Clinical trial Recruiting at 3 sites Interventional Ages 19 to 75

Digital therapy BELL-001 to help with insomnia

Official title: A Multicenter, Single-arm, Prospective Clinical Investigation to Observe the Long-term Safety and Efficacy of the Digital Medical Device 'BELL-001' in Patients Diagnosed With Insomnia

Run by BELL Therapeutics Inc. · NCT07582809 · Data updated 2026-11-12

A smartphone-based therapy called BELL-001 is being tried in adults with insomnia to see if it is safe and helps people fall asleep and stay asleep over about 3 months.

Quick facts

Study typeInterventional
Ages19 Years to 75 Years
SexAll
Enrollment40 (estimated)
SponsorBELL Therapeutics Inc.
Industry-sponsored
Locations3 sites (Incheon and 2 other locations)
StatusRecruiting
StartedJuly 20, 2026
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedAugust 28, 2026
Trial IDNCT07582809 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 19–75 with ICD-10 insomnia diagnoses, ISI ≥ 15, able to use a smartphone/tablet with internet, and willing to use BELL-001 as sole insomnia intervention besides CBT-I during the trial.

Probably not a fit

Patients who do not respond to the breathing-guided auditory therapy or have contraindicating factors may not experience sleep benefits.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multicenter, single-arm study to observe the long-term safety and effectiveness of the BELL-001 digital therapeutic device in adults with insomnia. BELL-001 uses personalized auditory feedback linked to a person’s breathing to promote relaxation before sleep. Participants use the smartphone-based therapy for about 12 weeks and are monitored for safety and sleep outcomes. The trial does not include a concurrent control group, but it aims to collect data on sleep initiation, maintenance, and daytime functioning alongside safety. Eligible participants are adults 19–75 with ICD-10 insomnia diagnoses and a baseline insomnia severity that meets the ISI threshold.

Why it matters

Potential benefit: If successful, participants may experience improved sleep onset and maintenance and better daytime function through a non-pharmacological, accessible digital therapy.

How similar studies have gone: Prior digital therapeutic approaches for insomnia have shown feasibility and potential benefit in some studies, but this exact smartphone-based, breathing-synchronised audio therapy is novel in this program.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosed with ICD-10 nonorganic insomnia (F51.0) or sleep initiation and maintenance disorder (insomnia, G47.0)
* Insomnia Severity Index (ISI) score ≥ 15
* Adults aged 19 to 75 years
* Capable of using a smartphone or tablet and has access to a stable internet connection
* Willing to provide written informed consent voluntarily and able to comply with all study procedures
* Agrees not to initiate any other insomnia treatment other than cognitive behavioral therapy for insomnia during the trial
* Has completed sleep diary entries for at least 3 out of 7 days from the day after the screening visit through the day of the baseline visit (Visit 2)
* At the baseline visit (Visit 2), sleep diary data from the preceding 7 days confirms at least 3 nights with a sleep onset latency of 30 minutes or more, or wake after sleep onset of 60 minutes or more

Exclusion Criteria:

* Individuals with severe psychiatric disorders, including major depressive disorder
* Individuals diagnosed with or suspected of having insomnia comorbid with narcolepsy (G47.4), obstructive sleep apnea (G47.30), restless legs syndrome (G25.81), periodic limb movement disorder (G47.61), or REM sleep behavior disorder (G47.52) per ICD-10-CM codes
* Individuals with active physical illness or unstable medical conditions that interfere with activities of daily living, including congestive heart failure, chronic obstructive pulmonary disease (COPD), acute pain, cerebrovascular disease (e.g., stroke), or neurodegenerative disorders (e.g., dementia, multiple sclerosis)
* Individuals whose insomnia symptoms are considered to be caused or exacerbated by the physiological effects of medications (prescription drugs or substances of abuse) or alcohol
* Individuals deemed by the investigator to be unable to participate in the study due to respiratory conditions such as asthma
* Individuals with moderate or greater hearing loss in both ears
* Individuals suspected of sleep medication dependence at the investigator's discretion
* Individuals with a history of change in the type or dosage of sleep medications, antidepressants, anticonvulsants, anxiolytics, or antipsychotics within 4 weeks prior to the baseline visit (Visit 2)
* Individuals currently reporting persistent tinnitus symptoms
* Individuals diagnosed with shift work sleep-wake disorder, or those who experience periodic insomnia or sleep-wake rhythm disturbance due to a work environment requiring repeated circadian readjustment, such as day/night shift rotation or frequent international travel
* Individuals who took PRN (as-needed) sleep medications during the screening period (including the day before Visit 1)
* Individuals who used other investigational drugs or investigational digital medical devices within 3 months prior to Visit 1 I-ndividuals with prior experience using BELL-001
* Individuals deemed inappropriate for participation in the clinical trial by the investigator for any other reason

Where it's running

  • Catholic Kwandong University International St. Mary's Hospital
    Incheon, South Korea
    Recruiting
  • CHA Bundang Hospital
    Seongnam-si, South Korea
    Recruiting
  • Seoul National University Hospital, Seoul, 03080
    Seoul, South Korea
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Bedtime mindfulness meditation for chronic trouble falling asleep

    This pilot will test whether a 4-week bedtime mindfulness app helps adults with chronic trouble falling asleep compared with an unguided meditation app or sleep hygiene education.

    Recruiting Phase 1/2 Brigham and Women's Hospital · Boston, Massachusetts · NCT06972303

  • Internet-based therapy for insomnia and cognitive health

    This study is testing whether an online therapy for insomnia can help improve sleep and thinking skills in people with mild cognitive impairment.

    Recruiting Phase 2 University of Virginia · Charlottesville, Virginia · NCT05565833

  • SleepCogni for children with chronic insomnia

    A handheld SleepCogni device is tested to see if it helps kids aged 6–16 with chronic insomnia sleep better.

    Recruiting Sheffield Children's NHS Foundation Trust · Sheffield · NCT07926724

  • Music therapy after stroke

    This trial tests whether adding music therapy to standard care helps stroke patients sleep better and feel less anxious or depressed while in the hospital.

    Recruiting Universidad de Granada · Granada, Granada · NCT07899034

  • Remote ischemic conditioning for post-stroke insomnia

    A 136-person, randomized study will test whether a non-invasive arm-cuff procedure done twice daily for 90 days can improve sleep after a first ischemic stroke in adults 18–80.

    Recruiting Sichuan Academy of Medical Sciences · Chengdu, Sichuan · NCT07874594

  • Nurse-guided app-based brief behavioral therapy for insomnia in older adults

    Aging adults with insomnia will be asked to try a nurse-supported, smartphone app therapy for four weeks to see if it helps with sleep.

    Recruiting Taipei Medical University · Taipei · NCT07842250

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.