Improving WTC responder mental health with personalized sleep treatment for COMISA
Official title: Improving WTC responder mental health through precision treatment of comorbid insomnia and sleep apnea
Funded at Icahn School of Medicine at Mount Sinai · NIH-11578881 · Data updated 2026-11-12
Aimed at helping World Trade Center responders who have both insomnia and sleep apnea feel better by using a tailored combination of sleep therapies.
Quick facts
| Grant type | R21 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Icahn School of Medicine at Mount Sinai NIH-funded |
| Lab location | 1 site (New York, United States) |
| Project start | September 1, 2026 |
| Project end | August 31, 2028 |
| Funding year | 2026 |
| Award (this year) | $249,871 |
| NIH project number | 1R21OH013129-01 |
| Project ID | NIH-11578881 on NIH RePORTER |
Who could benefit from this research
✓Could help
WTC responders with co-morbid insomnia and sleep apnea (COMISA) who may benefit from tailored CBTI and PAP therapy.
✕Less likely to help
Individuals without COMISA or those unable to tolerate sleep therapies may not experience the same benefit.
What this research studies
This project looks at WTC responders with both insomnia and sleep apnea and tests whether a personalized treatment combining CBT for insomnia with PAP therapy improves mental health outcomes. Researchers will classify patients by a sleep endotype called low arousal threshold to customize who gets which therapy and in what sequence. The study builds on existing evidence that better sleep health can reduce anxiety and depression and aims to tailor treatment to individual sleep biology.
Why it matters
Potential benefit: If successful, patients could experience relief from anxiety and depression through a more effective, personalized sleep treatment.
How similar studies have gone: Prior studies show improvements with CBTI or PAP separately; this study tests a precision, combined approach.
Where this research is happening
-
Icahn School of Medicine at Mount Sinai
New York, United States Active
Researchers
- Principal investigator: Tolbert, Thomas Mcduffy — Icahn School of Medicine at Mount Sinai
- Study coordinator: Tolbert, Thomas Mcduffy
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.