" with higher scores indicating worse outcomes.

    Measured: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)

Timeline

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

  1. First posted12 Jun 2024
  2. Study start1 May 2024
  3. Primary completion30 May 2028 (estimated)
  4. Study completion31 Oct 2028 (estimated)

Why it stopped: Enrollment temporarily paused while the PI and award transfer from the University of Iowa to the University of Wisconsin-Madison. Recruitment will resume after UW-Madison IRB approval and award activation (anticipated early 2027).

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
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06454344
Sponsor's protocol ID
2026-1020
Other IDs
1R01HL167788-01A1, SOE | Kinesiology Operations, Protocol Version
Status last verified
Dec 2025
First submitted
3 Jun 2024
Last updated
29 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive Behavioral Therapy for Insomnia (CBT-i) in people with Adverse Childhood Experiences and Vascular Dilatation, run by University of Wisconsin, Madison at 2 sites 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 11 inclusion and 42 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: paused, as of the sponsor's last update on 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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?

Results are not available in the source record.

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?

Vascular Endothelial Function (time frame: Week 0 (Pre-Intervention) and Week 7 (Post-Intervention)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Oct 2026.

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