NIH-funded research NIH-funded research

Insomnia subtypes and sleep meds: CBT-I and trazodone for adults with high blood pressure

Official title: 1/2 Cognitive Behavioral Therapy and Trazodone Effects on Sleep and Blood Pressure in Insomnia Phenotypes Based on Objective Sleep Duration: A Sequential Cohort/Randomized Controlled Trial

Funded at Pennsylvania State Univ Hershey Med Ctr · NIH-11418414 · Data updated 2026-11-12

We’re testing whether a sleep therapy (CBT-I) and the antidepressant trazodone help adults with insomnia and high blood pressure, especially those with the short-sleep-insomnia subtype.

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Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionPennsylvania State Univ Hershey Med Ctr
NIH-funded
Lab location1 site (Hershey, United States)
Project startJuly 1, 2023
Project endJune 30, 2028
Funding year2026
Award (this year)$1,415,302
NIH project number5UH3HL161342-04
Project IDNIH-11418414 on NIH RePORTER

Who could benefit from this research

Could help

Adults 21+ with insomnia and elevated blood pressure, including those characterized as insomnia with short sleep duration.

Less likely to help

Participants without insomnia or without elevated blood pressure may not benefit.

What this research studies

This project will enroll adults with insomnia and elevated blood pressure to see if CBT-I works differently for those who sleep short vs. normal duration. After a 4-site observational phase, participants who do not fully respond to CBT-I may be randomized to trazodone or placebo to see if the medication helps sleep and lowers blood pressure. The study builds on prior findings showing ISS may respond differently to CBT-I and trazodone, with potential effects on sleep time, blood pressure, and cortisol. If successful, the approach could personalize insomnia treatment for people at cardiovascular risk.

Why it matters

Potential benefit: If successful, patients could receive a more effective, tailored treatment plan for insomnia that also helps manage blood pressure.

How similar studies have gone: Preliminary data suggest differential responses to CBT-I and trazodone in different insomnia phenotypes, supporting further testing.

Where this research is happening

  • Pennsylvania State Univ Hershey Med Ctr
    Hershey, United States
    Active

Researchers

  • Principal investigator: Vgontzas, Alexandros N — Pennsylvania State Univ Hershey Med Ctr
  • Study coordinator: Vgontzas, Alexandros N

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 2026-11-15 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.