NIH-funded research R21 grant

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 typeR21 grant
Study typeNIH-funded research
Funding institutionIcahn School of Medicine at Mount Sinai
NIH-funded
Lab location1 site (New York, United States)
Project startSeptember 1, 2026
Project endAugust 31, 2028
Funding year2026
Award (this year)$249,871
NIH project number1R21OH013129-01
Project IDNIH-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

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.